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정신질환에 대한 낙인과 정신의학적 약물치료 태도의 관계에서 사회적 지지와 자아존중감의 이중매개효과

The Effect of Mental Illness Stigma on Attitude towards Psychiatric Medication: The Mediating Effects of Social Support and Self-Esteem

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주제분류심리과학

초록

본 연구는 정신질환에 대한 낙인과 정신의학적 약물치료 태도의 관계에서 사회적 지지와 자아존중감이 매개하는지 살펴보았다. 이를 위해 A 광역시에 위치한 관내 주민센터를 이용한 일반 지역주민에게 설문지를 배부하였고, 총 705명의 사례가 최종 분석에 사용되었다. 수집된 자료를 바탕으로 주요 변인들 간의 관련성을 살펴보기 위해 상관관계 분석을 실시하였고, 사회적 지지와 자아존중감이 정신질환에 대한 낙인과 정신의학적 약물치료 태도 간의 관계에서 매개하는지를 알아보기 위하여 매개모형 검증을 실시하였다. 연구 결과는 다음과 같다. 첫째, 정신질환에 대한 낙인은 정신의학적 약물치료 태도에 직접적인 영향을 미치는 동시에 사회적 지지와 자아존중감으로 매개로 하여 간접적으로도 영향을 미치는 것으로 나타났다. 둘째, 정신질환에 대한 낙인과 정신의학적 약물치료 태도의 관계에서 사회적 지지와 자아존중감이 부분 이중 매개효과가 있는 것으로 나타났다. 마지막으로 본 연구의 의의와 제한점 및 후속 연구에 대한 제언을 논의하였다.

Abstract

This study examined the mediating effects of social support and self-esteem on the link between the stigma of mental illness and the attitude towards psychiatric medication treatment. Structural equation modeling of data from 705 metropolitan area residents indicated that the link between the stigma surrounding mental illness and the attitude towards psychiatric medication treatment was partially mediated by social support and self-esteem. This suggests that the stigma towards mental illness directly affects the attitude towards psychiatric medication treatment. Further, that social support and self-esteem may reduce the negative attitude towards psychiatric medication treatment. Implications, limitations, and suggestions for future study are discussed.

참고문헌 (77)

