한국콘텐츠학회논문지 (The Journal of the Korea Contents Association)

  • 제15권7호
  • /
  • Pages.255-263
  • /
  • 2015
  • /
  • 1598-4877(pISSN)
  • /
  • 2508-6723(eISSN)
한국콘텐츠학회 (The Korea Contents Association)
권호 표지
DOI QR코드

DOI QR Code

노년기 사별로 인한 우울증상에 대한 사회적 지지의 조절 효과 분석

Effects of Interaction of Social Support with Multiple Losses on Depressive Symptoms

  • 투고 : 2015.05.20
  • 심사 : 2015.06.05
  • 발행 : 2015.07.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 노인들의 여러 번의 사별 경험이 우울증에 미치는 영향을 탐구한다. Changing Lives of Older Couples 종단 데이터를 이용하여 분석한 결과, 여러 번의 사별을 경험한 노인들이 한 번의 사별을 경험한 노인들에 비해 우울증상 점수가 더 높은 것으로 나타났다. 또한, 사회적 지지 수준은 사별 경험이 우울증상에 미치는 영향을 조절하는 것으로 나타났다. 즉, 여러 번의 사별을 경험한 노인들 중 사회적 지지 수준이 낮은 노인들의 우울증상이 가장 높은 것으로 나타났다. 여러 번의 사별을 경험한 노인들을 대상으로 한 프로그램과 사회적 지지의 필요성을 논의하였다.

The current study examines the association between multiple losses and depressive symptoms and the role of social support in multiple losses. Using a prospective designed dataset(Changing Lives of Older Couples), this study found a significant difference on the depressive symptom levels between multiple losses and single loss. In addition, there was a significant buffering effect of social support in bereavement, as oppose to previous literature that social support does not buffer the initial bereavement reaction in comparisons between the bereaved with multiple losses and the bereaved with a single loss. The author discusses the importance of monitoring elderly people with multiple losses and availability of social support before and after the loss.

