DOI QR코드

DOI QR Code

The relationship between emotional empathy and depression: Focused on the mediating effect of self criticism

정서공감과 우울의 관계: 자기비난의 매개 역할을 중심으로

  • Choi, Hyera (Department of Counseling Psychology, Seoul Cyber University) ;
  • Han, Sumi (Department of Counseling Psychology, Seoul Cyber University) ;
  • Kim, Hwan (Department of Counseling Psychology, Seoul Cyber University)
  • 최혜라 (서울사이버대학교 상담심리학과) ;
  • 한수미 (서울사이버대학교 상담심리학과) ;
  • 김환 (서울사이버대학교 상담심리학과)
  • Received : 2017.10.10
  • Accepted : 2018.02.02
  • Published : 2018.02.28

Abstract

While depressives tend to be preoccupied with their own grief and the negative aspects, they might lack the capacity to interact with outside world. With the intention to determine whether depressives might have certain characteristics regarding empathic behavior, as behavior is highly based on responsiveness to others, we examined the relationship between emotional empathy and depression. In addition, we examined the mediating effect of self-criticism on the relationship between emotional empathy and depression. Data was collected from 146 online university students and analyzed using the correlation and multiple regression model. Results showed that perspective taking, which is the cognitive aspect of empathy, was negatively correlated with depression. Concerning the emotional aspects of empathy, both empathic responding and empathic concern were negatively correlated with depression, while personal distress was positively correlated with depression. Regression results, which set the empathy related variables as predicting variables, found perspective taking decreased depression, and personal distress enhanced depression. In addition, personal distress showed significant enhancing effect on depression and was completely mediated by self-criticism. With the result, implications and limitations of this study were discussed.

우울한 사람들은 슬픔에 빠져 있고 부정적인 측면에 대해 반추하므로 외부를 향한 관심이나 반응성은 저하되는 경향이 있다. 타인에 대한 관심과 반응성을 기반으로 하는 행동이라 볼 수 있는 공감에 있어서 우울한 사람이 어떠한 특성을 보일지에 대한 의문을 가지고, 본 연구에서는 146명의 온라인 대학생들로부터 자료를 얻어 공감과 우울의 관계에 대해 살펴 보았다. 상관분석 결과, 공감의 인지적 측면인 조망수용은 우울과 부적상관을 나타냈고, 공감의 정서적 측면 중 공감적 반응과 공감적 관심 역시 우울과 부적 상관을 나타냈다. 그러나 또 다른 정서 공감의 지표인 개인적 고통의 경우 우울과 정적상관을 나타냈다. 공감 관련 변인들을 예측변인으로 설정한 회귀분석에서는 조망수용이 우울에 부적 영향을, 개인적 고통이 우울에 정적 영향을 미치는 것으로 나타났다. 개인적 고통이 자기비난을 매개로 하여 우울에 영향을 미친다는 가설을 다중회귀분석과 Sobel 검사를 통해 확인해 보았는데, 자기비난은 개인적 고통의 정적 효과를 완전 매개하는 것으로 나타났다. 이러한 결과를 바탕으로 본 연구의 함의와 제한점에 대해 논하였다.

