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한국 기혼 여성의 아동기 부정적 경험 수준에 따른 배우자 통제 가해와 우울의 관계에서 자존감의 매개효과

The Mediating Effect of Self-Esteem in the Relationship between Spousal Control Perpetration and Depression According to the Levels of Adverse Childhood Experiences in Married Korean Women

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초록

본 연구는 한국 기혼 여성의 아동기 부정적 경험(Adverse Childhood Experiences, ACE) 수준에 따른 배우자통제 가해와 우울 간의 관계에 있어서 자존감의 매개효과를 검증하는 것을 목적으로 한다. 19세 이상59세 미만 한국 기혼 여성 중 ACE 경험이 한 번 이상인 기혼 여성 총 1,920명을 저위험군, 중위험군, 고위험군으로 분류하였다. 연구 결과는 배우자 통제 가해와 자존감이 우울과 유의한 관련이 있는 것으로나타났으며, 배우자 통제 가해와 우울의 관계에서 자존감의 매개효과가 분석되었다. 배우자 통제 가해수준이 높을수록 자존감이 낮아져 우울이 증가하는 매개 경로가 확인되었다. 본 연구 결과는 ACE가부부 관계에서 배우자를 통제 가해하는 역동에 중요한 역할을 하므로 ACE를 예방할 수 있는 제도적지원이 필요하다는 함의를 제공한다. 또한, ACE 고위험군을 위한 자존감 회복 및 맞춤형 심리 중재프로그램이 필수적임을 강조한다.

Abstract

This study examined the mediating effects of self-esteem on the relationship between spousal control perpetration and depression according to the level of adverse childhood experiences(ACE) in married women in Korea. A total of 1,920 married women aged 19-59 years with at least one ACE were categorized into low-risk, moderate-risk, and high-risk groups. The results showed that spousal control perpetration, self-esteem were significantly associated with depression and that self-esteem had a mediating effect on the relationship between spousal control perpetration and depression. The results showed that the higher the spousal control perpetration level, the lower the self-esteem and the higher the depression. These findings suggest that institutional support is needed to prevent ACE because of its effect on the dynamics of controlling spouses in marital relationships. The findings also emphasize that self-esteem recovery and customized psychological intervention programs are essential for women at high risk for ACE.

참고문헌 (36)

