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The Effect of Acute Stress of Crime Victims on Depression and Anxiety: Moderating Effects of Emotion Dysregulation and Social Support by Gender

Abstract

This study examined the effects of acute stress on depression and anxiety in 110 crime victims, and verified the moderating effects of emotion dysregulation and social support by gender. The results of the study are as follows. First, there was no difference in the level of acute stress, depression, anxiety, and emotion dysregulation depending on the type of crime. However, in case of victims who have experienced crimes more than three times, their depression and anxiety level was higher than those who experienced crimes less than twice. Second, acute stress, emotion dysregulation,, and social support due to crime damage did not show any significant sex difference. However, women showed significantly higher levels of depression and anxiety than men. Third, in the case of male victims, emotion dysregulation showed a significant moderating effect in the relationship between acute stress and depression/anxiety, but the female victims had no such effect. Fourth, social support for both male and female victims did not moderate the relationship between acute stress and depression/anxiety. The results of this study suggest that the negative emotions experienced by the crime victims during the acute stress stage due to crime damage require different therapeutic interventions depending on their gender. Finally, the significances and limitations of the study are discussed.

keywords
범죄 피해자, 급성 스트레스, 우울, 불안, 정서조절곤란, 사회적 지지, 성차., Crime Victim, Acute Stress, Depression, Anxiety, Emotion Dysregulation, Social Support, Gender Difference

Reference

1.

경찰청 (2018). 2017 경찰백서. 경찰청.

2.

고선영, 양종희, 이수정 (2004). 성폭력 범죄의원인과 개입전략에 대한 고찰. 한국심리학회지: 문화 및 사회문제, 10, 117-146.

3.

공정식 (2015a). 강력범죄 사건 이후 피해자들의 욕구와 지원에 관한 연구. 한국범죄학, 9(2), 103-149.

4.

공정식 (2015b). 우리나라 강력범죄 피해자들의 PTSD에 관한 연구. 한국범죄심리연구, 11(2), 29-50.

5.

김민영, 김영아, 이 진, 김혜진, 오경자 (2014). 한국판 ASR(성인 행동평가척도 자기보고용)의 타당화연구. 한국심리학회지: 임상, 33(3), 615-634.

6.

김순진, 김 환 (2007). 외상 후 스트레스 장애:충격적 경험의 후유증. 학지사.

7.

김정애 (1994). 사회적 지지, 자기 지각과 자아방어기제, 불안과의 관계. 이화여자대학교대학원 석사학위논문.

8.

김태경 (2012). 살인사건 유가족의 경험에 대한현상학적 연구, 법무부 연구 용역 보고서.

9.

김태경 (2015). 살인피해자 유가족의 경험과 한국형 심리지원 방안모색을 위한 제언. 한국피해자학회, 23, 93-125.

10.

박병식 (2007). 범죄 피해자의 인권. 동국대학교출판부.

11.

박아경 (2008). 성학대 피해아동의 외상 후 스트레스증상에 영향을 미치는 요인에 관한 연구. 이화여자대학교 대학원 석사학위논문.

12.

박유정 (2016). 강력범죄피해자들의 대처방식과 지각된 사회적지지가 외상 후 스트레스 장애에 미치는 영향. 부산대학교 대학원 석사학위논문.

13.

박주언, 이병철, 정연은, 채정호 (2009). 외상 후초기중재. 대한불안의학회지, 5(2), 75- 79.

14.

박지원 (1985). 사회적 지지척도 개발을 위한 일연구. 연세대학교 대학원 박사학위논문.

15.

범죄 피해자보호법, 법률 제14583호.

16.

서선이 (2007). 내현적자기애와 정서조절이 심리적 부적응에 미치는 영향. 카톨릭대학교 대학원 석사학위논문.

17.

송종용, 원호택 (1988). 스트레스 상황에서 사회적 지지가 성취과제의 수행과 불안에 미치는 영향. 한국심리학회지: 임상, 7(1), 21-30.

18.

신경민 (2014). 성폭력 피해 여성의 심리적 후유증의 변화와 인지적 요인의 효과. 아주대학교 대학원 박사학위논문.

19.

