우울증의 인지적 취약성: 반추와 기억편향을 중심으로 = Cognitive Vulnerability to Depression: Relation to Rumination and Memory Bias

국문 초록 (Abstract)

본 연구는 우울증의 증상이 완화된 이후에도 유지되는 인지적 취약성을 찾아내고자 하는 목적으로 수행되었다. 본 연구의 대상은 33명의 현재 우울증 집단, 26명의 우울증 회복 집단, 31명의 정상 통제 집단이었다. 이들을 대상으로 슬픈 기분을 유도한 점화 조건 하에서 기억 인출, 기억 재인을 측정하였으며, 최근 우울증의 취약성 요인으로 주목받고 있는 반추 반응 유형이 우울증 회복군에서 유지되는지 살펴보았다. 그 결과 현재 우울증 집단은 정상 통제 집단에 비해 높은 반추, 높은 부정적 기억 편향, 낮은 긍정적 기억 편향을 나타낸 반면, 우울증 회복군은 정상 통제군에 비해 낮은 긍정 기억 편향을 나타냈다. 이러한 결과는 정보 처리 과정에서의 긍정 기억의 인출 저하가 우울 증상이 회복된 상태에서도 일관되게 유지되고 있는 취약성 요인임을 지지하는 것이다. 마지막으로 본 연구의 제한점과 추후 연구방향에 대해 논의하였다.

다국어 초록 (Multilingual Abstract)

The present study investigated cognitive vulnerability factors that persist after recovery from the depressive episode. 33 currently depressed, 26 remitted depressed, 31 matched never depressed participants completed the self-referent encoding and incidental recall/recognition task after participating in a negative mood-induction procedure. They also completed the questionnaire about the use of rumination. We found that currently depressed participants exhibited more recall for negative words, less recall for positive words, greater rumination than never depressed participants. Meanwhile, remitted depressed participants exhibited the less recall for positive words than never depressed participants. These results suggest that biased recall of positive material is evident even after individuals have remitted from a depressive episode. Implications of these findings are discussed and directions for future research are advanced.

참고문헌 (Reference)

1 연세대학교 언어정보 개발 연구원, "현대 한국어의 어휘 빈도" 1998

2 김영환, "한국형 대인관계문제검사의 타당화: KIIP-C와 KIIP-PD의 신뢰도와 타당도" 한국임상심리학회 21 (21): 391-411, 2002

3 권석만, "한국판 역기능적 태도척도의 신뢰도, 타당도 및 요인구조" 3 : 100-111, 1994

4 한창수, "한국 우울증의 진료현황 조사. 한국 우울증 진료의 현황과 발전방향" 2006

5 김은정, "우울증상 지속에 영향을 주는 인지 및 행동 변인들" 延世大學校 大學院 1993

6 이영자, "스트레스, 사회적 지지, 자아존중감과 우울 및 불안과의 관계" 서울女子大學校 大學院 1996

7 배금예, "불안과 우울이 암묵기억과 외현기억에 미치는 영향" 16 : 119-132, 1997

8 金正澤, "特性 不安과 社會性과의 關係" 고려대학교 대학원 1978

9 Keller, M. B., "Time to recovery, chronicity, and level of psychopathology in major depression: A 5-year prospective follow-up of 431 subject" 49 : 809-816, 1992

10 Keller, M. B., "Time to recovery, chronicity, and level of psychopathology in major depression. A 5-year prospective follow-up of 431 subject" 49 : 809-816, 1992

11 Symons, C. S., "The self-reference effect in memory: A meta analysis" 121 : 371-394, 1997

12 Hollon, S. D., "Specificity of depressotypic cognition in clinical depression" 95 : 52-59, 1984

13 Fritzsche, A., "Specificity of cognitive biases in patients with current depression and remitted depression and in patients with asthma" 40 : 815-826, 2010

