학령기 발달장애인 어머니의 양육 부담과 외상 후 성장의 관계 - 가족이 경험하는 긍정적, 부정적 영향을 중심으로 -
The Associations between Parenting Strain and Post-traumatic Growth among Mothers of Children with Developmental Disabilities - The Role of Family Impact as a Mediator -
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본 연구의 목적은 학령기 발달장애인 어머니의 양육 부담과 외상 후 성장(Post-traumatic Growth)과관계를 살펴보고 발달장애인 가족이 경험한 긍정적 또는 부정적 가족 영향(Family Impact)의 매개효과를 분석하는 데 있다. 분석 대상은 경기⋅인천 지역에 있는 복지관 또는 치료센터를 이용하는발달장애인 어머니 200명으로 하였다. 분석 결과, 어머니의 주관적인 양육 부담과 외상 후 성장은통계적으로 유의한 결과를 보였으며, 긍정적인 가족 영향은 양육부담과 외상 후 성장과의 관계를완전 매개하는 것으로 나타난 반면, 부정적인 가족 영향은 이 두 변수의 관계를 매개하지 않았다. 이러한 결과는 발달장애인 어머니의 외상 후 성장이 단순히 양육부담의 감소를 통해 이루어지기보다는 가족이 경험하는 긍정적인 영향의 강화를 통해 높아질 수 있음을 보여준다.
Abstract
The aim of this study is to examine mediation effects of positive and negative family impact in the associations between parenting strain and post-traumatic growth(PTG) among mothers raising children with developmental disabilities in South Korea. This study surveyed 200 mothers raising children with developmental disabilities who participated in the programs run by welfare center in Gyeonggi and Incheon provinces. The results showed that the positive family impact fully mediated the relationships between self-evaluated parenting strain and PTG, while the negative impact did not mediate the relationship. These findings revealed that it would be an effective strategy to enhance the positive aspect of family to improve PTG of participants.
참고문헌 (64)
- Barakat, L. P., "Posttraumatic Growth in Adolescent Survivors of Cancer and Their Mothers and Fathers", Journal of Pediatric Psychology, 31(4), pp.413~419 (2005)
- Berry K., "PTSD Symptoms Associated with the Experience of Psychosis and Hospitalization: Review of Literature", Clinical Psychology Review, 33, pp.526~538 (2013)
- Blacher, J., "Syndrome Specificity and Behavioural Disorders in Young Adults with Intellectual Disability: Cultural Differences in Family Impact", Journal of Intellectual Disability Research, 50(3), pp.184~198 (2006)
- Brannan, A. M., "The Caregiver Strain Questionnaire: Measuring the Impact on the Family of Living with a Child with Serious Emotional Disturbance", Journal of Emotional and Behavioral Disorders, 5(4), pp.212~222 (1997)
- Cadell, S., "The Sun always Comes Out after It Rains:Understanding Posttraumatic Growth in HIV Caregivers", Health & Social Work, 32(3), pp.169~176 (2007)
- Chadwick, D. D., "Family Voices: Life for Family Carers of People with Intellectual Disabilities in Ireland", Journal of Applied Research in Intellectual Disabilities, 26(2), pp.119~132 (2013)
- Chandravanshi, G., "Prevalence of Depression in Mothers of Intellectually Disabled Children: A Cross-sectional Study", Medical Journal of Dr. D.Y. Patil Vidyapeeth, 10(2), pp.156~161 (2017)
- Cohrs, A. C., "Depression in Parents of Children Diagnosed with Autism Spectrum Disorder: A Claims-Based Analysis", Journal of Autism and Developmental Disorders, 47(5), pp.1416~1422 (2017)
- Emerson, E., "Prevalence of Psychiatric Disorders in Children and Adolescents with and without Intellectual Disability", Journal of Intellectual Disability Research, 47(1), pp.51~58 (2003)
- Figley, C. R., "A Five-phase Treatment of Post-traumatic Stress Disorder in Families", Journal of Traumatic Stress, 1(1), pp.127~141 (1988)
- Greenberg, J. S., "Contributions of Persons with Serious Mental Illness to Their Families", Hospital and Community Psychiatry, 45, pp.475~480 (1994)
- Griffith, G. M., "‘He's Hard Work, but He's Worth It’. The Experience of Caregivers of Individuals with Intellectual Disabilities and Challenging Behaviour: A Meta-synthesis of Qualitative Research", Journal of Applied Research in Intellectual Disabilities, 27(5), pp.401~419 (2014)
