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아동기 학대 경험이 성인의 단절/거절도식에 미치는 영향 :억제와 재해석의 조절효과 비교

The Impact of Childhood Abuse Experience on Adults' Disconnection/Rejection Schemas: A Comparison of Moderating Effects of Inhibition and Reinterpretation

  • 박한나 (주안대학원 대학교 선교학과)
  • 투고 : 2024.03.04
  • 심사 : 2024.04.20
  • 발행 : 2024.05.31

초록

본 연구는 아동기 학대 경험과 성인의 초기 부적응 도식 간의 관계에 대해 조명하고, 이 관계에서 표현적 억제와 인지적 재해석의 조절효과를 비교 분석하였다. 대전과 충청지역 대학원생 220명을 대상으로 실시한 자기보고식 설문조사를 통해, 210명의 데이터를 분석한 결과, 특히 아동기 학대 경험과 성인의 단절/거절 도식의 연관성에서 억제의 조절효과가 유의하게 나타났다. 분석 결과, 표현적 억제 수준이 높은 경우, 아동기 학대 경험이 단절/거절 도식에 미치는 부정적 영향이 감소하는 반면, 억제 수준이 낮은 경우에는 이러한 부정적 영향이 증가하는 것으로 나타났다. 이는 초기 부적응 도식이 장기간에 걸쳐 성격처럼 굳어진 경향이 있는 사람들에게 있어, 인지적 재해석 전략이 변화를 이끌기 어려울 수 있음을 시사한다. 반면, 표현적 억제 전략은 단절/거절 도식을 포함한 초기 부적응 도식의 강도를 낮추는 데 더 효과적일 수 있다. 이러한 발견은 아동기 학대 경험의 장기적인 영향을 이해하고, 이로 인한 부적응적 도식을 완화하기 위한 개입 전략을 개발하는 데 중요한 시사점을 제공한다. 본 연구의 결과를 바탕으로 후속 연구에 대한 제언과 함께, 심리적 개입에서 억제와 재해석 전략의 적용 가능성과 한계에 대해 논의하였다.

This study illuminates the relationship between childhood abuse experiences and early maladaptive schemas, and compares the moderating effects of expressive suppression and cognitive reappraisal within this relationship. Conducting a self-report survey among 220 graduate students in Daejeon and Chungcheong regions, data from 210 participants were analyzed. The results notably revealed that the interaction effect of suppression, but not cognitive reappraisal, significantly moderates the relationship between childhood abuse experiences and disconnection/rejection schemas. Specifically, high levels of expressive suppression were associated with a decrease in the negative impact of childhood abuse on disconnection/rejection schemas, whereas low levels of suppression increased this negative impact. This suggests that for individuals with long-standing early maladaptive schemas, which have solidified over time akin to personality traits, cognitive reappraisal strategies may be less effective in inducing change. Conversely, expressive suppression strategies may more effectively reduce the intensity of disconnection/rejection schemas, among other early maladaptive schemas. These findings provide important implications for understanding the long-term effects of childhood abuse and developing intervention strategies to mitigate its resultant maladaptive schemas. Based on the outcomes of this study, suggestions for future research are discussed, along with the potential applicability and limitations of suppression and reappraisal strategies in psychological interventions.

