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사별에 따른 지속비애 증상과 문제성 음주의 관계에서 정서조절곤란의 매개효과

The Mediating Role of Emotion Dysregulation on Prolonged Grief Symptoms and Problematic Drinking according to Cause of Death of the Deceased

이동훈|신지영
한국건강심리학회 (Korean Health Psychological Association)|2018.12|한국심리학회지: 건강 (Korean Journal of Health Psychology)|제23권 제4호|pp. 1019-1050|DOI 10.17315/kjhp.2018.23.4.011

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참고문헌

키워드

emotion dysregulation정서조절곤란problematic drinking사별cause of deathbereavement문제성 음주지속비애prolonged grief
주제분류심리과학

초록

본 연구에서는 사별을 경험한 국내 성인이 나타내는 지속비애 증상과 문제성 음주의 관계를 정서조절곤란이 매개하는지 알아보았다. 이를 위해 사별 경험이 있는 성인 566명의 설문자료를 활용하여 구조모형 분석을 실시하였다. 본 연구에서는 측정도구로 지속비애 증상 척도, 정서조절곤란 척도, 문제성 음주 척도가 사용된 자료를 바탕으로 상관분석을 실시하여 변인들 간의 관계성을 살펴보았고, 지속비애 증상과 문제성 음주의 관계에서 정서조절곤란이 매개하는지 알아보기 위하여 매개모형 검증을 실시하였다. 또한 이러한 매개모형이 사별 유형에 따라 차이를 나타내는지를 알아보기 위하여 다집단 분석을 실시하였다. 분석결과, 연구모형 1에서는 지속비애 증상이 정서조절곤란을 거쳐 문제성 음주에 간접적으로 영향을 미친다는 완전매개모형이 채택되었다. 연구모형 2에서는 지속비애 증상과 문제성 음주의 하위변인인 음주량과 빈도, 의존음주, 음주 관련 문제의 관계에서 정서조절곤란의 매개효과를 살펴보았을 때, 부분매개모형이 채택되었다. 또한 이러한 매개모형은 사별 유형에 따라 차이를 보였다. 이러한 결과를 바탕으로 본 연구의 의의와 제한점 및 후속연구에 관한 논의를 제시하였다.

Abstract

This study examined the relationship between prolonged grief symptoms and problematic drinking and more specifically the mediating role of emotion dysregulation. For this study, 566 Korean adults who had lost their loved ones completed Prolonged Grief Disorder Scale(PG-13), Difficulties in Emotion Regulation Scale(DERS), Alcohol Use Disorder Identification Test(AUDIT), and Bereavement Questionnaires. The data was analyzed using Structural Equation Modeling. A multiple group analysis was also conducted to investigate whether the mediation models differ according to the cause of death (chronic illness, traumatic bereavement). The results are as follows: prolonged grief symptoms confirmed a correlation with problematic drinking. Two study models were used. In model 1, the complete mediation model was adopted, in which prolonged grief symptoms indirectly affected problematic drinking through emotion dysregulation. While in the second model, the partial mediation model of emotion dysregulation was established in the relationship between the prolonged grief symptoms and the subordinate variables (the amount and frequency of alcohol consumption, alcohol dependence, and problems caused by alcohol). This mediating model differed with varying cause of death. Based on these results, the implications of grief counseling and psychotherapy were suggested, and suggestions for follow-up study were discussed.

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