알코올 사용환자의 분노반추와 재발위험성간의 관계에서 분노억제의 매개효과
The Mediating Effect of Anger-Coping Style on the Association between Anger Rumination and Relapse Risk in Alcoholics
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
본 연구는 광역시에 위치한 알코올전문병원에 입원하여 치료중인 알코올 사용 환자의 분노반추와분노억제에 초점을 맞추어 이들이 알코올 재발경고증상에 어떻게 영향을 미치는지 확인하고자 하였다. 이를 통해 알코올사용 환자들을 재발에 이르게 하는 분노의 특성을 이해하고, 알코올중독 치료현장에서 맞춤형 치료방안을 모색하는 데 그 목적이 있다. 이를 위해 2019년 11월부터 12월까지설문조사를 실시하였으며, 자료 분석을 위해 t-검증, 변량분석, Pearson 상관분석, 위계적 회귀분석을실시하였다. 매개변수를 통한 간접효과의 유의성을 검정하기 위해서는 부트스트래핑을 실시하였다. 연구 결과, 알코올 사용 환자의 분노반추, 분노억제, 재발경고증상 간에는 모두 유의미한 정적 상관관계가 있었다. 또한 알코올사용 환자의 분노반추와 재발경고증상과의 관계를 분노억제가 부분 매개 하는 것으로 나타났다. 이 같은 연구 결과를 통해 알코올사용 환자의 재발을 방지하기 위한 제안점을 제시하였다.
Abstract
The purpose of this study was to explore how anger rumination and anger-coping style affect the warning symptoms of alcohol relapse in alcoholics in order to better understand the characteristics of anger and develop customized treatment plans for alcoholism. The data were collected from the survey of 110 alcoholics patients that were treated in the alcohol hospital located in a metropolitan city in Korea from November to December, 2019 and analyzed using descriptive statistics, ANOVA, t-test, Pearson correlation coefficient, and hierarchical regression. The bootstrapping was also used to test the significance of the mediating effect. The results of this study showed significantly positive correlations among anger rumination, anger coping style, and the warning symptoms of alcohol relapse. An anger-coping style partially mediated the relationship between anger rumination and the risk of alcohol relapse. The findings in this study suggest further research to prevent the risk of alcohol relapse.
참고문헌 (24)
- Brown, S. A, "Expectancies Versus Background in the Prediction of College Drinking Patterns", Journal of Consulting and Clinical Psychology, 55(1), pp.123~130 (1985)
- Brown, S. A., "Expectations of Reinforcement from Alcohol : Their Domain and Relation to Drinking Patterns", Journal of Consulting and Clinical Psychology, 48(4), pp.419~426 (1980)
- Brown, S. A., "Stress, Vulnerability and Adult Alcohol Relapse", Journal of Studies on Alcohol, 56(5), pp.538~545 (1995)
- Chae, Sook Hee, "The Relationship between Cognitive Variables and Relapse Possibility into Alcohol Dependence : Mediating Effect of Depression", Cognitive Behavior Therapy in Korea, 6(2), pp.179~192 (2006)
- Chon Kyum Koom, "Korean Adaptation of the State-trait Anger Expression Inventory", The Korean Journal of Health Psychology, 2(1), pp.60~78 (1997)
- Colder, C. R., "The Stress and Negative Affect Model of Adolescent Alcohol Use and the Moderating Effects of Behavioral Undercontrol", Journal of Studies on Alcohol, 54(3), pp.326~333 (1993)
- Cooper, M. L., "Coping Expectancies and Alcohol Abuse : A Test of Social Learning Formulations", Journal of Abnormal Psychology, 101(2), pp.139~152 (1992)
- Cribb, G., "Rumination and Experiential Avoidance in Depression", Behavior Change, 23(3), pp.165~176 (2006)
- Denson, T. F., "The Displaced Aggression Questionnaire", Journal of Personality and Social Psychology, 90(1), pp.1031~1051 (2006)
- Finny, J., "The Long-term Course of Treated Alcoholism : Morality, Relapse, and Remission Rates and Comparisons with Community Controls", Journal of Studies on Alcohol, 52(1), pp.44~53 (1991)
- Giorgio, J. M., "An Experiential Avoidance Conceptualization of Depressive Rumination : Three Tests of the Model", Behaviour Research and Therapy, 48(10), pp.1021~1031 (2010)
- Han, Kwi Won., "Conditioned Stimuli Provoking Alcohol Craving in the Alcoholics", Journal of Neuropsychiatric Association, 35(4), pp.809~819 (1996)
- 손정락, "문제음주자의 성격특성에 따른 스트레스관리 프로그램의 효과 비교: 반사회성 성격특성과 수동공격성 성격특성", 한국심리학회지: 건강, 18(1), pp.1~16 (2013), 한국건강심리학회[DOI]
- Kim, Hwan, "The Effect of Dysfunctional Self-focus Attributes on Rumination and Depression", Ph. D, pp.2010
- Kim, Song Sung, "1-year Follow-up of Alcohol Dependents after Discharge for Abstinence Results", Chungnam Medical Journal, 26(2), pp.159~166 (1999)
- Lee, Ha Na., "An Exploratory Study on the Characteristics of the Displaced Aggression Group", Master, pp.2009
- 이솔지, "알코올 사용 장애 환자의 삶의 의미에 영향을 미치는 요인에 관한 탐색적 연구", 공공사회연구, 9(2), pp.83~111 (2019), 한국공공사회학회[DOI]
- Moon Sung Sil, "Anger Aspect and Effect of Anger on Alcohol Drinking Pattern in Alcohol Dependence Patients", Journal of Korea Academy of Addiction Psychiatry, 3(1), pp.52~58 (1999)
- Nolen-Hoeksema, S., "Rumination, Depression, and Alcohol Use : Tests of Gender Difference", Journal of Cognitive Psychotherapy, 16(1), pp.391~403 (2002)
- Nolen-Hoeksema, S., "Rethinking Rumination", Perspectives on Psychological Science, 3(5), pp.400~424 (2008)
- Oetting, E. R., "Indian and Anglo Adolescent Alcohol Use and Emotional Distress : Path Model", American Journal of Drug Alcohol Abuse, 15(2), pp.153~172 (1989)
- Reeve, Kristen L., "Perceived Stress and Social Support in Undergraduate Nursing Students’ Educational Experiences", Nurse Education Today, 33(4), pp.419~424 (2013)
- 송미경, "대학생의 분노, 소외감이 알코올중독, 인터넷중독에 미치는 영향 : 행동활성화체계의 매개효과", 청소년문화포럼, (36), pp.59~84 (2013), (사)한국청소년문화연구소
- Speilberger, C. D., "Health Psychology: Individual Differences and Stress", pp.89~108 (1998), Springer Verlag