우울, 불안, 수치심, 자살사고에 대한 잠재프로파일분석 = A Latent Profile Analysis of Depression, Anxiety, Shame, and Suicidal Ideation

다국어 초록 (Multilingual Abstract)

The aim of the present study was to identify the number of latent classes among university students based on depression, anxiety, shame, and suicidal ideation. It was also investigated whether each latent class would be significantly classified with entrapment and rumination. A total of 401 university students participated in the study. Firstly, the participants were classified by five latent classes. Second, individuals with high levels of negative affect such as depression, anxiety and shame were classified as the most high-risk group for suicidal ideation. The second most-at-risk group was those who reported lower levels of negative affect. Finally, the most significant predictor characterised by the highest risk groups for suicidal ideation was external entrapment. The present findings provide useful information about who should be targeted for counseling and psychotherapy and what factors should be identified for risk of suicidal ideation. Limitation, implication, and future directions of the study are discussed.

국문 초록 (Abstract)

본 연구의 목적은 대학생들의 우울, 불안, 수치심, 자살사고를 기반으로 몇 개의 잠재 계층으로 구분되는지를 살펴보고 각 잠재 계층이 속박감과 반추에 의해 유의하게 분류될 수 있는지를 살펴보는데 있다. 본 연구를 위해 총 401명의 대학생들이 분석에 참여하였다. 첫째, 연구참여자들은 총 5개의 잠재계층으로 구분되었다. 둘째, 우울, 불안, 수치감 등의 부정적 정서가 높은 계층의 개인들이 자살사고도 높은 고위험군으로 분류되었다. 셋째, 자살사고에 대한 두 번째로 위험한 집단은 낮은 부정적 정서를 보고한 사람들이었다. 마지막으로, 자살사고에 대한 고위험군 집단을 특징짓는 유의한 변인은 외적 속박감인 것으로 나타났다. 본 연구의 결과는 자살 사고를 예방하기 위해 어떤 특성을 가진 집단에게 상담 및 심리치료적 개입이 주어져야 하는지, 어떤 변인을 중심으로 이런 집단의 특성을 밝혀내야 하는지에 대한 유용한 정보를 제공한다. 마지막으로, 본 연구의 한계점, 시사점 그리고 후속 연구 방향에 대해 논의하였다.

참고문헌 (Reference)

1 이종선, "한국판 내적 속박감 및 외적 속박감 척도의 신뢰도와 타당도 연구" 한국심리학회 31 (31): 239-259, 2012

2 구경미, "청소년의 스트레스, 자동적 사고, 우울과 자살생각 간의 구조적 관계와 성별에 따른 경로 차이 분석" 한국상담학회 13 (13): 1295-1314, 2012

3 이은희, "청소년 자살의 심리적 과정 및 문제해결력과 사회적 지지의 보호효과" 한국사회조사연구소 9 (9): 105-143, 2008

4 금명자, "전국 대학신입생의 대학생활 기대 및 정신건강" 서강대학교 학생생활상담연구소 31 (31): 105-127, 2010

5 김진영, "우울한 기분에 대한 두 가지 내부초점적 반응양식 : 반추적 반응양식과 반성적 반응양식" 서울대학교 대학원 2000

6 문은식, "생활사건 스트레스, 사회적 지지, 우울과 자살생각의 관계 :남고생과 여고생의 비교" 한국교육심리학회 25 (25): 277-293, 2011

7 최바올, "부적응적 완벽주의, 무망, 우울, 심리적 극통 및 자살사고의 관계" 한국상담심리학회 23 (23): 693-716, 2011

8 오세만, "병원 불안-우울 척도에 관한 표준화 연구 : 정상, 불안, 우울 집단간의 비교" 38 (38): 389-296, 1999

9 이소연, "반추적ㆍ반성적ㆍ경험적 자기초점화가 우울 기분에 미치는 영향" 한국인지행동치료학회 10 (10): 75-95, 2010

10 김민경, "대학생의 우울과 자살생각의 관계 -부정적 정서와 사회적응의 매개효과를 중심으로-" 한국청소년학회 18 (18): 101-129, 2011

