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코로나바이러스(COVID-19) 감염에 대한 일반대중의 두려움과 심리, 사회적 경험이 우울, 불안에 미치는 영향

The Influence of Public Fear, and Psycho-social Experiences during the Coronavirus Disease 2019(COVID-19) Pandemic on Depression and Anxiety in South Korea

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초록

본 연구는 코로나 바이러스(Coronavirus19) 감염에 대한 일반대중의 두려움과 심리, 사회적 경험이 우울, 불안에 미치는 영향을 조사하였다. 연구참여자는 600명이었으며, ‘사회적 거리두기’가 진행되던, 2020년 3월 22일부터 5월 5일 사이인 4월 중순에 진행되었다. 3월 11일 세계보건기구(WHO)에서 펜데믹을 선언했으며, 3월 15일은 대구․경북지역이 특별재난지역으로 선포된 시점이다. 빈도분석에서 코로나로 인한 불안과 우울 경험은 각각 48.8%, 29.7%로 나타났다. 로지스틱 회귀분석에서, 우울집단에 속할 확률에 영향을 미치는 변인은 성별, 경제수준, 코로나 이후 삶을 예측할 수 없어 두려움, 나의 현 상태에 대해 심리평가를 받을 필요가 있음, 수입 감소, 평소 고민이나 심리적 어려움 증가, 병원에 대한 신뢰, 가족과의 갈등 증가인 것으로 나타났다. 낮은 불안집단에 속할 확률에 영향을 미치는 변인은 성별, 코로나 감염을 완전히 통제할 수 없어 두려움, 감염에 대한 두려움으로 관련 정보를 수시로 확인, 삶의 질, 심리평가를 받을 필요가 있음, 병원치료의 어려움, 수입 감소, 가족과의 갈등 확산이었으며, 높은 불안집단에 속할 확률에 영향을 미치는 변인은 성별, 평소 고민이나 심리적 어려움 증가, 정보 수집을 위한 어플의 수시 이용으로 나타났다. 이를 토대로 논의 및 시사점이 제시되었다.

Abstract

This study investigated the influence of public fear and psycho-social experiences related to COVID-19 on depression and anxiety. An online survey was administered to 600 participants in April, 2020 during the spread of COVID-19, while social-distancing was recommended, the World Health Organization had labeled COVID-19 a pandemic, and Daegu-Gyungbuk were declared a special disaster area. Results indicated that 29.7% and 48.8% of respondents reported experiencing depression and anxiety, respectively. Logistic regression analysis identified gender, economic level, difficulty predicting life after COVID-19, necessity of psychological assessment, income reduction, psychological difficulty, limited trust in hospitals, and family-conflict as factors significantly associated with depression. Gender, difficulty with infection control, frequent information-checking due to fear, quality-of-life, necessity of psychological assessment, difficulties with hospital treatment, income reduction, and family-conflict were significantly associated with low-anxiety. Gender, psychological difficulty, and frequent usage of social media application were significantly associated with high-anxiety. Implications and recommendations are presented.

