일 도시 지역 중년 여성의 정신건강상태 예측모형

Prediction Model on Mental Health Status in Middle-aged Women of an Urban Area

  • 이평숙 (고려대학교 간호대학) ;
  • 손정남 (한서대학교 간호학과) ;
  • 이용미 (고려대학교 간호대학) ;
  • 강현철 (호서대학교 자연과학부 정보통계학 전공)
  • 발행 : 2005.04.01

초록

Purpose: This study was designed to construct a structural model for explaining mental health status in middle - aged women. Methods: The data was collected by self - reported questionnaires from 206 middle - aged women in Seoul. Data analysis was done with the SAS pc program for descriptive statistics and a PC - LISREL Program for finding the best fit model which assumes causal relationships among variables. Results: The overall fit of the hypothetical model to the data was good, but paths and variables of the model were modified by considering theoretical implications and statistical significances of parameter estimates. Thus it was modified by excluding 3 paths, The modified model showed was good fit to the data($x^2=177.55$, p=.00), GFI=0.908, AGFI=0.860, RMR=0.013, NFI=0.972, NNFI=0.982). Perceived stress, anger expression method, and self -esteem were found to have direct effects on mental health status in middle - aged women. These predictive variables of mental health status explained $66.6\%$ of the model. Conclusion: Programs to enhance mental health status in middle - aged women should include stress management skill, anger expression skill, and self -esteem enhancement skills to be effective.

