주관적 건강에 대한 치료적 지원의 적용과 장소애착의 매개효과 검증

Application of Therapeutic Support on Subjective Well-being, and the Mediating Role of Place Attachment

  • 최명숙 (고려대학교 보건과학과) ;
  • 박민혜 (성균관대학교 경영학과) ;
  • 최만규 (고려대학교 대학원 보건과학과, 고려대학교 보건정책관리학부, BK21PLUS 인간생명-사회환경 상호작용 융합사업단)
  • Choi, Myungsuk (BK21 Plus Program in Public Health Science, Department of Public Health Science, Graduate School, Korea University) ;
  • Park, Minhye (Department of Business Administration, Sungkyunkwan University) ;
  • Choi, Mankyu (School of Health Policy and Management, College of Public Health Science, Korea University)
  • 투고 : 2018.03.30
  • 심사 : 2018.04.30
  • 발행 : 2018.04.30

초록

배경 및 목적: 이 연구의 목적은 OECD "더 나은 삶의 지수 2015"에서 34개 국가 중 29위로 평가된 한국인의 주관적 건강(subjective well-being)과 치료적 지지(therapeutic support) 관계에서 장소애착(place attachment)의 매개 효과를 탐색하였다. 방법: 비확률 표본추출 방법을 사용하여 서울 시민들 중 헬스클럽 이용자를 대상으로 설문지 조사를 실시하였으며, 구조방정식 모형분석을 통해 가설을 검증하였다. 결과: 분석 결과 치료적 감독(therapeutic oversight )만이 주관적 건강에 직접적인 영향을 미치는 것으로 확인되었다(B = .281, p < .05). 장소애착의 매개효과를 통해서 검증한 결과 치료적 감독 뿐만 아니라 치료적 증언(therapeutic testimonial)에 대해서도 유의하게 검증되었다(치료적 감독 간접 효과 = .155, p < .05, 치료적 증언 간접 효과 = .175, p < .05). 결론: 연구결과 주관적 건강에 영향을 미치는 것으로 장소애착의 매개효과가 큰 것으로 나타났다. 따라서 서로를 돌보며 회원들 간의 업적을 축하 할 수 있는 장소를 기반으로 한 건강 프로그램을 실행한다면 사회 구성원들의 주관적 건강 향상에 도움이 될 것으로 사료된다.

