본문 바로가기
KERD
논문KCI 등재

전투경험이 삶의 회고과정을 경유하여 정신적 웰빙과 정신질환에 이르는 경로 분석

Pathway analysis on mental well-being and mental illness following combat exposure through life review

0

조회

0

다운로드

0

인용

0

참고문헌

키워드

초록

본 연구는 전투경험이 삶의 회고과정을 경유하여 정신적 웰빙과 정신질환 증상에 영향을 미치는 과정을 경로분석을 통해 검증하였다. 연구자료는 베트남전 참전 제대군인 367명으로 수집되었으며 이들의 평균나이는 약 72세였다. 경로분석 결과, 전투 경험은 후기-발생 스트레스 증상(LOSS)에 영향을 미쳤고, LOSS는 군복무에 대한 긍정적 평가와 부정적 평가 모두에 정적인 관련성을 나타냈다. 이후 군복무에 대한 긍정적 평가는 정신적 웰빙에, 군복무 부정적 평가는 정신질환 증상에 영향을 미쳤다. 이러한 결과들은 노년기 삶의 의미 평가과정에서 과거 군복무에 대한 평가과정이 참전 경험이 있는 제대군인들의 정신건강에 중요한 영향을 미친다는 점을 시사한다.

Abstract

The current study aimed to examine the pathways on mental well-being and mental illness following combat exposure among older veterans. The data were collected from Korean Vietnam War veterans in 2017, and the mean age of the sample (367 veterans) was about 72 years old (SD = 2.66). Pathway analyses showed that combat exposure was significantly associated with late-onset stress symptomatology(LOSS), and then LOSS had positive relationships with both positive appraisals and negative appraisals of military service. Veterans who perceived their military service in a positive light showed higher levels of mental well-being and lower levels of mental illness, while those who perceived their military service as negative reported higher levels of mental illness. These results imply that interventions for mental health among older veterans should focus on finding meaning and values of their military service. Study limitations and implications were additionally discussed.

참고문헌 (53)

