우울증 사병탐지를 위한 벤더게슈탈트검사의 효용성 :The Utility of the Bender Gestalt Test to Detect Malingered Depression

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자료유형: 학위논문

저자정보: 조양희 (동명대학교, 동명대학교 대학원)

지도교수: 최성진

발행연도: 2020

저작권: 동명대학교 논문은 저작권에 의해 보호받습니다.

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2020

우울증 사병탐지를 위한 벤더게슈탈트검사의 효용성

조양희 , 최성진 연구방법논총 2020.03 학술저널

우울증 사병탐지를 위한 벤더게슈탈트검사의 효용성

조양희 상담심리학과 2020.01 학위논문

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본 연구는 이차적 이득을 얻기 위해 우울증을 가장하는 사병환자를 탐지하기 위한 목적으로 벤더게슈탈트검사의 효용성을 검증한 것이다. 이를 위해 정상 집단 33명, 우울 집단 37명, 우울 가장 집단 34명을 대상으로 연구를 실시하였다. BGT의 모사단계를 이용하였으며, 사용된 채점체계는 Hutt의 정신병리 척도이다. 집단별 정신병리 척도의 항목별 평균과 표준편차를 구하여 집단 간 차이를 알아본 결과는 다음과 같다.
우선, 배열순서, 도형 A의 위치, 중첩, 각의 변화, 단편화, 중복곤란, 고집화, 재묘사 항목에서는 정상 집단, 우울 집단, 우울 가장 집단 간에 유의한 차이가 나타나지 않았다. 한편, 공간사용, 교차곤란 항목에서는 우울 집단이 정상 집단보다 정신병리 척도 점수가 유의하게 높았다. 아울러 배열순서, 폐쇄곤란, 퇴영 항목에서는 우울 가장 집단이 정상 집단보다 정신병리 척도 점수가 유의하게 높았다. 마지막으로 용지회전, 곡선곤란, 지각회전, 단순화, 정교화 항목에서는 우울 가장 집단이 정상 집단과 우울 집단보다 정신병리 척도 점수가 유의하게 높았다.
본 연구는 정상 집단, 우울 집단, 우울 가장 집단 간의 결과 분석을 통해 HABGT 정신병리 척도의 총점과 하위항목 중 용지회전, 곡선곤란, 지각회전, 단순화, 정교화 항목이 우울증을 가장하는 사병환자들을 선별하는데 중요한 항목임을 입증하였다. 이러한 결과는 BGT가 사병 탐지를 할 때 질문지형 자기보고식 검사의 한계를 극복하고, 짧은 시간 내에 실시가 가능하여 임상 장면 이외에도 모병업무를 담당하는 병무청이나 상해 평가를 위한 사병 평가에 유용하게 활용 될 수 있음을 시사한다.

This study is intended to verify the filial utility of Vender Gestalt Test for the purpose of detecting malingering patients pretending to be depressed in order to obtain secondary gain. To that end, the study was conducted among 33 top group members, 37 depression groups, and 34 depression groups. Using BGT''s parent division system, the scoring system used is Hutt''s psychopathic measure. The results of finding differences between groups are as follows by obtaining the item average and standard deviation of the psychopathic measures by group.
First of all, no significant differences between normal groups, depression groups, depression groups, depression groups, and depression groups were seen in the categories of sequencing, superposition, angle changes, fragmentation, redundancy, persistence, and re-description. Meanwhile, in the categories of spatial use, cross-doubt, the psychopathic scale score was significantly higher in the depressed group than in the normal group. In addition, the most depressed groups scored significantly higher psychopathic scales than normal groups in the order of arrangement, difficulty of closure, and retirement categories. Finally, in the categories of paper rotation, curve difficulty, perceptual rotation, simplification and refinement, the most depressed group had significantly higher psychopathic scale scores than normal and depressed groups.
Through the analysis of results among normal groups, depression groups, and depression most groups, this study demonstrated that among the total points and subtopics of HABGT psychopathic scale, the items of paper rotation, curve difficulty, perceptual rotation, simplification, and sophistication are important items in the screening of private patients posing as depression. These results suggest that the limitations of questionnaires'' self-reporting tests are overcome, and that the tests themselves are simple and detectable in a short period of time, which can be useful for evaluation of injury or Military Manpower Administration, which is in charge of recruitment, in addition to clinical scenes.

#우울증 #사병탐지 #BGT

Ⅰ. 서 론 ·············································································································1
1. 연구 필요성과 목적 ···················································································1
2. 연구가설 ·······································································································6
3. 용어정의 ·······································································································7
Ⅱ. 이론적 배경 ································································································9
1. 우울증에 대한 이해 ···················································································9
가. 우울증의 특성 ·······················································································9
나. 우울증과 사병탐지 연구 ···································································11
2. 사병탐지에 대한 이해 ·············································································12
가. 사병과 사병탐지 ·················································································12
나. 국내 사병탐지에 대한 연구 ·····························································14
3. BGT에 대한 이해 ····················································································15
가. BGT의 역사 ························································································15
나. BGT 도형 ····························································································16
다. BGT 실시절차 ····················································································17
라. BGT의 정신병리 척도 해석 ····························································17
Ⅲ. 연구방법 ····································································································24
1. 연구방법 및 절차 ·····················································································24
가. 연구대상 ·······························································································24
나. 측정도구 ·······························································································25
다. 연구절차 ·······························································································27
라. 자료분석 ·······························································································29
Ⅳ. 연구결과 ····································································································30
1. HABGT 집단 간 총점 차이 분석 ······················································· 30
2. HABGT 하위항목별 차이 분석 ···························································31
Ⅴ. 논의 및 제언 ····························································································33
1. 논의 ·············································································································33
2. 제언 ·············································································································36
참고문헌 ··········································································································38
부록1 ···············································································································45
부록2 ···············································································································57
부록3 ···············································································································59
부록4 ···············································································································64
Abstract ··········································································································65

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