성인 지적장애인 아버지와 어머니의 심리적 안녕감 설명모형 연구
A study on the psychological well-being of the parents of the adult intellectual disabilities - on the fucus of gender differences
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본 연구는 성인기 지적장애인 아버지와 어머니의 심리적 안녕감에 스트레스원, 자원이 미치는 효과를 돌봄평가(돌봄스트레스, 돌봄만족)가 매개하는 효과에 대한 설명모형을 검증하고, 아버지와 어머니의 차이를 살펴보고자하는 목적으로 수행되었다. 이를 위하여 2009년 12월 1일부터 2010년 1월 22일까지 충청북도에 위치한 장애인복지관 8개소, 장애인주간보호 시설 5개소, 장애인직업재활시설 8개소를 이용하는 성인지적장애인 부모 400명을 대상으로 조사를 실시하였으며, 불성실한 응답 30부를 제외한 370부를 분석에 사용하였다. 연구결과 돌봄스트레스를 내생변수로 자녀의 일상생활기능, 자녀의 부적응행동, 부모의 건강상태의 직접효과가 유의하였다. 돌봄만족을 내생변수로 가족지지, 전문가지지, 돌봄스트 레스의 직접효과가 유의하였다. 심리적 안녕감을 내생변수로는 돌봄만족과 돌봄스트레스의 효과가 유의하였으나, 부모건강상태의 영향은 유의하지 않았다. 간접효과의 경우 돌봄스트레스의 매개효과를 보면, 일상생활기능, 부적응행동, 부모건강상태가 심리적 안녕감에 미치는 영향을 돌봄스트레스가 매개하는 효과가 유의하였다. 돌봄만족의 매개효과의 경우, 가족지지, 전문가지지, 돌봄스트레스가 심리적 안녕에 미치는 영향을 돌봄만족이 매개하는 효과가 유의하였다. 다집단분석 결과 성별에 따라 차이가 통계적으로 유의한 차이를 보인 경로는 친구지지→돌봄만족, 돌봄스트레스→심리적안녕, 전문가지지→돌봄만족이었다. 이상의 결과에 기초하여 실천적 제언을 제시하였다.
Abstract
This study aimed to examine the model to explain the mediator effect of care evaluation(care stress, care satisfaction) on the effect of stress factors and resource on the psychological well-being of the parents of the adult intellectual disabilities. Examining whether there is a difference between the gender of parents was another aim of this study. Study results showed that with the care stress as an endogenous variable, the daily life function and maladjustment behavior of adult children and the health state of parents had a significant direct effect on the psychological well-being of parents. With care satisfaction as an endogenous variable, family support, expert support and care stress had a significant direct effect. With the psychological well-being as an endogenous variable, care satisfaction and care stress had a significant effect, but the health state of parents didn't. In case of indirect effect, the care stress had a significant mediator effect on the effect of the physical function and maladjustment behavior of adult children and the health state of parents on the psychological well-being of parents. Care satisfaction had a significant mediator effect on the effect of family support, expert support and care stress on the psychological well-being of parents. According to the result of the Multiple Group Analysis, the path showed a statistically significant difference between gender was friend support→care satisfaction, care stress→psychological wellbeing, expert support→care satisfaction. On the basis of the study results, practical suggestions were made.
참고문헌 (52)
- 김고은, "성인 지적장애를 돌보는 노년기 어머니의 돌봄 만족감", 박사, pp.2001
- 노형진, "AMOS에 의한 공분산구조분석" (2008), 한올출판사
- 김 교 연, "성인 정신지체인을 돌보는 어머니의 대처전략 및 사회적 지지가 심리적 안녕감에 주는 영향", 특수교육저널:이론과 실천, 8(2), pp.91~115 (2007), 한국특수교육문제연구소
- 신정윤, "재가 성인정신지체인을 돌보는 나이 들어가는 주보호제공자의 서비스 이용도와 서비스 필요도 결정요인", 박사, pp.2007
- 양숙미, "정신지체 성인자녀를 가진 부모의 부담완화를 위한 심리교육적 지지집단 프로그램의 효과", 한국직업재활학회, 9, pp.165~195 (1999)
- 양숙미, "정신지체 성인 자녀의 부모를 위한 역량강화 집단프로그램 개발과 효과", 박사, pp.2000
- 정한나, "성인 지적장애인 가족의 부양부담과 삶의 질에 관한 연구", 석사, pp.2010
- 최선경, "성인 정신지체인을 돌보는 어머니의 심리적 부담과 서비스 욕구", 지적장애연구, 10(1), pp.207~231 (2008), 한국지적장애교육학회
- 최선경, "성인 정신지체인 가족의 부양부담과 가족지원 서비스 연구-소비자와 제공자의 종합적 관점을 중심으로", 박사, pp.2006
- 홍세희, "2005 하계 워크샵 자료집" (2005), 한국임상심리학회
- Abidin,R.R., "Parenting Stress Index(PSI). Charottesville" (1990), Pediatric Pschology Press
- Baumgarten, M., "The Psychological and physical health of family menbers caring for and elderly with dementia", Journal of Clinical Epidemiology, 45, pp.61~70 (1992)
- Essex,E.A., "Parental caregivers of adults with mental retardation: the experience of older mothers and fathers", 박사, pp.1998
- Essex,E.L., "Mothers and Fathers of Adults with Mental Retardation: Feelings of Intergenerational Closeness", Family Relations, 51(2), pp.156~165 (2002)
- Essex, E.L., "Differences in coping effectiveness and well-being among aging mothers and fathers of adults with mental retardation", American Journal of Mental Retardation, 104(6), pp.545~563 (1999)
- Goldman, J., "Families of adults with mental retardation: Stress levels and need for services", Social Work, 41, pp.657~667 (1996)
- Greenberg, J. S., "Aging parents of adults with disabilities: The gratifications and frustrations of later-life caregiving", The Gerontologist, 33, pp.542~550 (1993)
- Greenberg, J. S., "The differential effects of social support on the psychological well-being of aging mothers of adults with mental illness or mental retardation", Family Relations, 46, pp.383~394 (1997)
- Greene,J.G., "Measuring behavior disturbance of elderly demanded patients in the community and its effects on relatives: A factor analytic study", Age and Aging, 11, pp.121~126 (1982)
- Harper,D.C., "Aging and mental retardation", Current Opinion in Psychiatry, 2, pp.603~606 (1989)
- Hayden, M. F., "Adults with mental retardation and other developmental disabilities waiting for community-based services in the United States", Policy Research Brief, 4, pp.1~18 (1992)
