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Vol.7 No.1

The Mediating Effects of Cognitive Factor on the Relationships between Female Adolescent’s Depression and Somatization



Korean Journal of School Psychology / Korean Journal of School Psychology, (P)1738-463X; (E)2734-0112
2010, v.7 no.1, pp.55-68
https://doi.org/10.16983/kjsp.2010.7.1.55
& (2010). The Mediating Effects of Cognitive Factor on the Relationships between Female Adolescent’s Depression and Somatization. Korean Journal of School Psychology, 7(1), 55-68, https://doi.org/10.16983/kjsp.2010.7.1.55

Abstract

The purpose of this study was to investigate the mediating effects of cognitive factor, which were somato-sensory amplification, somatic attribution and self-focused attention, on the relationships between female adolescent's depression and somatization. The subjects of this study were 544 students in the 1st and 2nd grade in high schools located in Gwangju. They were assessed by The Center for Epidemiological Studies Depression Scale(CES-D), Korean Children's Somatization Inventory, Korean Versions of Somatosensory Amplification Scale, Symptom Interpretation Questionnaire and Self-consciousness Scale. The results were as follows: First, female adolescent's depression had a significant on total score of somatization. Second, cognitive facts, which were somato-sensory amplification, somatic attribution and self-focused attention, had significant effects on somatization. Third, somato-sensory amplification partially mediated the relationships between female adolescent's depression and somatization. Fourth, somatic attribution parlially mediated the associiations between female adolescent's depression and somatization.. Last, self-focused attention did not show mediating effects between female adolescent's depression and somatization. The results suggested that somato-sensory amplification and somatic attribution were proved to have the mediating effects between female adolescent's depression and somatization.

keywords
여자 청소년, 우울증상, 신체화 증상, 신체감각 증폭지각, 신체적 귀인, 자기초점주의, female adolescent, depression, somatization, somato-sensory amplification, somatic attribution and self-focused attention

Reference

1.

김광일, 김재환, 원호택 (1984). 우울증의 증후학적 연구, 제2편: 한국인 우울증 증상의 양상. 신경정신의학, 16, 46-52.

2.

김서윤, 하은혜 (2009a). 청소년의 스트레스와 신체화 관계에서 신체감각 증폭지각 및 신체적 귀인의 매개효과. 놀이치료학회지, 2(12), 149-162.

3.

김서윤, 하은혜 (2009b). 한국판 아동 신체화척도의 타당화 연구: 고등학생을 대상으로. 인지행동치료, 9(1), 25-37.

4.

김지혜 (1991). 자기초점화 주의가 불안에 미치는 영향. 한국심리학회지: 임상, 10(1), 243-261.

5.

김진성 (1994). 한국여성의 신체화 경향에 관한 조사. 영남의대학술지, 11, 332-337.

6.

김호찬, 오동원, 도정수 (1992). 신체화장애의 임상 양상. 신경정신의학, 31, 240-252.

7.

대한신경정신의학회 (1998). 신경정신과학. 서울: 하나과학사.

8.

명정완 (2001). 청소년 문화 성향에 따른 자의식 및 우울경험 취약성. 서강대학교 대학원 석사학위 논문.

9.

박준호, 정한용, 김서영, 이소영 (2008). 우울이 신체 증상에 미치는 영향: 신체적 해석의 매개효과. 한국심리학회: 건강, 13(4), 907-921.

10.

신현균 (1998). 신체화집단의 신체감각에 대한 해석, 추론 및 기억 편향. 서울대학교 대학원 박사학위 논문.

11.

신현균 (2000). 부정적 정서, 감정표현불능증, 신체감각증폭지각, 및 신체적 귀인이 신체화에 미치는 영향; 매개모델의 검증. 한국심리학회지: 임상, 19(1), 17-32.

12.

신현균 (2006a). 우울한 기분상태가 신체화집단의 자기초점적 주의, 신체감각 증폭지각, 신체귀인 및 신체화 증상에 미치는 영향. 한국심리학회지: 임상, 25(2), 467-488.

13.

신현균 (2006b). 청소년의 신체증상 경험에서 부정적 정서의 영향 및 정서표현과 자기개념의 중재효과. 한국심리학회지: 임상, 25(3), 727-746.

14.

신현균, 원호택 (1998). 신체화의 인지 특성 연구(Ⅱ): 신체화 환자의 신체감각에 대한 지각, 귀인 및 기억 편향. 한국심리학회: 임상, 17(2), 41-54.

15.

원호택, 신현균 (1998). 신체화의 인지 특성 연구(Ⅰ): 한국판 신체감각 증폭척도와 증상 해석 질문지의 신뢰도와 타당도 연구. 한국심리학회: 임상, 17(2), 33-39.

16.

이인혜 (2008). 자기초점주의가 자전기억의 과 일반화와 우울에 미치는 효과: 자기초점주의의 적응성과 부적응성. 한국심리학회지: 임상, 27(3). 633-651.

17.

이희연, 하은혜 (2008). 청소년기 우울증상의 성차에 대한 인지적 왜곡의 매개효과. 한국심리학회: 여성, 13(4), 547-561.