신기숙 (2011). 성폭력 피해아동의 피해경험. 한국심리학회지: 일반, 30(4), 1255-1287.

20.

안현의 (2007). 복합외상의 개념과 경험적 근거. 한국심리학회지: 일반, 26(1), 105-119.

21.

안현의, 주혜선 (2011). 단순 및 복합 외상유형에 따른 외상 후 스트레스의 증상 구조. 한국심리학회지: 일반, 30(3), 869-887.

22.

안현의, 박철옥, 주혜선 (2013). 성별에 따른 외상 관련 정서가 PTSD에 미치는 영향:대학생을 중심으로. 상담학연구, 13(5), 2363-2378.

23.

오영희 (1993), 대학생들의 적응에 관한 연구. 한국심리학회지: 연차대회 학술발표논문집, 513-529.

24.

유수진 (2003). 아동기 성학대가 여대생들의 정신건강에 미치는 영향에 관한 연구: 성학대특성, 대처방법, 부모지지를 중심으로. 이화여자대학교 대학원 석사학위논문.

25.

윤명숙, 김서현 (2012). 대학생 외상경험이 자살 생각에 미치는 영향과 관계만족도의 매개효과분석. 정신보건과 사회사업, 40(2), 5 -31.

26.

윤명숙 (2013). 사회복지사의 외상경험과 외상후 스트레스 장애의 관계에 미치는 사회적 지지의 조절효과. 정신보건과 사회사업, 41(4), 174-200.

27.

윤혜정 (1993). 청소년의 일상적 스트레스와 사회관계망 지지 지각. 서울대학교 대학원 석사학위논문.

28.

이서정, 현명호 (2008) 정서인식의 명확성과인지적 정서조절이 정신건강에 미치는 영향, 한국심리학회지: 건강, 13(4), 887-905.

29.

이영점, 최은봉 (2011) 가정폭력 PTSD 척도개발 및 구인 타당도 검증. 한국심리학회지:법, 2(3), 263-281.

30.

이주은 (1995). 우울과 자기지향이 자기지각, 사회적 지지 및 대처행동에 미치는 영향. 이화여자대학교 대학원 석사학위논문.

31.

이주일, 황석현, 한정원, 민경환 (1997). 정서의 체험 및 표현성이 건강과 심리적 안녕에 미치는 영향. 한국심리학회지: 사회 및 성격, 11(1), 117-140.

32.

이지영, 권석만 (2006). 정서조절과 정신병리의관계: 연구 현황과 과제. 한국심리학회지:상담 및 심리치료, 18(3), 461-493.

33.

장정주, 김정모 (2008). 정서적 지각, 표현 및 정서표현에 대한 양가성과 대인관계간의 관계에 대한 연구. 한국심리학회지: 상담 및 심리치료, 20(3), 697-714.

34.

전철은, 현명호 (2003). 심리적 피학대 여성의수치심, 죄책감 및 사회적 지지가 외상후 스트레스장애에 미치는 영향. 한국심리학회지: 임상, 22(4), 763-776.

35.

조성은, 오경자 (2005). 정서인식의 명확성, 정서 강도, 정서주의력과 스트레스 대처 및 우울과의 관계. 한국심리학회지: 건강, 12(4), 797-812.

36.

조용래 (2007). 정서조절곤란의 평가: 한국판척도의 심리측정적 속성. 한국심리학회지:임상, 26(4), 1015-1038.

37.

주혜선 (2008). 외상 후 위기 체크리스트(Posttrauma Risk Checklist: PRC) 개발연구. 이화여자대학교 대학원 석사학위논문.

38.

주혜선 (2008). 중복된 외상 유형에 따른 외상후 스트레스 심각성, 불안, 우울 및 외상후 스트레스 위험 요인 비교 연구. 한국심리학회 학술대회 자료집, 326-327.

39.

채정호 (2010). 범죄 피해자를 위한 정신건강관리체계 구축 및 심리지원 프로토콜개발. 스마일센터.

40.

최수형, 김지영, 황지태, 박희정 (2014). 전국범죄피해조사 2014. 한국형사정책연구원.

41.

홍승일, 곽봉화, 박명호, 유한나, 이다감, 장경국, 최진이, 김예람 (2017). 범죄 피해 트라우마 척도 개발 및 타당화. 한국심리학회지: 법, 8(1), 21-37.

