책임감과 기억확신이 강박증상에 미치는 영향: 부적응적 완벽주의의 매개효과 = Effects of Memory Confidence and Responsibility on Obsessive-Compulsive Symptoms: Mediation of Maladaptive Perfectionism

다국어 초록 (Multilingual Abstract)

This study was conducted to examine the influence of responsibility, memory confidence, and maladaptive perfectionism on obsessive-compulsive symptoms. Four hundred fifteen college students (223 male students (53.7%) and 192 female students (46.3%)) from Jinju, Busan, Cheongju, and Masan participated in this study. Their average age was 21.5. To measure the variables of this study, we used the Obsessive Belief Questionnaire-Responsibility (OBQ-R), the Multidimensional Perfectional Scale (FMPS), the Memory and Cognitive Confidence Scale (MACCS), and the Padua Inventory (PI). The following summarizes the results of the analysis using structural equation modeling. It was verified that responsibility, memory confidence, and maladaptive perfectionism have a significant influence on obsessive-compulsive symptoms. Responsibility and memory confidence influenced the obsessive-compulsive symptoms with maladaptive perfectionism as a mediator. This finding indicated that maladaptive perfectionism is a critical variable for the generation and continuation of obsessive-compulsive symptoms. The meaning and limitations of this study were also discussed.

참고문헌 (Reference)

1 권석만, "현대 이상심리학" 학지사 2003

2 민병배, "한국판 Maudsley 강박행동질문지와 Padua강박질문의 신뢰도 타당도" 18 : 163-182, 1999

3 김윤희, "완벽주의에 대한 고찰: 평가와 치료" 한국상담심리학회 20 (20): 581-613, 2008

4 현진원, "완벽주의 성향과 평가 수준이 과제수행에 미치는 영향" 연세대학교 1992

5 손은미, "완벽성향과 책임지각이 수행불안과 강박행동에 미치는 영향" 경북대 2002

6 이순희, "도덕적, 인과적 책임감 및 불이행에 대한 책임감과 강박증상과의 관계" 서울대학교 2000

7 권준수, "강박증의 통합적 이해" 학지사 2009

8 Yorulmaz, O., "What are the role of perfectionism and responsibility in checking and cleaning compulsions" 20 : 312-327, 2006

9 Rhéaume, J., "The prediction of obsessive-compulsive tendencies: does perfectionism play ansignificant role" 28 : 583-592, 2000

10 Frost, R. O., "The dimensions of perfectionism" 14 : 449-468, 1990

11 Burns, G. L., "Revision of the Padua Inventory of obsessive-compulsive disorder symptoms: Distinction between worry, obsession, and compulsions" 34 : 163-173, 1996

12 Salkovskis, P. M., "Responsibility attitudes and interpretations are characteristic of obsessive compulsive disorder" 38 : 347-372, 2000

13 Bouchard, C., "Responsibility and perfectionism in OCD: an experimental study" 37 : 239-248, 1999

14 Arntz, A., "Responsibility and obsessive-compulsive disorder: An experimental study" 45 : 425-435, 2007

15 Wu, K. D, "Relations between perfectionism and obsessive-compulsive symptoms: Examination of specificity among the dimensions" 23 : 393-400, 2009

16 McNally, R. J, "Reality monitoring in Obsessive-Compulsive Disorder" 31 : 249-253, 1993

17 Obsessive Compulsive Cognitions Working Group, "Psychometric validation of the obsessive belief questionnaire and interpretation of intrusions inventory-Part 2: Factor analyses and testing of a brief version" 43 : 1527-1542, 2005

18 Rhéaume, J., "Perfectionism, responsibility and Obsessive- Compulsive symptoms" 33 : 785-794, 1995

19 Hewitt, P. L., "Perfectionism in the Self and Social Contexts: Conceptualization, Assessment, and Association With Psychopathology" 60 : 456-470, 1991

20 McFall, M. E., "Obsessive-compulsive neurosis: A cognitive -behavioral formulation and approach to treatment" 3 : 333-433, 1979

21 Sanavio, E, "Obsessions and compulsions: The Padua Inventory" 26 : 169-177, 1988

22 Salkovskis,P.M, "Obsessional-Compulsive Problems: A Cognitive-Behavioural Analysis" 23 : 571-583, 1985

23 Gibbs, N. A, "Nonclinical Populations In Research On Obsessive-Compulsive Disorder: A Critical Review" 16 : 729-773, 1996

24 Kyrio, M., "Neuropsychological predictors of outcome following cognitive behaviour therapy for OCD. A pilot study" 1999

25 Constans, J. I., "Memory for actual an imagined events in OC checkers" 33 : 571-665, 1995

26 Ecker, W., "Memory for actions in obsessive-compulsive disorder" 23 : 349-371, 1995

27 Tolin, D. F., "Memory and memory confidence in obsessive- compulsive disorder" 39 : 913-927, 2001

28 Muller, J, "Memory and attention in Obsessive-Compulsive Disorder: a review" 19 : 1-28, 2005

29 American Psychiatric Association, "Diagnostic and Statistical manual of mental disorders 4th ed" 2000

30 Nedeljkovic, M, "Confidence in memory and other cognitive processe in obsessive-compulsive disorder" 45 : 2899-2914, 2007

31 Salkovskis,P.M, "Cognitive-behavioural factors and the persistence of intrusive thoughts in obsessional problems" 27 : 677-682, 1989

32 Obsessive Compulsive Cognitions Working Group, "Cognitive Assessment Of Obsessive -Compulsive Disorder" 35 : 667-681, 1997

33 Wilhem, S., "Autobiographical memory in Obsessive- Compulsive Disorder" 36 : 21-31, 1997

34 Cougle, J. R., "Are responsibility beliefs inflated in non-checking OCD patients" 21 : 153-159, 2007

35 Wood, C. M., "Are compulsive checkers impaired in memory? A meta-analytic review" 9 : 353-366, 2002

36 McKay, D., "A critical evaluation of obsessive-compulsive disorder subtypes: Symptoms versus mechanisms" 24 : 283-313, 2004

37 Rachman,S, "A cognitive theory of obsessions: elaborations" 36 : 385-401, 1998