Korean Clinical Psychology Association

Current Issue

Korean Journal of Clinical Psychology - Vol. 38 , No. 2

[ Original Article ]
Korean Journal of Clinical Psychology - Vol. 38 , No. 1 , pp.1-12
ISSN: 2466-197X (Online)
publication date 28 Feb 2019
Received 02 Aug 2018 Revised 01 Jan 2019 Accepted 04 Jan 2019
DOI: https://doi.org/10.15842/kjcp.2019.38.1.001

즐거움 경험의 예기적/소비적 요소가 무쾌감성 우울 증상에 미치는 영향
민혜원 1, ; 권석만 2 ; 이슬아 2
1서울대학교병원 정신건강의학과
2서울대학교 심리학과

Effects of Anticipatory and Consummatory Components of the Experience of Pleasure on Anhedonic Depression
Hyewon Min1, ; Seok-Man Kwon2 ; Seul-Ah Lee2
1Department of Neuropsychiatry, Seoul National University Hospital, Seoul
2Department of Psychology, Seoul National University, Seoul, Korea
Correspondence to : Hyewon Min, Department of Neuropsychiatry, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul 03080, Korea; E-mail: ellahwmin@snu.ac.kr


© 2019 Korean Clinical Psychology Association

초록

본 연구의 목적은 즐거움을 경험하는 능력의 감소로 폭넓게 정의되는 무쾌감성 우울(anhedonic depression)의 기저 특징을 탐색하고, 이에 효과적으로 개입하기 위한 이론적인 기초를 제공하는 것이다. 이를 위해 즐거움 경험을 목표나 보상을 추구하는 접근 동기로서의 예기적 즐거움과 목표 달성 이후 경험하는 소비적 즐거움이라는 두 가지 보상 처리 과정으로 구분한 뒤, 무쾌감성 우울과의 관련성을 밝히고자 하였다. 대학생 305명으로부터 수집한 자료를 통해 행동 활성화 체계 민감성과 심상화 능력, 마음챙김 주의자각, 무쾌감성 우울 간의 관계를 분석한 결과, 예기적 즐거움은 행동 활성화 체계 민감성과 무쾌감성 우울, 심상화 능력과 무쾌감성 우울 간의 관계를 각각 완전매개 및 부분매개하는 것으로 나타났다. 또한 행동 활성화 체계 민감성의 영향을 통제하고도 심상화 능력은 예기적 즐거움에 유의미한 영향을 미치는 것으로 나타나, 무쾌감성 우울에 영향을 미치는 변인으로서 심상의 역할을 확인하였다. 마지막으로 소비적 즐거움은 마음챙김 주의자각과 무쾌감성 우울의 관계에서 조절변인 역할을 하는 것으로 나타났다. 이러한 연구 결과를 바탕으로 본 연구의 의의와 제한점에 대해 논의하였다.

Abstract

The purpose of this thesis is to understand the psychological mechanisms underlying anhedonic depression and thus provide a theoretical base for treatment innovations to alleviate anhedonic symptoms of depression. Anhedonic symptoms are defined as a decreased capacity to experience pleasure; and have been considered as a unitary concept. Accumulating evidence, however, indicates that two distinct sub–processes are involved in reward processing, i.e., anticipatory pleasure and consummatory pleasure. Building on this hypothesis, the present study seeks to explore how disturbances in each pleasure experience are related to anhedonic depression. A total of 305 undergraduate participants completed the Temporal Experience of Pleasure Scale, the BIS/BAS Scales (i.e., behavioral inhibition system [BIS]; and behavioral activation system [BAS]), Questionnaire upon Mental Imagery, Mindful Attention Awareness Scale, and Mood and Anxiety Symptom Questionnaire-Anhedonic Depression Scale as part of this study. The results revealed that anticipatory pleasure mediated the relationship between the BAS and anhedonic depression, and mental imagery ability and anhedonic depression. Furthermore, mental imagery ability predicted anticipatory pleasure, even controlling for the influence of the BAS. Finally, consummatory pleasure appeared to have a moderating effect on the relationship between mindful attention awareness and anhedonic depression. Based on these results the implications and limitations of the current study are discussed.


Keywords: anhedonic depression, behavioral activation system, anticipatory pleasure, consummatory pleasure, mental imagery
키워드: 무쾌감성 우울, 행동 활성화 체계, 예기적 즐거움, 소비적 즐거움, 심상

Acknowledgments

This paper is based on a part of the master's thesis of the first author.


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