11 하정희, "대학생들의 자살생각에 영향을 미치는 요인들: 스트레스, 대처방식, 완벽주의, 우울, 충동성의 구조적 관계모형 검증" 한국상담심리학회 20 (20): 1149-1171, 2008

12 이현지, "대학생 자아정체감과 무망감, 우울이 자살사고의 관계에 관한 연구" 한국청소년학회 14 (14): 243-264, 2007

13 이인숙, "내면화된 수치심 척도(ISS)의 타당화 연구- 애착, 과민성 자기애, 외로움과의 관계" 한국상담심리학회 17 (17): 651-670, 2005

14 박광배, "고등학생의 대학입시 목표와 자살생각" 10 (10): 298-314, 1990

15 Dixon, W. A., "Use of different sources of stress to predict hoplessness and suicide ideation in a college population" 39 (39): 342-349, 1992

16 Bjelland, I., "The validity of the Hospital Anxiety and Depression Scale-An updated literature review" 52 (52): 69-77, 2002

17 Lester, D., "The role of shame in suicide" 27 (27): 352-361, 1997

18 Gilbert, P., "The role of defeat and entrapment(arrested flight)in depression : An exploration of an evolutionary view" 28 (28): 585-598, 1998

19 Taylor, P. J., "The role of defeat and entrapment in depression, anxiety, and suicide" 137 (137): 391-420, 2011

20 Simon, N. M., "The association of comorbid anxiety disorders with suicide attempts and suicidal ideation in outpatients with bipolar disorder" 41 (41): 255-264, 2007

21 Rice, S., "The Indirect Relationship Between Rumination, Shame And Depression : A Mediation Analysis for Those Experiencing Relationship Difficulties" 2 (2): 43-52, 2011

22 Zigmond, A. S., "The Hospital Anxiety and Depression Scale" 67 (67): 361-370, 1983

23 Lo, Y., "Testing the number of components in a normal mixture" 88 (88): 767-778, 2001

24 Dean, P. J., "Testing the escape theory of suicide in an outpatient clinical population" 23 (23): 561-572, 1999

25 Baumeister, R. F., "Suicide as escape from self" 97 (97): 90-113, 1990

26 Allgulander, C., "Suicide and mortality patterns in anxiety neurosis and depressive neurosis" 51 (51): 708-712, 1994

27 Hawton, K., "Suicide" 373 (373): 1372-1381, 2009

28 Wild, L. G., "Suicidal ideation and attempts in adolescents : Associations with depression and six domain of self-esteem" 27 (27): 611-624, 2004

29 Wang, J., "Structural equation modeling: Applications using Mplus" John Wiley & Sons 2012

30 Wiklander, M., "Shame-proneness in attempted suicide patients" 12 (12): 1-9, 2012

31 Piers, G., "Shame and Guilt: Psychoanalytic and a cultural study" Norton 1971

32 허명회, "SAS회귀분석" 자유아카데미 1996

33 Treynor, W., "Rumination reconsidered : A psychometric analysis" 27 (27): 247-259, 2003

34 Watkins, E., "Rumination and executive function in depression: An experimental study" 72 (72): 400-402, 2002

35 Nolen-Hoeksema, S., "Responses to depression and their effects on the duration of depressive episodes" 100 (100): 569-582, 1991

36 Ang, R. P., "Relationship between academic stress and suicidal ideation : Testing for depression as a mediator using multiple regression" 37 (37): 133-1434, 2006

37 Fortuna, L. R., "Prevalence and correlates of lifetime suicidal ideation and attempts among Latino subgroups in the United States" 68 (68): 572-, 2007

38 Hawton, K., "Parasuicidal behavior and interpersonal problem solving performance in older adults" 41 (41): 375-386, 2002

39 McLachlan, G. J., "On bootstrapping the likelihood ratio test statistic for the number of components in a normal mixture" 36 (36): 318-324, 1987