42.

Achenback, T. M., & Rescorla, L. A. (2003). Manual for the ASEBA adult forms & profiles. Burlington, VT: University of Vermont. Research Center for Children, Youth, &Families.

43.

Adams, R. E., Boscarino, J. A., & Figley, C. R. (2006). Compassion fatigue and psycho- logical distress among social workers: A validation study. American Journal of Orthopsychiatry, 76(1), 103-108.

44.

Allen, J. G., Coyne, L., & Console, D. A. (2000). Course of illness following specialized inpatient treatment for men with trauma-related psychopathology. Bulletin of the Menninger Clinic, 64(2), 235-256.

45.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorder (DSM-5®). American Psychiatric Pub.

46.

American Psychiatric Association. (2015). Diagnostic and statistical manual of mental disorders: Fifth edition(권준수 외, 옮김). 학지사.

47.

Andrews, B., Brewin, C. R., & Rose, S. (2003). Gender, social support, and PTSD in victims of violent crime. Journal of Traumatic Stress, 16(4), 421-427.

48.

Astin, M. C., Lawrence, K. J., & Foy, D. W. (1993). Posttraumatic stress disorder among battered women: Risk and resiliency factors. Violence and victims, 8(1), 17-28.

49.

Bahlmann, R., & Dinter, L. D. (2001). Encouraging Self-Encouragement: An Effect Study of the Encouraging-Training Schoenaker Concept®. Journal of Individual Psychology, 57(3), 273-288.

50.

Barlow, D. H., Allen, L. B., & Choate, M. L. (2004). Toward a unified treatment for emotional disorders. Behavior Therapy, 35(2), 205-230.

51.

Breslau, N., Davis, G. C., Andreski, P., & Peterson, E. (1991). Traumatic events and posttraumatic stress disorder in an urban population of young adults. Archives of general psychiatry, 48(3), 216-222.

52.

Breslau, N., Davis, G. C., Andreski, P., Peterson, E. L., & Schultz, L. R. (1997). Sex differences in posttraumatic stress disorder. Archives of general psychiatry, 54(11), 1044-1048.

53.

Brewin, C. R., Andrews, B., Rose, S., & Kirk, M. (1999). Acute stress disorder and posttraumatic stress disorder in victims of violent crime. American Journal of Psychiatry, 156(3), 360-366.

54.

Bryant, R. A., Friedman, M. J., Spiegel, D., Ursano, R., & Strain, J. (2011). A review of acute stress disorder in DSM-5. Depression and Anxiety, 28(9), 802-817.

55.

Cohen, S., & Syme, S. L. (1985). Social support and health. Academic Press.

56.

Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310-357.

57.

Coyne, J. C. (1976). Depression and the response of others. Journal of Abnormal Psychology, 85(2), 186-193.

58.

Dinkmeyer, D., & Losoncy, L. (1996). The skills of encouragement. Delray Beach: St. Lucie Press.

59.

Elklit, A., & Brink, O. (2004). Acute stress disorder as a predictor of post-traumatic stress disorder in physical assault victims. Journal of Interpersonal Violence, 19(6), 709-726.

60.

Elklit, A., Due, L., & Christiansen, D. M. (2009). Predictors of acute stress symptoms in rape victims. Traumatology, 15(2), 38-45.

61.

Foa, E. B., Ehlers, A., Clark, D. M., Tolin, D. F., & Orsillo, S. M. (1999). The posttraumatic cognitions inventory(PTSI): Development and validation. Psycho-logical Assessment, 11(3), 303.

62.

Foa, E. B., & Rothbaum, B. O. (1998). Treating the trauma of rape: Cognitive-behavioral Therapy for PTSD. Guilford Press.

63.

Friedlander, R. M. (2003). Apoptosis and caspases in neuro degenerative diseases. New England Journal of Medicine, 348(14), 1365-1375.

64.

Garnefski, N., & Kraaij, V. (2006). Relationships between cognitive emotion regulation strategies and depressive symptoms: A comparative study of five specific samples. Personality and Individual differences, 40(8), 1659-1669.

65.

