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Vol.8 No.1

Ttreatment System and Evidences for Mentalization-Based Treatment: A Systematic Review
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Abstract

This study introduces the concept of mentalizing and its developmental basis as well as, the mechanisms, and the standard system of mentalization-based treatment(MBT). In this study, a systematic review method was used to address the clinical utility of MBT, categorized by the types of mental disorders and participants of the 73 MBT effectiveness tests. The therapeutic effects of MBT were found not only in borderline personality disorder, but also in other mental problems related to negative thoughts or overwhelming emotional states, such as eating disorders, substance use disorders, self-harm, and schizophrenia. The target of treatment was not only for adults, but also for children, and adolescents, parents, and families, as it is developing in combination with other treatment systems. Further empirical studies are needed to demonstrate the effectiveness and clinical usefulness of MBT. Finally, the possibility of clinical application and future directions for MBT research in Korea are discussed.

The effects of internalized stigma and entrapment on happiness in chronic schizophrenia: The mediating effect of depression
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Abstract

This study verified the mediating effect of depression on the effects of internalized stigma and entrapment on happiness in 129 patients with chronic schizophrenia. The mean duration of illness was 17.69 years. According to the correlation analysis, internalized stigma, entrapment, and depression were negatively correlated with happiness, while internalized stigma and entrapment were positive correlated with depression. As a result of the PROCESS macro analysis, depression partially mediated the relationship between internalized stigma and happiness. Internalized stigma had a direct effect on happiness and an indirect effect through depression. Moreover, depression partially mediated the relationship between entrapment and happiness. Entrapment had a direct effect on happiness and an indirectly effect through depression. These results suggest that clinical interventions to improve the happiness of patients with chronic schizophrenia should consider not only the reduction of internalized stigma and entrapment but also relief from depression.

Current Status and Characteristics of Homicide-Suicide in Korea
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Abstract

This study aimed to identify the current status and suicide-related characteristics of homicide-suicides in Korea. Homicide-suicide has not been accurately studied due to the lack of official statistics, despite the seriousness of violence in the incidents, the degree of shock around it, high interest in the media, and the possibility of its spread. The data for this study were based on ‘The Korean National Investigations of Suicide Victims Through Police Records from 2013 to 2017’ which were performed by the Korea Foundation For Suicide Prevention, an affiliate of the Korea Ministry of Health and Welfare. According to Marzuk, Tardiff and Hirsch(1992), homicide-suicide can be classified into four types-spousal homicide-suicide, filicide-suicide, familicide-suicide, and extrafamilial homicide-suicides. According to the analysis, 0.44% of the total number of suicide deaths in Korea over the past five years corresponds to homicide-suicides, and the average suicide rate per 100,000 people was 0.11. The spousal homicide-suicide perpetrators included a higher proportion of men and individuals with higher age; the primary cause being relationship problems. The filicide-suicide perpetrators included a higher proportion of women, lower age, having mental health problems such as depression and sleep problems, and writing reasons for suicide in their suicide notes as compared to other types of homicide-suicides. The Familicide-suicide perpetrators included a higher proportion of economic problems. Finally, we discussed the implications, limitations, and directions for future research.

Effects of rejection sensitivity on interpersonal problems: Moderating roles of anger-expression mode
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Abstract

This study examined whether anger-expression mode moderated the association between rejection sensitivity and interpersonal problems. The participants were 335 university students who were asked to complete the Rejection Sensitivity Questionnaire(RSQ), State-Trait Anger Expression Inventory-Korean version(STAXI-K), and the Short form of the Korean Inventory of Interpersonal Problems Circumplex Scale(KIIP-SC). The results of Process Macro analysis indicated that anger-expression mode moderated the impact of rejection sensitivity on interpersonal problems. Specifically, anger-out and anger-in moderated the relationship between rejection sensitivity and isolation type interpersonal problems. In addition, anger-out moderated the relationship between rejection sensitivity and aggression type interpersonal problems. However, anger-expression mode had no moderating effect on the relationship between rejection sensitivity and obedience type interpersonal problems. Additionally, anger-control had no moderating effect on the relationship between rejection sensitivity and the three types of interpersonal problems. Based on these results, the implications and limitations of the present study, and directions for future research are discussed.

Effect of Two Types of Cognitive Reappraisals on Social Anxiety
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Abstract

This study aimed to examine how two types of cognitive reappraisals―detached reappraisal and positive reappraisal―have different impacts on social anxiety. In Study 1, the Cognitive Reappraisal Questionnaire (CRQ), to measure two types of cognitive reappraisals was developed and validated. The results of the statistical analysis supported the two-factor structure of the CRQ and demonstrated excellent internal consistency, test-retest reliability, and construct validity. The experimental study 2 was designed to examine the effects of detached reappraisal and positive reappraisal interventions on social anxiety. College students with high social anxiety were randomly assigned to two different groups and participated in a total of 90 min of practice. After the training, in the positive reappraisal group, social anxiety decreased, whereas positive emotions, detached reappraisal, and positive reappraisal ability increased significantly. In the detached reappraisal group, tendencies toward reduction of social anxiety and negative emotions were found, along with the improvement in detached reappraisal ability. In addition, the results revealed how the two types of interventions affect social anxiety differently. Finally, the implications and limitations of this study and suggestions for future research are discussed.

Attentional Breadth for Self-related Information in Social Anxiety Tendency: The Expansion Effect of Positive Emotion
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Abstract

This study investigated whether the attentional breadth of social anxiety tendency in inducted positive mood changes when self-related information is presented. A total of 72 participants were included in the study; selected and grouped based on their scores on the Social Avoidance and Distress Scale (SADS). While 37 participants with scores of 2standard deviation or more constituted the experimental group, 35 participants with scores of 2standard deviation or less constituted the control group. The participants were randomly assigned to either a positive or neutral mood induction condition. After the mood induction procedure was completed, using autobiographical memory, participants devised by Bosmans, Braet, Koster and De Readt(2009) was implemented to confirm the change in participants’ attentional breadth. Therefore, a three-way ANOVA was performed using the self-related information recognition accuracy and attentional breadth index (ANI) calculated in the attention breadth task as dependent variables. As a result of the analysis, regarding the control group, self-related information recognition accuracy and ANI decreased while attentional breadth expanded according to the positive mood condition in the control group. However, in the social anxiety group, self-related information recognition accuracy and ANI condition changed significantly according to the mood induction. The breadth of attention did not expand, even when positive emotions were induced. Finally, the limitations of this study and suggestions for future studies were discussed.

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