초기 성인기의 애착과 우울 간 관계에서 감정표현불능의 매개 효과

길민지 ( Gil Minji ),김석선 ( Kim Suk-sun ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2019 정신간호학회지 Vol.28 No.2

Purpose: The purpose of this study was to examine the mediating effect of alexithmia on the relationship between attachment and depression in early adulthood. Methods: A convenience sample of 260 young adults responded to the survey. The collected data were analyzed using descriptive statistics, independent t-test, Pearson’s correlation coefficients, and path analyses using bootstrapping. Results: The path analysis indicated that anxious attachment and alexithymia was positively related to depression, but there was not a significant relationship between avoidant attachment and depression. In a modified path model, alexithymia mediated the positive effects of anxious attachment and avoidant attachment on depression. Conclusion: Our study findings suggest that early adults who have insecure attachments are vulnerable to alexithymia and depression. Targeted interventions to improve emotional expressive ability may reduce depression in early adulthood.

중년 부부의 심리적 안녕감 증진을 위한 교육 요구도: 혼합연구방법

길민지 ( Gil Minji ),김다은 ( Kim Daeun ),김석선 ( Kim Suk-sun ) 한국정신간호학회 2022 정신간호학회지 Vol.31 No.1

Purpose: To explore and identify priorities of middle-aged couples’ educational needs for psychological well-being. Methods: Exploratory sequential mixed method design was used. Qualitative data were collected from 14 couples through couple interviews and analyzed using interpretative phenomenological analysis. Quantitative data were collected from 234 middle-aged adults using self-administered questionnaires and analyzed using paired t-test and Borichs’ needs assessment model. Finally, qualitative and quantitative data were integrated to describe mixed-method findings. Results: Three major themes were identified: (1) confronting vulnerability to mental health problem, (2) navigating lifes journey together, and (3) progressing toward self-transcendence. In quantitative results, “couple communication” had the highest need, followed by “mental health”, the “emotional awareness and expression”, and “improvement of marital relationships”. Integrated results indicated that couple-communication and mental health were priority needs. Conclusion: Results of this study provided evidence for middle-aged couples educational needs for psychological well-being. Thus, healthcare professionals need to consider development of educational interventions to enhance couple communication and mental health for middle-aged couples psychological well-being.

개인과 가족의 성격특성이 가족 구성원의 우울에 미치는 영향: 다층모형분석 적용

김석선 ( Kim Suk-sun ),길민지 ( Gil Minji ) 한국보건사회연구원 2016 保健社會硏究 Vol.36 No.3

본 연구는 대학생 자녀를 둔 가족을 대상으로 우울에 영향을 미치는 개인과 가족성격특성을 탐색하는 것을 목적으로, 가족구성원(아버지, 어머니, 자녀) 모두의 자료 수집 가능여부와 다층모형분석의 적용 가능성을 확인한 예비 조사 연구이다. 연구대상은 아버지, 어머니, 대학생 자녀가 모두 연구에 동의한 65가족으로, 총 195명(아버지 65명, 어머니 65명, 자녀 65명)의 응답을 분석에 사용하였다. 서울, 경기 지역의 4개 대학의 동아리방과 학생관을 방문하여 대상자를 모집하고, 우편조사 방식으로 자료를 수집하였다. 자료분석 방법으로는 Multilevel modeling 다층모형을 사용하여, 독립변수로 1차수준인 개인의 성격특성과 2차 수준인 가족의 성격특성이 종속변수인 가족구성원 개개인의 우울 정도에 미치는 영향을 분석하였다. 다층모형 분석결과, 1차 수준인 개인의 성격특성에서 신경증은 우울을 증가시키고, 성실성은 우울을 감소시키는 것으로 나타났다. 2차 수준인 가족의 성격특성에서는 성실성이 우울을 증가시키고, 친화성은 우울을 감소시키는 것으로 나타났다. 본 연구결과를 바탕으로 가족 수준의 성격특성은 개인수준의 성격특성과 함께 가족구성원 개개인의 우울에 영향을 미칠 수 있으므로 개인의 성격 특성과 가족 수준의 성격특성을 함께 고려한 우울 예방 프로그램 개발이 필요하다고 제언한다. The purpose of this study was to examine associations between individual and family personality and depressive symptoms in Korean families with college students. This pilot study was conducted to evaluate the feasibility and acceptability of recruiting and collecting data from families and to analyze data using Multilevel Modeling. A total of 195 family members (65 fathers, 65 mothers, and 65 college-student children) participated in this study. The collected data were analyzed using Multilevel modeling. Our analysis revealed that individual-level neuroticism was positively related to depressive symptoms and conscientiousness was negatively related to depressive symptoms. Also, family-level agreeableness was related to lower depressive symptoms, whereas family conscientiousness was related to higher depressive symptom levels. These results suggested that personality factors could be used to identify individuals and families at risk for depression and to develop tailored intervention for both individuals and families.