  1. Alvarez, C., "Adverse Childhood Experiences among Latina Women and Its Association with Mastery of Stress and Health", Child Abuse and Neglect, 93, pp.139~148 (2019)
  2. Arbel, R., "Cortisol Reactions During Family Conflict Discussions : Influences of Wive’s and Husbands’ Exposure to Family-of-origin Aggression", Psychology of Violence, 6, pp.519~528 (2016)
  3. Brown, M. J., "Adverse Childhood Experiences and Intimate Partner Aggression in the US : Sex Differences and Similarities in Psychosocial Mediation", Social Science and Medicine, 131, pp.48~57 (2015)
  4. "Adverse Childhood Experiences (ACEs)" (2021)[URL]
  5. Cho, Eunjeong, "The Effects of Maternal Adverse Childhood Experience Risk Factors on Children's Emotional and Physical Abuse and Neglect and Parenting Stress", The Journal of Korean Academy of Sensory Integration, 21(3), pp.13~26 (2023)
  6. Choi, Jihee, "Childhood Trauma Experience and Adult Depression : The Moderating Effect of Resilience", Health and Social Welfare Review, 44(3), pp.407~428 (2023)
  7. Coyne, J. C., "Marital Quality, Coping with Conflict, Marital Complaints, and Affection in Couples with a Depressed Wife", Journal of Family Psychology, 16(1), pp.26~37 (2002)
  8. Franchek-Roa, K. M., "Impact of Childhood Exposure to Intimate Partner Violence and other Adversities", Korean Academy of Child and Adolescent Psychiatry, 28(3), pp.156~167 (2017)
  9. Felitti, V. J., "Relationship of Childhood Abuse and Household Dysfuction to Many of the Leading Cause of Death in Adults : The Adverse Childhood Experiences(ACE)Study", American Journal of Preventive Medicine, 14(4), pp.245~258 (1998)
  10. Greeff, A. P., "Conflict Management Style and Marital Satisfaction", Journal of Sex & Marital Therapy, 26, pp.321~334 (2000)
  11. Hammett, J. F., "Adverse Childhood Experiences, Stress, and Intimate Partner Violence among Newlywed Couples Living with Low Incomes", Journal of Family Psychology, 34(4), pp.436~447 (2020)
  12. Holsboer, F., "The Corticosteroid Receptor Hypothesis of Depression", Neuropsychopharmacology the Official Publication of the American College, 23, pp.477~501 (2000)
  13. Hughes, K., "The Effect of Multiple Adverse Childhood Experiences on Health : A Systematic Review and Meta-analysis", Lancet Public Health, 2, pp.e356~e366 (2017)
  14. Johnson, M. P., "Gebder Violence: Interdisciplinary Perspectives" (2007), New York University Press
  15. Kline, R. B., "Principles and Practice of Structural Equation Modeling" (2023), Guilford Publications
  16. Kim, Y., "Patterns of Adverse Childhood Experiences and Depressive Symptoms : Self-esteem As a Mediating Mechanism", Social Psychiatry and Psychiatric Epidemiology, 57, pp.331~341 (2022)
  17. Lee, Hana, "Associations between Adverse Childhood Experiences and Adult Health Outcomes : Exploring Gender Differences", Korean Journal of Child Studies, 42(3), pp.343~357 (2021)
  18. Lee, Juyeon, "Experiences of Chidhood Abuse and Parenting Stress on Offspring Abuse and Depression : The Buffering Role of Children’s Social Suppoer", Health and Social Welfare Review, 42(1), pp.125~145 (2022)
  19. Mair, C., "Adverse Childhood Experiences and Intimate Partner Violence : Testing Psychosocial Mediational Pathways among Couples", Annals of Epidemiology, 22(12), pp.832~839 (2012)
  20. The Costs and Consequences of Child Maltreatment, "Meadows, P.", National Institute of Economic and Social Research, ~ (2011)
  21. Madigan, S., "Neighborhood Collective Efficacy Moderates the Association between Maternal Adverse Childhood Experiences and Marital Conflict", American Journal of Community Psychology, 57, pp.437~447 (2016)
  22. Mo, Eui-Hee, "The Mediating Effects of Couples’ Self Esteem on the Relationship between Couple Communication and Marital Adjustment", Korean Journal of Psychology, 14(4), pp.887~900 (2002)
  23. Naomi, J. W., "Adverse Childhood Experiences As Predictors of Differences in Intimate Justice, Conflict, Control, and Power in Intimate Relationships", Journal of Family Violence, 37, pp.707~717 (2022)
  24. Oyola, M. G., "Hypothalamic-Pituitary-Adrenal and Hypothalamic-Pituitary-Gonadal Axes: Sex Differences in Regulation of Stress Responsivity", Stress, 20, pp.476~494 (2017)
  25. Park, Aely, "Patterns of Adverse Childhood Experiences and Their Influences on Depressive Symptoms, Difficulty in Emotion Regulation, and Interpersonal Maladjustment", Korean Journal of Child Studies, 39(6), pp.85~99 (2018)
  26. 박영화, "부부의 자존감과 의사소통 및 갈등대처 행동이 결혼만족도에 미치는 영향", 석사, 상담심리, pp.2004
  27. Rodriguez, A. J., "Wives’ and Husbands’Cortisol Reactivity to Proximal and Distal Dimensions of Couple Conflict", Family Process, 52, pp.555~569 (2013)
  28. Rosenberg, M., "Society and Adolescent Self Images" (1965), Princeton University Press
  29. Understanding Connections among Abuse and Violence in the Life Course, "Ryu, Jeong-Hee", Korean Institute for Health and Social Affairs, ~ (2017)
  30. Understanding Experiences of Abuse and Violence among Children and Youths-A Life Course Perspective, "Ryu, Jeong-Hee", Korea Institute for Health and Social Affairs, ~ (2018)
  31. Salas, I., "Adverse Childhood Experiences, Depression, and Cardiometabolic Disease in a Nationally Representative Sample", Journal of Psychosomatic Research, 127, pp.109842~ (2019)
  32. Re-presenting Battered Women: Coercive Control and the Defense of Liberty. Violence Against Women: Complex Realities and New Issues in a Changing World, "Stark, E.", Les Presses de l’Universite du Quebec, ~ (2012)
  33. Sun, W., "Spousal Concordance in Adverse Childhood Experiences and the Association with Depressive Symptoms in Middle-aged and Older Adults: Findings Across China, the US, and Europe", Frontiers in Public Health, 11, pp.115950~ (2023)
  34. Trickett, P. K., "Child Maltreatment and Adolescent Development", Journal of Research on Adolescence, 2(1), pp.3~20 (2011)
  35. Whitefield, C. L., "Violent Childhood Experiences and the Risk of Intimate Partner Violence in Adults : Assessment in a Large Health Maintenance Organization", Journal of Interpersonal Violence, 18(2), pp.166~185 (2003)
  36. "Adverse Childhood Experiences International Questionnaire (ACE-IQ)" (2021)[URL]

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