Korean Journal of Psychosomatic Medicine (정신신체의학)

Korean Psychosomatic Society (한국정신신체의학회)
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Clinical Characteristics of Psychiatric Patients with Military Issues Using MMPI-2-RF

군복무 적합성 평가를 위해 정신건강의학과에 내원한 환자군의 MMPI-2-RF 프로파일

  • Sung, Gyhye (Department of Psychiatry, CHA Bundang Medical Center, CHA University) ;
  • Park, Ji-Hyun (Department of Psychiatry, CHA Bundang Medical Center, CHA University) ;
  • Kim, Keun-Hyang (Department of Psychology, Daegu University) ;
  • Lee, Sang-Hyuk (Department of Psychiatry, CHA Bundang Medical Center, CHA University) ;
  • Park, Eun-Hee (Department of Psychiatry, Hallym University Sacred Heart Hospital) ;
  • Choi, Ji Young (Department of Psychiatry, Sanggye Paik Hospital, Inje University)
  • 성기혜 (CHA 의과학대학교 분당차병원 정신건강의학과) ;
  • 박지현 (CHA 의과학대학교 분당차병원 정신건강의학과) ;
  • 김근향 (대구대학교 심리학과) ;
  • 이상혁 (CHA 의과학대학교 분당차병원 정신건강의학과) ;
  • 박은희 (한림대학교 성심병원 정신건강의학과) ;
  • 최지영 (인제대학교 상계백병원 정신건강의학과)
  • Received : 2017.02.08
  • Accepted : 2017.06.19
  • Published : 2017.06.30
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Abstract

Objectives : The purpose of this study was to examine psychological characteristics of patients who visited psychiatric clinic for medical certificate for military service using MMPI-2-RF. We compared target group with general psychiatric patients with same age range. Methods : A total of 165 male patients for medical certificate and 154 general psychiatric patients were collected from the Department of Psychiatry of three university hospitals. There were significant differences of age and educational level between two groups. We used independent t-test, ANCOVA, ${\chi}^2$ test to examine differences between two groups. Results : Medical certificate group scored higher on the validity scales, the Higher-Order(H-O) scales, the Restructured Clinical(RC) Scales, the Specific Problems(SP) Scales, and the Personality Psychopathology Five (PSY-5) Scales. Especially, EID, RC7, HLP, SFD, SAV, SHY, DSF, and INTR-r showed significant differences between two groups on all three statistical tests. Conclusions : The present study showed that psychiatric patients who received psychological evaluation for military service have significantly higher emotional distress, helplessness, lower self-confidence, and lower quality of interpersonal relationships. And the difference of validity scales between two groups could be related with psychological burden of compulsory military service in the study sample which causes elevation on scales of infrequent responses. MMPI-2-RF would be helpful instrument to assess these emotional and psychological characteristics.

연구목적 본 연구는 군복무 적합성에 대한 정밀평가 및 병사용 진단서를 목적으로 정신건강의학과에 내원한 환자군의 심리적 특성을 확인하고자, 일반적인 정신과적 치료를 위해 내원한 환자군과의 비교를 통해 차이를 분석하였다. 방법 정신건강의학과에 내원한 18세에서 27세까지의 남성환자 총 319명을 병사용 진단군 165명과 일반내원군 154명으로 분류하였다. 독립표본 t-test, ANCOVA, 절단점을 초과하는 사례수에 대한 ${\chi}^2$ 검정을 통해 두 집단 간 MMPI-2-RF의 척도들의 차이를 비교하였다. 결과 두 집단 간 연령 및 교육수준의 차이가 유의하였다. 두 집단은 MMPI-2-RF의 타당도 척도, 상위차원척도, 재구성 임상척도, 특정문제척도, 성격병리 5요인척도 모두에서 차이가 있었다. 두 집단 간 차이를 조사하기 위해 시행한 세가지 분석 모두에서 유의한 차이를 보인 척도는 EID, RC7, HLP, SFD, SAV, SHY, DSF, INTR-r이었다. 결론 군복무 적합성 평가가 의뢰된 환자군의 경우, 일반내원 환자군에 비해 정서적 고통의 수준이 유의하게 높았으며, 무력감이나 자신감 저하, 대인관계에서의 어려움이 더욱 현저한 것으로 시사되었다. 더불어 병사용 진단 군에서 보인 타당도 척도의 상승을 고려하여 향후 연구에 대한 제언을 하였다.

Keywords

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