임부의 마음챙김과 긍정정서가 태아애착에 미치는 영향: 긍정 및 부정적 태동경험의 매개효과
Influence of Pregnant Women’s Mindfulness and Positive Emotions on Fetal Attachment: Mediating Effect of Positive and Negative Fetal Movement Experience
0
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
본 연구에서는 마음챙김과 긍정정서가 태아애착에 미치는 영향을 알아보고, 그 사이에 매개변인으로 긍정적 및 부정적 태동경험의 역할을 검증하였다. 서울, 경기, 충정지역에 거주하는 임부 235명을 대상으로 설문조사를 실시하였고, 구조방정식 모형을 분석하였다. 연구 결과 임부의 마음챙김은 태아애착을 직접 설명하기보다 부정적 태동경험 및 긍정정서를 통해 간접적으로 영향을 주는 것으로 나타났다. 구체적으로 마음챙김은 부정적인 태동경험과 긍정정서를 거쳐 태아애착에 영향을 주었다. 또한 마음챙김은 긍정정서를 향상시켜 긍정적 태동경험에 영향을 미쳤으며, 이는 태아애착을 증가시키는데 기여하는 것으로 나타났다. 한편 긍정정서는 태동을 더욱 긍정적으로 경험하게 하는 것을 통해 태아애착을 향상시켰으며, 직접경로 또한 유의미하였다. 결론적으로, 마음챙김과 긍정정서는 태동에 대한 임부의 주관적 경험을 개선함으로서 태아애착에 긍정적인 영향을 줄 수 있는 것으로 드러났다. 결과를 바탕으로 임부의 마음챙김과 긍정정서를 향상시킬 방안 및 연구의 제한점과 추후 연구를 위한 방향을 논하였다.
Abstract
The aim of this study was to investigate the effects of mindfulness and positive emotions on fetal attachment, and the mediating role of positive and negative fetal movement experiences (FME). A questionnaire survey was completed by 235 pregnant women living in Seoul, Gyeonggi, and Chungju. Structural equation modeling results showed that mindfulness in pregnant women indirectly affects the fetal attachment through negative FME and positive emotion. Specifically, mindfulness influenced fetal attachment through negative FME and positive emotions. In addition, mindfulness affects positive FME by improving positive emotions, which has been shown to contribute to increased fetal attachment. Meanwhile, positive emotions improved fetal attachment by allowing pregnant women to perceive fetal movements more positively, and the direct path was significant. In addition, mindfulness was shown to positively affect fetal attachment through positive emotions and positive FME. In conclusion, mindfulness and positive emotions in pregnant women have positive effects on fetal attachment by improving FME. Strategies to increase mindfulness and positive emotions among pregnant women, limitations of the study, and directions for future research are discussed.
참고문헌 (96)
- 강수경, "태아애착 척도(MAAS)의 타당화 연구", 한국심리학회지:여성, 22(2), pp.89~112 (2017), 한국여성심리학회
- 강수경, "임산부의 스트레스 및 기질과 태아애착의 관계", 한국생활과학회지, 21(2), pp.213~224 (2012), 한국생활과학회
- 권미경, "임신 중 우울과 모-태아상호작용", Child Health Nursing Research, 13(4), pp.416~426 (2007), 한국아동간호학회
- 권미경, "임신 주기별 모-태아상호작용양상", 부모자녀건강학회지, 11(2), pp.93~104 (2008)
- 김명식, "태아애착과 산후 우울증과의 관계", 한국심리학회 학술대회 자료집, 2011(1), pp.192~192 (2011)
- 김민정, "임부를 위한 자비명상 기반 중재의 가능성 탐색: 예비연구", 스트레스 硏究, 25(2), pp.145~154 (2017), 대한스트레스학회[DOI]
- 김설환, "한국형 마음챙김 스트레스 감소(KMBSR)에 기반을 둔 인지치료 프로그램이 대학생의 우울, 자살생각 및 충동성에 미치는 효과", Korean Journal of Clinical Psychology, 29(1), pp.189~204 (2010), 한국임상심리학회
- 김수지, "한국형 마음 챙김 명상에 기반한 스트레스 감소 프로그램이 만성통증에 미치는 효과", 한국심리학회지: 문화 및 사회문제, 15(3), pp.359~375 (2009), 한국문화및사회문제심리학회
- 김은숙, "임부의 태교 실천 영향 요인", 석사, 간호학, pp.2000
- 김정근, "자비명상이 대학생들의 마음챙김, 회복 탄력성 및 스트레스에 미치는 영향", 한국산학기술학회논문지, 18(4), pp.75~85 (2017), 한국산학기술학회[DOI]
- 김지연, "마음챙김과 자아탄력성 간의관계에서 긍정적 정서의 매개효과 검증", 한국명상학회지, 5(1), pp.33~46 (2015)
- 박성현, "마음챙김 척도 개발", 박사, 상담심리학, pp.2006
- 박성현, "자애명상의 심리적 과정 및 효과에 관한 혼합연구: 자애미소명상수행집단을 대상으로", 한국심리학회지: 상담 및 심리치료, 28(2), pp.395~424 (2016), 한국상담심리학회
- 박홍석, "정적정서 부적정서 척도(PANAS)의 타당화", 한국심리학회지:일반, 35(4), pp.617~641 (2016), 한국심리학회[DOI]
- 배현주, "결측값 대체방법에 대한 비교연구", 석사, 통계학, pp.2005
- 사주당 이씨, "태교신기언해", 경북 예천: 유근영 발행, ~ (1938)
- 宋英姬, "어머니의 胎敎와 아동의 행동발달 관계연구", 석사, 아동교육, pp.1999
- 안양규, "임산부를 위한 한국형 마음챙김 명상프로그램의 개발과 심리적 효과에 대한 연구", 한국심리학회지: 인지 및 생물, 23(3), pp.321~337 (2011), 한국인지및생물심리학회
- 왕인순, "자애명상이 자기자비, 마음챙김, 자아존중감, 정서 및 스트레스에 미치는 효과", 한국심리학회지: 건강, 16(4), pp.675~690 (2011), 한국건강심리학회
- 유미, "태아애착에의 영향요인: 임부의 피로, 사회적지지, 태교실천", Child Health Nursing Research, 20(4), pp.247~254 (2014), 한국아동간호학회[DOI]
- 유안진, "한국 전통사회의 유아교육" (1984), 서울대학교 출판부
- 이봉건, "마음챙김명상(MBSR)이 암 환자들의 통증과 불안에 미치는 효과", 스트레스 硏究, 21(4), pp.263~274 (2013), 대한스트레스학회