- Grubaugh A. L., "Trauma Exposure and Posttraumatic Stress Disorder in Adults with Severemental Illness: A Critical Review", Clinical Psychology Review, 31(6), pp.883~899 (2011)
- Gupta, A., "Positive Perceptions in Parents of Children with Disabilities", Asia Pacific Disability Rehabilitation Journal, 15(1), pp.22~35 (2004)
- 이규옥, "장애자녀 양육에 대한 아버지와 어머니의 경험을 중심으로 살펴 본 가족의 성숙과 변화", 정서·행동장애연구, 26(4), pp.137~163 (2010), 한국정서행동장애학회
- Hastings, R. P., "Positive Contributions Made by Children with an Intellectual Disability in the Family: Mothers’ and Fathers’ Perceptions", Journal of Intellectual Disabilities, 9(2), pp.155~165 (2005)
- Hayes, A. F., "Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-based Approach" (2013), Guilford Publications
- Hirst, M., "Unequal Opportunities: Growing up Disabled" (1994), HM Stationery Office
- Kaufman, C. E., "Stress, Trauma, and Risky Sexual Behaviour among American Indians in Young Adulthood", Culture, Health & Sexuality, 6(4), pp.301~318 (2004)
- 김은서, "정신지체 자녀 양육이 가족에 미친 긍정적 영향에 대한 어머니의 인식", 정서·행동장애연구, 23(4), pp.263~289 (2007), 한국정서행동장애학회
- Kim, Jae Yeob, "TSL Family Therapy and Family Welfare" (2010), SoYa
- 김진숙, "발달장애자녀 어머니의 양육경험: 질적 메타종합연구", 한국심리학회지: 상담 및 심리치료, 27(2), pp.463~490 (2015), 한국상담심리학회
- 김기룡, "장애인 가족지원 서비스 이용 현황 및 만족도 조사", 특수교육, 15(4), pp.205~229 (2016), 특수교육연구소[DOI]
- 김미옥, "발달장애인 부모의 양육부담과 장애자녀에 대한 긍정성 인식의 관계 : 사회참여의 조절효과를 중심으로", 사회복지연구, 47(2), pp.309~330 (2016), 한국사회복지연구회[DOI]
- 김수정, "장애아동 가족의 양육부담과 가족적응과의 관계에서 장애아동이 가족에 미친 긍정적 기여에 대한 부모 인식의 매개효과", 한국가족복지학, (35), pp.41~72 (2012), 한국가족사회복지학회[DOI]
- 김수정, "장애자녀 양육경험 인식이 가족적응에 미치는 영향- 임파워먼트의 매개효과 -", 재활복지, 17(4), pp.79~101 (2013), 한국장애인재활협회 부설 재활연구소
- Korea Employment Agency for the Disabled, "The Statistics for Disability 2017", ~ (2017)
- Korea Institute for Health and Social Affairs, "A Study on the Actual Condition of the Disabled" (2014)
- 이애란, "자폐성장애 아동 어머니의 삶의 전환 과정", Journal of Korean Academy of Nursing, 40(6), pp.808~819 (2010), 한국간호과학회
- Lee, H. S., "Stress in Caregivers of Demented People in Korea: A Modification of Pearlin and Colleagues’ Stress Model", International Journal of Geriatric Psychiatry, 21(8), pp.784~791 (2006)
- 이지수, "장애아동 가족의 자녀 양육부담 및 서비스 욕구", 한국장애인복지학, (8), pp.71~100 (2008), 한국장애인복지학회
- Montgomery, S. A., "A New Depression Scale Designed to be Sensitive to Change", The British Journal of Psychiatry, 134(4), pp.382~389 (1979)
- Morrison A. P., "Comparison of Metacognitions in Patients with Hallucinations, Delusions, Panic Disorder, and Non-patient Controls", Behavior Research and Therapy, 41(2), pp.251~256 (2003)
- Mount, N., "Parents’ Experiences of Living with an Adolescent Diagnosed with an Autism Spectrum Disorder", Educational and Child Psychology, 31(4), pp.72~81 (2014)
- Mukaka, M. M., "A Guide to Appropriate Use of Correlation Coefficient in Medical Research", Malawi Medical Journal, 24(3), pp.69~71 (2012)
- Neria Y, "Trauma Exposure and Posttraumatic Stress Disorder in Psychosis: Findings from a First-admission Cohort", Journal of Consulting and Clinical Psychology, 70(1), pp.246~251 (2002)
- Padden, C., "Stress among Parents of Children with and without Autism Spectrum Disorder: A Comparison Involving Physiological Indicators and Parent Self-Reports", Journal of Developmental and Physical Disabilities, 29(4), pp.567~586 (2017)
- 박종엽, "발달장애자녀를 둔 어머니의 대처양태변화의 재구성 : 자녀의 생애주기 발달을 중심으로", 비판사회정책, (41), pp.54~94 (2013), 비판과 대안을 위한 사회복지학회[DOI]
- 박서정, "아스퍼거 자녀를 둔 어머니의 자녀 양육 경험과 성장 경험에 대한 내러티브 탐구", 재활심리연구, 21(2), pp.207~231 (2014), 한국재활심리학회