키워드

참고문헌

  1. 강현욱, 김지태. 노인의 지각된 사회적지지와 자기효능감이 건강증진행위에 미치는 영향. 한국여가레크리에이션학회지 2009;33(3):57-68.
  2. 구본칠. 운동선수와 일반대학생의 사회적 체형 불안 비교. 한국스포츠리서치 2004;15(1):499-507.
  3. 김종우, 육동원, 황재욱, 김성훈. 교양체육에 참여하는 대학생들의 사회체형불안이 참여동기와 운동지속의도에 미치는 영향. 한국체육학회지-인문사회과학 2013;52(2):151-63.
  4. 김진옥, 김남조. 아웃도어레크리에이션의 자연 매력성이태도와 행동의도에 미치는 영향. 관광연구논총 2015;27(1):75-97.
  5. 김진웅. 최근 한국인의 대미 인식의 비교론적 고찰. 열린정신 인문학연구 2008;9(1):73-100.
  6. 박영신, 김의철. 한국 사회와 개인 삶의 질 인식에 대한 토착심리 탐구. 한국심리학회지: 문화 및 사회문제 2006;12(1):161-95.
  7. 엄영호, 엄광호. 지역에 대한 애착이 주민 행복에 미치는 영향: 서울시 사례를 중심으로. 지방행정연구 2017;31(2):145-69.
  8. 임주영, 전귀연. 노인의 주관적 안녕감에 영향을 미치는 변인 연구: 배우자 유 무를 중심으로. Journal of the Korea Gerontological Society 2004;24(1):71-87.
  9. 조긍호. 문화유형과 정서의 차이: 한국인의 정서 이해를 위한 시론. 심리과학 1997; 6:1-43.
  10. Argyle M. The psychology of happiness, 2nd. East Sussex: Routledge, 2001.
  11. Barcena-Martin E, Cortes-Aguilar A, Moro-Egido AI. Social Comparisons on Subjective Well-Being: The Role of Social and Cultural Capital. Journal of Happiness Studies 2016:1-25.
  12. Barrera M, Sandler IN, Ramsay TB. Preliminary development of a scale of social support: Studies on college students. American Journal of Community Psychology 1981;9(4):435-47. https://doi.org/10.1007/BF00918174
  13. Baumeister RF, Leary MR. The need to belong: desire for interpersonal attachments as a fundamental human motivation. Psychological bulletin 1995;117(3):497. https://doi.org/10.1037/0033-2909.117.3.497
  14. Diener E. The Science of Well-Being: The Collected Works of Ed Diener. Diener E, editor. Dordrecht: Springer & Business Media, 2009. pp. 11-58.
  15. Diener E, Diener M, Diener C. Factors predicting the subjective well-being of nations. Journal of personality and social psychology 1995;69(5):851. https://doi.org/10.1037/0022-3514.69.5.851
  16. Diener E, Emmons RA, Larsen RJ, Griffin S. The Satisfaction With Life Scale. Journal of Personality Assessment 1985;49(1):71-5. https://doi.org/10.1207/s15327752jpa4901_13
  17. Deiner E, Lucas R, Oishi S. Subjective well-being: The science of happiness and life satisfaction. Handbook of positive psychology 2002;63-73.
  18. Diener E, Seligman ME. Very happy people. Psychological science 2002;13(1):81-4. https://doi.org/10.1111/1467-9280.00415
  19. Diener E, Suh EM, Smith H, Shao L. National differences in reported subjective well-being: Why do they occur? Social Indicators Research 1995;34(1):7-32. https://doi.org/10.1007/BF01078966
  20. Fornell C, Larcker DF. Evaluating structural equation models with unobservable variables and measurement error. Journal of marketing research 1981;39-50.
  21. Gallant MP. Social networks, social support, and health-related behavior. The Oxford Handbook of Health Communication, Behavior Change, and Treatment Adherence. Oxford: Oxford University Press, 2013. pp. 303-22.
  22. Gentry JW, Goodwin C. Social support for decision making during grief due to death. The American Behavioral Scientist 1995;38(4):553. https://doi.org/10.1177/0002764295038004006
  23. Giles-Corti B, Donovan RJ. The relative influence of individual, social and physical environment determinants of physical activity. Social Science & Medicine 2002;54(12):1793-812. https://doi.org/10.1016/S0277-9536(01)00150-2
  24. Harris JR, Pedersen NL, Stacey C, McClearn GE, Nesselroade JR. Age Differences in the Etiology of the Relationship between Life Satisfaction and Self-Rated Health. Journal of Aging and Health 1992;4(3):349-68. https://doi.org/10.1177/089826439200400302
  25. Hidalgo MC, HernANdez B. PLACE ATTACHMENT: CONCEPTUAL AND EMPIRICAL QUESTIONS. Journal of Environmental Psychology 2001;21(3):273-81. https://doi.org/10.1006/jevp.2001.0221
  26. Hofstede G. Dimensionalizing cultures: The Hofstede model in context. Online readings in psychology and culture 2011;2(1):8.
  27. House JS. Work stress and social support: Addison-Wesley Pub. Co., 1981.
  28. Jo KH, Doorenbos A. Understanding the meaning of human dignity in Korea: a content analysis. International journal of palliative nursing 2009;15(4):178. https://doi.org/10.12968/ijpn.2009.15.4.41965
  29. Joo MJ, Chong YS. Relationships of Locus of Control and Regret Experiences with Subjective Well-Being in the Age. THE KOREAN JOURNAL OF DEVELOPMENTAL PSYCHOLOGY 2009;22(4):15-36.
