Korean Clinical Psychology Association

Current Issue

Korean Journal of Clinical Psychology - Vol. 38 , No. 3

[ Original Article ]
Korean Journal of Clinical Psychology - Vol. 38 , No. 3 , pp.287-299
ISSN: 2466-197X (Online)
publication date 31 Aug 2019
Received 03 Apr 2019 Revised 26 Jul 2019 Accepted 27 Jul 2019
DOI: https://doi.org/10.15842/kjcp.2019.38.3.002

증상에 기반한 우울증의 하위 유형: MMPI-2-RF의 특정문제척도에 대한 잠재프로파일분석
최지영
인하대학교 아동심리학과

Symptom-Based Subtypes of Depression: Latent Profile Analysis with Specific Problems Scales in MMPI-2-RF
Ji Young Choi
Department of Child Studies, Inha University, Incheon, Korea
Correspondence to : Ji Young Choi, Department of Child Studies, Inha University, 100 Inha-ro, Nam-gu, Incheon, Korea; E-mail: haiminju@inha.ac.kr


© 2019 Korean Clinical Psychology Association
Funding Information ▼

초록

본 연구는 우울장애의 하위유형을 다양한 차원의 증상들에 근거하여 인간중심 접근을 통하여 탐색하고자 하였다. 이에 본 연구는 473명의 우울장애 환자들을 대상으로 신체/인지증상, 내재화, 외현화, 대인관계문제라는 다차원인 변인으로 구성된 다면적인성검사-2 재구성판의 특정문제척도들에 대해 잠재프로파일분석을 실시하였다. 그 결과, 5계층 모형을 채택하였으며, 각 계층을 경미한 집단, 무력감 집단, 신체화 집단, 불안을 동반한 회피적 집단, 불안을 동반한 과민한 집단으로 명명하였다. 각 집단의 임상양상을 살펴보면, 경미한 집단(22.6%)은 모든 영역에서 낮은 수준의 증상을 보이며, 공병의 비율도 낮은 특성을 보였다. 무력감 집단(23.9%)은 무망감과 자기회의가 높으나 그 외 신체/인지증상이나 외현화 증상은 낮았다. 신체적 집단(27.9%)은 신체/인지 증상 영역의 척도들이 상승한 반면에 무망감과 자기회의 및 대인관계에서의 수동성이나 사회적 회피는 두드러지지 않았다. 불안을 동반한 회피적 집단(19.0%)은 전반적으로 높은 증상 심각도에 특히 대인관계에서의 수동성과 사회적 회피가 현저하였으며, 불안장애 동반 비율이 높았다. 불안을 동반한 과민한 집단(6.6%)은 전반적으로 높은 내재화 증상에 더해 공격성과 흥분성과 같은 외현화 영역의 증상들이 현저하였으며, 알코올사용장애를 동반한 비율이 높았다. 이러한 결과를 토대로 본 연구의 시사점과 제한점에 관하여 논의하였다.

Abstract

This study explored the subtypes of depression based on various symptoms in multiple dimensions, through a person-centered approach. For this purpose, latent profile analysis of 473 depressive patients was conducted using specific problems scales of MMPI-2-RF, which consist of multidimensional variables such as somatic/cognitive scales, internalizing, externalizing, and interpersonal problems. As a result, a 5-class solution was adopted and the classes were labeled as the mild group, helplessness group, somatic group, avoidant group with anxiety, and irritable group with anxiety. Each group differed in their clinical characteristics. The mild group (22.6%) presented a low level of symptoms in all the dimensions and had lower comorbidity. The helplessness group (23.9%) experienced high hopelessness and self-doubt, but a lower level of other somatic/cognitive or externalizing symptoms. The somatic group (27.9%) experienced elevated somatic/cognitive symptoms, whereas passivity and social avoidance in interpersonal scales were not as high as those of the helplessness group. The avoidant group with anxiety (19.0%) presented a high level of symptoms in all the internalizing scales, especially high passivity and social avoidance in interpersonal scales. The rate of co-occurrence with anxiety disorders was also high in this group. The irritable group with anxiety (6.6%) was characterized by high externalizing symptoms such as aggression and activation, in addition to overall high internalizing symptoms, and a high rate of alcohol use disorder. Based on these results, the implications and limitations of this study are discussed.


Keywords: depression, subtype, latent profile analysis, MMPI-2-RF, specific problems scales
키워드: 우울증, 하위유형, 증상 기반, 잠재프로파일분석, MMPI-2-RF, 특정문제척도

Acknowledgments

This work was supported by INHA UNIVERSITY Research Grant (60139-01) and Maumsarang co. Ltd.


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