$\require{mediawiki-texvc}$

연합인증

연합인증 가입 기관의 연구자들은 소속기관의 인증정보(ID와 암호)를 이용해 다른 대학, 연구기관, 서비스 공급자의 다양한 온라인 자원과 연구 데이터를 이용할 수 있습니다.

이는 여행자가 자국에서 발행 받은 여권으로 세계 각국을 자유롭게 여행할 수 있는 것과 같습니다.

연합인증으로 이용이 가능한 서비스는 NTIS, DataON, Edison, Kafe, Webinar 등이 있습니다.

한번의 인증절차만으로 연합인증 가입 서비스에 추가 로그인 없이 이용이 가능합니다.

다만, 연합인증을 위해서는 최초 1회만 인증 절차가 필요합니다. (회원이 아닐 경우 회원 가입이 필요합니다.)

연합인증 절차는 다음과 같습니다.

최초이용시에는
ScienceON에 로그인 → 연합인증 서비스 접속 → 로그인 (본인 확인 또는 회원가입) → 서비스 이용

그 이후에는
ScienceON 로그인 → 연합인증 서비스 접속 → 서비스 이용

연합인증을 활용하시면 KISTI가 제공하는 다양한 서비스를 편리하게 이용하실 수 있습니다.

정신건강의학과 환자의 수면의 질과 우울 증상의 관계: 모호함에 대한 해석 편향과 불안 증상의 매개효과
Relationship Between Sleep Quality and Depression Symptoms in Psychiatric Patients: Mediating Effect Interpretation Bias for Ambiguity and Anxiety Symptoms 원문보기

精神身體醫學 = Korean journal of psychosomatic medicine, v.30 no.2, 2022년, pp.137 - 144  

이혜린 (한양대학교 구리병원 정신건강의학과) ,  김은경 (한양대학교 구리병원 정신건강의학과) ,  최준호 (한양대학교 구리병원 정신건강의학과) ,  박선철 (한양대학교 구리병원 정신건강의학과)

초록
AI-Helper 아이콘AI-Helper

연구목적 본 연구는 정신건강의학과 환자의 수면의 질이 우울 증상에 미치는 영향과 모호함에 대한 해석 편향과 불안증상의 매개효과를 확인하고자 하였다. 방 법 한양대학교 구리병원 정신건강의학과의 외래 환자와 입원 환자를 대상으로 축적된 자료를 사용하였으며, 측정 도구로는 피츠버그 수면의 질 척도(Pittsburgh Sleep Quality Index), 모호한 상황에서의 시나리오 척도(Ambiguous/Unambiguous Situations Diary-Extended Version, AUSD-EX), 아동기 외상설문지(Childhood Trauma Questionnaire), 백 불안 척도(Beck Anxiety Inventory), 백 우울 척도(Beck Depression Inventory-II)가 사용되였다. 162명의 자료를 기초로 SPSS 25.0과 SPSS Macro를 사용하여 상관분석Bootstrapping 분석이 실시되었다. 결 과 연구 결과, 수면의 질과 우울 증상의 관계에서 모호함에 대한 해석 편향과 불안 증상의 이중 매개효과가 유의하게 나타났다. 결 론 본 연구는 낮은 수면의 질이 모호함에 대한 해석 편향을 거쳐 불안 및 우울 증상에 순차적으로 영향을 미친다는 점을 확인하였다. 이를 바탕으로 선행 증상에 대한 치료적 개입을 우선적으로 실시함으로써 다른 정신과적 증상 발달을 예방할 수 있을 것으로 기대된다.

Abstract AI-Helper 아이콘AI-Helper

Objectives : This study was designed to investigate the effect of sleep quality on depression symptoms and the mediating effect of interpretation bias and anxiety symptoms in psychiatric patients. Methods : Data accumulated for outpatients and inpatients in the Department of Mental Health Medicine a...

주제어

표/그림 (5)

참고문헌 (49)

  1. Hasler G, Buysse DJ, Klaghofer R, Gamma A, Ajdacic V, Eich D, Rossler W, Angst J. The association between short sleep duration and obesity in young adults: a 13-year prospective study. Sleep 2004:27:661-666.? 

  2. Moul DE, Nofzinger EA, Pilkonis PA, Houck PR, Miewald JM, Buysse DJ. Symptom reports in severe chronic insomnia. Sleep 2002:25:548-558.? 

  3. Newman AB, Enright PL, Manolio TA, Haponik EF, Wahl PW, Cardiovascular Health Study Research Group. Sleep disturbance, psychosocial correlates, and cardiovascular disease in 5201 older adults: the cardiovascular health study. Journal of the American Geriatrics Society 1997:45:1-7.? 

