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침습적 반추, 의도적 반추, 의미만들기가 외상후스트레스증상 및 외상후성장에 미치는 영향

The Impact of Intrusive Rumination, Deliberate Rumination, and Meaning Making on Posttraumatic Stress Symptoms and Posttraumatic Growth

장혜인|장유빈
한국건강심리학회 (Korean Health Psychological Association)|2023.03|한국심리학회지: 건강 (Korean Journal of Health Psychology)|제28권 제2호|pp. 399-424|DOI 10.17315/kjhp.2023.28.2.009

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posttraumatic growthposttraumatic stress symptoms침습적 반추intrusive rumination의도적 반추외상후성장deliberate rumination외상후스트레스증상meaning making의미만들기
주제분류심리과학

초록

본 연구에서는 침습적 반추가 외상후스트레스증상 및 외상후성장에 미치는 영향에서 의도적 반추와 의미만들기의 매개효과를 확인하고자 하였다. 이를 위해 장훈장학회 후원을 받아 인바이트에서 외상경험이 있는 대학생 293명(남 109명, 여 184명)을 대상으로 침습적 반추, 의도적 반추, 의미만들기, 외상후스트레스증상, 외상후성장에 대한 자기보고식 설문을 온라인으로 실시하였다. 경로분석 결과는 다음과 같다. 첫째, 침습적 반추가 의도적 반추를 정적으로 예측하였고, 의도적 반추는 외상후스트레스증상과 외상후성장을 각각 정적으로 예측하였다. 둘째, 침습적 반추가 의미만들기를 부적으로 예측하였고, 의미만들기는 외상후스트레스증상을 부적으로, 외상후성장을 정적으로 예측하였다. 셋째, 침습적 반추가 의도적 반추와 의미만들기를 순차적으로 거쳐 외상후스트레스증상 및 외상후성장을 각각 유의하게 예측하였다. 즉, 침습적 반추가 높을수록 의도적 반추도 높았으며, 이는 더 높은 수준의 의미만들기로 이어져 외상후스트레스증상은 부적으로 예측하고 외상후성장은 정적으로 예측하였다. 마지막으로 본 연구의 의의와 한계, 그리고 후속연구를 위한 제언을 논의하였다.

Abstract

This study investigated the mediating effect of deliberate rumination and meaning making on the relationship between intrusive rumination and post-traumatic stress symptoms and post-traumatic growth. Participants were 293 college students (109 males and 184 females) who completed a set of online self-report questionnaires that measured trauma experience, post-traumatic stress symptoms, post-traumatic growth, event-related rumination, and meaning making. The results of path analysis indicated that intrusive rumination positively predicted deliberate rumination, and deliberate rumination positively predicted both post-traumatic stress symptoms and post-traumatic growth. Moreover, intrusive rumination negatively predicted meaning making, and meaning making negatively predicted post-traumatic stress symptoms and positively predicted post-traumatic growth. Furthermore, there was a sequential mediating effect of deliberate rumination and meaning making on the relationship between intrusive rumination and post-traumatic stress symptoms and post-traumatic growth. In other words, the higher the intrusive rumination, the higher the deliberate rumination, which led to a higher level of meaning making, and meaning making was negatively associated with post-traumatic stress symptoms and positively associated with post-traumatic growth. Based on these results, implications and limitations of the study were discussed.

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