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NTIS 바로가기精神身體醫學 = Korean journal of psychosomatic medicine, v.28 no.1, 2020년, pp.8 - 19
남지수 (한양대학교 구리병원 정신건강의학과) , 김대호 (한양대학교 구리병원 정신건강의학과) , 김은경 (한양대학교 구리병원 정신건강의학과)
Objectives : The purpose of this study was to examine whether the MMPI-2-RF serves as a useful tool to differentiate between the subtypes of high risk of suicide among psychiatric outpatients. Methods : Patients were recruited from the department of psychiatry of university hospital. Participants we...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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자살 사고란? | 이처럼 자살 시도는 일반적으로 자살사망의 위험 인자로 알려져 있고, 자살사망자에서 과거 자살 시도 경험의 빈도가 높을 것으로 예상된다. 한편, 자살 사고는 자살을 행하는 것에 대한 생각이나 사고로 누구나 한번쯤 일시적으로 갖게 되는 ‘죽고 싶다’는 사고부터 정말 죽으려는 의도로 구체적인 계획을 세우는 것까지 포함된다.5,6) 자살 사고는 자살행위 자체와는 분명 다른 속성을 가지지만 자살과 관련된 변인의 한 가지로서 자살 행동의 이전 단계라고 볼 수 있다. | |
MMPI-2-RF는 어떠한 구성방식을 가지고 있는가? | 환자들의 자살 관련 행동과 관련된 심리적 특성을 확인 하기 위해 한국판 MMPI-2-RF 31)를 사용하였다. 이는 338 문항으로 구성된 질문지로 각 문항에 대해 ‘그렇다’ 혹은 ‘아니다’로 답하도록 구성되어 있고, 총 50개의 척도 및 소척도가 산출된다. 척도는 위계적인 구조를 가지고 있고, 척도들 간의 개념적 중복이 최소화되도록 개발되었다. MMPI-2-RF는 8개의 타당도 척도와 3개의 상위차원 척도, 9개의 재구성 임상 척도, 23개의 특정 문제 척도(5개의 신체/인지 증상 척도, 9개의 내재화 척도, 4개의 외현화 척도, 5개의 대인관계 척도)와 2개의 흥미 척도, 5개의 성격병리 5요인 척도로 구성되어 있다. | |
다면적 인성검사 II의 문제점은? | 한편, 다면적 인성검사 II(Minnesota Multiphasic Inventory-2)는 자살 위험성과 관련된 임상적 상태를 포괄적으로 평가하기 위한 용도로 종종 사용되어 왔다. 다면적 인성검사 II는 개인이 가지고 있는 정신병리와 성격 특성, 다양한 심리적 문제들을 포괄적으로 평가할 수 있도록 하여 임상현장에서 널리 사용되어 왔고, 병원, 학교 등 다양한 장면에서 임상적 유용성이 반복 검증되었지만,27-29) 임상 척도들 간의 상관이 지나치게 높아 변별 타당도가 저하된다는 지적을 받아 오기도 하였다.30) 지난 2008년 출판된 다면적 인성검사 II 재구성판(Minnesota Multiphasic Personality Inventory-II Restructured Form)은 문항수를 축소하여 검사의 간결성을 높이고 다면적 인성검사 II판의 문제점으로 지적받아온 표집 오차와 이질적인 문항 내용 등을 보완하고 심리측정적인 안정성을 높이고자 하는 목적으로 개발되었다. |
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