14 Dobson, K., "Specificity and stability of self-referent encoding in clinical depression" 96 : 34-40, 1987

15 Lyubomirsky, S., "Self-perpetuating properties of dysphoric rumination" 65 : 339-349, 1993

16 Zuroff, D. C., "Selective memory and depression: A cautionary note concerning response bias" 7 : 223-232, 1983

17 Nolen-Hoeksema, S., "Ruminative coping with depressed mood Following Loss" 67 : 92-104, 1994

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

19 Watkins, E., "Rumination and overgeneral memory in depression: effects of self-focus and analytic thinking" 110 : 353-357, 2001

20 Nolen-Hoeksema, S., "Response styles and the duration of episodes of depressed mood" 102 : 20-28, 1993

21 Sakamoto, S., "Response styles and cognitive and affective symptoms of depression" 31 : 1053-1065, 2001

22 Barnett, P. A., "Psychosocial functioning in depression: Distinguishing among antecedents, concomitants, and consequences" 104 : 97-126, 1988

23 Trapnell, P. D., "Private self-consciousness and the five-factor model of personality: Distinguishing rumination from reflection" 76 : 284-304, 1999

24 Watkins, E., "Positive beliefs about rumination in depression-a replication and extension" 39 : 73-82, 2005

25 Martin, M., "On the induction of mood" 10 : 669-697, 1990

26 Bellew, M., "Negative recall bias as a predictor of susceptibility to induced depressive mood" 11 : 471-480, 1990

27 Dent, J., "Negative cognition and the persistence of depression" 97 : 29-34, 1988

28 Segal, Z. V., "Mood priming and construct activation in tests of cognitive vulnerability to unipolar depression" 14 : 663-695, 1994

29 Bradley, B. P., "Mood and personality in recall of positive and negative information" 32 : 137-141, 1994

30 Bower, G. H., "Mood and Memory" 36 : 129-148, 1981

31 Bradley, B. P., "Memory bias in recovered clinical depressives" 2 : 235-245, 1988

32 Spielberger, C. D., "Manual for the state-trait anxiety inventory" Consulting Psychologist Press 1970

33 Beck, A. T., "Manual for the Beck Depression Inventory-II" Psychological Corporation 1996

34 Dozois, D. J. A., "Information processing and cognitive organization in unipolar depression: specificity and comorbidity issues" 110 : 236-246, 2001

35 Heine, S. J., "Inclusion of additional studies yields different conclusions: Comment on Sedikides, Gaertner, & Vevea (2005)" 10 : 49-58, 2005

36 Ruiz Caballero, J. A., "Implicit and explicit memory bias in depressed and non depressed subjects" 8 : 555-569, 1994

37 Nolen-Hoeksema, S., "Explaining the gender difference in depressive symptoms" 77 : 1061-1072, 1999

38 Starr, L. R., "Excessive reassurance seeking, depression, and interpersonal rejection: A meta-analytic review" 117 : 762-775, 2008

39 Chang, E. C., "Examining the relations between rumination and adjustment: Do ethnic differences exist between asian and european americans?" 1 : 46-56, 2010

40 Hedlund, S., "Evidence of latent depressive schemas in formerly depressed individuals" 104 : 517-525, 1995

41 Miranda, J., "Endorsement of dysfunctional beliefs depends on current mood state" 99 : 237-241, 1990

42 Lyubomirsky, S., "Effects of self-focused rumination on negative thinking and interpersonal problem solving" 69 : 176-190, 1995

43 Morrow, J., "Effects of responses to depression on the remediation of depressive affect" 58 : 519-527, 1990

44 Deijen, J. B., "Effect of depression on psychomotor skills, eye movements and recognition memory" 29 : 33-40, 1993

45 Jhonson, S. L., "Does processing of emotional stimuli predict symptomatic improvement and diagnostic recovery from major depression?" 7 : 201-206, 2007

46 Silverman, J. S., "Do maladaptive attitude cause depression?" 41 : 28-30, 1984

47 Heine, S. J., "Divergent consequences of sucess and failure in Japan and North America: An investigation of self-improving motivations and malleable selves" 81 : 599-615, 2001

48 Segal, Z. V., "Differential cognitive response to a mood challenge following successful cognitive therapy or pharmacotherapy for unipolar depression" 108 : 3-10, 1999

49 American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders(4th ed., text rev.)" American Psychiatric Association 2000

