가족의 애착, 귀인양식 및 자아탄력성과 표출정서(Expressed Emotion)의 관계
The Relationships Among Attachment, Attributional Style, Ego-Resiliency and Expressed Emotion in Familiy
0
조회
0
다운로드
17
인용
0
참고문헌
키워드
초록
본 연구는 정신과 환자의 부모가 과거 자신의 부모와 형성한 애착과 환자에 대한 표출정서 사이의 관계를 탐색하는데 목적을 두었다. 그리고 표출정서가 발달하는 과정에서 귀인양식과 자아탄력성이 어떻게 개입하는지를 살펴보고자 하였다. 이를 위해 정신과 환자와 그 가족 91명을 대상으로 이들의 애착유형과 표출정서, 그리고 가족의 귀인양식과 자아탄력성을 측정하였다. 연구결과, 부모의 애착은 환자에 대한 표출정서를 유의하게 예측하였으나 귀인양식의 매개효과는 유의하지 않았다. 그러나 귀인양식의 3요인 중 부정 사건에 대한 안정귀인은 애착과 부적 상관, 표출정서와 정적 상관을 나타내었다. 또한 부모의 자아탄력성은 애착과 표출정서를 매개하는 것이 확인되었다. 이러한 결과는 부모가 자신의 부모와 어린 시절 형성한 애착의 내적 작동모델이 후에 자녀에 대한 표출정서에 반영이 되고, 그 과정에서 자아탄력성이 매개한다는 것을 보여주고 있다. 따라서 환자의 회복을 위해선 약물과 개인치료 뿐 아니라, 가족의 애착과 귀인양식, 그리고 자아탄력성에 초점을 두어 이를 효과적으로 다루는 치료적 접근이 필요함을 시사한다.
Abstract
This study examined the relationship between the quality of parents' attachment to their own parents and the quality of expressed emotion(EE) to patients. In addition to direct path of the effect of parents' attachment on EE, we investigated mediating effects of parents' attributional style and ego-resiliency as cognitive and personality variables. Korean-Level of Expressed Emotion(K-LEE), Inventory of Parent and Peer Attachment(IPPA), Attributional Style Questionnaire(ASQ) and Ego-Resiliency Scale(ER) were administered to 91 patients and their family. Results indicated that parents' attachment to their own parents was able to predict EE significantly, and the mediating effect of attributional style is not significant statistically. However, the stable attribution about negative events of three subscales in attributional styles was negatively correlated with attachment and positively correlated with EE. Also, parents' ego-resiliency mediated between attachment and EE. These results suggested that parents' internal working models of attachment with their own parents early in life are a risk factor transmitting EE to their offspring later. Thus, for patients' better recovery, we should need effective family interventions focusing not only on medication and individual therapy, but also on parents' attachment, attributional style and ego-resiliency.
참고문헌 (42)
- "자아탄력성에 따른 지각된 스트레스 대처 및 우울" (1997)
- "정신과 환자가 지각한 가족 표출정서의 한국판 척도개발 연구" (2000)
- "애착과 정신증의 관계에서의 자기관련적 변인의 중재역할", pp.110~121 (1998)
- "애착과 다섯가지(Big Five) 성격특성들의 관계", pp.105~119 (2001)
- "The Inventory of Parental Peer Attachment:Individual differences and their relationship to psychological well-being in adolescences", 16, pp.427~453 (1987)
- "The moderator-mediator variable distinction in social psychological research Conceptual Journal of Personality and Social Psychology", pp.1173~1182 (1986)
- "An attributional model of relatives' response to schizophrenic illness", pp.67~88 (1994), expressed emotion
- "The role of ego- control and ego-resiliency in the organization of behavior The Minnesota Symposia on Child Psychology", pp.39~101 (1980)
- "Journal of Personality and Social Psychology", pp.349~361 (1996)
- "The making and breaking of affectional bonds", 130, pp.201~210 (1977)
- "Individual difference variables in close relationships:A contextual model of marriage as an integrative framework", 54, pp.713~721 (1988)
- "Attribution in marriage:Review and critique", 107, pp.3~33 (1990)
- "Attribution and expressed emotion in the relatives of patients with schizophrenia Journal of Abnormal Psychology", pp.546~554 (1991)
- "Influence of family life on the course of schizophrenia disorder British Journal of Psychiatry", pp.241~258 (1972)
- "Expressed emotion and psychiatric relapse:A meta- analysis", 55, pp.547~552 (1998)
- "A Study with families of obsessive-compulsive and agoraphobic outpatients Journal of Family Psychology", pp.225~240 (2001), Predicting Expressed emotion
- "The level of expressed emotion scale:a new measure of expressed emotion", 44, pp.392~397 (1988)
- "A path analysis of the cognitive model of achievement motivation Journal of Personality and Social Psychology", pp.1487~1504 (1979)
- "British Journal of Psychiatry", pp.770~781 (1994)
- "Family management in the prevention of exacerbation of schizophrenia New England Journal of Medicine", pp.1437~1440 (1982)
- "Attributional process in close relationships Cognition in close relationships" (1991), & Fincham Fincham
- "Expressed emotion and depression:Interactions between patients and high-versus low-expressed-emotion spouses", 95, pp.237~246 (1986)
- "Expressed emotion and causal attributions in the spouses of depressed patients", 106, pp.298~306 (1997)
- "Expressed emotion and personality", 109, pp.40~44 (2000)
- "A diathesis- stress conceptualization of expressed emotion and clinical outcome", 9, pp.135~151 (2000)
- "Divergent perceptions of the causes of behavior Perceiving the causes of behavior" (1972), General Learning Press
- "Parent-child attachment in adolescence:Links to social relations and personality", 25, pp.323~342 (1996)
- "Attachment in late adolescence and representations of self and others", pp.135~146 (1988)
- "British Journal of Psychiatry", pp.129~137 (1986), MacMillan Expressed emotion and relapse
- "Continuity and adaption in the second year The relationship between quality of attachment and later competence", pp.547~556 (1978)
- "Impact of causal attribution on affective reactions to success and failure", 43, pp.937~946 (1982)
- "Family factors and the course of bipolar affective disorder Archives of General Psychiatry", pp.225~231 (1988)
- "Targeting dysfunctional family interactions and high expressed emotion in the psychosocial treatment of bipolar disorder", pp.25~38 (1998)
- "Familial origins of expressed emotion in relatives of people with schizophrenia Journal of Mental Health", pp.655~663 (2000)
- "Applications of the expressed emotion construct to young children with externalizing behavior:Stability and prediction over time", 41, pp.457~462 (2000)
- "Adult attachment security and symptoms of depression", 70, pp.310~320 (1996)
- "Their connections with each other and with romantic relationship outcomes", pp.536~545 (1992)
- "The needs of high and low expressed emotions families", pp.11~16 (1993)
- "Infant-caregiver attachment and patterns of adaptation in preschool The roots of maladaptation and competence Minnesota Symptom on Child Psychology", pp.41~81 (1983)
- "Individuals in relationships Development from infancy through adolescence Studying lives through time Approaches to personality and development", pp.315~342 (1993)
- "The influence of family and social factors on the course of psychiatric illness A comparison of schizophrenic and depressed neurotic patients British Journal of Psychiatry", pp.125~137 (1976)
- "An attributional analysis of expressed emotion in Mexican-American families with schizophrenia Journal of Abnormal Psychology", kar, pp.601~606 (1993)