참고문헌 (105)

  1. 강민철, "우울, 불안, 수치심, 자살사고에 대한 잠재프로파일분석", 한국심리학회지: 상담 및 심리치료, 25(4), pp.873~896 (2013), 한국상담심리학회
  2. "코로나19 세대, 정신건강 안녕하신가!" (2020)[URL]
  3. "‘신종코로나’ 포비아… 중국계 다문화 학생 ‘왕따 불똥’" (2020)[URL]
  4. "“우울․불안, 외상 후 스트레스 치료”…코로나19 심리방역 ‘팔 걷어’" (2020)[URL]
  5. 김옥태, "언론의 신종플루 보도가 대학생의예방위생 행동에 미치는 영향: 제3자 효과를 중심으로", 한국언론학보, 54(6), pp.344~367 (2010), 한국언론학회
  6. 남은우, "COVID-19와 관련된 사회적 고립과 외로움 극복을 위한 사회적 처방 제도", 보건교육건강증진학회지, 37(1), pp.113~116 (2020), 한국보건교육건강증진학회[DOI]
  7. "정부 “15일간 사회적 거리두기…KTX도 창가석 자동 배정”(종합)" (2020)[URL]
  8. "코로나19 심리방역을 위한 마음건강지침" (2020)[URL]
  9. "서울 대중교통이용, ‘사회적 거리두기’땐 35%↓...‘심각 격상’엔 31% ↓" (2020)[URL]
  10. "코로나 19에 취약한 사람들 “노인-기저질환자-임산부-영유아”" (2020)[URL]
  11. "“고열 환자, 혹시나” 진료거부...코로나 19가 낳은 비극" (2020)[URL]
  12. "방통위, 코로나19에 따른 스마트폰․PC 방송프로그램 이용행태 조사결과 공개" (2020)[URL]
  13. 백혜진, "뉴미디어 유형이 위험 특성, 위험 인식, 예방 행동 의도의 관계에 미치는 영향 : 조건적 과정 모형의 검증", 한국언론학보, 62(3), pp.215~245 (2018), 한국언론학회[DOI]
  14. "코로나바이러스감염증-19 국내 발생 현황" (2020)[URL]
  15. "유튜브에 등장한 중장년층, 그들이 가짜뉴스에 취약한 이유" (2020)[URL]
  16. "직장맘 마음의 신호를 읽자! 온라인 직장맘 건강권 설문결과" (2020)[URL]
  17. "가정폭력 4.9% 줄었다고?...“일상도 통제, 신고조차 어렵다”" (2020)[URL]
  18. 신서연, "한국어판 단축형 the Center for Epidemiologic Studies Depression Scale(CES-D)들의 타당성 연구", 석사, 정신과학, pp.2011
  19. 신지윤, "2015년 한국 메르스 사태 1년 이후 생존자들의 정신과적 문제", 신경정신의학, 58(3), pp.245~251 (2019), 대한신경정신의학회[DOI]
  20. "아프리카 미신․의학 불신이 에볼라 확산 ‘부채질’" (2014)[URL]
  21. "‘코로나19’ 개학 연기에... 맞벌이 학부모들 “눈앞이 캄캄해”" (2020)[URL]
  22. "마음마저 갉아먹는 코로나19…불안․대인기피 등 상담 줄이어" (2020)[URL]
  23. "‘K-방역 주역은 국민’…거리두기 등 실천율 메르스 때보다 높아" (2020)[URL]
  24. 이동훈, "메르스(MERS) 감염에 대해 일반대중이 경험한 두려움과 정서적 디스트레스에 관한 탐색적 연구", 한국심리학회지:일반, 35(2), pp.355~383 (2016), 한국심리학회[DOI]
  25. 이동훈, "세월호 재난으로 자녀를 잃은 부모들의 사회적 지지, 갈등, 고립경험에 관한 연구", 상담학연구, 18(5), pp.331~355 (2017), 한국상담학회[DOI]
  26. 이수연, "대학생의 가족 및 타인에 의한 대인외상경험과 심리적 증상의 관계에서 가족기능의 매개효과", 한국심리학회지: 상담 및 심리치료, 29(2), pp.451~479 (2017), 한국상담심리학회[DOI]
  27. 이승훈, "현대 사회의 위험과 위험 관리", 현대사회와 문화, 29, pp.61~88 (2009)
  28. 전진아, "코로나바이러스감염증-19 마음건강 돌봄 현황 및 과제", 보건․복지 Issue & Focus, 375, pp.1~8 (2020)
  29. "포스트 코로나 시대 당신의 가정은 안녕하십니까?" (2020)[URL]
  30. 주영기, "한국 언론의 신종플루 보도 연구: 진단과 예후 프레이밍을 중심으로", 한국언론학보, 55(5), pp.30~54 (2011), 한국언론학회
  31. "코로나바이러스감염증-19 국내 발생 현황 (6월 30일, 정례브리핑)" (2020)[URL]
  32. 최윤미, "한국 상담전문가의 역할과 직무 분석", 한국심리학회지: 상담 및 심리치료, 15(2), pp.179~200 (2003), 한국상담심리학회
  33. "‘사스’ 넘어선 신종 코로나, ‘무증상 전파력’ 공식 인정" (2020)[URL]
  34. "KDI 경제동향" (2020)[URL]
  35. "2018년 한국여성의전화 여성인권상담소 상담 통계분석-가정폭력을 중심으로" (2019)[URL]
  36. "‘코로나19 2차 국민 정신건강실태조사’ 발표" (2020), 한국트라우마스트레스학회[URL]
  37. "팬데믹, 인포데믹, 그리고 가짜뉴스" (2020)[URL]
  38. "성인남녀 10명 중 8명, 사회적 거리두기에 피로감 느껴" (2020)[URL]
  39. "마스크 착용 놓고 직장 내 갈등" (2020)[URL]
  40. "10명 중 3명 “수입 절반 넘게 줄어”... 53%는 “집에서 직접 요리”" (2020)[URL]
  41. Anttila, S., "Symptoms of depression and anxiety in relation to dental health behavior and self‐perceived dental treatment need", European Journal of Oral Sciences, 114(2), pp.109~114 (2006)
  42. Arafat, S. Y., "Repeated suicides in the University of Dhaka(November 2018) : Strategies to identify risky individuals", Asian Journal of Psychiatry, 39, pp.84~85 (2019)
  43. Asmundson, G. J., "Coronaphobia : Fear and the 2019-nCoV outbreak", Journal of Anxiety Disorders, 70, pp.102196~ (2020)
  44. Azeem Majeed, "Can the UK emulate the South Korean approach to covid-19?", British Medical Journal, 369, pp.2084~ (2020)