한국어판 부부 만족도 측정도구 및 단축형의 타당도와 신뢰도

김석선(Kim, Suk-Sun),길민지(Gil, Minji),김다은(Kim, Daeun),김선해(Kim, Sunhai),허다연(Heo, Dayeon),문난영(Moon, Nan Young) 한국간호과학회 2022 Journal of Korean Academy of Nursing Vol.52 No.2

Purpose: The study aimed to translate the Couple Satisfaction Index (CSI 32) into Korean, to evaluate the reliability and validity of CSI 32 and short-form (CSI 16, 4) in the Korean context, and to determine a cut-off score for Korean couples. Methods: Korean Versions of the Couple Satisfaction Index (K-CSI) 32 was translated, back-translated, and reviewed by five bilingual experts. Confirmatory factor analysis (CFA) was conducted with data from a sample of 218 couples (N = 436) to test construct validity. Validity and reliability were evaluated. The receiver’s operating characteristics curve analysis was used to obtain the cut-off score. Results: The construct validities of K-CSI 32, 16, and 4 were verified using one-factor structures. The results of CFA showed a slightly better fit for K-CSI 16 and 4 than for K-CSI 32. Convergent validity was supported by significant positive correlations of K-CSI with Kansas Marital Satisfaction Scale, Dyadic Adjustment Scale, and Family Relationship Assessment Scale. Moreover, the significant differences in K-CSI between normal and depressive group demonstrated known-group validity. Cut-off scores of 105.5 on K-CSI 32, 50.25 on K-CSI 16, and 13.25 on K-CSI 4 were validated to identify distressed couple relationships. Conclusion: For clinical practice, the reliable and valid K-CSI 32 has the potential to measure changes in couple satisfaction after couple therapy or interventions. Applying K-CSI 32 may facilitate research on couple and family relationships in nursing and contribute to the discussion on the role of couple satisfaction in mental health.

중년기 부부의 스트레스와 결혼만족도가 우울에 미치는 자기효과와 상대방 효과

차근영 ( Cha Geunyeong ),김석선 ( Kim Suk-sun ),길민지 ( Gil Minji ) 한국보건사회연구원 2017 保健社會硏究 Vol.37 No.2

