심리적 외상경험자의 해리 관련요인에 대한 판별분석Discriminating Power of Dissociation in Patients with Psychological Trauma
- Other Titles
- Discriminating Power of Dissociation in Patients with Psychological Trauma
- Authors
- 공성숙; 배재현
- Issue Date
- 2014
- Publisher
- 정신간호학회
- Keywords
- Trauma; Dissociative disorders; Depression; Obsessive behavior; MMPI; 심리적 외상; 해리; 우울; 강박성; MMPI
- Citation
- 정신간호학회지, v.23, no.3, pp.125 - 134
- Journal Title
- 정신간호학회지
- Volume
- 23
- Number
- 3
- Start Page
- 125
- End Page
- 134
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/12737
- DOI
- 10.12934/jkpmhn.2014.23.3.125
- ISSN
- 1225-8482
- Abstract
- Purpose: The purpose of the study was to identify the discriminating power of dissociation as defined by depression, obsession, and Minnesota Multiphasic Personality Inventory(MMPI; psychopathology) in patients with psychological trauma. Methods: Participants were patients (N=114) from "S" clinic for psychological trauma. Data were collected from April to June 2014 through semi-structured interviews and self-reports using a modified Lifetime Incidence of Traumatic Events, Dissociative Experience Scale (DES), Beck Depression Inventory-2, Maudsley Obsessional Compulsive Inventory, and MMPI-2. Results: Participants were grouped in to two groups depending on DES scores; dissociative (n=15) and non-dissociative (n=99). Depression, F-scale (infrequency), Ma (Hypomania), and Hs (Hypochondriasis) scale of MMPI correctly discriminated 86.8% of the sample. There were also significant differences in Obsession, K-scale (korrection), D (Depression), Hy (Hysteria), Pd (Psychopathic Deviate), Pa (Paranoia), Pt (Psychasthenia), Sc (Schizophrenia), Si (Social Introversion) scales of MMPIbetween two groups, but they were not significant discriminant factors. Conclusion: Future interventions for patients with high levels of dissociation and psychological trauma should focus on the prevention of suicide and chronic dissociation by assessing depression-related factors; suicidal behavior, impulsivity, aggression, and alexithymia. Therapists should also interpret patients’ MMPI profiles carefully, especially in the presence of an extremely elevated F-scale.
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