알코올 사용 환자의 지각된 스트레스와 재발경고 증상간의 관계 - 분노억제의 매개효과를 중심으로 -
Mediating Effect of Anger-In Coping Style between Perceived Stress and Warning Symptoms of Relapse in Alcoholics
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
본 연구는 광역시 알코올전문병원에서 입원 치료중인 알코올 사용 환자를 대상(n=238)으로 지각된 스트레스와 알코올 재발 경고 증상간의 관계에 분노억제가 어떻게 영향을 미치는지 확인하기 위해 수행되었다. 이를 통해 알코올 재발에 영향을 미치는 변인들을 이해하고, 적절한 개입 방안을 모색하는데 그목적이 있다. 이를 위해 2023년 1월부터 3월까지 설문조사를 실시했으며, t-검증, 변량분석, pearson 상관분석, 위계적 회귀분석과 같은 통계적 분석 방법을 사용해 자료를 분석하였다. 매개 변수를 통한 간접효과를 검정하기 위해 부트스트래핑을 하였다. 연구 결과, 알코올 사용 환자의 지각된 스트레스, 분노억제, 재발경고증상 간에는 유의미한 정적 상관관계가 있는 것으로 나타났다. 또한 알코올 사용 환자의 지각된스트레스와 재발경고증상간의 관계를 분노억제가 부분 매개하였다. 이와 같은 연구 결과에 근거해 알코올사용 환자의 재발을 막기 위한 제안점을 제시하였다.
Abstract
This research was conducted to investigate the relationship between perceived stress and warning symptoms of relapse in alcohol-using patients undergoing inpatient treatment at a metropolitan alcohol treatment hospital, and to determine how anger-in coping style influences this relationship. The aim was to understand the variables influencing warning symptoms of relapse in alcoholics and to explore appropriate intervention measures. To achieve this, a survey was conducted from January to March 2023, and the collected data were analyzed using statistical methods such as t-tests, analysis of variance, Pearson correlation analysis, and hierarchical regression analysis. Bootstrap was performed to test the significance of the indirect effects through the mediator variables. The results of the study showed significant positive correlations between perceived stress, anger-in coping style, and relapse warning symptoms among alcoholics. Moreover, anger-in coping style partially mediated the relationship between perceived stress and relapse warning symptoms in alcoholics. Based on these research findings, suggestions were made for preventing relapse among alcoholics.
참고문헌 (18)
- Baron, R. M., "The Moderator-Mediator Variable Distinction in Social Psychological Research : Conceptual, Strategic, and Statistical Considerations", Journal of Personality and Social Psychology, 51(6), pp.1173~1182 (1986)
- Billings, A. G., "Coping, Stress and Social Resources among Adults with Unipolar Depression", Journal of Personality and Social Psychology, 46(4), pp.877~891 (1984)
- 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)
- Cooper, M. L., "Coping Expectancies and Alcohol Abuse: A Test of Social Learning Formulations", Journal of Abnormal Psychology, 101(2), pp.139~152 (1992)
- Coyne, J. C., "Depression and Coping in Stressful Episodes", Journal of Abnormal Psychology, 90(5), pp.439~447 (1981)
- Grover, S. M., "Substance Use and Anger in Mid-life Women", Issues in Mental Health Nursing, 14(1), pp.19~29 (1993)
- Han, Guiwon, "Conditioned Stimuli Provoking Alcohol Craving in the Patients with Alcohol Dependence", Psychiatry Investigation, 35(4), pp.809~819 (1996)
- Kim, Cheolmin, "A Study on Relapse Predictors in Korean Alcohol : Dependent Patients-A 24Weeks Follow up Study", Korean Journal of Biological Psychiatry, 14(4), pp.249~255 (2007)
- 김종성, "병식-지향 치료프로그램이 알코올 의존 환자들의 병식 상태와 퇴원 후 단주 성적에 미치는 영향", 박사, 예방의학, pp.2001
- Ko, Jinkyung, "The Effects of Coping Style on Subjective Well-Being Among Medical Students", Korean Journal of Medical Education, 19(3), pp.225~233 (2007)
- Merikangas, R. P., "Familial Transmission of Depression and Alcoholism", Archives of General Psychiatry, 42(4), pp.367~372 (1985)
- Mun, Sungsil, "Anger Aspect and Effect of Anger on Alcohol Drinking Pattern in Alcohol Dependence Patients", Journal of Korean Academy of Addiction Psychiatry, 3(1), pp.52~58 (1994)
- Park, Kunhee, "The Relationship between Covert Narcissism and Depression of High School Students: The Mediating Effects of Anger-out, Anger-in and Displaced Aggression", Journal of Future Oriented Youth Society, 15(4), pp.43~66 (2018)
- Park, Juno, "Validation of the Perceived Stress Scale(PSS)on Samples of Korean University Students", Korean Journal of Psychology: General, 29(3), pp.611~629 (2010)
- Spielberger, C. D., "Health Psychology: Individual Differences and Stress" (1998), Springer Verlag
- Weisman, M. M., "Clinical Depression in Alcoholism", The American Journal of Psychiatry, 137(3), pp.372~373 (1980)
- Yoon, Myeongsook, "Relationship between Family Violence Trauma and Quality of Life among Alcoholics Mediating Role of Depression, Relapse Risk", Mental Health and Social Work, 40(3), pp.87~115 (2012)