31 research outputs found
(The) study on interpersonal problem areas of the Korean depressed patients
์๊ณผํ์ฌ์
๋จ/์์ฌ[ํ๊ธ]๋ณธ ์ฐ๊ตฌ๋ ํ๊ตญ์ธ ์ฐ์ธ์ฆ ํ์์๊ฒ ์ฐ์ธ์ฆ์ ์ ๋ฐํ๋ ๋์ธ๊ด๊ณ๋ฌธ์ ๋ ๋ฌด์์ธ์ง ์์๋ณด๊ธฐ ์ํด ์ํ๋์๋ค. ์ด๋ฅผ ์ํด ๋ณธ ์ฐ๊ตฌ์๊ฐ ์ฐ์ธ์ฆ์ ๋์ธ๊ด๊ณ์ ์ ์น๋ฃ(Interpersonal Psychotherapy of Depression, ์ดํ IPT)์ ๋ค ๊ฐ์ง ๋์ธ๊ด๊ณ ๋ฌธ์ ์์ญ์ ํ ๋๋ก ๊ฐ๋ฐํ ์กฐ์ฌ๋๊ตฌ๋ฅผ ์ด์ฉํด ํ์ฌ ์ฐ์ธ์ฆ์ผ๋ก ์ธ๋์น๋ฃ๋ฅผ ๋ฐ๊ณ ์๋ ํ์๋ค(59๋ช
)๊ณผ ์ ์๋์กฐ๊ตฐ(60๋ช
)์ ๋์์ผ๋ก ์ง๋ 6๊ฐ์๊ฐ์ ๋์ธ๊ด๊ณ์ํฉ์ ๋ํด ์กฐ์ฌํ์๋ค.
์กฐ์ฌ๋ด์ฉ์ ์ฐ๊ตฌ๋์์๋ค์๊ฒ IPT์ ๋ค ๊ฐ์ง ๋ฌธ์ ์์ญ์ธ ๋ณ์ ์ ๋, ๋์ธ๊ด๊ณ๋ถ์, ์ญํ ๋ณํ, ๋์ธ๊ด๊ณ๊ฒฐํ ๊ทธ๋ฆฌ๊ณ ์ด์ ์ํ์ง ์๋ "๊ทธ ๋ฐ์ ๋์ธ๊ด๊ณ๋ฌธ์ "๊ฐ ์์๋์ง, ์์๋ค๋ฉด ๊ทธ๊ฒ์ด ์ผ๋ง๋ ์ฌ๊ฐํ ์ผ์ด์๊ณ ํ์ฌ์ ์ฐ์ธ์ฆ์ด๋ ๊ธฐ๋ถ์ํ์ ์ผ๋ง๋ ์ํฅ์ ๋ฏธ์ณค๋์ง ๊ทธ๋ฆฌ๊ณ "๊ทธ ๋ฐ์ ๋์ธ๊ด๊ณ๋ฌธ์ "์ ๋ด์ฉ์ด ๋ฌด์์ธ์ง ๋ฑ์ด์๋ค.
๊ทธ ๊ฒฐ๊ณผ ๋์ธ๊ด๊ณ๋ถ์, ์ญํ ๋ณํ, ๋์ธ๊ด๊ณ๊ฒฐํ์ด ์์ ์๊ฒ "์๋ฏธ ์๋" ๋์ธ๊ด๊ณ๋ฌธ์ ๋ผ๊ณ ๋ตํ ๊ฒฝ์ฐ๊ฐ ํ์๊ตฐ์์ ์ ์ํ๊ฒ ๋ง์๊ณ , ์ค์ํ ํ์ธ๊ณผ์ ์ฌ๋ณ์ด "์๋ฏธ ์๋" ๋์ธ๊ด๊ณ๋ฌธ์ ์๋ค๊ณ ๋ตํ ๊ฒฝ์ฐ๋ ์ ์ํ ์ฐจ์ด๋ ์๋์์ง๋ง ํ์๊ตฐ์์ ๋ ๋ง์๋ค. ํ์๊ตฐ 59๋ช
์ค์์ IPT์ ๋ค ๊ฐ์ง ๋ฌธ์ ์ค ์ด๋ ๊ฒ๋ ์์ ์๊ฒ "์๋ฏธ ์๋" ๋์ธ๊ด๊ณ๋ฌธ์ ๊ฐ ์๋๋ผ๊ณ ๋ตํ ์ฌ๋์ด 11๋ช
์ด์๊ณ , ๊ทธ ์ค 10๋ช
์ "๊ทธ ๋ฐ์ ๋์ธ๊ด๊ณ๋ฌธ์ "๋ ์๋ค๊ณ ํ์๋ค. ์๋ฏธ ์๋ "๊ทธ ๋ฐ์ ๋์ธ๊ด๊ณ๋ฌธ์ "๊ฐ ์๋ค๊ณ ๋ตํ ๋น๋๊ฐ ํ์๊ตฐ์์ ์ ์ํ๊ฒ ๋๊ธฐ๋ ํ์ง๋ง, ๊ทธ๊ฒ์ ๋ด์ฉ์ ๋ํ ์๋ต์ ๊ฒํ ํด ๋ดค์ ๋ ๋๋ถ๋ถ์ด IPT์ ๋ค ๊ฐ์ง ๋ฌธ์ ์์ญ์ ํฌํจ์ํฌ ์ ์๋ ๊ฒ๋ค์ด์๋ค.
