우울증 환자의 자살 사고에 우울감과 정서지능이 미치는 영향 = Impact of Depression and Emotional Intelligence on Suicidal Ideation of Patients with Major Depressive Disorder

다국어 초록 (Multilingual Abstract)

ObjectivezzThere is much research on risk factors of suicide, but studies about what can play a protective role on suicide are limited. This study was conducted to investigate the impact of depression and emotional intelligence on suicidal ideation of patients with depression. We focused more on the role of emotional intelligence as a protective factor.
MethodszzThe participants (n=100) underwent a psychiatric interview which included the Mini International Neuropsychiatric Interview and the Columbia University Suicide Severity Rating Scale (C-SSRS). Beck’s Depression Inventory (BDI) was also completed. For measuring emotional intelligence, both a self-report questionnaire (the Adult Emotional Quotient Test, AEQT) and an objective measurement based on ability model (Emotional Literacy) were conducted.
ResultszzIn linear regression analysis, depressive symptom score was significantly associated with suicidal ideation. It was also shown that ‘emotional expression’ of AEQT and ‘emotion perception’ of Emotional Literacy are significantly associated with suicidal ideation.
ConclusionzzAgainst our expectation that emotional intelligence would be a protective factor on suicidal ideation, emotional expression and emotion perception might rather be a risk factor for suicidal ideation. The limitations of this study and suggestions for further research are also discussed.

국문 초록 (Abstract)

본 연구에서는 성인 우울증 환자를 대상으로 우울감과 정서지능이 자살 사고에 미치는 영향을 알아보고자 하였다. 우울감이 자살 사고에 대한 위험 요인으로 작용할 수 있을 것이며 정서지능은 보호 요인이 될 것으로 예상하였다. 결과에서 우울증 환자에서 우울감은 자살 사고에 유의미한 영향을 미치는 것으로 나타났으며, 자기보고식으로 측정된 정서지능의 하위 항목 중 ‘정서표현’과 객관적 평가에 의해 측정된 정서 교양 검사의 하위 항목인 ‘정서지각’이 자살 사고에 유의미한 영향을 미치는 것으로 파악되었다. 그러나 정서지능이 자살 사고에 대한 보호 요인으로 작용할 것이라는 예상과 다르게, 정서지능 중 일부 하위 요인인 정서표현 능력, 정서지각 능력이 높은 것은 오히려 자살 사고를 증가시키는 것으로 나타났다. 이는 이미 취약해진 우울 집단 내에서 높은 정서표현 및 지각 능력이 오히려 정서적 취약성의 하나의 반영일 수 있겠으며, 대인관계에 부정적 영향을 끼쳐 위기 상황에서 사회적 지지체계를 가용하는 것을 제한하여 자살이라는 극단적인 사고로까지 이어질 위험성을 증가시킬 것으로 생각된다.

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