- 이태선, "마음챙김 명상이 여고생의 근골격계 통증에 미치는 효과", 한국심리학회지: 건강, 15(2), pp.281~294 (2010), 한국건강심리학회
- 장지현, "단기 자비명상이 자비심과 이타행동에 미치는 영향", 한국심리학회지: 문화 및 사회문제, 20(2), pp.89~105 (2014), 한국문화및사회문제심리학회
- 정명희, "산욕기 산모의 임신시 정서상태, 분만준비도, 산후 사회적 지지도 및 산후 우울감과의 관계연구", 여성건강간호학회지, 11(1), pp.38~45 (2005), 한국여성건강간호학회
- 홍세희, "구조 방정식 모형의 적합도 지수 선정기준과 그 근거", 한국심리학회 : 임상, 19(1), pp.161~177 (2000)
- Alhusen, J. L., "A longitudinal study of maternal attachment and infant developmental outcomes", Archives of Women's Mental Health, 16, pp.521~529 (2013)
- Anderson, J. C., "Structural equation modeling in practice : A review and recommended two-step approach", Psychological Bulletin, 103(3), pp.411~ (1988)
- Anderson, J. C., "Assumptions and comparative strengths of the two-step approach : Comment on Fornell and Yi", Sociological Methods & Research, 20(3), pp.321~333 (1992)
- Bagozzi, R. P., "On the evaluation of structural equation models", Journal of the Academy of Marketing Science, 16(1), pp.74~94 (1988)
- Barnes, S., "The role of mindfulness in romantic relationship satisfaction and responses to relationship stress", Journal of Marital and Family Therapy, 33(4), pp.482~500 (2007)
- Bibring, G. L., "A study of the psychological processes in pregnancy and of the earliest mother-child relationship : I. Some propositions and comments", The Psychoanalytic Study of the Child, 16(1), pp.9~24 (1961)
- Blake, S. M., "Pregnancy intentions and happiness among pregnant black women at high risk for adverse infant health outcomes", Perspectives on Sexual and Reproductive Health, 39(4), pp.194~205 (2007)
- Bollen, K. A., "Bootstrapping goodness-of-fit measures in structural equation models", Sociological Methods & Research, 21(2), pp.205~229 (1992)
- Bowlby, J., "Attachment, separation and loss" (1969), Basic Books
- Branjerdporn, G., "Associations between maternal-foetal attachment and infant developmental outcomes : A systematic review", Maternal and Child Health Journal, 21(3), pp.540~553 (2017)
- Brown, K. W., "Dispositional mindfulness and the attenuation of neural responses to emotional stimuli", Social Cognitive and Affective Neuroscience, 8(1), pp.93~99 (2012)
- Brown, K. W., "The benefits of being present : mindfulness and its role in psychological well-being", Journal of Personality and Social Psychology, 84(4), pp.822~ (2003)
- Carmody, J., "Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program", Journal of Behavioral Medicine, 31(1), pp.23~33 (2008)
- Coghill, R. C., "Neural correlates of interindividual differences in the subjective experience of pain", Proceedings of the National Academy of Sciences, 100(14), pp.8538~8542 (2003)
- Cohen, J. S., "Mindfulness and self-compassion in the transition to motherhood: a prospective study of postnatal mood and attachment", Doctor, pp.2010
- Condon, J. T., "The Parental-Foetal Relationship-a Comparison of Male and Female Expectant Parents", Journal of Psychosomatic Obstetrics & Gynecology, 4(4), pp.271~284 (1985)
- Condon, J. T., "The assessment of antenatal emotional attachment : development of a questionnaire instrument", British Journal of Medical Psychology, 66(2), pp.167~183 (1993)
- Condon, J. T., "The correlates of antenatal attachment in pregnant women", British Journal of Medical Psychology, 70, pp.359~372 (1997)
- Costner, H., "Causal Models in the Social Sciences", pp.321~393 (1985)
- Cranley, M. S., "Development of a tool for the measurement of maternal attachment during pregnancy", Nursing Research, 30, pp.281~284 (1981)
- Cunen, N. B., "A narrative review of interventions addressing the parentalfetal relationship", Women and Birth, 30(4), pp.e141~e151 (2017)
- Dekeyser, M., "Mindfulness skills and interpersonal behaviour", Personality and Individual Differences, 44(5), pp.1235~1245 (2008)