  4. Shin SH, Kim SH. The reliability and validity testing of Korean version of the pittsburgh sleep quality index. Journal of Convergence for Information Technology 2020:10:148-155.? 

  5. Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Research 1989:28:193-213.? 

  6. Chuman MA. The neurological basis of sleep. Heart & Lung: the Journal of Critical Care 1983:12:177-182.? 

  7. Riemann D, Voderholzer U. Primary insomnia: a risk factor to develop depression? Journal of Affective Disorders 2003:76:255-259.? 

  8. Tsuno N, Besset A, Ritchie K. Sleep and depression. J Clin Psychiatry 2005;66:1254-1269.? 

  9. Baglioni C, Spiegelhalder K, Nissen C, Riemann D. Clinical implications of the causal relationship between insomnia and depression: how individually tailored treatment of sleeping difficulties could prevent the onset of depression. EPMA Journal 2011:2:287-293.? 

  10. Anderson KN, Bradley AJ. Sleep disturbance in mental health problems and neurodegenerative disease. Nature and Science of Sleep 2013:5:61-75.? 

  11. Roy-Byrne PP, Uhde TW, Post RM. Effects of one night's sleep deprivation on mood and behavior in panic disorder: patients with panic disorder compared with depressed patients and normal controls. Archives of General Psychiatry 1986:43:895-899.? 

  12. Augner C. Associations of subjective sleep quality with depression score, anxiety, physical symptoms and sleep onset latency in young students. Central European Journal of Public Health 2011:19:115-117.? 

  13. Ford DE, Kamerow DB. Epidemiologic study of sleep disturbances and psychiatric disorders: an opportunity for prevention? JAMA 1989:262:1479-1484.? 

  14. Alfano CA, Zakem AH, Costa NM, Taylor LK, Weems CF. Sleep problems and their relation to cognitive factors, anxiety, and depressive symptoms in children and adolescents. Depression and Anxiety 2009:26:503-512.? 

  15. Gobin CM, Banks JB, Fins AI, Tartar JL. Poor sleep quality is associated with a negative cognitive bias and decreased sustained attention. Journal of Sleep Research 2015:24:535-542.? 

  16. Beard C, Amir N. A multi-session interpretation modification program: changes in interpretation and social anxiety symptoms. Behaviour Research and Therapy 2008:46:1135-1141.? 

  17. Wilson EJ, MacLeod C, Mathews A, Rutherford EM. The causal role of interpretive bias in anxiety reactivity. Journal of Abnormal Psychology 2006:115:103-111.? 

  18. Harvey AG, Watkins E, Mansell W. Cognitive behavioural processes across psychological disorders: a transdiagnostic approach to research and treatment. Oxford: Oxford University Press: USA;2004. p.135-144.? 

  19. Ree MJ, Pollitt A, Harvey AG. An investigation of interpretive bias in insomnia: an analog study comparing normal and poor sleepers. Sleep 2006:29:1359-1362.? 

  20. Blanchette I, Richards A. The influence of affect on higher level cognition: a review of research on interpretation, judgement, decision making and reasoning. London: Psychology Press;2010. p.286-334.? 

  21. MacLeod C, Mathews A. Cognitive bias modification approaches to anxiety. Annual Review of Clinical Psychology 2012:8:189-217.? 

  22. Ouimet AJ, Gawronski B, Dozois DJ. Cognitive vulnerability to anxiety: a review and an integrative model. Clinical Psychology Review 2009:29:459-470.? 

  23. Franklin ME, Huppert J, Langner R, Leiberg S, Foa EB. Interpretation bias: a comparison of treated social phobics, untreated social phobics, and controls1. Cognitive Therapy and Research 2005:29:289-300.? 

  24. MacLeod C, Rutherford E. Information-Processing Approaches: Assessing the Selective Functioning of Attention, Interpretation, and Retrieval. In Heimberg RG, Turk CL, Mennin DS (Eds.), Generalized anxiety disorder: Advances in research and practice New York: The Guilford Press;2004. p.109-142.? 

  25. Normansell KM, Wisco BE. Negative interpretation bias as a mechanism of the relationship between rejection sensitivity and depressive symptoms. Cognition and Emotion 2017:31:950-962.? 

  26. Rude SS, Wenzlaff RM, Gibbs B, Vane J, Whitney T. Negative processing biases predict subsequent depressive symptoms. Cognition & Emotion 2002:16:423-440.? 

  27. Kessler RC, Wang PS. The descriptive epidemiology of commonly occurring mental disorders in the United States. Annu Rev Public Health 2008:29:115-129.? 