  30. Kyle GT, Mowen AJ, Tarrant M. Linking place preferences with place meaning: An examination of the relationship between place motivation and place attachment. Journal of Environmental Psychology 2004;24(4):439-54. https://doi.org/10.1016/j.jenvp.2004.11.001
  31. Low SM. Symbolic Ties That Bind. In: Altman I, Low SM, editors. Place Attachment. Boston, MA: Springer US, 1992. pp. 165-85.
  32. Lucas RE, Gohm CL. Age and sex differences in subjective well-being across cultures. Culture and subjective well-being 2000;3(2):91-317.
  33. Lyubomirsky S, Sheldon KM, Schkade D. Pursuing happiness: The architecture of sustainable change. Review of general psychology 2005;9(2):111. https://doi.org/10.1037/1089-2680.9.2.111
  34. Manzo LC. Beyond house and haven: toward a revisioning of emotional relationships with places. Journal of Environmental Psychology 2003;23(1):47-61. https://doi.org/10.1016/S0272-4944(02)00074-9
  35. Moisio R, Beruchashvili M. Questing for Well-Being at Weight Watchers: The Role of the Spiritual-Therapeutic Model in a Support Group. Journal of Consumer Research 2010;36(5):857-75. https://doi.org/10.1086/605590
  36. Noll HH. Social indicators and Quality of Life research: Background, achievements and current trends. Advances in sociological knowledge 2004: 151-81.
  37. OECD. Better Life Index 2015. Available from: /content/data/data-00823-en http://dx.doi.org/10.1787/data-00823-en. OECD, 2015.
  38. OECD. Economic Survey of Korea 2016. Available from: http://www.oecd.org/korea/economic-survey-korea.htm. OECD, 2016.
  39. Pender NJ, Pender AR. Illness prevention and health promotion services provided by nurse practitioners: predicting potential consumers. American Journal of Public Health 1980;70(8):798-803. https://doi.org/10.2105/AJPH.70.8.798
  40. Preacher KJ, Leonardelli GJ. Calculation for the Sobel test. Retrieved January. 2001;20:2009.
  41. Rose E. Encountering place: A psychoanalytic approach for understanding how therapeutic landscapes benefit health and wellbeing. Health & Place 2012;18(6):1381-7. https://doi.org/10.1016/j.healthplace.2012.07.002
  42. Rosenbaum MS. Exploring the Social Supportive Role of Third Places in Consumers' Lives. Journal of Service Research 2006;9(1):59-72. https://doi.org/10.1177/1094670506289530
  43. Scannell L, Gifford R. Defining place attachment: A tripartite organizing framework. Journal of Environmental Psychology 2010;30(1):1-10. https://doi.org/10.1016/j.jenvp.2009.09.006
  44. Scannell L, Gifford R. Place Attachment Enhances Psychological Need Satisfaction. Environment and Behavior; 2016.
  45. Scopelliti M, Vittoria Giuliani M. Choosing restorative environments across the lifespan: A matter of place experience. Journal of Environmental Psychology 2004;24(4):423-37. https://doi.org/10.1016/j.jenvp.2004.11.002
  46. Siedlecki KL, Salthouse TA, Oishi S, Jeswani S. The Relationship Between Social Support and Subjective Well-Being Across Age. Social Indicators Research 2014;117(2):561-76. https://doi.org/10.1007/s11205-013-0361-4
  47. Stokols D, Shumaker SA. People in places: A transactional view of settings. Cognition, social behavior, and the environment 1981:441-88.
  48. Suh E, Diener E, Oishi S, Triandis HC. The shifting basis of life satisfaction judgments across cultures: Emotions versus norms. J Pers Soc Psychol 1998;74(2):482-93. https://doi.org/10.1037/0022-3514.74.2.482
  49. Thomas PA. Is It Better to Give or to Receive? Social Support and the Well-being of Older Adults. Journals of Gerontology Series B: Psychological Sciences and Social Sciences 2009;65(3):351-7.
  50. Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: the PANAS scales. Journal of personality and social psychology 1988;54(6):1063. https://doi.org/10.1037/0022-3514.54.6.1063
  51. Williams DR, Patterson ME, Roggenbuck JW, Watson AE. Beyond the commodity metaphor: Examining emotional and symbolic attachment to place. Leisure Sciences 1992;14(1):29-46. https://doi.org/10.1080/01490409209513155
  52. Williams DR, Vaske JJ. The Measurement of Place Attachment: Validity and Generalizability of a Psychometric Approach. Forest Science 2003;49(6):830-40.
  53. Williams KL, Galliher RV. Predicting depression and self-esteem from social connectedness, support, and competence. Journal of Social and Clinical Psychology 2006;25(8):855. https://doi.org/10.1521/jscp.2006.25.8.855