Keywords

References

  1. M. T. Moore, D. M. Fresco, "Depressive realism: A Meta-analytic review", Clinical Psychology Review, vol. 32. pp. 496-509, 2012. DOI: https://doi.org/10.1016/j.cpr.2012.05.004
  2. D. A. Clark, A.T. Beck, "Scientific foundations of cognitive theory and therapy of depression", p. 17-18, John Wiley and Sons, 1999.
  3. R. S. McIntyre, D. S. Cha, J. K. Soczynska, "Cognitive deficits and functional outcomes in major depressive disorder: determinants, substrates, and treatment interventions", Depression and Anxiety, vol. 30. pp. 515-527, 2013. DOI: https://doi.org/10.1002/da.22063
  4. American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders", American Psychiatric Publisher, p. 296, 2013.
  5. J. Rottenberg, K. L. Kasch, J. J. Gross, I. H. Gotlib, "Sadness and amusement reactivity deferentially predict concurrent and prospective disorder," Emotion, vol. 2, pp. 135-146, 2002. DOI: https://doi.org/10.1037/1528-3542.2.2.135
  6. M. Ratcliffe, "The phenomenology of depression and the nature of empathy", Medicine, Health Care and Philosophy, vol. 16. pp. 1-12, 2013. https://doi.org/10.1007/s11019-012-9457-x
  7. S. Varga, J. Krueger, "Background emotions, proximity and distributed emotion regulation," Review of Philosophy and Psychology, vol. 4, pp. 271-292, 2013. DOI: https://doi.org/10.1007/s13164-013-0134-7
  8. L. Lee, K. L. Harkness, M. A. Sabbagh, J. A. Jacobson, "Mental state decoding abilities in clinical depression", Journal of Affective Disorder, vol. 86, pp. 247-258. 2005. DOI: https://doi.org/10.1016/j.jad.2005.02.007
  9. N. Eisenberg. Empathy and sympathy. In M. Lewis, J.M. Haviland-Jones (Eds.), Handbook of Emotion, p. 677-691. New York: Guilford. 2000.
  10. M. V. Mestre, P. Samper, M.D. Frias, A. M. Tur, A. M, "Are women more empathetic than man? A longitudinal study in adolescence", Spanish Journal of Psychology, Vol 12, pp. 76-83, 2009. DOI: https://doi.org/10.1017/S1138741600001499
  11. M. L. Knapp. Interpersonal communication and human relationship. Boston: Allyn and Bacon, pp. 33-34, 1984.
  12. J. Piaget, The moral judgement of the child. London, Kagan Paul Trench, 1932.
  13. G. H. Mead, Mind, self and society. Chicago, University of Chicago Press, 1934.
  14. A. Mehrabian, N. Epsten, N, "A measure of emotional empathy", Journal of Personality, 40, pp. 525-543, 1972. DOI: https://doi.org/10.1111/j.1467-6494.1972.tb00078.x
  15. E. Stotland, Exploratory investigations of empathy. In L. Berkowitz (Ed.), Advances in experimental social psychology. vol. 4. New York: Academic Press, 1969. DOI: https://doi.org/10.1016/S0065-2601(08)60080-5
  16. M. H. Davis, "Measuring individual differences in empathy: Evidence for a multidimensional approach," Journal of Personality and Social Psychology, vol. 44, pp. 113-126, 1983. DOI: https://doi.org/10.1016/S0065-2601(08)60080-5
  17. R. N. Spreng, M. C. McKinnon, R. A. Mar, B. Levine, "The Toronto Empathy Questionnaire: Scale development and initial validation of a factor-analytic solution to multiple empathy measure," Journal of Personality Assessment, vol. 91, pp. 62-71, 2009. DOI: https://doi.org/10.1080/00223890802484381
  18. S. D. Preston, F. B. de Waal, "Empathy: Its ultimate and proximate bases," Behavioral Brain Sciences, 25, pp. 1-20, 2002.
  19. K. P. Rankin, J. H. Kramer, B. L. Miller, "Patterns of cognitive and emotional empathy in frontotemporal lobar degeneration," Cognitive Behavioral Neurology, 18, pp. 28-36, 2005. DOI: https://doi.org/10.1097/01.wnn.0000152225.05377.ab
  20. Y. Inoue, Y. Tonooka, K. Yamada,, S. Kanba, "Deficiency of theory of mind inpatients with remitted mood disorder," Journal of Affective Disorder, vol. 82, pp. 403-409, 2004.
  21. J. Uekermann, S. Channon, C. Lehmkaemper, M. Abdel-Hamid, W. Vollmoeller, I. Daum, I. " Executive function, mentalizaing and humor in major depression," Journal of International Neuropsychological Society, vol. 14, pp. 55-62, 2008. DOI: https://doi.org/10.1017/S1355617708080016
  22. Y. G. Wang, Y. Q. Wang, S. L. Chen, C. Y. Zhu, K. Wang, "Theory of mind disability in major depression with or without psychotic symptoms: a componential view," Psychiatry Research, vol. 161, pp. 153-161, 2008. DOI: https://doi.org/10.1016/j.psychres.2007.07.018