  45. "Minimising the economic impact of Coronavirus in Bangladesh" (2020)[URL]
  46. Blakey, S. M., "Tracing"Fearbola" : psychological predictors of anxious responding to the threat of ebola", Cognitive Therapy and Research, 39(6), pp.816~825 (2015)
  47. Bonanno, G. A., "Psychological resilience and dysfunction among hospitalized survivors of the SARS epidemic in Hong Kong : a latent class approach", Health Psychology, 27(5), pp.659~667 (2008)
  48. Bhuiyan, A. I., "COVID-19-related suicides in Bangladesh due to lockdown and economic factors: case study evidence from media reports", International Journal of Mental Health and Addiction 2020 (2020)
  49. Canady, V. A., "APA poll finds nearly half anxious about getting COVID‐19", Mental Health Weekly, 30(13), pp.5~5 (2020)
  50. Cao, W., "The psychological impact of the COVID-19 epidemic on college students in China", Psychiatry Research, 287, pp.112934~ (2020)
  51. Cheng, C., "The psychology behind the masks : Psychological responses to the severe acute respiratory syndrome outbreak in different regions", Asian Journal of Social Psychology, 7(1), pp.3~7 (2004)
  52. Chua, S. E., "Stress and psychological impact on SARS patients during the outbreak", The Canadian Journal of Psychiatry, 49(6), pp.385~390 (2004)
  53. "Coronavirus may ‘never go away’, says WHO official" (2020)[URL]
  54. Cotton, S. P., "Exploring the relationships among spiritual well‐being, quality of life, and psychological adjustment in women with breast cancer", Psycho‐Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer, 8(5), pp.429~438 (1999)
  55. Gao, W., "Gender differences in depression, anxiety, and stress among college students : a longitudinal study from China", Journal of Affective Disorders, 263, pp.292~300 (2020)
  56. Gilles, I., "Trust in medical organizations predicts pandemic(H1N1)2009 vaccination behavior and perceived efficacy of protection measures in the Swiss public", European Journal of Epidemiology, 26(3), pp.203~210 (2011)
  57. Goldman-Mellor, S. J., "Economic contraction and mental health : A review of the evidence, 1990-2009", International Journal of Mental Health, 39(2), pp.6~31 (2010)
  58. Guo, X., "Meta-analysis of the prevalence of anxiety disorders in mainland China from 2000 to 2015", Scientific Reports, 6(1), pp.1~15 (2016)
  59. Hall, M. A., "Trust in physicians and medical institutions : What is it, can it be measured, and does it matter?", The Milbank Quarterly, 79(4), pp.613~639 (2001)
  60. Harper, C. A., "Functional fear predicts public health compliance in the COVID-19 pandemic", International Journal of Mental Health and Addiction (2020)[DOI]
  61. Hawryluck, L., "SARS control and psychological effects of quarantine, Toronto, Canada", Emerging Infectious Diseases, 10(7), pp.1206~ (2004)
  62. Herrenkohl, T. I., "Intersection of child abuse and children’s exposure to domestic violence", Trauma, Violence, & Abuse, 9(2), pp.84~99 (2008)
  63. Hisadome, I., "Psychological and social supports of disaster victims", Journal of Social Science of Hunan Medical University, (4), pp.19~ (2000)
  64. Huang, Y., "Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey", Psychiatry Research, pp.112954~ (2020)
  65. 정현석, "Mental health status of people isolated due to Middle East Respiratory Syndrome", Epidemiology and Health, 38, pp.1~7 (2016), 한국역학회[DOI]
