신경증적 증상 환자들의 자기-불일치와 정신병리의 관계 - 자기 - 불일치 이론의 임상적 적용가능성에 관한 탐색적 연구 -

The Relationship between Self-Discrepancy and Psychopathology in Patients with Neurotic Symptoms* - An Exploratory Study on the Clinical Applicability of Self-Discrepancy Theory -

Objectives : The main purpose o f this study is to investigate the relationship between selfdiscrepancy and psychopathology in patients with neurotic symptoms in order to explore the clinical applicability o f Higgins (1987) self-discrepancy theory. Methods : Subjects were 71 (male : 45，female : 26) patients with dysthymic disorder, anxiety disorder, somatoform disorder, adjustment disorder, or eating disorder diagnosed with DSM-IV. After all the subjects different self-cocepts were measured with the Selves questionnaire, their different kinds o f self-discrepancy scores were scored according to the method of Higgins (1987)，and their various psychiatric symptom dimensions(psychopathology) were measured with BAI, BD I, and SCL-90-K Results ： 1) All o f the interscorer agreements for four different kinds o f self-discrepancies were very high, and the intercorrelations among these were all significant. 2) Total self-discrepancy was significantly associated with most o f psychiatric symptom dimensions, and thus this result supports the generality hypothesis about the relationship between total self-discrepancy and psychopathology. 3) In simple correlation analyses, whereas overall actual-ideal discrepancy was not significantly related to anxiety, it was significantly related to interpersonal anxiety and obsessive-compulsive symptom dimension as well as depression. These patterns of correlations were also identified in both actul-ideal/own discrepancy and actual-ideal/other discrepancy, but partial correlations between all of the actual-ideal self-discrepancies and psychopathology were not significant. Therefore, these results partly support the specificity hypothesis about the relationship between actual-ideal discrepancy and depression. 4) In partial correlation analyses, actual-ought/own discrepancy was significantly associated with both general and interpersonal anxiety, but was not associated with depression. However, both overall actual-ought discrepancy and actual-ought/other discrepancy were significantly associated with most o f psychiatric symptom dimensions except phobic anxiety. Thus, these results provide mixed support for the specificity hypothesis about the relationship between actual-ought discrepancy and anxiety. Conclusion ： The results o f this study provide general support for self-discrepancy theory, and provide suggestions for its clinical applicability in understanding and treating patients with neurotic symptoms.