  23. A. M. Cusi, G. M. MacQueen, R. N. Spreng, M. C. McKinnon, M. C, "Altered empathic responding in major depressive disorder: Relation to symptom severity, illness burden, and psychosocial outcome," Psychiatry Research, vol. 188, pp. 231-236, 2011. DOI: https://doi.org/10.1016/j.psychres.2011.04.013
  24. O. Ekinci, A. Ekinci, "Relationship between empathic responding and its clinical characteristics in patients with major depressive disorder", The Journal of Psychiatry and Neurological Sciences, vol. 29, pp. 145-154, 2016. DOI: https://doi.org/10.5350/DAJPN2016290206
  25. T. D. Shanafelt, C. West, X, Zhao, P, Novotny, J. Kolars, T. Habermann, J. Sloan, "Relationship between increased personal well-being and enhanced empathy amon internal medicine residents," Journal of General Internal Medicine, vol. 20, pp. 559-564, 2005. DOI: https://doi.org/10.1007/s11606-005-0102-8
  26. M. R. Thomas, L. N. Dyrbye, J. L. Huntington, K. L. Lawson, P. J. Novotny, J. A. Sloan, T. D. Shanafelt, "How do distress and well-being relate to medical student empathy? A multicenter study," Journal of General Internal Medicine, vol. 22, pp. 177-183, 2007. DOI: https://doi.org/10.1007/s11606-006-0039-6
  27. S. H. Lee, Y. H. Lee, "Empathic Accuracy and Self-reported Empathic Ability in Depression Among University Students," Korean Journal of Clinical Psychology, vol. 33, pp. 17-33, 2004.
  28. L. E. O'Conner, J. W. Berry, J. Weiss, P. Gilbert, P, "Guilt, fear, submission, and empathy in depression," Journal of Affective Disorders, vol. 71, pp. 19-27, 2002. https://doi.org/10.1016/S0165-0327(01)00408-6
  29. S. A. Lee, "Does empathy mediate the relationship between neuroticism and depressive symptomatology among college students?," Personality and Individual Differences, vol. 47, pp. 429-433, 2009. DOI: https://doi.org/10.1016/j.paid.2009.04.020
  30. C. D. Batson, The altruism question: Toward a social-psychological answer. Hillsdale, NJ: Erlbaum, 1991.
  31. T. A. Powers, D. C. Zuroff, R. A. Topciu, "Covert and overt expression of self-criticism and perfectionism and their relation to depression," European Journal of Personality, vol. 18, pp. 61-72, 2004. DOI: https://doi.org/10.1002/per.499
  32. D. M. Dunkley, K. R. Blankstein, G. L. Flett, "Specific cognitive-personality vulnerability styles in depression and the five-factor model of personality," Personality and Individual Differences, vol. 23, pp. 1041-1053, 1997. DOI: https://doi.org/10.1016/S0191-8869(97)00079-2
  33. L. S. Radloff, "The CES-D Scale : a self report depression scale for research in the general population," Applied Psychological Measurement, vol. 1, pp. 85-401, 1977. DOI: https://doi.org/10.1177/014662167700100306
  34. C, Zahn-Waxler, P. M. Cole, K.C. Barrett, Guilt and empathy: Sex differences and implications for the development of depression. In J. Garber & K. A. Dodge (Eds.), Cambridge studies in social and emotional development. The development of emotion regulation and dysregulation, pp. 243-272, 1991. DOI: https://doi.org/10.1017/CBO9780511663963
  35. L. E. O'Connor, J. W. Berry, T. Lewis, K. Mulherin, P. S. Crisostomo, Empathy and depression: The moral system on overdrive. In T. Farrow & P. Woodruff (Eds.), Empathy in mental illness, pp. 49-75, 2007. DOI: https://doi.org/10.1017/CBO9780511543753.005
  36. K. K, Chun, S. J. Choi, B. C. Yang, "Integrated Adaptation of CES - D in Korea," Korean Journal of Health Psychology, vol. 6, no. 1, 59-76, 2001.
  37. Park, SH. Empathy, Empathic Comprehension, Wonmisa, Seoul, 1994.
  38. Y. H. Jung, "Counselor's empathy and perceived cultural similarity: effects on impression-formation about client," Master's thesis, Catholic University, 2012.
  39. I. Kang, S. W. Kee, S. E. Kim, B. S. Jeong, J. H. Hwang, J, E. Song, J. W. Kim, "Reliability and Validity of the Korean-Version of Interpersonal Reactivity Index," Korean Journal of Neuropsychiatry, vol. 48(5), pp. 352-358, 2009.
