우울증 및 불안장애 환자에서 특성불안 차이에 따른 긍정심리요인의 특징

Characteristic of Trait Anxiety and Positive Psychological Factors in Patients with Depression and/or Anxiety Disorders

  • 안희영 (가톨릭대학교 의과대학 정신과학교실) ;
  • 민정아 (가톨릭대학교 의과대학 정신과학교실) ;
  • 김선영 (가톨릭대학교 의과학연구원) ;
  • 채정호 (가톨릭대학교 의과대학 정신과학교실)
  • An, Hee-Young (Department of Psychiatry, College of Medicine, The Catholic University of Korea) ;
  • Min, Jung-Ah (Department of Psychiatry, College of Medicine, The Catholic University of Korea) ;
  • Kim, Sun-Young (Catholic Emotion Laboratory, Catholic Medical Science Institute) ;
  • Chae, Jeong-Ho (Department of Psychiatry, College of Medicine, The Catholic University of Korea)
  • 투고 : 2013.03.06
  • 심사 : 2013.04.19
  • 발행 : 2013.04.30

초록

Objective : The aim of this study was to investigate the relationship between trait anxiety and positive psychological factors. Methods : A total of 429 outpatients diagnosed with depression and/or anxiety disorders surveyed with questionnaires measuring socio-demographic, clinical, and positive psychological factors. The relationships of trait anxiety with clinical symptoms and positive psychological factors were evaluated. Results : Patients with low trait anxiety showed high optimism, gratitude, hope, spirituality and purpose in life. After adjusting age, scores of BDI and STAI-S, the results showed low trait anxiety was associated with high spirituality and purpose in life. Conclusion : The result revealed that trait anxiety had negative-relationship with spirituality and purpose in life in patients with depressive and/or anxiety disorders. Although trait anxiety was known as a general tendency which is stable, approach to trait anxiety by modulating these associated positive psychological factors would be newer approach of treatment to patients with depressive and/or anxiety disorders.

