비자살적 자해의 중단 및 유지집단 간 비교연구: 자해특성과 통합적 이론모델의 위험요인을 중심으로 = Risk Factors for Continuation of Nonsuicidal Self-Injury: A Comparative Study of Nonsuicidal Self-Injury Characteristics and an Integrated Theoretical Model

다국어 초록 (Multilingual Abstract)

The purpose of the present study was to identify risk factors affecting the continuation of nonsuicidal self-injury (NSSI) by comparing a continuation group and a cessation group in a nationwide sample of South Korean adults (N=188) using online and offline surveys. The results showed no difference in the severity of method of self-injury between the continuation and cessation groups. However, the continuation group had a higher frequency and variety of methods of NSSI than the cessation group. Functions of NSSI that affected maintenance included: stimulus seeking; self-punishment; attention seeking and support seeking; and avoidance of punishment or consideration for others. Finally, childhood abuse and adult attachment problems were the primary risk factors affecting the continuation of NSSI. The relationship between childhood abuse and NSSI was not mediated by adult attachment. Based on these results, the implications and limitations of this study are discussed.

국문 초록 (Abstract)

본 연구에서는 성인을 대상으로 비자살적 자해의 중단 및 유지집단 간의 자해특성의 차이가 어떠한지 알아보고, 통합적 이론모델을 근거로 비자살적 자해의 유지집단에 영향을 미치는 위험요인을 확인하고자 하였다. 이를 위해 전국의 성인을 대상으로 설문조사를 통해 자료를 수집하였고, 총 188명의 자료를 분석에 사용하였다. 연구결과, 비자살적 자해 중단 및 유지집단 간의 비자살적 자해방법의 심각도는 차이가 없는 것으로 나타났으며, 비자살적 자해 유지집단은 중단집단에 비해 비자살적 자해의 빈도는 높고, 방법 수는 많은 것으로 나타났다. 비자살적 자해 유지집단에 영향을 미치는 자해기능은 자극추구, 자기처벌, 처벌 및 대가의 회피, 주변 사람들의 관심 및 지지 추구인 것으로 나타났으며, 위험요인은 아동기 학대와 애착불안으로 나타났다. 아동기 학대와 비자살적 자해유지와의 관계에서 애착불안의 완전매개효과가 확인되었다. 연구결과를 토대로 논의 및 시사점을 제시하였다.

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