키워드

참고문헌

  1. Ahn Y. M. (2002). A study on the relationship among meaning of life, self - esteem and mental health of the elderly. Unpublished master's thesis, Ewha woman's University, Seoul, Korea
  2. American Psychiatric Association (1995). DSM -IV Washington, DC: American Psychiatric Association
  3. Atwater, E. (1992). Psychology of adjustment: Personal Growth in a change world. Seoul: Chongmin-Sa
  4. Cho, S. Y. (2001). A study of alzheimer's disease caregivers' caregiving burden, social support and mental health. Unpublished master's thesis, Ewha woman's University, Seoul, Korea
  5. Choi, A. S. (2001). The relationship between perceived stress and social support. Unpublished master's thesis, Ewha woman's University, Seoul, Korea
  6. Choi, S. (2002). Differences of self - concept and anger between depression and paranoia. Unpublished master's thesis, Ajou University, Suwon, Korea
  7. Chon, K. G. (1996). Development of the Korean State - Trait anger expression inventory(2). Korean J Rehabil Psychol. 3(1), 53-69
  8. Cohen, S., & Hoberman, H. (1983). Positive events and social supports as buffers of life change, stress. J Appl Soc Pxychol, 13, 99-125 https://doi.org/10.1111/j.1559-1816.1983.tb02325.x
  9. Derogatis, L. R. (1977). SCL - 90: Administration, scoring, and procedures manual -1 for the revised version. Baltimore: Clinical Psychometrics Research
  10. Flynn, L. (2001). A christian model of health promotion. J Christian Nurs, 18(1), 31-33
  11. Frank, F., & Fraux, S. (1990). Depression, stress, mastery, and social resources in four ethnoculture women's groups. Res Nurs Health, 13, 283-292 https://doi.org/10.1002/nur.4770130504
  12. Hong, J. W. (1999). The Effect of self - esteem and social support in the mental health of the elderly. Unpublished master's thesis, Ewha woman's University, Seoul, Korea
  13. Kang, K. H. (1993). The relationship between the self concept & mental health of adolescence. Sunchun chungam college study, 17
  14. Kang, J. K. (1997). A study on the Korean woman's mental health. Asia women study, 99-123
  15. Kang, Y. W. (1999). Adult education of mental health for women. Interdisciplinary J Adult & Continuing Edu, 2(4), 1-30
  16. Kaplan, A. (1986). The self-in-relation. : Implications for depression in women. Psychotherapy, 23, 234-242
  17. Kim, G. I., Kim, J. H., & Won, H. T. (1984). Symptom distress checklist - 90- revised. Seoul: Joongangjuksung Press
  18. Kim, J. Y. (2003). A study on the stress and mental health of housewives in the capital and newly satellite cities. Unpublished master's thesis, Ewha woman's university, Seoul, Korea
  19. Kim, S. A. (1993). Ethnic identity, Role integration, quality of life, and mental health in Korean American women. Unpublished doctoral dissertation, University of Texas , Austin
  20. Kim, Y. H. (2000). The relationship among stress, indigestion and sleep disturbance in adult women. Unpublished master's thesis, Youngnam University, Taegu, Korea
  21. Klose, M., & Jacobi, F. (2004). Can gender differences in the prevalence of mental disorders be explained by sociodemographic factors. Arch Women Ment Health, 7(2), 133-148 https://doi.org/10.1007/s00737-004-0047-7
  22. Lee, J. S. (2001). Rural area people's mental health relating factor. J Korean Acad Psychiatr Ment Health Nurs, 10(2), 220-228
  23. Lee, E, H., Im, S. B., Kim, I. J., & Lee, E. O. (1993). Health locus of control: A review of the nursing research in Korea. J Korean Acad Nurs, 23(4), 694-712
  24. Lee, S. Y. (2004). Effectiveness of socio - demographic, family relational & Psychological variables on physical and mental health in middle aged women. Unpublished master's thesis, Chungbuk National University: Cheong ju, Korea
  25. Lee, Y. M. (2002). The lived experiences of the middle - aged women's anger. Unpublished doctoral dissertation, Korea University, Seoul, Korea
  26. Lee, Y. J. (1995). The relationship among stress, social support, self esteem, depression and anxiety. Unpublished doctoral dissertation, Seoul Woman's University, Seoul, Korea
  27. Lim, S. Kim, J. Lee D. S., & Kim, E. (2000). Women's job stress, coping resources and mental health - in the sample of female office workers in a general hospital-. J Korean Neuropsychiatr Assoc, 39(6), 999- 1009
  28. Noh (1999). A study of stress, family support, self - efficacy and mental health in high school students. Unpublished master's thesis, Chungnam National University: Taejon, Korea
  29. Matthews, S., Hertzman, C., Ostry, A., & Power, C. (1998). Gender, work roles and psychosocial work characteristics as determinants of health. Social Sci & Med, 46, 1417-1424 https://doi.org/10.1016/S0277-9536(97)10141-1
  30. Park, S. Y. (1999). Stress and my health. Seogu Health Center News, 84, 7-9
  31. Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ : Princeton University Press
  32. Sandanger, J., Nygard, J. F., Sorensen, T., & Mourn, T. (2004). Is women's mental health more susceptible than men's to the influence of surrounding stress. Soc Psychiatry Epidemiol, 39(3), 177-184 https://doi.org/10.1007/s00127-004-0728-6
  33. Spielberger, C. D., Jacobs, G., Russel, S., & Crane, R. S. (1983). Assessment of anger: the state - trait anger scale, In Butcher, J. N., & Spielberger, C. D. (eds). Advances in personality assesment. Hillside, NJ: Lawrence Erlbaum, 161-189
  34. Spielberger, C. D. (1988). Professional Manual for the state - trait anger expression inventory. Tampa, FL.: Psychological assessment resources, Inc
  35. Stuart, G. W., & Laraia, M. T. (2001). Principles and practice of psychiatric nursing(7th ed). Philadelphia. Mosby
  36. Sung, M. H. (2002). Self - reported climacteric symptoms, self concept and depression in middle - aged women. J Acad Korean Adult Nurs, 14(1), 102-113
  37. Thomas, S. (1990). Predictors of health status of mid-life women : Implications for later adulthood. J Women Aging, 2, 49-77
  38. Wallston, K. A., Wallson, B. S., & Develis, R. (1978). Development of the multidimensional health Locus of control scales, Health Edu Monographs, 6, 160-170 https://doi.org/10.1177/109019817800600107
  39. Wilmoth, C. D. (1996). The middle years: women, sexuality and the self. JOGN Nurs, 25(7), 615-621 https://doi.org/10.1111/j.1552-6909.1996.tb02121.x
  40. Wu, A. M., Tang, C. S., & Kwok, T. C. (2004). Self efficacy, health locus of control, and psychological distress in elderly chinese women with chronic illnesses. Aging Ment Health, 8(1), 21-28 https://doi.org/10.1080/13607860310001613293