Korean Clinical Psychology Association

Korean Journal of Clinical Psychology - Vol. 40 , No. 3

[ Original Article ]
Korean Journal of Clinical Psychology - Vol. 40, No. 3, pp.258-268
Abbreviation: KJCP
ISSN: 1229-0335 (Print) 2733-4538 (Online)
Print publication date 30 Aug 2021
Received 20 May 2021 Revised 31 Jul 2021 Accepted 02 Aug 2021
DOI: https://doi.org/10.15842/kjcp.2021.40.3.007

불완전감과 강박신념이 강박증상에 미치는 영향: 마음챙김의 조절된 매개효과
조은주1 ; 임종민2 ; 장문선2,
1대구가톨릭대학교병원
2경북대학교 심리학과

The Effects of Incompleteness and Obsessive Beliefs on Obsessive-Compulsive Symptoms: The Moderated Mediating Effect of Mindfulness
Eunju Jo1 ; Jongmin Lim2 ; Mun-Seon Chang2,
1Affiliation Department of Clinical Psychology Intern, Daegu Catholic University College of Medicine, Daegu, Korea
2Affiliation Department of Psychology, Kyungpook National University, Daegu, Korea
Correspondence to : Mun-Seon Chang, Department of Psychology, Kyungpook National University, 80 Daehak-ro, Buk-gu, Daegu, Korea; E-mail: moonsun@knu.ac.kr


© 2021 Korean Clinical Psychology Association

초록

본 연구는 불완전감과 강박증상 사이에서 강박신념의 매개효과 및 강박신념과 강박증상의 관계에서 마음챙김의 조절효과를 확인한 후, 이를 통합한 조절된 매개모형을 검증하고자 했다. 이를 위해 대학생 570명(남자 253명, 여자 317명)을 대상으로 연구에 대한 안내를 실시한 후 강박특질 핵심차원 질문지(OC-TCDQ), 강박신념 질문지(OBQ-44), Padua 강박질문지 워싱턴 주립대학 개정판(PI-WSUR), 마음챙김 척도(MS)로 구성된 설문지를 작성하도록 했고, 수집된 자료 중 결측치가 있는 15명의 자료를 제외하고 총 555명의 자료가 분석에 사용되었다. 수집된 자료는 IBM SPSS Statistics version 23.0 프로그램과 Hayes (2014)가 개발한 PROCESS macro for SPSS v2.11를 사용하여 분석했다. 연구 결과, 주요 변인 간 상관분석에서 불완전감은 강박신념과 강박증상과 높은 정적인 상관관계가 있는 것으로 나타났으며, 강박신념과 강박증상 사이에도 높은 정적 상관이 있음을 확인했다. 또한, 마음챙김과 강박증상은 부적상관을 나타냈다. 다음으로, 불완전감과 강박증상의 관계에서 강박신념의 매개효과를 확인했으며, 강박신념과 강박증상의 관계에서 마음챙김의 조절 효과를 확인했다. 최종적으로 불완전감이 강박증상에 영향을 미치는 경로에서 마음챙김에 의해 조절된 강박신념의 매개효과를 확인했다. 또한, 마음챙김의 어떤 하위 요소가 더욱 효과적인 개입인지 검증한 결과, 현재자각, 주의집중, 탈중심적 주의에서 유의한 결과를 나타냈으며, 특히 탈중심적 주의에서 높은 영향력을 확인했다. 본 연구의 결과는 불완전감을 특징으로 하는 강박장애의 효과적인 치료적 개입을 위한 근거를 제공한다.

Abstract

The purpose of this study was to examine the moderated mediating effect of mindfulness through obsessive beliefs on the relationship between incompleteness and obsessive-compulsive symptoms. A total of 555 undergraduate students completed the Obsessive-Compulsive Trait Core Domains Questionnaire (OC-TCDQ), Obsessive Beliefs Questionnaire 44 (OBQ-44), the Padua Inventory-Washington State University Revision (PI-WSUR), and the Mindfulness Scale. Data were analyzed using SPSS 23.0 and its Macro. The main findings were as follows: First, the results of bootstrapping indicated that obsessive beliefs mediated the relationship between incompleteness and obsessive-compulsive symptoms. Second, hierarchical regression and slope analyses revealed the moderating effect of mindfulness on the relationship between obsessive beliefs and obsessive compulsive symptoms. Third, mindfulness moderated the mediating effect of incompleteness on obsessive-compulsive symptoms through obsessive beliefs. Finally, the results indicated that among several factors of mindfulness, present-moment awareness, concentration, and de-centered attention influence the relationship between obsession and obsessive-compulsive disorder, which is considered useful for future therapeutic interventions.


Keywords: incompleteness, obsessive beliefs, OCD symptoms, mindfulness, moderated mediating effect
키워드: 불완전감, 강박신념, 강박증상, 마음챙김, 조절된 매개효과

Author contributions statement

Eun Ju Jo, a graduate student at Kyungpook National University who is now a clinical psychology intern at Daegu Catholic University College of Medicine, designed the study and collected and analyzed data, and led manuscript preparation. Jongmin Lim, Lecturer at Kyungpook National University, assisted in data collection and analysis. Mun-Seon Chang, professor at Kyungpook National University, supervised the research process. All authors provided critical feedback, participated in revision of the manuscript, and approved the final submission.


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