- DeNeve, K. M., "The happy personality : a meta-analysis of 137 personality traits and subjective well-being", Psychological Bulletin, 124(2), pp.197~ (1998)
- Duncan, L. G., "Mindfulness-based childbirth and parenting education : promoting family mindfulness during the perinatal period", Journal of Child and Family Studies, 19(2), pp.190~202 (2010)
- Dunn, C., "Mindful pregnancy and childbirth : effects of a mindfulness-based intervention on women’s psychological distress and well-being in the perinatal period", Archives of Women's Mental Health, 15(2), pp.139~143 (2012)
- Estrada, C. A., "Positive affect facilitates integration of information and decreases anchoring in reasoning among physicians", Organizational Behavior and Human Decision Processes, 72, pp.117~135 (1997)
- Finan, P. H., "The role of positive affect in pain and its treatment", The Clinical Journal of Pain, 31(2), pp.177~ (2015)
- Fornell, C., "Evaluating Structural Equation Models with Unobservable Variables and Measurement Error", Journal of Marketing Research, 18(1), pp.39~50 (1981)
- Fornell, C., "Validity assessment: A structural equations approach using partial least squares", Proceedings, american marketing association educators’ conference, pp.1~5 (1982)
- Fredrickson, B. L., "The role of positive emotions in positive psychology : The broadenand-build theory of positive emotions", American Psychologist, 56, pp.218~226 (2001)
- Grace, J. T., "Development of maternalfetal attachment during pregnancy", Nursing Research, 38(4), pp.228~232 (1989)
- Hayes, A. F., "Introduction to mediation, moderation, and conditional process analysis: A regression-based approach" (2017), Guilford Publications Press
- Heazell, A. P., "Methods of fetal movement counting and the detection of fetal compromise", Journal of Obstetrics and Gynaecology, 28(2), pp.147~154 (2008)
- Hollis-Walker, L., "Mindfulness, self-compassion, and happiness in non-meditators : A theoretical and empirical examination", Personality and Individual Differences, 50(2), pp.222~227 (2011)
- Jain, S., "A randomized controlled trial of mindfulness meditation versus relaxation training : effects on distress, positive states of mind, rumination, and distraction", Annals of Behavioral Medicine, 33(1), pp.11~21 (2007)
- Kabat-Zinn, J., "Full catastrophy living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness" (1990), Dell Publishing Press
- Kashdan, T. B., "Curiosity and exploration : Facilitating positive subjective experiences and personal growth opportunities", Journal of Personality Assessment, 82(3), pp.291~305 (2004)
- Lawson, K. L., "Maternal serum screening and psychosocial attachment to pregnancy", Journal of Psychosomatic Research, 60(4), pp.371~378 (2006)
- Layous, K., "What triggers prosocial effort? A positive feedback loop between positive activities, kindness, and well-being", The Journal of Positive Psychology, 12(4), pp.385~398 (2017)
- Leifer, M., "Psychological changes accompanying pregnancy and motherhood", Genetic Psychology Monographs (1977)
- Lindgren, K., "Relationships among maternal-fetal attachment, prenatal depression, and health practices in pregnancy", Research in Nursing & Health, 24(3), pp.203~217 (2001)
- Lyubomirsky, S., "The benefits of frequent positive affect : Does happiness lead to success", Psychological Bulletin, 131(6), pp.803~855 (2005)
- Matsubara, S., "Perceived fetal movement count as a traditional but essential tool for evaluating fetal health: some additions and Japanese obstetricians’ and pediatricians’view", The Journal of Maternal-Fetal & Neonatal Medicine, pp.1~5 (2017)
- Malm, M. C., "Prenatal attachment and its association with foetal movement during pregnancy-A population based survey", Women and Birth, 29(6), pp.482~486 (2016)
- Meagher, M. W., "Pain and emotion : effects of affective picture modulation", Psychosomatic Medicine, 63(1), pp.79~90 (2001)