  1. 강성록, "베트남전 참전 제대군인의외상후 스트레스 장애 증상에 대한 예측 변인", Korean Journal of Clinical Psychology, 33(1), pp.35~50 (2014), 한국임상심리학회[DOI]
  2. 강성록, "베트남전 제대군인의 군복무 경험 평가, 전투 노출과 노년기 PTSD 증상의 관계에서의 조절 및 매개효과", 한국군사학논집, 70(2), pp.119~149 (2014), 화랑대연구소[DOI]
  3. 고희숙, "강강술래 무용 프로그램 참여가 성인여성의 정신건강 및 자아존중감에 미치는 영향", 석사, 체육교육, pp.2004
  4. 김세희, "현실적 낙관주의자와 비현실적 낙관주의자의 심리적 특성", 석사, 상담심리학, pp.2003
  5. 리해근, "일상생활요인이 노인의 삶의 만족도에 미치는 영향", 한국콘텐츠학회 논문지, 12(6), pp.280~292 (2012), 한국콘텐츠학회[DOI]
  6. 배나래, "노년기 삶의 질에 영향을 미치는 생태체계적 요인에 관한 연구", 한국노년학, 29(2), pp.761~779 (2009), 한국노년학회
  7. 손지영, "여가스포츠 참여 노인의 사회적 지지가 성공적 노화 인식 및 회복 탄력성에 미치는 영향", 한국여가레크리에이션학회지, 43(4), pp.17~34 (2019), 한국여가레크리에이션학회[DOI]
  8. 이현서, "노년기 사회적 지지제공 및 지지받기와 주관적 안녕감의 관계: 기본 심리 욕구의 매개효과", 한국심리학회지: 발달, 33(3), pp.43~64 (2020), 한국심리학회 산하 한국발달심리학회[DOI]
  9. 임영진, "정신적 웰빙 척도(MHC-SF)의 한국어판 타당화 연구", 한국심리학회지:일반, 31(2), pp.369~386 (2012), 한국심리학회
  10. 채명신, "베트남전쟁과 나" (2006), 팔복원
  11. 홍세희, "구조 방정식 모형의 적합도 지수 선정기준과 그 근거", Korean Journal of Clinical Psychology, 19(1), pp.161~177 (2000)
  12. Achat, H., "Optimism and depression as predictors of physical and mental health functioning : the Normative Aging Study", Annals of Behavioral Medicine, 22(2), pp.127~130 (2000)
  13. Akaike, H., "Factor analysis and AIC", Psychometrika, 52(3), pp.317~332 (1987)
  14. Aldwin, C. M., "Vulnerability and resilience to combat exposure: Can stress have lifelong effects?", Psychology and Aging, 9, pp.34~44 (1994)
  15. Aldwin, C. M., "Long-term outcomes of military service: Perspectives on health and well-being", pp.167~186 (2018), American Psychological Association Press
  16. American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" (2013), American Psychiatric Publishing
  17. Brady, C. B., "Late-onset stress symptomatology (LOSS) scale –short form: Development and validation", Aging & Mental Health, pp.1~9 (2018)
  18. Breckler, S. J., "Applications of covariance structure modeling in psychology: Cause for concern?", Psychological Bulletin, 109, pp.260~273 (1990)
  19. Brennan, P. L., "Alcohol use predicts 10-year depressive symptom trajectories in the health and retirement study", Journal of Aging and Health, 28, pp.911~932 (2016)
  20. Brown, T. A., "Confirmatory factor analysis for applied research" (2015), Guilford Press
  21. Byers, A. L., "Twenty-year depressive trajectories among older women", Archives of General Psychiatry, 69, pp.1073~1079 (2012)
  22. Carver, C. S., "Optimism", Clinical Psychological Review, 30, pp.879~889 (2010)
  23. Cavanaugh, J., "Adult development and aging" (2015), Nelson Education
  24. Davison, E. H., "From late-onset stress symptomatology to later-adulthood trauma reengagement in aging combat veterans : Taking a broader view", The Gerontologist, 56, pp.14~21 (2016)
  25. Davison, E. H., "Late-life emergence of early-life trauma : The phenomenon of late-onset stress symptomatology among aging combat veterans", Research on Aging, 28(1), pp.84~114 (2006)
  26. Derogatis, L. R., "Brief symptom inventory : BSI" (1993), Pearson
  27. Erikson, E., "Identity : Youth and crisis" (1968), Norton
  28. Feder, A., "Posttraumatic growth in former Vietnam prisoners of war", Psychiatry, 71(4), pp.359~370 (2008)
  29. Gallaway, M. S., "The association between deployment-related posttraumatic growth among US army soldiers and negative behavioral health conditions", Journal of Clinical Psychology, 67(12), pp.1151~1160 (2011)
  30. Haber, D., "Life review : Implementation, theory, research, and therapy", The International Journal of Aging and Human Development, 63(2), pp.153~171 (2006)
  31. Hu, L. T., "Cutoff criteria for fit indexes in covariance structure analysis : Conventional criteria versus new alternatives", Structural Equation Modeling, 6, pp.1~55 (1999)
  32. Infurna, F. J., "The nature and correlates of change in depressive symptoms with cancer diagnosis : Reaction and adaptation", Psychology and Aging, 28, pp.386~401 (2013)
  33. Kang, S., "A life-span perspective on combat exposure and PTSD symptoms in later life : Findings from VA Normative Aging Study", The Gerontologist, 56, pp.22~32 (2016)
  34. Keane, T. M., "Mississippi Scale for combat-related posttraumatic stress disorder : Three studies in reliability and validity", Journal of Consulting and Clinical Psychology, 56, pp.85~90 (1988)
  35. Lamers, S., "Evaluating the psychometric properties of the mental health continuum-short form(MHC-SF)", Journal of Clinical Psychology, 67(1), pp.99~110 (2011)
  36. Lee, H., "Do different types of war stressors have independent relations with mental health? Finding from the Korean Vietnam Veterans Study", Psychological Trauma: Theory, Research, Practice, and Policy
  37. Lee, H., "Does combat exposure affect well-being in later life? The VA Normative Aging Study", Psychological Trauma : Theory, Research, Practice, and Policy, 9(6), pp.672~678 (2017)
  38. Linley, P. A., "Positive change following trauma and adversity : A review", Journal of Traumatic Stress, 17(1), pp.11~21 (2004)
  39. Maguen, S., "Gender differences in mental health diagnoses among Iraq and Afghanistan veterans enrolled in Veterans Affairs health care", American Journal of Public Health, 100, pp.2450~2456 (2010)
  40. Maguen, S., "Posttraumatic growth among Gulf War I veterans : The predictive role of deployment-related experiences and background characteristics", Journal of Loss and Trauma, 11(5), pp.373~388 (2006)
  41. Marotta-Walters, S., "Posttraumatic growth among combat veterans : A proposed developmental pathway", Psychological Trauma : Theory, Research, Practice, and Policy, 7, pp.356~363 (2015)
  42. Pietrzak, R. H., "Psychological resilience in older US veterans : Results from the national health and resilience in veterans study", Depression and Anxiety, 30(5), pp.432~443 (2013)
  43. Pietrzak, R. H., "Posttraumatic growth in veterans of operations enduring freedom and Iraqi freedom", Journal of Affective Disorders, 126(1), pp.230~235 (2010)
  44. Raftery, A. E., "Bayesian model selection in social research", Sociological Methodology, 25, pp.111~163 (1995)
  45. 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)
  46. Scheier, M. F., "Distinguishing optimism from neuroticism(and trait anxiety, self-mastery, and self-esteem) : A reevaluation of the Life Orientation Test", Journal of Personality and Social Psychology, 67(6), pp.1063~1078 (1994)
  47. Segovia, F., "Optimism predicts positive health in repatriated prisoners of war", Psychological Trauma : Theory, Research, Practice, and Policy, 7(3), pp.222~ (2015)
  48. Settersten Jr, R. A., "When nations call : How wartime military service matters for the life course and aging", Research on Aging, 28(1), pp.12~36 (2006)
  49. Solomon, Z., "Posttraumatic stress disorder and posttraumatic growth among Israeli ex-POWs", Journal of Traumatic Stress, 20(3), pp.303~312 (2007)
  50. Spiro, A. III, "Long-term outcomes of military service in aging and the life course : A positive re-envisioning", The Gerontologist, 56(1), pp.5~13 (2016)
  51. StataCorp, "Stata Statistical Software : Release 14" (2015), StataCorp LP
  52. Steiger, J. H., "Understanding the limitations of global fit assessment in structural equation modeling", Personality and Individual Differences, 42(5), pp.893~898 (2007)
  53. Yancura, L. A., "Stability and change in retrospective reports of childhood experiences over a 5-year period : Findings from the Davis Longitudinal Study", Psychology and Aging, 24, pp.715~721 (2009)

관련 논문AI추천

이 간행물의 다른 논문 (23건)