  66. Kohout, F. J., "Two shorter forms of the CES-D depression symptoms index", Journal of Aging and Health, 5(2), pp.179~193 (1993)
  67. Kotfis, K., "COVID-19 : What do we need to know about ICU delirium during the SARS-CoV-2 pandemic?", Anaesthesiology Intensive Therapy, 52(2), pp.132~138 (2020)
  68. Lau, A. L., "The SARS(Severe Acute Respiratory Syndrome)pandemic in Hong Kong : Effects on the subjective wellbeing of elderly and younger people", Aging and Mental Health, 12(6), pp.746~760 (2008)
  69. Lebel C, "Elevated depression and anxiety among pregnant individuals during the COVID-19 pandemic" (2020)[DOI]
  70. Ng J, "Coping with the threat of severe acute respiratory syndrome : Role of threat appraisals and coping responses in health behaviors", Asian Journal of Social Psychology, 7(1), pp.9~23 (2004)
  71. Liu, N., "Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender differences matter", Psychiatry Research, pp.112921~ (2020)
  72. Main, A., "Relations of SARS-related stressors and coping to Chinese college students’ psychological adjustment during the 2003 Beijing SARS epidemic", Journal of Counseling Psychology, 58(3), pp.410~423 (2011)
  73. Mak, I. W., "Long-term psychiatric morbidities among SARS survivors", Gen Hosp Psychiatry, 31, pp.318~326 (2009)
  74. Mertens, G., "Fear of the coronavirus (COVID-19): Predictors in an online study conducted in March 2020", Journal of Anxiety Disorders, pp.102258~ (2020)
  75. Mihashi, M., "Predictive factors of psychological disorder development during recovery following SARS outbreak", Health Psychology, 28(1), pp.91~100 (2009)
  76. Moccia, L., "Affective temperament, attachment style, and the psychological impact of the COVID-19 outbreak: an early report on the Italian general population", Brain, Behavior, and Immunity, 87, pp.75~79 (2020)
  77. Nguyen, H. C., "People with suspected COVID-19 symptoms were more likely depressed and had lower health-related quality of life : The potential benefit of health literacy", Journal of Clinical Medicine, 9(4), pp.965~982 (2020)
  78. Nickell, L. A., "Psychosocial effects of SARS on hospital staff : survey of a large tertiary care institution", Cmaj, 170(5), pp.793~798 (2004)
  79. Pellegrino, E. D., "The virtues in medical practice" (1993), Oxford University Press
  80. Petrosillo, N., "COVID-19, SARS and MERS : are they closely related?", Clinical Microbiology and Infection, 26(6), pp.729~734 (2020)
  81. Reynolds, D. L., "Understanding, compliance and psychological impact of the SARS quarantine experience", Epidemiology & Infection, 136(7), pp.997~1007 (2008)
  82. Schimmenti, A., "The four horsemen of fear : An integrated model of understanding fear experiences during the COVID-19 pandemic", Clinical Neuropsychiatry, 17(2), pp.41~45 (2020)
  83. Seo, J. G., "Validation of the Generalized Anxiety Disorder-7(GAD-7)and GAD-2 in patients with migraine", The Journal of Headache and Pain, 16(1), pp.97~ (2015)
  84. Serafini, G., "The psychological impact of COVID-19 on the mental health in the general population", QJM : An International Journal of Medicine, 113(8), pp.531~537 (2020)
  85. Spitzer, R.L, "A Brief Measure for Assessing Generalized Anxiety Disorder", American Medical Association, 166(10), pp.1092~1097 (2006)
  86. "Anxiety, depression, traumatic stress, and COVID-19 related anxiety in the UK general population during the COVID-19 pandemic" (2020)[URL]
