대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
권호 표지

만성정신질환자 가족의 누적스트레스와 영향을 미치는 요인

Influencing Factors on File-up Stress of Family Caregivers with a Family Member having a Chronic Mental Illness

  • Published : 2004.06.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

Abstract

Purpose: The purpose of this study was to identify the factors influencing file-up family stress in the family with a family member having a chronic mental illness. Method: Data was collected by questionnaires from 365 families with a member having a chronic mental illness, in an outpatient clinic of a General Hospital and Government Psychiatric Hospital in Seoul. The data was analyzed using descriptive statistics, pearson correlation coefficients, and stepwise multiple regression. Result: The score of file-up stress showed a significantly negative correlation with the score of level of hardiness (r=-.31, p=.00), family support (r=-.13, p=.00), family cohesion (r=-.25, p=.00), and sense of coherence (r=-.26, p=.00). The most powerful predictor of file-up stress was family hardiness and the variance was 11.1%. Acombination of hardiness, family support, and sense of coherence account for 14.8 % of the variance in file-up stress of the family with a member having a chronic mental illness. Conclusion: This study suggests that family support, hardiness, cohesion, and sense of coherence are significant influencing factors on file-up stress in the family with a member having a chronic mental illness.

Keywords

References

  1. Antonovsky, A., & & Sourant, T. (1988). Family sense of coherence and family adaptation. J Marriage Fam, 50, 79-92 https://doi.org/10.2307/352429
  2. Balcazar, H., Krull, J. L., Peterson, G. (2001). Acculturation and Family Functioning Are Related to Health Risks Among Pregnant Mexican American Women. Behav Med, 27(2), 62-70
  3. Chakrabarti, S., & Gill, S. (2000). Coping and its correlates among caregivers of patients with bipolar disorder: a preliminary study. Bipolar Disord, 4(1), 50-60
  4. Cottrell, D., & Boston, P. (2002). Practitioner Review: The effectiveness of systemic family therapy for children and adolescents. J Child Psychol & Psychiatr & Allied disciplines, 43(5), 573-586
  5. Demi, A., Bakeman, R., Sowell, R., Moneyham, L., Seals, B. (1998). Suicidal Thoughts of Women With HlV Infection: Effect of Stressors and Moderating Effects of Family Cohesion, J Fam Psychol, 12(3), 344-353 https://doi.org/10.1037/0893-3200.12.3.344
  6. Friedman, M. M., Bowden, V. R., Jones, E. G. (2003). Family Nursing. Research, Theory, & Practice, Fifth Edition. 61-87
  7. Han, K. S., Lee, P. S., & Park, E. Y. (2001). Influencing factors on quality of life of chronic mental illness, J Korean Acad Psych Ment Health Nurs. 10(3), 265-275
  8. Jeoung, M. J. (1992). A Study on Types of Family System, Femily Stress, Family Resources and Coping Strategies. J Korean Home Economics, 30(2). 189-218
  9. Kim, M. J., & Jung, S. L. (2002). The effect of family education program on the knowledge and the burden of schizophrenia patient's family. J Korean Acad Psych Ment Health Nurs, 11(3), 273-284
  10. Ko, J. J., & Kim, G. S. (2000). The influence of family adaptability and cohesion on marriage satisfaction and distress of married couples, J Korean Home Economics, 38(10), 1-14
  11. Kobasa, S. C. (1979). Stress life events, personality and health: An inquiry into hardiness, J Pers Soc Psychol, 37. 1-11
  12. Lasarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping, NewYork, Springer Publishing Co.
  13. Leske, J. S. (2003). Comparison of Family Stresses, Strengths, and Outcomes After Trauma and Surgery. AACN Clinical Issues: Advanced Practice in Acute & Critical Care. Psychosoc Issues. 14(1), pp 33-41