키워드

참고문헌

  1. Park JE, Kang EH, Park YM, Choi SW, Chae JH. Happiness and Positive Psychology in Mental Health. Korean J Str Res 2008;16:107-114.
  2. Chae JH. Newer Paradigm in Psychiatry Implicating Positive Psychology and Happiology. Korean J Str Res 2007;15:177-186.
  3. Min JA, Jung YE, Kim DJ, Yim HW, Kim JJ, Kim TS, et al. Characteristics associated with low resilience in patients with depression and/or anxiety disorders. Qual Life Res 2012: Apr 7. Epub ahead.
  4. Ai AL, Cascio T, Santangelo LK, Evans-Campbell T. Hope, meaning, and growth following the September 11, 2001, terrorist attacks. J Interpers Violence 2005;20:523-548. https://doi.org/10.1177/0886260504272896
  5. Efklides A, Moraitou D, Karademas E, Frokkai E-F, Tsotra E, Papazachariou R. The Relation of Optimism to Cardiac Patients' Subjective Health Through Illness Representations: Does the Level of Optimism Matter? A Positive Psychology Perspective on Quality of Life: Springer Netherlands;2013. p.175-188.
  6. Martinez-Marti ML, Avia MD, Hernandez-Lloreda MJ. The effects of counting blessings on subjective well-being: a gratitude intervention in a Spanish sample. Span J Psychol 2010;13:886-896. https://doi.org/10.1017/S1138741600002535
  7. Park YM, Choi SW, Kang EH, Park JE, Chae JH. Effect of Gratitude and Application of Gratitude Technique. Korean J Str Res 2008;16: 115-122.
  8. Thorson JA, Powell FC. Development and validation of a Multidimensional Sense of Humor Scale. J Clin Psychol 1993;49:13-23. https://doi.org/10.1002/1097-4679(199301)49:1<13::AID-JCLP2270490103>3.0.CO;2-S
  9. Southwick SM, Vythilingam M, Charney DS. The psychobiology of depression and resilience to stress: implications for prevention and treatment. Annu Rev Clin Psychol 2005;1:255-291. https://doi.org/10.1146/annurev.clinpsy.1.102803.143948
  10. Ivtzan I, Chan CP, Gardner HE, Prashar K. Linking Religion and Spirituality with Psychological Well-being: Examining Self-actualisation, Meaning in Life, and Personal Growth Initiative. J Relig Health 2011.
  11. Peterman AH, Fitchett G, Brady MJ, Hernandez L, Cella D. Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy-spiritual well-being scale (FACIT-Sp). Ann Behav Med 2002;24:49-58. https://doi.org/10.1207/S15324796ABM2401_06
  12. Song JM, Min JA, Lee NB, Chae JH. Effects of spirituality on the positive and negative affect in patients with depressive disorders. J Kor Soc Dep Bip Disorders 2012;10:159-164.
  13. Makola S, Berg HVd. Values systems: What differentiates students with a "high" from those with a "low" sense of meaning? Int J Existent Psychol Psychother 2008;2.
  14. Marsh A, Smith L, Piek J, Saunders B. The Purpose in Life Scale: Psychometric Properties for Social Drinkers and Drinkers in Alcohol Treatment. Educ Psychol Meas 2003;63:859-871. https://doi.org/10.1177/0013164403251040
  15. Spielberger CD, Gorsuch RL, Lushene R, Vagg PR, Jacobs GA. Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press;1983.
  16. Barrett J, Armony JL. The influence of trait anxiety on autonomic response and cognitive performance during an anticipatory anxiety task. Depress Anxiety 2006;23:210-219. https://doi.org/10.1002/da.20143
  17. Horikawa M, Yagi A. The relationships among trait anxiety, state anxiety and the goal performance of penalty shoot-out by university soccer players. PLoS One 2012;7:e35727. https://doi.org/10.1371/journal.pone.0035727
  18. Sandi C, Richter-Levin G. From high anxiety trait to depression: a neurocognitive hypothesis. Trends Neurosci 2009;32:312-320. https://doi.org/10.1016/j.tins.2009.02.004
  19. Min JA, Lee NB, Lee CU, Lee C, Chae JH. Low trait anxiety, high resilience, and their interaction as possible predictors for treatment response in patients with depression. J Affect Disord 2012;137:61-69. https://doi.org/10.1016/j.jad.2011.12.026
  20. Association AP. Diagnostic and statistical manual of mental disorders, fourth edition, text revision (DSM-IV-TR). Washington, DC: American Psychiatric Publishing Inc.;2000.
  21. Spielberger CD, Gorsuch RL. Manual for the State-Trait Anxiety Inventory (Form Y). Palo Alto, CA: Consulting Psychologists Press, Inc.;1970.
  22. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561-571. https://doi.org/10.1001/archpsyc.1961.01710120031004
  23. Scheier MF, Carver CS, Bridges MW. Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): a reevaluation of the Life Orientation Test. J Pers Soc Psychol 1994;67: 1063-1078. https://doi.org/10.1037/0022-3514.67.6.1063
  24. McCullough ME, Emmons RA, Tsang JA. The grateful disposition: a conceptual and empirical topography. J Pers Soc Psychol 2002;82: 112-127. https://doi.org/10.1037/0022-3514.82.1.112
  25. Svebak S. The development of the sense of humor questionnaire: From SHQ to SHQ-6. Humor: Int J Humor Res 1996;9:341-361.
  26. Snyder CR, Sympson SC, Ybasco FC, Borders TF, Babyak MA, Higgins RL. Development and validation of the state hope scale. J Personal Soc Psychol 1996;70:321-335. https://doi.org/10.1037/0022-3514.70.2.321
  27. Crumbaugh JC, Maholick LT. An experimental study in existentialism: The psychometric approach to Frankl's concept of neogenic neurosis. J Clin Psychol 1964;20:200-207. https://doi.org/10.1002/1097-4679(196404)20:2<200::AID-JCLP2270200203>3.0.CO;2-U
  28. Shallcross AJ, Ford BQ, Floerke VA, Mauss IB. Getting Better With Age: The Relationship Between Age, Acceptance, and Negative Affect. J Pers Soc Psychol 2012.
  29. Nakazato K, Shimonaka Y. The Japanese State-Trait Anxiety Inventory: age and sex differences. Percept Mot Skills 1989;69:611-617. https://doi.org/10.2466/pms.1989.69.2.611
  30. Julian LJ. Measures of anxiety: State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale-Anxiety (HADS-A). Arthritis Care Res (Hoboken) 2011; 63 Suppl 11:S467-472. https://doi.org/10.1002/acr.20561
  31. Kennedy BL, Schwab JJ, Morris RL, Beldia G. Assessment of state and trait anxiety in subjects with anxiety and depressive disorders. Psychiatr Q 2001;72:263-276. https://doi.org/10.1023/A:1010305200087
  32. Dein S, Cook CC, Koenig H. Religion, spirituality, and mental health: current controversies and future directions. J Nerv Ment Dis 2012; 200:852-855. https://doi.org/10.1097/NMD.0b013e31826b6dle
  33. Clark LA, Watson D. Tripartite model of anxiety and depression: psychometric evidence and taxonomic implications. J Abnorm Psychol 1991;100:316-336. https://doi.org/10.1037/0021-843X.100.3.316
  34. Hyde LW, Gorka A, Manuck SB, Hariri AR. Perceived social support moderates the link between threat-related amygdala reactivity and trait anxiety. Neuropsychologia 2011;49:651-656. https://doi.org/10.1016/j.neuropsychologia.2010.08.025
  35. Brosan L, Hoppitt L, Shelfer L, Sillence A, Mackintosh B. Cognitive bias modification for attention and interpretation reduces trait and state anxiety in anxious patients referred to an out-patient service: results from a pilot study. J Behav Ther Exp Psychiatry 2011;42:258-264. https://doi.org/10.1016/j.jbtep.2010.12.006