  1. 김성완, "‘조현병-정신분열병’ 병명에 따른 낙인 비교", 신경정신의학, 51(4), pp.210~217 (2012), 대한신경정신의학회
  2. 김진희, "지역사회 정신질환 대상자의 내재화된 낙인과 치료순응의 관계: 자기효능감의 매개효과", 정신간호학회지, 25(1), pp.11~20 (2016), 한국정신간호학회[DOI]
  3. 박준호, "남자 대학생들의 성역할갈등과 상담 의도와의 관계: 사회적 낙인, 자기 낙인, 상담에 대한 태도의 매개 효과", 한국심리학회지: 상담 및 심리치료, 21(1), pp.25~48 (2009), 한국상담심리학회
  4. 박철, "정신의학적 약물치료에 대한 간호학 및 사회복지학과 대학생의 태도", 대한조현병학회지, 17(2), pp.86~92 (2014), 대한조현병학회[DOI]
  5. 2016년도 정신질환 실태 역학조사, "보건복지부", 보건복지부, ~ (2017)
  6. 정신질환자에 대한 차별과 편견 실태조사, "서미경", 국가인권위원회, ~ (2008)
  7. 유성경, "한국 대학생의 상담, 심리치료, 정신치료에 대한 태도", 한국심리학회지: 상담 및 심리치료, 17(3), pp.617~632 (2005), 한국상담심리학회
  8. 이민지, "낙인과 전문적 도움추구 의도 간의 관계: 전문적 도움추구 태도의 매개 효과", 한국심리학회지: 상담 및 심리치료, 19(4), pp.949~966 (2007), 한국상담심리학회
  9. 이인정, "HIV", AIDS 감염인의 지각된 낙인이 삶의 질에 미치는 영향-사회적 지지의 조절효과 중심으로-, 2013, pp.44(3), 347~369[DOI]
  10. 전병제, "Self-esteem : A test of its measurability", 연세논총, 11(1), pp.107~130 (1974)
  11. 정진철, "낙인과 자존감, 전문적 도움추구 태도 간의 관계", 한국심리학회지: 상담 및 심리치료, 22(3), pp.631~652 (2010), 한국상담심리학회
  12. 조가은, "정신장애인의 자기효능감과 사회적 지지 및 스트레스가 사회적 문제해결에 미치는 영향", 재활심리연구, 17(2), pp.187~206 (2010), 한국재활심리학회
  13. 홍세희, "구조 방정식 모형의 적합도 지수 선정기준과 그 근거", 한국심리학회지 : 임상, 19(1), pp.161~177 (2000)
  14. Adler, N., "Health psychology: Why do some people get sick and some stay well?", Annual Review of Psychology, 45, pp.229~259 (1994)
  15. Angermeyer, M. C., "Public attitude towards psychiatric treatment", Acta Psychiatrica Scandinavica, 94(5), pp.326~336 (1996)
  16. Anthony, W. A., "Psychiatric rehabilitation" (1990), Boston University Press
  17. Barney, L. J., "Stigma about depression and its impact on help-seeking intentions", The Australian and New Zealand Journal of Psychiatry, 40(1), pp.51~54 (2006)
  18. Bathje, G. J., "The relationships of public and self-stigma to seeking mental health services", Journal of Mental Health Counseling, 33(2), pp.161~176 (2011)
  19. Bandura, A., "Social foundations of thought and action" (1986), Prentice Hall
  20. Blankertz, L., "Cognitive components of self-esteem for individual with severe mental illness", American Journal of Orthopsychiatry, 71(4), pp.457~465 (2001)
  21. Birkel, R. C., "Social networks, information-seeking, and the utilization of services", American Journal of Community Psychology, 11(2), pp.185~205 (1983)
  22. Bollen, K. A., "Bootstrapping goodness-of-fit measures in structural equation models", Sociological Methods & Research, 21(2), pp.205~229 (1992)
  23. Brown, C., "Depression stigma, race, and treatment seeking behavior and attitudes", Journal of Community Psychology, 38(3), pp.350~368 (2010)
  24. Chou, C. C., "Social tie characteristics and psychiatric rehabilitation outcomes among adults with serious mental illness", Rehabilitation Counseling Bulletin, 55(2), pp.92~102 (2012)
  25. Cohen, S., "Psychosocial models of the role of social support in the etiology of physical disease", Health Psychology, 7(3), pp.269~297 (1988)
  26. Cohen, S., "Handbook of Psychology and Health", pp.253~267 (1984), Erlbaum
  27. Corrigan, P., "How stigma interferes with mental health care", American Psychologist, 59(7), pp.614~625 (2004)
  28. Corrigan, P. W., "The paradox of self-stigma and mental illness", Clinical Psychology-Science and Practice, 9(1), pp.35~53 (2002)
  29. Corrigan, P. W., "On the self-stigma of mental illness : Stages, disclosure, and strategies for change", Canadian Journal of Psychiatry, 57(8), pp.464~469 (2012)
  30. Corrigan, P. W., "The self-stigma of mental illness : Implications for self-esteem and self-efficacy", Journal of Social and Clinical Psychology, 25(8), pp.875~884 (2006)
  31. Davis, L., "Social support and functional outcome in severe mental illness : The mediating role of proactive coping", Psychiatry Research, 215(1), pp.39~45 (2014)
  32. Deiner, E., "Very happy people", Psychological Science, 13(1), pp.81~84 (2002)
  33. DuBois, D. L., "Getting by with a little help from self and others : Self-esteem and social support as resources during early adolescence", Developmental Psychology, 38(5), pp.822~839 (2002)
  34. Dudley, J. R., "Confronting stigma within the services system", Social Work, 45(5), pp.449~455 (2000)
  35. Dyck, K. T., "Understanding humor styles and well-being : The importance of social relationships and gender", Personality and Individual Differences, 55(1), pp.53~58 (2013)
  36. Fisher, J. D., "Recipient reactions to aid", Psychological Bulletin, 91(1), pp.27~54 (1982)
  37. Gulliver, A., "Perceived barriers and facilitators to mental health help-seeking in young people : A systematic review", BMC Psychiatry, 10, pp.113~121 (2010)
  38. Held, P., "Stigmas and attitudes toward seeking mental health treatment in a sample of veterans and active duty service members", Traumatology, 19(2), pp.136~143 (2012)
  39. Hendryx, M., "Social support, activities, and recovery from serious mental illness : STARS study findings", The Journal of Behavioral Health Services & Research, 36(3), pp.321~329 (2009)
  40. Hogan, M. F., "The president’s new freedom commission : Recommendations to transform mental health care in America", Psychiatric Services, 54(11), pp.1467~1474 (2003)
  41. Jennings, K. S., "How are perceived stigma, self-stigma, and self-reliance related treatment-seeking? A three-path model", Psychiatric Rehabilitation Journal, 38(2), pp.109~116 (2015)
  42. Joseph, J. A., "The resilient child : Preparing today’s youth for tomorrow’s world" (2002), Perseus Books
  43. Kessler, R. C., "The prevalence and correlates of untreated serious mental illness", Health Services Research, 36(6), pp.987~1007 (2001)
  44. Kim, P. Y., "Stigma, negative attitudes about treatment, and utilization of mental health care among soldiers", Military Psychology, 23(1), pp.65~81 (2011)