  14. McCubbin, H. I. (1987). Ch.I9. FIRA-G. In I. McCubbim & A.I. Thompson(Eds.), Family Assessment Inventories for Research and Practice. Maidson, WI: University of Wisconsin
  15. McCubbin, H. I., Comeau, J., & Harkins, J. (1981). In H.I. McCubbin, A.I. Thompson & M. A. McCubbin(1996). Family Assessment Resiliency, Coping and Adaptation, Maidson, WI: University of Wisconsin
  16. McCubbin, H., Larson, A., & Olson, D. (1982). F-COPES family crisis oriented personal scales.In, H. I., McCubbin & A. I. Thompson(Eds.)(1987) Family Assessment Inventories for Research and Practice. Maidson, WI: University of Wisconsin
  17. McCubbin, H. I., Thompson, E. A., & McCubbin, M. A (1996). Family assessment: Resiliency, coping and adaptation-inventories for research and practice. Madison : University of Wisconsin System
  18. McCubbin, H. I., Thompson, E. A., Thompsom, A. I., Fromer, J. E. (1998). Stress, Coping and, Health in Families: Sense of Coherence and Resiliency. SAGE Publications International Educational and Professional Publisher Thousand Oaks London, New Delhi
  19. McCubbin, M. A., & McCubbin, H. I. (1993). Families coping with illness: the resiliency model of family stress, adjustment, and adaptation. In C.B. Danielson, B.H., Bissell, & P.W., Fry. Families, health & illness: Perspectives on coping and intervention(pp.21-63). St. Louise: Mosby- Year Book, Inc.
  20. McCubbin, H. I., & Patterson, J. M. (1982). The family stress process : The Double ABCX model of adjustment and adaptation, In McCubbin, HI., Sussman, M.B. & Patterson, J.M.(Eds.), Social stress and the family: Advanced and developments in family stress theory and research(pp.7-37), NewYork : Haworth Press
  21. McCubbin, H., Patterson, J., & Wilson, L. (1979). Family inventory of life events(FILE), University of Minnesota
  22. McCubbin, H. I., Patterson, J., & Thompson, E. A. (1991). Family hardiness index, In McCubbin, H. I., & Thompson, A. I.(Eds), Family assessment for research and practice. University of Wisconsin-Madison
  23. Mun, J. H. (1996). Social support and burden of mother who had child with mental retardation. Graduate dissertation, Yonsei university, Seoul, Korea
  24. Oh (2002). Families of children with disabilities : The test of structural model of family income, hardiness, file-up stress, communication, and family adaptation, J Korean Home Economics, 40(9). 175-189
  25. Olson, D. H., Portner, J., & Lavee, Y. (1985). FACES III. Family Social Science, University of Minnesota, St. Paul, MN
  26. Olson, D. H., Sprenkle, D. H., & Russel, C. S. (1979). Circumplex model of marital and family systems : I. Cohesion and adaptability dimensions, family types, and clinical applications. Fam Proc, 18(1), 3-28
  27. Patrie, J. H., Hayden,J. M. (1999). Neuroticism, Coping Strategies, and Negative Well-Being Among Caregiver. Psychol & Aging, 14(2), 273-283
  28. Patterson, P. (1984). Effect of moderator variables in reducing stress outcome in mothers of children with handicaps. J Psychosom Res, 28. 337-344
  29. Seomun, G. A. (1999). Development of family with elderly dementia patient adaptation model. Unpublished Doctoral Dissertation, Yonsei University
  30. Shon, K. H., Bai, J, Y., & Juh, J. Y. (2001). Psychiatric outpatients' knowledge of illness and medication who had received symptom and medication instruction. J Korean Acad Psych Ment Health Nurs, 10(4), 699-713
  31. Tak, Y. R., & Lee, H, Y. (1996). Family Stress, Perceived Social Support, and Coping in Family who has a Developmentally Disabled Child. J Korean Acad Child Health Nurs. 3(1), 42-51
  32. Yang, S. J. (1999). Stress and Adaptation in Family with Physical Disabled Children. J Korean Acad Nurs. 29(2). 238-247
  33. Yun, E. H, Tak, Y. R. (2003). Family hardiness and adaptation in family with adult who have mental retardation. J Korean Acad Psych Ment Health Nurs, 12(2), 107-115