유방암 생존자의 외상후성장 관련 요인 탐색
Posttraumatic Growth and Related Factors in Breast Cancer Survivors
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초록
본 연구에서는 유방암 생존자에게 외상후성장이 나타나는지 확인하고, 외상후성장과 관련한 특성을 밝히고자 하였다. 이를 위해 유방암 생존자 집단 99명, 건강 통제 집단 95명의 자료를 분석하였다. 본 연구의 목적은 첫째, 유방암 생존자 집단과 일반 건강 통제 집단의 외상후성장의 정도를 비교하는 것이다. 둘째, 사회인구학적․암 관련 ․심리적 특성 중에서 유방암 생존자의 외상후성장과 관련 있는 요인을 확인하는 것이다. 마지막으로, 이들 특성 중 유방암 생존자의 외상후성장을 가장 많이 설명하는 변인을 밝히는 것이다. 연구결과, 유방암 생존자 집단이 건강 통제 집단에 비해 유의하게 높은 외상후성장을 보고하였다. 또한 상관분석에서는 사회인구학적 특성 중 자녀의 수가 외상후성장과 부적 상관이 있는 것으로 나타났다. 종교는 외상후성장과 유의한 정적 상관을 보고하였다. 암 관련 특성에서는 진단 시 암 단계, 항암제 치료 경험이 외상후성장과 정적 상관을 나타냈다. 심리적 특성에서는 외향성, 개방성, 자기존중감, 대처, 지각된 사회적 지지가 외상후성장과 유의한 정적 상관을 보고하였다. 마지막으로, 외상후성장을 가장 잘 설명해 주는 변인은 긍정적 재구조화 대처이었으며 그 다음으로 지각된 가족의 사회적 지지, 진단 시 암 단계인 것으로 나타났다. 이러한 결과는 유방암 생존자에게서 나타나는 외상후성장 현상을 이해하고 유방암 생존자 집단의 외상후성장 증진을 위한 기초자료가 될 수 있을 것이다. 마지막으로 본 연구의 의의와 제한점, 앞으로의 연구 방향에 대해 논의하였다.
Abstract
This study examined posttraumatic growth(PTG) of breast cancer(BC) survivors. The purposes of this study are as follows. First, we compared BC survivors'(n = 99) self-reports of PTG with those of age-matched healthy comparison(HC) women(n = 95). Second, we identified correlates of sociodemographics, cancer-related, psychological factors and PTG among BC survivors. Lastly, we explored predictors of PTG among BC survivors. Results indicated that the BC group showed a pattern of greater PTG than HC group. Among the sociodemographic factors, the number of children and the religion were associated PTG significantly. Disease stage at diagnosis, receipt of chemotherapy were associated with greater PTG in cancer-related factors. Psychological factors such as extraversion, openness, self-esteem, coping and perceived social support were related to greater PTG. The best predictor of PTG was positive reframing coping. In addition, perceived social support to family and disease stage at diagnosis were good predictors of PTG.
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