본 연구의 목적은 부부의 스트레스, 결혼만족도, 우울의 상호의존성을 검증하고, 이 후 모형 분석을 통해 스트레스와 결혼만족도가 우울에 미치는 자기효과와 상대방 효과의 영향을 분석하는 것이다. 연구 대상은 40-60세까지의 중년 부부로, 본 연구는 부부관계의 상호의존성을 고려하여 중년부부 207쌍의 커플자료를 Actor-Partner Interdependence Model(APIM) 분석방법을 통하여 경로 모형으로 분석하였다. 연구 결과, 스트레스, 결혼만족도, 우울에서 모두 유사성이 있는 것으로 나타나 APIM 모형 분석이 적합한 것으로 나타났다. 모형 1에서는 중년 부부의 스트레스가 높을 때 자신의 우울이 증가하는 자기효과가 있는 것으로 나타났으며, 상대방 효과에서는 부인의 스트레스만이 남편의 우울을 증가시키고, 남편의 스트레스는 부인의 우울에 영향을 미치지 않는 것으로 나타났다. 모형 2에서는 결혼만족도가 높을 때 남편과 부인 모두 자신의 우울을 감소시키는 자기효과가 있는 것으로 나타났다. 상대방 효과로는 부인의 결혼만족도만이 남편의 우울을 감소시키는 효과가 있고, 남편의 결혼만족도는 부인의 우울에 영향을 미치지 않았다. 본 연구 결과를 바탕으로 부부를 대상으로 스트레스 관리 및 결혼만족도를 높일 수 있는 중재를 개발하는 것이 중년기 부부의 우울증 예방을 위해 필요하다고 제언한다. The purpose of this study was to examine the effect of middle-aged couples` stress and marital satisfaction on depression individually and interactively between wife and husband by using the Actor-Partner Interdependence Model (APIM). Data from 207 middle aged couples have been analysed with path analysis. The results of this study were as follows. There was a significant degree of similarities between husband and wife on stress, marital satisfaction and depression. Stress had significant actor effect on the depression of husband and wife alike, revealing the influence of positive stress on depression. In contrast, there was difference in the influence of the partner effect between husband and wife. That is, the stress of husband had no partner effect on the wife`s depression, whereas, the stress of wife had negative partner effect on the husband`s depression. Martial satisfaction had also actor effect presenting that when martial satisfaction was high, individual depression of husband and wife was low. Likewise the stress, marital satisfaction had no partner effect on the wives` depression, indicating that wives` marital satisfaction had negatively influenced the depression of their partner. However, the husband`s marital satisfaction had no influence on their partners` depression. These findings emphasized the importance of considering the reciprocal influences between wife and husband when planning interventions and programs in regards to improving the depression of middle aged couples.

정신질환자에 대한 차별행동에 미치는 영향요인

문난영 ( Moon Nan-young ),김석선 ( Kim Suk-sun ),길민지 ( Gil Minji ) 한국보건사회연구원 2018 保健社會硏究 Vol.38 No.3

본 연구의 목적은 대중매체가 정신질환자에 대한 차별행동에 영향을 미치는지 간접적으로 조사하기 위해 시행되었다. 일반성인 109명, 정신건강전문가 108명을 대상으로 정신질환자의 범죄에 대한 두려움, 회복에 대한 인식, 사회적 편견, 차별행동의 차이 및 두 집단의 정신질환자에 대한 차별행동에 미치는 영향요인을 파악하였다. 연구대상자들에게 대중매체의 영향력을 평가하기 위하여, 정신질환자의 범죄에 대한 내용의 시나리오를 제공한 후, 자가보고 설문지를 시행하였다. 범죄에 대한 두려움 Measurement of Fear of Crime, 회복에 대한 인식 Recovery Knowledge Inventory, 사회적 편견 Community Attitude toward the Mentally Ill, 차별행동 Opinion about Mental Illness 척도를 사용하였다. 기술통계, 독립 t-검정, 피어슨 상관계수, 위계적 다중회귀분석으로 자료 분석하였다. 연구 결과, 일반성인이 정신건강전문가보다 정신질환 회복에 대한 인식, 사회적 편견, 차별행동이 부정적인 것으로 나타났다. 또한, 일반성인은 회복에 대한 인식이 6.8%, 사회생활제한이 41% 차별행동에 대해 설명력을 보였다. 정신건강전문가는 사회생활제한과 지역정신보건개념이 차별행동에 대해 41.3%의 설명력을 보였다. 본 연구의 결과는 범죄와 정신질환자에 대한 대중매체의 역할이 중요함이 간접적으로 제시하였다. 따라서, 일반성인과 정신건강전문가 각 집단별 정신질환을 가진 범죄자의 차별행동을 낮추기 위한 중재 프로그램 개발이 필요하며, 정신질환자에 대한 대중매체 보도를 개선 할 필요가 있다고 제언한다. The purpose of this study was to examine whether media reports related to criminal behavior foster stigma toward people with mental disorders, to compare stigma between general adults and mental health professionals, and to determine whether fear of crime, recovery knowledge, and prejudice toward the mental disorder are associated with discriminatory behavior toward people with mental disorders. The participants were 109 general adults and 108 mental health professionals. After reading the crime scenarios in which a murderer with mental disorders, they responded to the questionnaires. The finding reported that general adults had significantly more stigma toward the mental disorder than mental health professionals. In hierarchical regression model, recovery knowledge and social life restriction regarding prejudice were significantly associated with discriminatory behavior among general adults. In mental health professionals, fear of crime, recovery knowledge, and social life restriction and concepts of community mental health regarding prejudice were significantly related to discriminatory behavior toward people with mental disorders. The results indicated that media reports related to criminal behavior fostered stigma toward people with mental disorders. These results suggest that it is necessary to develop appropriate media guidelines and an intervention program to reduce the discriminatory behavior toward people with mental disorders.