  87. Shigemura, J., "Public responses to the novel 2019 coronavirus(2019‐nCoV)in Japan : Mental health consequences and target populations", Psychiatry and Clinical Neurosciences, 74(4), pp.281~282 (2020)
  88. Shin, L. M., "The neurocircuitry of fear, stress, and anxiety disorders", Neuropsychopharmacology, 35(1), pp.169~191 (2010)
  89. Shultz, J. M., "The role of fear-related behaviors in the 2013-2016 West Africa Ebola virus disease outbreak", Current psychiatry reports, 18(11), pp.104~ (2016)
  90. Shultz, J. M., "DEEP PREP: all-hazards disaster behavioral health training" (2007), Disaster Life Support Publishing
  91. Taylor, S., "The psychology of pandemics: Preparing for the next global outbreak of infectious disease" (2019), Cambridge Scholars Publishing
  92. Torales, J., "The outbreak of COVID-19 coronavirus and its impact on global mental health", International Journal of Social Psychiatry (2020)[DOI]
  93. Tull, M. T., "Psychological Outcomes Associated with Stay-at-Home Orders and the Perceived Impact of COVID-19 on Daily Life", Psychiatry Research, pp.113098~ (2020)
  94. Vu NL, "Children’s exposure to intimate partner violence: A meta-analysis of longitudinal associations with child adjustment problems", Clinical Psychology Review, 46, pp.25~33 (2016)
  95. Wallis, P., "Disease metaphors in new epidemics : the UK media framing of the 2003 SARS epidemic", Social Science & Medicine, 60(11), pp.2629~2639 (2005)
  96. Wang, C., "Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease(COVID-19)epidemic among the general population in China", International Journal of Environmental Research and Public Health, 17(5), pp.1729~1753 (2020)
  97. Wang, C., "A longitudinal study on the mental health of general population during the COVID-19 epidemic in China", Brain, Behavior, and Immunity, 87, pp.40~48 (2020)
  98. Wang, X., "Post earthquake quality of life and psychological well being : Longitudinal evaluation in a rural community sample in northern China", Psychiatry and Clinical Neurosciences, 54(4), pp.427~433 (2000)
  99. Wheaton, M. G., "Psychological predictors of anxiety in response to the H1N1(swine flu)pandemic", Cognitive Therapy and Research, 36(3), pp.210~218 (2012)
  100. Williams, S. N., "Public perceptions and experiences of social distancing and social isolation during the COVID-19 pandemic: A UK-based focus group study" (2020)
  101. Wilkinson, A., "Comparison of social resistance to Ebola response in Sierra Leone and Guinea suggests explanations lie in political configurations not culture", Critical Public Health, 27(1), pp.14~27 (2017)
  102. Severe acute respiratory syndrome (SARS): Status of the outbreak and lessons for the immediate future, "World Health Organization", World Health Organization, ~ (2003)
  103. "Coronavirus Disease 2019 (COVID-19) situation report-162" (2020)[URL]
  104. Yip, P. S., "The impact of epidemic outbreak: the case of severe acute respiratory syndrome (SARS) and suicide among older adults in Hong Kong", Crisis : The Journal of Crisis Intervention and Suicide Prevention, 31(2), pp.86~92 (2010)
  105. Zhao, S., "Preliminary estimation of the basic reproduction number of novel coronavirus(2019-nCoV)in China, from 2019 to 2020 : A data-driven analysis in the early phase of the outbreak", International Journal of Infectious diseases, 92, pp.214~217 (2020)

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