- 박선원, "발달장애아동 어머니의 양육부담이 부부갈등에 미치는 영향 -사회적 지지체계와 사회활동의 조절효과를 중심으로-", 한국콘텐츠학회 논문지, 17(1), pp.594~610 (2017), 한국콘텐츠학회[DOI]
- Pickett, S. A., "Positive Parent–adult Child Relationships: Impact of Severe Mental Illness and Caregiving Burden", American Journal of Orthopsychiatry, 67, pp.220~229 (1997)
- Powell, S., "Posttraumatic Growth after War: A Study with Former Refugees and Displaced People in Sarajevo", Journal of Clinical Psychology, 59(1), pp.71~83 (2003)
- Reinhard, S. C., "Burden Assessment Scale for Families of the Seriously Mentally Ill", Evaluation and Program Planning, 17(3), pp.261~269 (1994)
- Schwartz, C., "Parents of Mentally Ill Adult Children Living at Home Rewards of Caregiving", Health & Social Work, 27(2), pp.145~154 (2002)
- Singh, P., "Subjective Burden and Depression in Mothers of Children with Autism Spectrum Disorder in India: Moderating Effect of Social Support", Journal of Autism and Developmental Disorders, 47(10), pp.3097~3111 (2017)
- 소숙영, "긍정 심리치료가 발달 장애 아동 어머니의 우울, 부모 효능감 및 양육 스트레스에 미치는 효과", 스트레스 硏究, 21(2), pp.95~107 (2013), 대한스트레스학회
- 송승훈, "한국판 외상후 성장 척도의 타당도 및 신뢰도 연구", 한국심리학회지: 건강, 14(1), pp.193~214 (2009), 한국건강심리학회[DOI]
- Taunt, H. M., "Positive Impact of Children with Developmental Disabilities on Their Families:A Preliminary Study", Education and Training in Mental Retardation and Developmental Disabilities, 37(4), pp.410~420 (2002)
- Tedeschi, R. G., "The Posttraumatic Growth Inventory: Measuring the Positive Legacy of Trauma", Journal of Traumatic Stress, 9(3), pp.455~471 (1996)
- Tedeschi, R. G., "Posttraumatic Growth:Conceptual Foundations and Empirical Evidence", Psychology Inquiry, 15(1), pp.1~18 (2004)
- Thornton, A. A., "Posttraumatic Growth in Prostate Cancer Survivors and Their Partners", Psycho‐Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer, 15(4), pp.285~296 (2006)
- Trute, B., "Family Adjustment to Childhood Developmental Disability: A Measure of Parent Appraisal of Family Impacts", Journal of Pediatric Psychology, 27(3), pp.271~280 (2002)
- Trute, B., "Parental Appraisal of the Family Impact of Childhood Developmental Disability: Times of Sadness and Times of Joy", Journal of Intellectual and Developmental Disability, 32(1), pp.1~9 (2007)
- Turner-Crowson, Judy, "The Recovery Vision for Mental Health Services and Research: A British Perspective", Psychiatric Rehabilitation Journal, 25(3), pp.245~254 (2002)
- Wenzlaff, R. M., "Depression and Mental Control: The Resurgence of Unwanted Negative Thoughts", Journal of Personality and Social Psychology, 55(6), pp.882~892 (1988)
- Winefield, H. R., "Needs of Family Caregivers in Chronic Schizophrenics", Schizophrenic Bulletin, 20, pp.557~566 (1994)
- Wolf, L., "Effect of Sibling Perception of Differential Parental Treatment in Sibling Dyads with One Disabled Child", Journal of the American Academy of Child & Adolescent Psychiatry, 37(12), pp.1317~1325 (1998)
- 양희택, "발달장애인의 생애주기에 따른 어머니의 양육경험에 관한 해석학적 연구", 한국장애인복지학, (21), pp.43~68 (2013), 한국장애인복지학회[DOI]
- Yang, Sook Me, "Family Support Social Work Practice for the Handicapped People and Empowerment" (2017)
- 윤명숙, "정신장애인 가족의 외상 후 성장 영향요인", 한국가족복지학, (38), pp.201~228 (2012), 한국가족사회복지학회[DOI]
- 윤명숙, "장애수용이 중도장애인의 외상 후 성장에 미치는 영향: 사회적 지지의 조절효과", 한국장애인복지학, (26), pp.55~74 (2014), 한국장애인복지학회[DOI]
- 유영준, "장애아동․청소년 가족의 양육부담 및 가족지원욕구에 관한 연구", 특수교육, 10(1), pp.209~234 (2011), 특수교육연구소
- Zhang, Wei, "Post-traumatic Growth in Mothers of Children with Autism: A Phenomenological Study", Autism, 19(1), pp.29~37 (2015)
- Zoellner, T., "Posttraumatic Growth in Clinical Psychology: A Critical Review and Introduction of a Two Component Model", Clinical Psychology Review, 26(5), pp.626~653 (2006)