  45. Kondrat, D. C., "Do treatment processes matter more than stigma? The relative impacts of working alliance, provider effects, and self-stigma on consumers’ perceived quality of life", Best Practices in Mental Health : An International Journal, 8(1), pp.85~103 (2012)
  46. Kondrat, D. C., "Battling in the trenches : Case managers’ ability to combat the effects of mental illness stigma on consumers’ perceived quality of life", Community Mental Health Journal, 47(4), pp.390~398 (2011)
  47. David C. Kondrat, "The mediating effect of social support on the relationship between the impact of experienced stigma and mental health", Stigma and Health, 3(4), pp.305~314 (2018), American Psychological Association (APA)[DOI]
  48. Kroska, A., "Stigma sentiments and self-meanings : Exploring the modified labeling theory of mental illness", Social Psychology Quarterly, 69(4), pp.325~348 (2006)
  49. Lakey, B., "The relative contribution of trait and social influences to the links among perceived social support, affect, and self-esteem", Journal of Personality, 73(2), pp.361~388 (2005)
  50. Lenhardt, R. A., "Understanding the mark : Race, stigma, and equality in context", New York University Law Review, 79(3), pp.803~931 (2004)
  51. Leong, F. T. L., "Barriers to providing effective mental health services to Asian Americans", Mental Health Services Research, 3(4), pp.201~214 (2001)
  52. Ling, B. G., "A modified labeling theory approach to mental disorders : An empirical assessment", American Sociological Review, 54(3), pp.400~423 (1989)
  53. Link, B. G., "Stigma as a barrier to recovery : The consequences of stigma for the self-esteem of people with mental illnesses", Psychiatric Services, 52(12), pp.1621~1626 (2001)
  54. Mak, W. W. S., "Examining attribution model of self-stigma on social support and psychological well-being among people with HIV+", AIDS, 2007, pp.64(8), 1549~1559
  55. Markowitz, F. E., "The effects of stigma on the psychological well-being and life satisfaction of people with mental illness", Journal of Health and Social Behavior, 39(4), pp.335~347 (1998)
  56. Markowitz, F. E., "Modeling processes in recovery from mental illness : Relationships between symptoms, life satisfaction, and self-concept", Journal of Health and Social Behavior, 42(1), pp.64~79 (2001)
  57. Mickelson, K. D., "Perceived stigma, social support, and depression", Personality and Social Psychology Bulletin, 27(8), pp.1046~1056 (2001)
  58. Muhlenkamp, A. F., "Self-esteem, social support, and positive health practices", Nursing Research, 35(6), pp.334~338 (1986)
  59. Nam, S. K., "Psychological factors in college students’ attitudes toward seeking professional psychological help : A meta-analysis", Professional Psychology : Research and Practice, 44(1), pp.37~45 (2013)
  60. Pattyn, E., "Public stigma and self-stigma : Differential association with attitudes toward formal and informal help seeking", Psychiatric Services, 65(2), pp.232~238 (2014)
  61. Pescosolido, B., "Stigmatizing attitudes and beliefs about treatment and psychiatric medications for children with mental illness", Psychiatric Services, 58(5), pp.613~618 (2007)
  62. Pryor, J. B., "A dual-process model of reactions to perceived stigma", Journal of Personality and Social Psychology, 87(4), pp.436~452 (2004)
  63. Rosenberg, M., "Society and the adolescent self-image" (1965), Princeton University Press
  64. Ryff, C. D., "Interpersonal flourishing : A positive health agenda for the new millennium", Personality and Social Psychology Review, 4(1), pp.30~44 (2000)
  65. Schmitt, M. T., "The consequences of perceived discrimination for psychological well-being : A meta-analytic review", Psychological Bulletin, 140(4), pp.921~948 (2014)
  66. Segal, D. L., "Beliefs about mental illness and willingness to seek help : A cross-sectional study", Aging and Mental Health, 9(4), pp.363~367 (2005)
  67. Sharp, M. L., "Stigma as a barrier to seeking health care among military personnel with mental health problems", Epidemiologic Reviews, 37(1), pp.144~162 (2014)
  68. Sibicky, M., "Stigma of psychological therapy : Stereotypes, interpersonal reactions, and the self-fulfilling prophecy", Journal of Counseling Psychology, 33(2), pp.148~154 (1986)
  69. Sickel, A. E., "Mental health stigma update : A review of consequences", Advances in Mental Health, 12(3), pp.202~215 (2014)
  70. Triandis, H. C., "Individualism and collectivism" (1995), Westview Press
  71. Verhaeghe, M., "Stigmatization and self-esteem of persons in recovery from mental illness : The role of peer support", International Journal of Social Psychiatry, 54(3), pp.206~218 (2008)
  72. Vogel, D. L., "Perceived public stigma and the willingness to seek counseling : The mediating roles of self-stigma and attitudes toward counseling", Journal of Counseling Psychology, 54(1), pp.40~50 (2007)
  73. Wade, N. G., "Modeling stigma, help-seeking attitudes, and intentions to seek behavioral healthcare in a clinical military sample", Psychiatric Rehabilitation Journal, 38(2), pp.135~141 (2015)
  74. Watson, A. A., "Self-stigma in people with mental illness", Schizophrenia Bulletin, 33(6), pp.1312~1318 (2007)
  75. "World Health Organization"[URL]
  76. Wright, E., "Deinstitutionalization, social rejection, and the self-esteem of former mental patients", Journal of Health and Social Behavior, 41(1), pp.68~90 (2000)
  77. Zimet, G. D., "The multidimensional scale of perceived social support", Journal of Personality Assessment, 52(1), pp.30~41 (1988)

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