Garnefski, N., Teerds, J., Kraaij, V., Legerstee, J., & van Den Kommer, T. (2004). Cognitive emotion regulation strategies and depressive symptoms: Differences between males and females. Personality and Individual Differences, 36(2), 267-276.

66.

Gilboa-Schechtman, E., & Foa, E. B. (2001). Patterns of recovery after trauma: Individual differences and trauma characteristics. Journal of Abnormal Psychology, 110, 392-400.

67.

Goenjian, A. K., Steinberg, A. M., Najarian, L. M., Fairbanks, L. A., Tashjian, M., & Pynoos, R. S. (2000). Prospective study of posttraumatic stress, anxiety, and depressive reactions after earthquake and political violence. American Journal of Psychiatry, 157(6), 911-916.

68.

Goleman, D. (1995). Emotional intelligence. Bantam.

69.

Golding, J. M. (1999). Intimate partner violence as a risk factor for mental disorders: A meta-analysis. Journal of Family Violence, 14(2), 99-132.

70.

Gore, S. (1978). The effect of social support in moderating the health consequences of unemployment. Journal of health and social behavior, 19(2), 157-165.

71.

Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26, 41-54.

72.

Green, B. L., Wilson, J. P., & Lindy, J. D. (1985). Conceptualizing post-traumatic stress disorder: A psychosocial framework. Trauma and its wake, 1, 53-69.

73.

Gross, J. J., & Levenson, R. W. (1993). Emotional suppression: physiology, self-report, and expressive behavior. Journal of Personality and Social Psychology, 64(6), 970.

74.

Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85(2), 348-362.

75.

Grubaugh, A. L., Elhai, J. D., Cusack, K. J., Wells, C., & Frueh, B. C. (2007). Screening for PTSD in public‐sector mental health settings: the diagnostic utility of the PTSD checklist. Depression and Anxiety, 24(2), 124-129.

76.

Holahan, C. J., & Moos, R. H. (1981). Social support and psychological distress: A longitudinal analysis. Journal of Abnormal Psychology, 90(4), 365-370.

77.

Horowitz, M., Wilner, N., & Alvarez, W. (1980). Impact of Event Scale: A measure of subjective stress. Psychosomatic Medicine, 41(3), 209-218.

78.

Johansen, V. A., Wahl, A. K., Eilertsen, D. E., & Weisaeth, L. (2007). Prevalence and predictors of post-traumatic stress disorder (PTSD) in physically injured victims of non-domestic violence. Social Psychiatry and Psychiatric Epidemiology, 42(7), 583-593.

79.

Kemp, A., Green, B. L., Hovanitz, C., & Rawlings, E. I. (1995). Incidence and correlates of posttraumatic stress disorder in battered women: Shelter and community samples. Journal of Interpersonal Violence, 10(1), 43-55.

80.

Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Post traumatic stress disorder in the National Comorbidity Survey. Archives of general psychiatry, 52(12), 1048-1060.

81.

Kimerling, R., Ouimette, P., & Weitlauf, J. C. (2007). Gender issues in PTSD. Handbook of PTSD: Science and Practice, 207-228.

82.

King, L. A., & Emmons, R. A. (1990). Conflict over emotional expression: psychological and physical correlates. Journal of Personality and Social Psychology, 58(5), 864-877.

83.

Kring, A. M., & Gordon, A. H. (1998). Sex differences in emotion: expression, experience, and physiology. Journal of Personality and Social Psychology, 74(3), 686.

84.

Krupnick, J., & Horowitz, M. (1980). Victims of violence: Psychological responses, treatment implications. Evaluation and change, 1, 42-46.

85.

Lancaster, S. L., Melka, S. E., & Rodriguez, B. F. (2011). Emotional predictors of PTSD symptoms. Psychological Trauma: Theory, Research, Practice, and Policy, 3(4), 313-317.

86.

Linehan, M. M. (1994). Acceptance and change:The central dialectic in psychotherapy. Acceptance and change: Content and context in psychotherapy, 73-86.

87.

Mandell, B., & Pherwani, S. (2003). Relationship between emotional intelligence and transformational leadership style: A gender comparison. Journal of Business and Psychology, 17(3), 387-404.

88.