  40. J. A. Hall, M. H. Davis, M. Connelly, "Dispositional empathy in scientist and practitioner psychologists: Group differences and relationship to self-reported professional effectiveness," Psychotherapy, vol. 37, PP. 45-56, 2000. https://doi.org/10.1037/h0087758
  41. H. Kim, S. Han, "A validation study of Toronto Empathy Questionnaire - Korean version," Korean Journal of Clinical Psychology, vol. 35, pp. 809-821, 2016. DOI: https://doi.org/10.15842/kjcp.2016.35.4.009
  42. F. I. Ishiyama, P. A. Munson, "Development and validation of a self-critical cognition scale," Psychological Report, vol. 72, pp. 147-154, 1993. DOI: https://doi.org/10.2466/pr0.1993.72.1.147
  43. H. M. Lee, "The Influence of Depression on Shame-inducing experiences," Master's thesis, 2009.
  44. W. D. Berry, S. Feldman. Multiple regression in practice, Sage, 1985. DOI: https://doi.org/10.4135/9781412985208
  45. R. M. Baron, D. A. Kenny, "The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations," Journal of Personality and Social Psychology, vol. 51, pp. 1173-1182, 1986. DOI: https://doi.org/10.1037/0022-3514.51.6.1173
  46. M. E. Sobel, "Asymptotic confidence intervals for indirect effects in structural equation models," Sociological Methodology, vol. 13, pp. 290-312, 1982. DOI: https://doi.org/10.2307/270723
  47. D. S. Soper, Sobel test calculator for the significance of mediation [Software]. Available from http://www.danielsoper.com/statcalc. (accessed Apr. 18. 2017)
  48. P. Bloom, "Empathy and its discontents," Trends in Cognitive Sciences, vol. 21, pp. 24-31, 2017. DOI: https://doi.org/10.1016/j.tics.2016.11.004
  49. B. D. Bartholow, M. A. Sestir, E. B.Davis, "Correlates and consequences of exposure to video game violence: Hostile personality, empathy, and aggressive behavior," Personality and Social Psychology Bulletin, vol. 31, pp. 1573-1586, 2005. DOI: https://doi.org/10.1177/0146167205277205
  50. D. Grynberg, O. Luminet, O. Corneille, J. Grezes, S, Berthoz, "Alexithymia in the interpersonal domain: A general deficit of empathy?," Personality and Individual Differences, vol. 49, pp. 45-850, 2010. DOI: https://doi.org/10.1016/j.paid.2010.07.013
  51. D. Choi, N. Minote, T. Sekiya, S. Watanuki, "Relationship between trait empathy and psychological well-being in Japanese university students," Psychology, vol. 7, pp. 1240-1247, 2016. DOI: https://doi.org/10.4236/psych.2016.79126
  52. J. Decety, C. Lamm, "Human empathy through the lens of sicial neuroscience," The Scientific World Journal, vol. 6, pp. 1146-1163, 2006. DOI: https://doi.org/10.1100/tsw.2006.221
  53. E. Hatfield, R. L. Rapson, Y. L. Le, "Emotional contagion and empathy. In J. Decety & W. Ickes (Eds.), The Social Neuroscience of Empathy. MIT. 2009. DOI: https://doi.org/10.7551/mitpress/9780262012973.003.0003
  54. S. H. Lee, D. M. Kim, Y. S. Seo, "The Effects of Counselor' Attachment Styles and Counseling Experiences on Empathic Ability," Korean Journal of Counseling Psychology and Psychotherapy, vol. 18, no. 2, pp. 303-317, 2006.
  55. J. Trusty, K. M. Ng, R. E. Watts, "Model of effect of adult attachment on emotional empathy of counseling student," Journal of counseling and development, vol. 83, pp. 66-77, 2005. DOI: https://doi.org/10.1002/j.1556-6678.2005.tb00581.x
  56. C. Cliffordson, "Parents' judgments and students' self judgments of empathy: The structure of empathy and agreement of judgments based on the interpersonal reactivity index (IRI)," European Journal of Psychological Assessment, vol. 17, no. 1, pp. 36-47, 2001. DOI: https://doi.org/10.1027//1015-5759.17.1.36
  57. A. I. Alterman, P. A. McDermott, J. S. Cacciola, M. J. Rutherford, "Latent structure of the Davis Interpersonal Reactivity Index in methadone maintenance patients," Journal of Psychopathology and Behavioral Assessment, vol. 25, pp. 257-265, 2003. DOI: https://doi.org/10.1023/A:1025936213110
  58. S. Baron-Cohen, S. Wheelwright, "The empathy quotient: An investigation of adults with Asperger syndrome of high-functioning autism, and normal sex differences," Journal of Autism and Developmental Disorders, vol. 34, pp. 164-175, 2004. DOI: https://doi.org/10.1023/B:JADD.0000022607.19833.00