์ด์์ ์ฐ๊ตฌ๊ฒฐ๊ณผ๋ค์ ์ข
ํฉํด์ ๋ณธ ์ฐ๊ตฌ์์๋ ๋ค์๊ณผ ๊ฐ์ ๊ฒฐ๋ก ์ ๋ด๋ฆด ์ ์์๋ค.
1. ๋ณ์ ์ ๋, ๋์ธ๊ด๊ณ๋ถ์, ์ญํ ๋ณํ ๊ทธ๋ฆฌ๊ณ ๋์ธ๊ด๊ณ๊ฒฐํ์ ๋ชจ๋ ํ๊ตญ์ธ ์ฐ์ธ์ฆํ์๋ค์๊ฒ ๋ง์ด ๋ํ๋๊ณ ์ฐ์ธ์ฆ์ ๋ฐ๋ณ์ ์ํฅ์ ๋ฏธ์น๋ ๋์ธ๊ด๊ณ๋ฌธ์ ์ด๋ค.
2. ๋ณธ ์ฐ๊ตฌ์์๋ ์๊ธฐ๋ณด๊ณ ์ ์กฐ์ฌ๋๊ตฌ๋ฅผ ์ฌ์ฉํ ์ฐ๊ตฌ๋ฐฉ๋ฒ ์์ ์ ํ์ ๋๋ฌธ์ ํ๊ตญ์ธ ์ฐ์ธ์ฆ ํ์๋ค์๊ฒ ์์ ๋ค ๊ฐ์ง ๋ฌธ์ ์์ญ์ ์ํ์ง ์๋ "๊ทธ ๋ฐ์ ๋์ธ๊ด๊ณ๋ฌธ์ "๊ฐ ์๋์ง์ ๋ํด์๋ ๊ฒฐ๋ก ๋ด๋ฆด ์ ์์๋ค.
[์๋ฌธ]This study was carried out to investigate what are the precipitating interpersonal problems for the Korean depressed patients. For this purpose, the author examined interpersonal situations during the past 6 months for the depressed outpatient group(n=59) and the normal control group(n=60) with the instrument that the author developed based on the four problem areas of the Interpersonal Psychotherapy of depression(IPT).
Both groups were asked whether they had any of the four problem areas of IPT; the grief, the interpersonal dispute, the role transition, and the interpersonal deficit. In addition, it was asked to both groups whether they had "other interpersonal problems" not included in the four problem areas of IPT. If they had the above problems, it was asked how severe the problems were, how the problems were relevant to depression or mood they had, and what the problems were.
The results of this study were as follows :
1. There were significantly more people to answer that each of the interpersonal dispute, the role transition, and interpersonal deficit was their "meaningful" interpersonal problem in the patient group than in the control group.
Although the difference was not significant, there were more people to answer that the bereavement with significant others was their "meaningful" interpersonal problem in the patient group than in the control group.
2. Of 59 people in the patient group, 11 people said that nothing in the four problem areas was their "meaningful" interpersonal problem and 10 people of the above 11 people said they did not have meaningful "other interpersonal problems" as well.
3. There were significantly more people to answer that they had meaningful "other interpersonal problem" in the patient group than in the control group. However, after reviewing the contents of their responses, most of them could be included in the four problem areas.
This study can be concluded as follows:
1. Each of the grief, the interpersonal dispute, the role transition, and the interpersonal deficit is the interpersonal problem that frequently appeared in and precipitate depression of the Korean depressed patients.
2. It cannot be concluded whether the Korean depressed patients have "other interpersonal problems" not included in the above four problem areas because of the limitation of the self-reporting instrument used in this study.ope