Martin, R. C., & Dahlen, E. R. (2005). Cognitive emotion regulation in the prediction of depression, anxiety, stress, and anger. Personality and individual differences, 39(7), 1249-1260.

89.

McFarland, C., & Buehler, R. (1997). Negative affective states and the motivated retrieval of positive life events: The role of affect acknowledgment. Journal of Personality and Social Psychology, 73(1), 200-214.

90.

McNally, R. J. (2009). Can we fix PTSD in DSM-V?. Depression and Anxiety, 26(7), 597-600.

91.

Miller, L. 김태경 역. (2015) 범죄 피해자상담. 학지사.

92.

Mitchell, R. E., Cronkite, R. C., & Moos, R. H. (1983). Stress, coping, and depression among married couples. Journal of Abnormal Psychology, 92(4), 433.

93.

Murphy, S. A., Johnson, C., & Lohan, J. (2003). The effectiveness of coping resources and strategies used by bereaved parents 1 and 5years after the violent deaths of their children. Omega-Journal of Death and Dying, 47(1), 25-44.

94.

Najdowski, C. J., & Ullman, S. E. (2009). PTSD symptoms and self-rated recovery among adult sexual assault survivors: The effects of traumatic life events and psychosocial variables. Psychology of Women Quarterly, 33(1), 43-53.

95.

Nelson, S. (2002). Physical symptoms in sexually abused women: somatization or undetected injury?. Child Abuse Review: Journal of the British Association for the Study and Prevention of Child Abuse and Neglect, 11(1), 51-64.

96.

Riggs, D. S., & Foa, E. B. (1993). Obsessive-compulsive disorder. Comprehensive Handbook of Personality and Psychopathology.

97.

Robinaugh, D. J., Marques, L., Traeger, L. N., Marks, E. H., Sung, S. C., Gayle Beck, J., Pollack, M. H., Simon, N. M.. (2011). Understanding the relationship of perceived social support to post-trauma cognitions and posttraumatic stress disorder. Journal of Anxiety Disorders, 25(8), 1072-1078.

98.

Sarason, I. G., Levine, H. M., Basham, R. B., & Sarason, B. R. (1983). Assessing social support: The social support questionnaire. Journal of Personality and Social Psychology, 44(1), 127-139.

99.

Sharhabani-Arzy, R., Amir, M., Kotler, M., & Liran, R. (2003). The toll of domestic violence: PTSD among battered women in an Israeli sample. Journal of Interpersonal Violence, 18(11), 1335-1346.

100.

Shalev, A. Y., Peri, T., Canetti, L., & Schreiber, S. (1996). Predictors of PTSD in injured trauma survivors: a prospective study. American Journal of Psychiatry, 153(2), 219-225.

101.

Shalev, A. Y., Freedman, S., Peri, T., Brandes, D., Sahar, T., Orr, S. P., & Pitman, R. K. (1998). Prospective study of posttraumatic stress disorder and depression following trauma. American Journal of Psychiatry, 155(5), 630-637.

102.

Shalev, A. Y. (2002). Acute stress reactions in adults. Biological Psychiatry, 51(7), 532-543.

103.

Silver, R. L., & Wortman, C. B. (1980). Coping with undesirable life events In J, Garber, MEP Seligman,(Eds), Human helplessness, New York: Academic Press.

104.

Tomb, D. A. (1994). The phenomenology of post-traumatic stress disorder. Psychiatric Clinics, 17(2), 237-250.

105.

Thompson, R. A. (1998). family members of homicide victims: How distressed are they? Journal of Traumaic stress Studies, 1(2), 223-242.

106.

Turnbull, G. J. (1998). A review of post-traumatic stress disorder. Part I: Historical development and classification. Injury, 29(2), 87-91.

107.

Vieweg, W. V. R., Julius, D. A., Fernandez, A., Beatty-Brooks, M., Hettema, J. M., & Pandurangi, A. K. (2006). Posttraumatic stress disorder: clinical features, pathophysiology, and treatment. The American Journal of Medicine, 119(5), 383-390.

108.

Woods, S. J., & Campbell, J. C. (1993). Posttraumatic stress in battered women: does the diagnosis fit?. Issues in mental health nursing, 14(2), 173-186.

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