Korean Journal of Psychosomatic Medicine (정신신체의학)

Korean Psychosomatic Society (한국정신신체의학회)
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Relationship Between Sleep Quality and Depression Symptoms in Psychiatric Patients: Mediating Effect Interpretation Bias for Ambiguity and Anxiety Symptoms

정신건강의학과 환자의 수면의 질과 우울 증상의 관계: 모호함에 대한 해석 편향과 불안 증상의 매개효과

  • Hyerin, Lee (Department of Psychiatry, Hanyang University Guri Hospital) ;
  • Eunkyeong, Kim (Department of Psychiatry, Hanyang University Guri Hospital) ;
  • Joonho, Choi (Department of Psychiatry, Hanyang University Guri Hospital) ;
  • Seon-Cheol, Park (Department of Psychiatry, Hanyang University Guri Hospital)
  • 이혜린 (한양대학교 구리병원 정신건강의학과) ;
  • 김은경 (한양대학교 구리병원 정신건강의학과) ;
  • 최준호 (한양대학교 구리병원 정신건강의학과) ;
  • 박선철 (한양대학교 구리병원 정신건강의학과)
  • Received : 2022.07.03
  • Accepted : 2022.09.16
  • Published : 2022.12.31
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Abstract

Objectives : This study was designed to investigate the effect of sleep quality on depression symptoms and the mediating effect of interpretation bias and anxiety symptoms in psychiatric patients. Methods : Data accumulated for outpatients and inpatients in the Department of Mental Health Medicine at Hanyang University Guri Hospital were used. The measurement tools were Pittsburgh Sleep Quality Index (PSQI), Ambiguous/Unambiguous Situations Diary-Extended Version (AUSD-EX), Beck Anxiety Inventory (BAI), Beck Depression Inventory-II (BDI-II). Correlation analysis and bootstrapping analysis were conducted using SPSS 25.0 and SPSS Macro based on 162 patient data. Results : As a result of the study, the double mediating effect of interpretation bias for Ambiguity and anxiety symptoms was significant in the relationship between sleep quality and depression symptoms. Conclusions : In this study, it was confirmed that low sleep quality sequentially affects anxiety and depression symptoms through interpretation bias for ambiguity. Based on this, it is expected that the development of other psychiatric symptoms can be prevented by preferentially performing therapeutic intervention on preceding symptoms.

연구목적 본 연구는 정신건강의학과 환자의 수면의 질이 우울 증상에 미치는 영향과 모호함에 대한 해석 편향과 불안증상의 매개효과를 확인하고자 하였다. 방 법 한양대학교 구리병원 정신건강의학과의 외래 환자와 입원 환자를 대상으로 축적된 자료를 사용하였으며, 측정 도구로는 피츠버그 수면의 질 척도(Pittsburgh Sleep Quality Index), 모호한 상황에서의 시나리오 척도(Ambiguous/Unambiguous Situations Diary-Extended Version, AUSD-EX), 아동기 외상설문지(Childhood Trauma Questionnaire), 백 불안 척도(Beck Anxiety Inventory), 백 우울 척도(Beck Depression Inventory-II)가 사용되였다. 162명의 자료를 기초로 SPSS 25.0과 SPSS Macro를 사용하여 상관분석과 Bootstrapping 분석이 실시되었다. 결 과 연구 결과, 수면의 질과 우울 증상의 관계에서 모호함에 대한 해석 편향과 불안 증상의 이중 매개효과가 유의하게 나타났다. 결 론 본 연구는 낮은 수면의 질이 모호함에 대한 해석 편향을 거쳐 불안 및 우울 증상에 순차적으로 영향을 미친다는 점을 확인하였다. 이를 바탕으로 선행 증상에 대한 치료적 개입을 우선적으로 실시함으로써 다른 정신과적 증상 발달을 예방할 수 있을 것으로 기대된다.

Keywords

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