18.

정승아, 오경자 (2004). 부적응적 자기초점화 척도의 개발 및 타당화 연구. 한국심리학회지: 임상, 23(2). 471-482.

19.

정한용, 박준호, 이소영 (2004). 우울 증상과 성별에 따른 신체화 환자의 인지적 특성. 신경정신의학, 43(2), 165-171.

20.

최성일, 김중술, 신민섭, 조맹제 (2001). 분노표현방식과 우울 및 신체화 증상과의 관계. 신경정신의학, 40(3), 425-433.

21.

하은혜 (2006). 청소년기 부정적 자동적 사고의 내용특수성 검증: 내재화 장애와 외현화 장애를 변별하는가? 한국심리학회지: 임상, 25(2), 429-447.

22.

Beck, A. T. (1976). Cognitive therapy and emotional disorder. New York, International University Press.

23.

Biedel, D., Christ, M. A. G., & Long, P. J. (1991). Somatic compaints in anxious children. Journal of Abnomal Child Psychology, 19, 659-670.

24.

Campo, J. C., & Fritsch, S. L. (1994). Somatization in children and adolescents. Journal of American Academy of Child and Adolescent Psychiatry, 33, 1223-1235.

25.

Cioffi, D. (1991). Beyond attention strategies: A cognitive-perceptual model of somatic interpretation. Psychological Bulletin, 109, 25-41.

26.

Feningstein, A., Scheier, M. F., & Buss, A. H. (1975). Public and Private self-consciousness: Assessment and theory. Journal of Consulting and Clinical Psychology, 43, 522-527.

27.

Frank, E., Carpenter, I., & Kupfer, D. J. (1988). Sex differences in recurrent depression: are there any that are significant? American Jouranal of Psychiatry, 145, 41-45.

28.

Gaber, J., Walker, L. S., & Zeman, J. (1991). Somatization symptoms in a community sample of children and adolescents: further validation of the children's somatization inventory. Psychological Assessment, 3, 588-595.

29.

Haaga, D. F., & Solomon, A. (1993). Impact of Kendall, Hollon, Beck, Hammen, and Ingram on treatment of the continuity issue in “depression” research. Cognitive Therapy and Research, 17, 313-324.

30.

Hankin, B. L., Abramson, L. Y., Moffitt, T. E., McGee, R., Silvia, P. A., Angell, K. E. (1998). Development of depression from preadolescence to young adulthood: Emerging gender differences in a 10-year longitudinal study. Journal of Abnormal Psychology, 107, 128-140.

31.

Hankin, B. L. Abramson, L. Y., & Siler, M. (2001). A prospective test of the hopelessness theory of depression in adolescense. Cognitive Theory Research, 25, 607-632.

32.

Katon, W., Kleinman, A., Rosen, G. (1982). Depression and somatization: a review. American Journal of Medicine, 72, 127-135.

33.

Kirmayer, L. J., Robbins, J. M., & Paris, J. (1994). Somatoform Disorders: Personality and the Socail Matrix of Somatic Distress. Journal of Abnormal Psychology, 103, 125-136.

34.

Last, C. G. (1991). Somatic complaints in anxiety disordered children. Journal of Anxiety Disorders, 5, 125-138.

35.

Lewinshon, P. M., Hoberman, H., Teri, L., & Hautzinger, M. (1985). An integrative theory of depression. In S. Reiss & R. Bootzin (Eds.), Theoretical issue in behavior therapy. New York: Academic Press.

36.

Lewinsohn, P. M., Rohde, P., & Seeley, J. R. (1998). Major depressive disorder in older adolescents: prevalence, risk factors, and clinical implications. Clinical Psychology Review, 18(7), 765-794.

37.

Lipowski, Z. J. (1988). Somatization: The concept and its clinical application. American Journal of Psychiatry, 145(11), 1358-1368.

38.

MacCauley, E., Carlson, G., & Calderon, R. (1991). The role of somatic complaints in the diagnosis of depression in children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 631-635.

39.

McGee, R., Feehan, M., Williams, S., & Anderson, J. (1992). DSM-Ⅲ disorder from age 11 to 15 years. Journal of the American Academy Child and Adolescent Psychiatry, 31, 50-59.

40.

Nolen-Hoeksema, S., & Girgus, J. S. (1994). The emergence of gender difference in depression during adolescence. Psychological Bulletin. 115, 424-443.

41.

Pennebaker, J. W., & Brittngham, G. (1982). Environmental and sensory cues affecting the perception of physical symptoms. In A. Baum & J. Singer (Eds.), Advances in environmental psychology. Hillsidale, NJ: Erlbaum.

42.

Sartorius, N. (2003). Physical symptoms of depression as a public health concern. Journal of Clinical Psychiatry, 64(7), 3-4.

43.

Schachter, S. S., & Singer, J. E. (1962). Cognitive, social and physiological determinants of emotional state. Psychological Review, 69, 379-399.

44.

Warwick, H. M. C., & Salkovskis, P. M. (1990). Hypochondriasis. Behavior Resaerch Therapy, 28, 105-117.

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