  28. Etkin A, Schatzberg AF. Common abnormalities and disorder-specific compensation during implicit regulation of emotional processing in generalized anxiety and major depressive disorders. American Journal of Psychiatry 2011:168:968-978.? 

  29. Cummings CM, Caporino NE, Kendall PC. Comorbidity of anxiety and depression in children and adolescents: 20 years after. Psychological Bulletin 2014:140:816-845.? 

  30. Mathew AR, Pettit JW, Lewinsohn PM, Seeley JR, Roberts RE. Co-morbidity between major depressive disorder and anxiety disorders: shared etiology or direct causation? Psychological Medicine 2011:41:2023-2034.? 

  31. Nolen-Hoeksema S, Girgus JS. The emergence of gender differences in depression during adolescence. Psychological Bulletin 1994:115:424-443.? 

  32. Starr LR, Stroud CB, Li YI. Predicting the transition from anxiety to depressive symptoms in early adolescence: negative anxiety response style as a moderator of sequential comorbidity. Journal of Affective Disorders 2016:190:757-763.? 

  33. Walker WR, Yancu CN, Skowronski JJ. Trait anxiety reduces affective fading for both positive and negative autobiographical memories. Advances in Cognitive Psychology 2004:10:81-89.? 

  34. Lyubomirsky S, Nolen-Hoeksema S. Effects of self-focused rumination on negative thinking and interpersonal problem solving. Journal of Personality and Social Psychology 1995:69:176-190.? 

  35. Raes F, Hermans D, Williams JMG, Demyttenaere K, Sabbe B, Pieters G, Eelen P. Reduced specificity of autobiographical memory: a mediator between rumination and ineffective social problem-solving in major depression? Journal of Affective Disorders 2005:87:331-335.? 

  36. Aina Y, Susman JL. Understanding comorbidity with depression and anxiety disorders. The Journal of the American Osteopathic Association 2006:106:S9-S14. PMID: 16738013.? 

  37. Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989;28:193-213.? 

  38. Koerner N, Dugas MJ. An investigation of appraisals in individuals vulnerable to excessive worry: the role of intolerance of uncertainty. Cognitive Therapy and Research 2008:30:4-16.? 

  39. Nam JS, Kim EK, Kim CG, Chaung SK, Park YC. The effects of perfectionism on anxiety: interpretation bias for ambiguity and cognitive avoidance as mediators. The Korean Journal of Woman Psychology 2017:22:623-641.? 

  40. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. Journal of Consulting and Clinical Psychology 1988:56:893-897.? 

  41. Lee HK, Lee EH, Hwang ST, Hong SH, Kim JH. Psychometric properties of the beck anxiety inventory in the community-dwelling sample of Korean adults. Korean Journal of Clinical Psychology 2016:35:822-830.? 

  42. Beck AT, Steer RA, Brown GK. Beck depression inventory (BDI-II). London, UK: Pearson;1996.? 

  43. Lim SU, Lee EH, Hwang ST, Hong SH, Kim JH. Psychometric properties of the beck depression inventory-II in Korea. In Fall Conference of the Korean Clinical Psychology Association;2014.? 

  44. Hayes AF. Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. New York, NY: Guilford Press;2013.? 

  45. Berk M. Sleep and depression-theory and practice. Australian family Physician 2009:38:302-304.? 

  46. Pigeon WR. Insomnia as a predictor of depression: do insomnia subtypes matter? Sleep 2010:33:1585-1586.? 

  47. Beck AT, Emery G, Greenberg RL. Anxiety disorders and phobias: a cognitive perspective. New York: Basic books;1985.? 

  48. Starr LR, Hammen C, Connolly NP, Brennan PA. Does relational dysfunction mediate the association between anxiety disorders and later depression? Testing an interpersonal model of comorbidity. Depression and Anxiety 2014:31:77-86.? 

  49. Groch S, McMakin D, Guggenbuhl P, Rasch B, Huber R, Wilhelm I. Memory cueing during sleep modifies the interpretation of ambiguous scenes in adolescents and adults. Developmental Cognitive Neuroscience 2016:17:10-18. 

저자의 다른 논문 :

관련 콘텐츠

오픈액세스(OA) 유형

BRONZE

출판사/학술단체 등이 한시적으로 특별한 프로모션 또는 일정기간 경과 후 접근을 허용하여, 출판사/학술단체 등의 사이트에서 이용 가능한 논문

이 논문과 함께 이용한 콘텐츠

섹션별 컨텐츠 바로가기

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

AI-Helper 아이콘
AI-Helper
안녕하세요, AI-Helper입니다. 좌측 "선택된 텍스트"에서 텍스트를 선택하여 요약, 번역, 용어설명을 실행하세요.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.

선택된 텍스트

맨위로