한국어판 종교성 및 영적경험 측정도구의 타당도와 신뢰도 검증

김석선 ( Kim Suk-sun ),김다은 ( Kim Daeun ),문난영 ( Moon Nan Young ),서아영 ( Seo Ahyoung ),길민지 ( Gil Minji ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2021 정신간호학회지 Vol.30 No.2

Purpose: The purpose of this study was to translate Duke University Religion Index (DUREL) and the Daily Spiritual Experience Scale (DSES) into Korean and test the validity and reliability of the instruments. Methods: Korean version of DUREL and DSES were translated and back-translated by 6 bilingual experts and group discussions. Data analyses were performed using SPSS 26.0 and AMOS 22.0. Both exploratory and confirmatory factor analyses were conducted with two data sets of secondary analysis study to examine the factor structure and construct validity. Correlations with other variables were used to test validity and reliability. Results: For K-DUREL, the final evaluation yielded two factors with 5 items: intrinsic religiosity and institutional religious activity. K-DSES had two factors with 16 items: transpersonal spiritual experience, and interpersonal & environmental spiritual experience. Cronbach’s α of K-DUREL and K-DSES were .67 and .96, respectively. Both instruments showed good reliability and validity for the translated Korean versions. Conclusion: Applying K-DUREL and K-DSES in theory-based research may contribute to knowledge about the religious activity and spiritual experiences in the health and well-being of a Korean. Also, two instruments have the potential to measure changes in religion and spirituality after spiritual or holistic nursing interventions.

집순이・집돌이와 자아존중감, 대인관계 능력, 외로움 간의 상관관계

강주은,김수지,김예지,김혜선,노서진,송사라,양소영,연희재,이유정,임연경,홍윤지,박효정,길민지 이화여자대학교 간호과학대학 2019 이화간호학회지 Vol.- No.53

Purpose: The purpose of this study was to investigate the correlation between the homebody population and self-esteem, interpersonal relations, and loneliness. Methods: In this investigation, quantitative research method was used. Using a descriptive correlation study, an online questionnaire was distributed online to university students in the Seoul and KyongKi areas for data collection. A total of 209 people were recruited during data collection performed with structured questions, both open and closed-ended, which was conducted from August 31 to November 22, 2018. Collected data was analyzed with SPSS version 21.0. Results: First, there is a significant positive correlation between the homebodies and the self-esteem variable. Second, there is an insignificant correlation between the homebodies and both, interpersonal relations and loneliness variables. Third, there is a significant correlation between the hikikomori and all three variables. Conclusion: Based on the results of this study, it was aimed to find out the necessity of distinct nursing interventions according to the two different groups, homebodies and hikikomori. Because the tendency both groups were showed differently, it is essential for future studies to investigate and instruct appropriate nursing care for them.