40 OECD, "OECD health data 2012" OECD 2012

41 Clark, S. L., "Mixture modeling with behavioral data" University of California 2010

42 Willner, P., "Mediation of depression by perceptions of defeat and entrapment in high-stress mothers" 74 (74): 473-485, 2001

43 Brown, G. . W., "Loss, humiliation and entrapment among women developing depression : A patient and comparison" 25 (25): 7-21, 1978

44 Vuong, Q. H., "Likelihood ration tests for model selection and non-nested hypotheses" 57 (57): 307-333, 1989

45 Goodwin, R. D., "Lifetime comorbidity of antisocial personality disorder and anxiety disorders among adults in the community" 117 (117): 159-166, 2003

46 Brown, G., "Life events, vulnerability and onset of depression : some refinements" 150 (150): 30-42, 1987

47 Cooper, J., "Life events preceding suicide by young people" 37 (37): 271-275, 2002

48 Magidson, J., "Latent class models, In Handbook of quantitative methodology for the social sciences" Sage Publication 345-368, 2004

49 Magidson, J., "Latent class models for clustering : A comparison with K-means" 20 (20): 37-44, 2002

50 Collins, L. M., "Latent class and latent transition analysis" John Wiley & Sons 2010

51 Cook, D. R., "Internalized Shame Scale : Technical manual" Multi-Health Systems 2001

52 Kuo, W., "Incidence of suicide ideation and attempts in adults : The 13-year follow-up of a community samples in Baltimore, Maryland" 31 (31): 1181-1191, 2001

53 Nagin, D. S., "Group-based modeling of development" Harvard University Press 2005

54 Colllins, L. M., "Goodness-of-fit testing for latent class models" 28 (28): 375-389, 1993

55 McLachlan, G. J., "Finite mixture models" John Wiley & Sons 2000

56 Akaike, H., "Factor analysis and AIC" 52 (52): 317-332, 1987

57 Schwarz, G., "Estimating the dimension of a model" 6 (6): 461-464, 1978

58 Gilbert, P., "Entrapment and arrested fight and flight in depression : An exploration using focus groups. Psychology and Psychotherapy : Theory" 76 (76): 173-188, 2003

59 Greenberg, L. S., "Emotion-focused therapy: Coaching clients to work through their feelings" American Psychological Association 2002

60 Nylund, K. L., "Deciding on the number of classes in latent class analysis and growth mixture modeling. A Monte Carlo simulation study" 14 (14): 535-569, 2007

61 Agresti, A., "Categorical data analysis" John Wiley & Sons 2002

62 Miranda, R., "Brooding and reflection : Rumination predicts suicidal ideaton at 1-year follow-up in a community sample" 45 (45): 3088-3095, 2007

63 Beck, A. T., "Assessment of suicidal intention : The Scale for Suicidal Ideation" 47 (47): 343-352, 1979

64 Sclove, L. S., "Application of model-selection criteria to some problems in multivariate analysis" 52 (52): 333-343, 1987

65 Sareen, J., "Anxiety disorders and risk for suicidal ideation and suicide attempts : A population-based longitudinal study of adults" 62 (62): 1249-1257, 2005

66 Ramaswamy, V., "An empirical pooling approach for estimating marketing mix elasticities with PIMS data" 12 (12): 103-124, 1993

67 Garlow, S. J., "Age, gender, and ethnicity differences in pattern of cocaine and ethanol use preceeding suicide" 159 (159): 615-619, 2002

68 Ayyash-Abdo, H., "Adolescent suicide : An ecological approach" 39 (39): 459-475, 2002

69 Lewinsohn, P. M., "Adolescent suicidal ideation and attempts : Prevalence, risk factors, and clinical implications" 3 (3): 25-46, 1996

70 Seligman, M. E. P., "Abnormal psychology" Norton 2001

71 Bergman, L. R., "A person-oriented approach in research on developmental psychopathology" 9 (9): 291-319, 1997