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참고문헌

  1. McLaughlin KA, Greif Green J, Gruber MJ, Sampson NA, Zaslavsky AM, Kessler RC, "Childhood Adversities and First Onset of Psychiatric Disorders in a National Sample of US Adolescents," Arch Gen Psychiatry, Vol. 69, No, 11, pp. 1151-1160, 2012 https://doi.org/10.1001/archgenpsychiatry.2011.2277
  2. Sachs-Ericsson, N., Verona, E., Joiner, T., and Preacher, K. J, "Parental verbal abuse and the mediating role of self-criticism in adult internalizing disorders," Journal of affective disorders, Vol. 93, No, 1-3, pp. 71-78, 2006 https://doi.org/10.1016/j.jad.2006.02.014
  3. Read, J, and Bentall, R. P, "Negative childhood experiences and mental health: theoretical, clinical and primary prevention implications," The British Journal of Psychiatry, Vol. 200, No, 2, pp. 89-91, 2012 https://doi.org/10.1192/bjp.bp.111.096727
  4. Bendall, S, Alvarez-Jimenez, M, Hulbert, C. A, McGorry, P. D, and Jackson, H. J, "Childhood trauma increases the risk of post-traumatic stress disorder in response to first-episode psychosis," Australian & New Zealand Journal of Psychiatry, Vol. 46, No, 1, pp. 35-39, 2012 https://doi.org/10.1177/0004867411430877
  5. Rodgers, C. S., Lang, A. J., Laffaye, C., Satz, L. E., Dresselhaus, T. R., and Stein, M. B., "The impact of individual forms of childhood maltreatment on health behavior," Child abuse & neglect, Vol. 28, No, 5, pp. 575-586, 2004 https://doi.org/10.1016/j.chiabu.2004.01.002
  6. Cutajar, M. C., Mullen, P. E., Ogloff, J. R., Thomas, S. D., Wells, D. L., & Spataro, J., "Schizophrenia and other psychotic disorders in a cohort of sexually abused children," Archives of general psychiatry, Vol. 67, No, 11, pp. 1114-1119, 2010 https://doi.org/10.1001/archgenpsychiatry.2010.147
  7. Johnson, J. G., Cohen, P., Brown, J., Smailes, E. M., and Bernstein, D. P., "Childhood maltreatment increases risk for personality disorders during early adulthood," Archives of general psychiatry, Vol. 56, No, 7, pp. 600-606, 1999 https://doi.org/10.1001/archpsyc.56.7.600
  8. Busby, D. M., Walker, E. C., and Holman, T. B., "The association of childhood trauma with perceptions of self and the partner in adult romantic relationships," Personal Relationships, Vol. 18, No, 4, pp. 547-561, 2011 https://doi.org/10.1111/j.1475-6811.2010.01316.x
  9. Messman-Moore, T. L. and Coates, A. A., "The impact of childhood psychological abuse on adult interpersonal conflict: The role of early maladaptive schemas and patterns of interpersonal behavior," Journal of Emotional Abuse, Vol. 7, No, 2, pp. 75-92, 2007 https://doi.org/10.1300/J135v07n02_05
  10. Currie, J., and Spatz Widom, C. "Long-term consequences of child abuse and neglect on adult economic well-being," Child maltreatment, Vol. 15, No, 2, pp. 111-120, 2010 https://doi.org/10.1177/1077559509355316
  11. Hughes, K., Lowey, H., Quigg, Z., and Bellis, M. A. "Relationships between adverse childhood experiences and adult mental well-being: results from an English national household survey," BMC public health, Vol. 16, pp. 1-11, 2016 https://doi.org/10.1186/s12889-016-2906-3
  12. Young, J. E., Klosko, J. S., and Weishaar, M. E., "Schema therapy: A practitioner's guide," guilford press, 2006
  13. Young, J. E., Rygh, J. L., Weinberger, A. D., & Beck, A. T., "Cognitive therapy for depression," Clinical handbook of psychological disorders: A step-by-step treatment manual, Vol. 4,pp. 250-305, 2008
  14. Hanna Park., "The impact of childhood abuse experience and disconnection/rejection schema on adult mental health: Moderated mediating effects of spirituality and emotion regulation strategies," Journal of Counseling Studies, Vol. 21, No, 2, pp. 59-77, 2019
  15. Hyeji Lee., "Research trends on emotion regulation strategies," Journal of Counseling Education, Vol. 6, No, 1, pp. 168-182, 2023
  16. Gomina., "The relationship between insecure adult attachment and resilience: The mediating effect of mentalization." The Journal of the Convergence on Culture Technology (JCCT), Vol. 9, No, 3, pp. 339-345, 2023
  17. Gross, J. J., "The emerging field of emotion regulation: An integrative review," Review of General Psychology, Vol. 2, No, 3, pp. 271-299, 1998 https://doi.org/10.1037/1089-2680.2.3.271
  18. Gross, J. J., "The emerging field of emotion regulation: An integrative review," Review of General Psychology, Vol. 2, No, 3, pp. 271-299, 1998 https://doi.org/10.1037/1089-2680.2.3.271
  19. Ari Kim, & Hyeonju Jo., "The effects of emotion regulation style on emotions and automatic thinking in insecurely attached adults," Korean Psychological Association Annual Conference Papers, Vol. 2013(1), pp. 279-279, 2013
  20. Youngran Gil, Miran Park, & Jiyeon Lee., "Structural relationships among early maladaptive schema, stress, avoidance coping behavior, emotion regulation, responsibility attribution, and marital satisfaction." Human Development Research, Vol. 23, No, 2, pp. 105-129, 2016
  21. Farrell, Joan M. "Clinical guide to psychological schema therapy," Seoul: Hakjisa, 2018.
  22. Gross, J. J., and Levenson, R. W., "Hiding feelings: the acute effects of inhibiting negative and positive emotion," Journal of Abnormal Psychology, Vol. 106, No, 1, pp. 95, 1997
  23. Na-young Moon,, "The effect of emotion regulation strategies on negative emotions in college students who suffered child abuse," Chung-Ang University Master Thesis, 2009
  24. Eunsil Lee,, "The impact of emotion regulation strategies on psychological adaptation," Catholic University Master Thesis, 2011
  25. Geon-hye Seol, Min-hee Kim., "The relationship between emotional expression suppression strategies and posttraumatic growth: Sequential multiple mediating effects of self-disclosure and social support in response to traumatic events," Journal of the Korea Contents Association, Vol. 21, No, 6, pp. 392-403, 2021 https://doi.org/10.5392/JKCA.2021.21.06.392
  26. Haeyeon Choi, Kyunghwan Min., "A comparative study between the validation and suppression concepts of the Korean version of the ambivalence scale for emotional expression," Journal of the Korean Psychological Association: Society and Personality,, Vol. 21, No, 4, pp. 71-89, 2007 https://doi.org/10.21193/kjspp.2007.21.4.004
  27. Youngseok Seo., "Verification of mediating and moderating effects in counseling psychology research: Conceptual distinctions and considerations when analyzing data," Journal of the Korean Psychological Association: Counseling and Psychotherapy, Vol. 22, No, 4, pp. 1147-1168, 2010
  28. Jaemin Son., "Individual differences in the use of emotion regulation strategies: Comparison of cognitive reinterpreters and emotion expression suppressors." Seoul National University Master Thesis, 2005
  29. Hayes, A. F., "Introduction to mediation: A regression-based approach," Guilford Press, 2013
  30. Sook-Kyung Jang, Min-Jeong Kim, "The effects of childhood traumatic experiences and dispositional optimism on interpersonal relationship problems in college students: The mediating effects of disconnection and rejection schemas," Journal of the Korean Psychological Association: Counseling and Psychotherapy, Vol. 32, No, 1, pp. 339-364, 2020 https://doi.org/10.23844/kjcp.2020.02.32.1.339
  31. Soyeon Kwon., "Structural relationship between traumatic emotions, emotional recognition clarity, emotional expressiveness, cognitive emotion regulation strategies, and post-traumatic growth in people who have experienced trauma," Inje University Master Thesis, 2019