키워드

참고문헌

  1. W. Streobe, M. Streobe, G. Abakoumkin, and H. Schut, "The role of loneliness and social support in adjustment to loss: A test of attachment versus stress theory," J. of Personality and Social Psychology, Vol.70, No.6, pp.1241-1249, 1996. https://doi.org/10.1037/0022-3514.70.6.1241
  2. D. Schultz, "The use of imagery in alleviating depression," In A. A. Sheikh (Ed.), Healing images: The role of imagination in health, NY: Amityville: Baywood Pub, pp.343-380, 2003.
  3. S. Zisook, M. Paulus, S. R. Shuchter, and L. L. Judd, "The many faces of depression following spousal bereavement," J. of Affective Disorders, Vol.45, pp.85-95, 1997. https://doi.org/10.1016/S0165-0327(97)00062-1
  4. R. A. Neimeyer and J. M. Holland, "Bereavement overload," In N.J. Salkind (Ed.), Encyclopedia of human development, Thousand Oaks, CA: Sage, 2006.
  5. R. Kastenbaum, Death and bereavement, Charles C. Thomas, IL: Springfield, 1969.
  6. L. W. Thompson, D. Gallagher, H. Cover, M. Gilewski, and J. Peterson, "Effects of bereavement on symptoms of psychopathology in older men and women," In D. A. Lund (Ed.), Older Bereaved Spouses: Research with Practical Applications, Washington DC: Hemisphere Pub, Corp, pp.17-24, 1989.
  7. M. Stroebe, H. Schut, and W. Stroebe, "Health outcomes of bereavement," The Lancet, Vol.370, No.9603, pp.1960-1973, 2007. https://doi.org/10.1016/S0140-6736(07)61816-9
  8. M. Stroebe, W. Stroebe, and G. Abakoumkin, "The Broken Heart: Suicidal Ideation in Bereavement," American J. of Psychiatry, Vol.162, No.11, pp.2178-2180, 2005. https://doi.org/10.1176/appi.ajp.162.11.2178
  9. A. E. Latham and H. Prigerson, "Suicidality and bereavement: Complicated grief as psychiatric disorder presenting greatest risk for suicide," Suicide & Life Threatening Behavior, Vol.34, pp.350-62, 2004. https://doi.org/10.1521/suli.34.4.350.53737
  10. D. Lund, M. S. Caserta, and M. F. Dimond, "The course of spousal bereavement in later life," In M. S. Stroebe, W. Streobe and R. O. Hansson (Eds.), Handbook of Bereavement, Cambridge: Cambridge Univ. Press, 1993.
  11. H. G. Hardison, R. A. Neimeyer, and K. L. Lichstein, "Insomnia and complicated grief symptoms in bereaved college students," Behavioral Sleep Medicine, Vol.3, pp.99-111, 2005. https://doi.org/10.1207/s15402010bsm0302_4
  12. G. A. Byrne and B. Raphael, "A longitudinal study of bereavement phenomena in recently widowed elderly men," Psychological Medicine, Vol.24, No.2, pp.411-421, 1994. https://doi.org/10.1017/S0033291700027380
  13. L. I. Pearlin, "The Sociological Study of Stress," J. of Health and Social Behavior," Vol.30, No.3, pp.241-256, 1989. https://doi.org/10.2307/2136956
  14. W. M. Ensel and N. Lin, "The Life Stress Paradigm and Psychological Distress," J. of Health and Social Behavior, Vol.32, No.4, pp.321-341, 1991. https://doi.org/10.2307/2137101
  15. L. I. Pearlin, E. G. Menaghan, A. L. Morton, and J. T. Mullan, "The Stress Process," J. of Health and Social Behavior, Vol.22, No.4, pp.337-356, 1981. https://doi.org/10.2307/2136676
  16. B. L. Roberts, R. Dunkle, and M. Haug, "Physical, Psychological, and Social Resources As Moderators of the Relationship of Stress to Mental Health of the Very Old," J. of Gerontology, Vol.49, No.1, pp.S35-43, 1994. https://doi.org/10.1093/geronj/49.1.S35
  17. J. House, K. Landis, and D. Umberson, "Social relationships and health," Science, Vol.241, No.4865, pp.540-545, 1988. https://doi.org/10.1126/science.3399889
  18. F. H. Norris and S. A. Murrell, "Social support, life events, and stress as modifiers of adjustment to bereavement by older adults," Psychology and Aging, Vol.5, No.3, pp.429-436, 1990. https://doi.org/10.1037/0882-7974.5.3.429
  19. H. Okabayashi, H. Sugisawa, N. Yatomi, Y. Nakatani, K. Takanashi, T. Fukaya, and H. Shibata, "The impact of conjugal bereavement and the buffering effect of social support on the health of the elderly," Japanese J. of Psychology, Vol.68, No.3, pp.147-154, 1997. https://doi.org/10.4992/jjpsy.68.147
  20. S. Cohen and T. A. Wills, "Stress, social support, and the buffering hypothesis," Psychological Bulletin, Vol.98, No.2, pp.310-357, 1985. https://doi.org/10.1037/0033-2909.98.2.310
  21. R. L. Kahn, E. Wethington, and B. Ingersoll-Dayton, "Social support and social networks: Determinants, effects, and interactions," In R. P. Abeles (Ed.), Life-span perspectives and social psychology, NJ: Hillside: Lawrence Erlbaum Associates, Inc, pp.139-165, 1987.
  22. D. L. Morgan, "Adjusting to Widowhood: Do Social Networks Really Make It Easier?," Gerontologist, Vol.29, No.1, pp.101-107, 1989. https://doi.org/10.1093/geront/29.1.101
  23. E. Mutran and D. C. Reitzes, "Intergenerational Support Activities and Well-Being among the Elderly: A Convergence of Exchange and Symbolic Interaction Perspectives," American Sociological Review, Vol.49, No.1, pp.117-130, 1984. https://doi.org/10.2307/2095561
  24. M. A. Martin, Widowhood in later life, Toronto: Butterworths, 1991.
  25. R. S. Weiss, Loneliness: The experience of emotional and social isolation, MA: Cambridge: The MIT Press, 1973.
  26. S. A. Murphy, L. C. Johnson, J. Lohan, and V. J. Tapper, "Bereaved parents' use of individual, family, and community resources 4 to 60 months after a child's violent death," Family and Community Health, Vol.25, No.1, pp.71-82, 2002. https://doi.org/10.1097/00003727-200204000-00010
  27. L. L. Cartensen, J. Graff, R. W. Levenson, and J. M. Gottman, "Affect in intimate relationships: The developmental course of marriage," In C. Magai and S. H. McFadden (Eds.), Handbook of Emotion, Adult Development, and Aging, CA: San Diego: Univ. Press, pp.227-247, 1996.
  28. R. E. Roberts, H. M. Rhoades, and S. W. Vernon, "Using the CES-D scale to screen for depression and anxiety: Effects of language and ethnic status," Psychiatry Research, Vol.31, No.1, pp.69-83, 1990. https://doi.org/10.1016/0165-1781(90)90110-Q
  29. J. H. Boyd, M. M. Weissman, W. D. Thompson, and J. K. Myers, "Screening for depression in a community sample: Understanding the discrepancies between depression syndrome and diagnostic scales," Archives of General Psychiatry, Vol.39, No.10, pp.1195-1200, 1982. https://doi.org/10.1001/archpsyc.1982.04290100059010
  30. W. Stroebe, E. Zech, M. S. Stroebe, and G. Abakoumkin, "Does social support help in bereavement," J. of Social & Clinical Psychology, Vol.24, No.7, pp.1030-1050, 2005. https://doi.org/10.1521/jscp.2005.24.7.1030
  31. K. F. Ferraro, E. Mutran, and C. M. Barresi, "Widowhood, health, and friendship support in later life," J. of Health and Social Behaviors, Vol.25, pp.246-259, 1984. https://doi.org/10.2307/2136423