- Heller, T., "Permanency planning for adults with mental retardation living with family caregivers", American Journal of Mental Retardation, 96, pp.163~176 (1991)
- Heller, T., "Facilitating future planning and transitions out of home", pp.39~50 (1993), American Association on Mental Retardation
- Heller, T., "Marernal and paternal caregiving of persons with mental retardation across the life span", Family Relations, 46, pp.407~415 (1997)
- Heller, T., "Adults with mental retardation as supports to their parents: effects on parental caregiving appraisal", Mental Retardation, 35(5), pp.338~346 (1997)
- Hong, J., "The psychological consequences of multiple roles: The nonnormative case", Journal of Health and social Behavior, 36, pp.386~398 (1995)
- Hong, J., "Change in social support and psychological well-being: A longitudical study", Family Relations, 50(2), pp.154~163 (2001)
- Krauss, M.W., "An unanticipated life: The impact of lifelong caregiving. In H. Bersani(ed..), Responding to the challenge: International trends and current issue in developmental disabilities", pp.173~188 (1999), Brookline books
- Jennings,J., "Elderly parents as caregivers for their adult dependent children", Social Work, 32, pp.430~433 (1987)
- Lawton, M.P., "Two-factor model of caregiving appraisal and psychological well-being", Journal of Gerontology, 46(4), pp.181~189 (1991)
- Lawton, M.P., "A research and service-oriented multilevel assessment instrument", Journal of Gerontology, 37, pp.91~99 (1982)
- Lawton, M.P., "The dynamics of caregiving for a demented elder among black and white families", Journal of Gerontology, 47, pp.16~164 (1992)
- Lazarus, R. S., "Stress, appraisal, and coping" (1984), Springer
- Lustig,D.C., "Family caregiving of adults with mental retardation: Key issue for rehabilitation counseling", Journal of Rehabilitation, 65(2), pp.26~35 (1999)
- Lutzer, V., "Differential respite needs of aging parents of individuals with mental retardation", Mental Retardation, 26, pp.13~15 (1988)
- MacKinnon, D. P., "A Comparison of Methods to Test Mediation and Other Intervening Variable Effects", Psychological Methods, 7, pp.83~104 (2002)
- Miltiades, H.B., "The effect of religious coping on caregiving appraisals of mothers of adults with developmental disabilities", The Gerontologist, 42(1), pp.82~91 (2002)
- Minnes, P., "The family stress and coping interview for families of individuals with developmental disabilities: A lifespan perspective on family adjustment", Journal of Intellectual Disability Research, 47(4), pp.285~290 (2003)
- Noonan, A. E., "Meaning in caregiving and its contribution to caregiver well-being", The Gerontologist, 37(6), pp.785~794 (1997)
- Pruchno, R., "Mothers and fathers of adults with chronic disabilities", Research and Aging, 21, pp.682~713 (1999)
- Pruchno, R. A., "Aging woman and their children with chronic disabilities: Perceptions of sibling involvement and effects on well-being", Family Relations, 45(3), pp.318~326 (1996)
- Pruchno, R. A., "Mental health of aging woman with children who are chronically mentally disabled: Examination of a two-factor model", Journal of Gerontology: Social Science, 51, pp.284~296 (1996)
- Romanotto,C.J., "Understanding the well-being of older maternal caregivers of adult-aged children with developmental disabilities" (2001), New York University
- Ryff,C.D., "Happiness is everything, or is it? Explorations on the meaning of psychological well-being", Journal of Personality and Social psychology, 57(6), pp.1069~1081 (1989)
- Ryff, C.D., "Middle age and well-bing in Encyclopedia of mental health, San Diego", pp.707~719 (1998), Academic Press
- Seltzer, M. M., "A comparison of coping strategies of aging mothers of adults with mental illness or mental retardation", Psychology and Aging, 10, pp.64~75 (1995)
- Seltzer, M. M., "Predictors and outcomes of the end of co-resident caregiving of adults with mental illness or mental retardation", Family Relations, 46, pp.13~22 (1997)
- Seltzer, M. M., "Aging parents with adult mentally retarded children: Family risk factors and sources of support", American Journal on Mental Retardation, 94, pp.303~312 (1989)
- Smith,G.C., "Caregiving outcomes for older mothers of adults with mental retardation: A test of the two-factor model of psychological well-being", Psychology and Aging, 11(2), pp.353~361 (1996)
- Smith, G., "Living outside the system: An exploration of older families who do not use day programs", pp.19~38 (1994), American Association on Mental Retardation
- Walker, A. L., "The benefits and costs of caregiving and care receiving for daughters and mothers", Journal of Gerontology: Social Seience, 47, pp.130~139 (1992)
- Zimet, G. D., "The Multidimensional Scale of Perceived Social Support", Journal of Personality Assessment, 52, pp.30~41 (1988)