50 Weissman, A. N., "Developmental validation of the Dysfunctional attitude scale" 1978

51 Macmillian, N. A., "Detection theory: A user's guide" Cambridge University Press 1991

52 Craig, F. I. M., "Depth of processing and the retention of words in episodic memory" 104 : 268-294, 1975

53 Beck, A. T., "Depression: Clinical, experimental, and theoretical aspects" Harper & Row 1967

54 Dunbar, G. C., "Depression, recognition-memory and hedonic tone: A signal detection analysis" 144 : 376-382, 1984

55 Ingram, R. E., "Depression and information processing: Self-schemata and the encoding of self-referent information" 45 : 412-420, 1983

56 Klein, D., "Dependency and self- criticism in depression: Evaluation in a clinical population" 97 : 399-404, 1988

57 Klein, D., "Dependency and self- criticism in depression: Evaluation in a clinical population" 97 : 399-404, 1988

58 한오수, "DSM-Ⅳ의 제 1축 장애의 구조화된 임상적 면담: SCID-1" 하나의학사 2000

59 Markus, H. R., "Culture and the self: Implications for cognition, emotion, and motivation" 98 : 224-253, 1991

60 Breslow, R, J., "Contribution of the depressive perspective to memory function in depression" 138 : 227-230, 1981

61 Gotlib, I. H., "Construct accessibility and depression: An examination of cognitive and affective factors" 47 : 427-439, 1984

62 Gotlib, I. H., "Construct accessibility and clinical depression: A longitudinal investigation" 96 : 199-204, 1987

63 Teasdale, J. D., "Cognitive vulnerability to depression: An investigation of two hypothesis" 26 : 113-126, 1987

64 Ingram, R. E., "Cognitive vulnerability to depression" Guilford press 1998

65 Beck, A. T., "Cognitive therapy and the emotional disorders" New American Library 1976

66 Segal, Z. V., "Cognitive reactivity to sad mood provocation and the prediction of depressive relapse" 63 : 749-755, 2006

67 Scher, C. D., "Cognitive reactivity and vulnerability: empirical evaluation of construct activation and cognitive diatheses in unipolar depression" 25 : 487-510, 2005

68 Williams, J. M., "Cognitive psychology and emotional disorder" Wiley 1988

69 임승락, "Cognitive processing of emotional information in depression, panic, and somatoform disorder" AMER PSYCHOLOGICAL ASSOC 114 : 50-61, 200502

70 Eaves, G., "Cognitive patterns in symptomatic and remitted unipolar major depression" 93 : 31-40, 1984

71 Hollon, S. D., "Cognitive factors in clinical research and practice" 4 : 35-76, 1984

72 Dohr, K. B., "Cognitive biases in depression" 98 : 263-267, 1989

73 Joormann, J., "Biased processing of emotional information in girls at risk for depression" 116 : 135-143, 2007

74 Beck A. T., "Beck Depression Inventory (BDI)" 4 : 561-571, 1961

75 Ingram, R. E., "Attentional allocation processes in individuals at risk for depression" 18 : 317-332, 1994

76 Hudson, J. A., "As time goes by: Sixth graders remember a kindergarten experience" Emory Cognition Project 1987

77 Ramel, W., "Amygdala reactivity and mood-congruent memory in individuals at risk for depressive relapse" 61 : 231-239, 2007

78 Denny, E. B., "Affective valence and memory in depression: Dissociation of recall and fragment completion" 101 : 575-580, 1992

79 Watkins, E., "Adaptive and maladaptive self-focus in depression" 82 : 1-8, 2004

80 Joormann,J.,Dkane,M.,& Gotlib,I.H, "Adaptive and maladaptive components of rumination? Diagnostic specificity and relation to depressive biases" 37 : 269-280, 2006

81 Blackburn, I. M., "A test of cognitive vulnerability in individuals prone to depression" 24 : 61-62, 1985

82 Huffziger, S., "A longitudinal study of rumination and distraction in formerly depressed inpatients and community controls" 118 : 746-756, 2009

83 Nolen-Hoeksema, S., "A Prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta earthquake" 61 : 115-121, 1991