- Mehling, W. E., "The Prognosis of Acute Low Back Pain in Primary Care in the US A 2-Year Prospective Cohort Study", Spine, 37(8), pp.678~ (2012)
- Moore, T. R., "A prospective evaluation of fetal movement screening to reduce the incidence of antepartum fetal death", American Journal of Obstetrics and Gynecology, 160(5), pp.1075~1080 (1989)
- Muller, M. E., "Development of the prenatal attachment inventory", Western Journal of Nursing Research, 15, pp.199~215 (1993)
- Muzik, M., "Mindfulness yoga during pregnancy for psychiatrically at-risk women : Preliminary results from a pilot feasibility study", Complementary Therapies in Clinical Practice, 18(4), pp.235~240 (2012)
- Pak, A. V., "Efficacy of Mindfulness Training on Enhancing Happiness in Women with pregnancy diabetes", Advances in Environmental Biology, pp.4203~4208 (2013)
- Peluso, P. R., "A comparison of attachment theory and individual psychology : A review of the literature", Journal of Counseling & Development, 82(2), pp.139~145 (2004)
- Pisoni, C., "Risk and protective factors in maternal–fetal attachment development", Early Human Development, 90, pp.S45~S46 (2014)
- Rainville, P., "Pain-related emotions modulate experimental pain perception and autonomic responses", Pain, 118(3), pp.306~318 (2005)
- Righetti, P. L., "Maternal", paternal antenatal attachment and fourth‐dimensional ultrasound technique : A preliminary report, 2005, pp.96(1), 129~137
- Rincy, K., "Effect of fetal movement counting on prenatal attachment and maternal worries among primigravidae", Asian Journal of Nursing Education and Research, 4(2), pp.224~ (2014)
- Rubin, R., "Binding in the postpartum", Maternal-Child Nursing Journal, 6(2), pp.67~75 (1977)
- Rubin, R., "Maternal identity and maternal experience", The American Journal of Nursing, 84(12), pp.1480~ (1984)
- Rubin, L. H., "Methods for handling missing data in the behavioral neurosciences:Don’t throw the baby rat out with the bath water", Journal of Undergraduate Neuroscience Education, 5(2), pp.A71~ (2007)
- Saastad, E., "Fetal Movement Counting-Effects on Maternal‐Fetal Attachment : A Multicenter Randomized Controlled Trial", Birth, 38(4), pp.282~293 (2011)
- Saastad, E., "Fetal movement counting-maternal concern and experiences : a multicenter, randomized, controlled trial", Birth, 39(1), pp.10~20 (2012)
- Salehi, K., "The Effect of Education of Fetal Movement Counting on Maternal-Fetal Attachment in the Pregnant Women : a Randomized Controlled Clinical Trial", International Journal of Pediatrics, 5(4), pp.4699~4706 (2017)
- Salisbury, A., "Maternal-fetal attachment", Jama, 289(13), pp.1701~1701 (2003)
- Shieh, C., "What do we know about maternal-fetal attachment?", The Kaohsiung Journal of Medical Sciences, 17(9), pp.448~454 (2001)
- Thong, I. S., "The buffering role of positive affect on the association between pain intensity and pain related outcomes", Scandinavian Journal of Pain, 14, pp.91~97 (2017)
- Ustunsoz, A., "Comparison of maternal-and paternal-fetal attachment in Turkish couples", Midwifery, 26(2), pp.1~9 (2010)
- Valentine, D. P., "The experience of pregnancy : A developmental process. Family Relations", Family Relations, pp.243~248 (1982)
- Watson, D., "Development and validation of brief measures of positive and negative affect : The PANAS Scales", Journal of Personality and Social Psychology, 47, pp.1063~1070 (1988)
- Wilson, M. E., "Family dynamics, parental‐. fetal attachment and infant temperament", Journal of Advanced Nursing, 31(1), pp.204~210 (2000)
- Zautra, A. J., "Positive affect as a source of resilience for women in chronic pain", Journal of Consulting and Clinical psychology, 73(2), pp.212~ (2005)
- Zeidan, F., "The effects of brief mindfulness meditation training on experimentally induced pain", The Journal of Pain, 11(3), pp.199~209 (2010)
