다면적 인성검사 II 재구성판(MMPI-2-RF)으로 살펴본 노인 우울장애의 임상적 특성 = Clinical Characteristics of Elderly Depression Using MMPI-2-RF

다국어 초록 (Multilingual Abstract)

The purpose of this study was to investigate the clinical characteristics of elderly depression using MMPI-2-RF. A total of 143 elderly patients with depression and 142 elderly people from MMPI-2 normal population of Korea as controls were used in this study. Our results showed that the followings were significantly higher in the elderly depressed patients compared to normal elderly people: emotional/internalizing dysfunction, demoralization, somatic complaints, low positive emotions, dysfunctional negative emotions, malaise, gastrointestinal complaints, head pain complaints, cognitive complaints, suicidal/death ideation, helplessness/ hopelessness, self-doubt, stress/worry, anxiety, anger proneness, behavior restricting fears, multiple specific fears, shyness, disaffiliativeness, negative emotionality/neuroticism-revised, and the introversion/low positive emotionality revised scale. However hypomanic activation scale was significantly lower in elderly controls. Emotional/internalizing dysfunction, demoralization, hypomanic activation, malaise, negative emotionality/neuroticisim-revised, and introversion/low positive emotionality-revised were proved to be the most significant predictors for distinguishing elderly depressed patients from normal elderly controls.
Limitations of this study and directions for future research are also discussed.

국문 초록 (Abstract)

본 연구에서는 노인 우울장애의 임상적 특성을 확인하기 위하여 143명의 노인 우울장애 집단과142명의 MMPI-2의 노인 표준화 집단을 대상으로 MMPI-2-RF의 척도들을 비교 분석하였다. 집단 간 차이 검증 결과, 정서적/내재화 문제(EID), 의기소침(RCd), 신체증상 호소(RC1), 낮은 긍정정서(RC2), 역기능적 부정 정서(RC7), 신체적 불편감(MLS), 소화기 증상 호소(GIC), 두통 호소(HPC), 인지적 증상 호소(COG), 자살/죽음 사고(SUI), 무력감/무망감(HLP), 자기회의(SFD), 스트레스/걱정(STW), 불안(AXY), 분노 경향성(ANP), 행동 제약 공포(BRF), 다중 특정 공포(MSF), 수줍음(SHY), 관계단절(DSF), 부정적 정서성/신경증(NEGE-r), 내향성/낮은 긍정 정서성(INTR-r) 척도에서 노인 우울장애 집단이 유의미하게 더 높은 점수를 보였다. 반면, 경조증적 상태(RC9) 척도에서는 노인 우울장애 집단이 유의미하게 낮은 것으로 나타났다. 위와 같은 변인들을 대상으로어떠한 변인이 가장 강력하게 두 집단을 구별하여 주는지 살펴보기 위해 로지스틱 회귀 분석을시행하였다. 집단 간 차이를 보인 MMPI-2-RF 변인 중 정서적/내재화 문제(EID), 의기소침(RCd), 경조증적 상태(RC9), 신체적 불편감(MLS), 부정적 정서성/신경증(NEGE-r), 내향성/낮은 긍정적정서성(INTR-r)이 나이, 교육수준을 통제한 이후에도 두 집단을 유의미하게 구별하여 줄 수 있는척도로 확인되었다. 본 연구 결과를 바탕으로 연구의 의의와 제한점이 논의되었다.

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