노인 집단에서 배우자의 사별 스트레스와 우울의 관계: 사회적 지지와 대처행동의 조절효과 = The moderating effect of social support and coping on widowed elderly

다국어 초록 (Multilingual Abstract)

The purpose of this study was to examine the moderating effects of social support and coping on the depression of widowed elderly. Participants were composed of 104 older adults, whose age range was from 60 to 80(M=71.31, SD= 5.30). For this purpose, the survey was carried out using Bereavement Stress Scale(emotional loneliness, relational strains, financial strains, role-related strains), Social Support scale, Stress-Coping Scale(dependence on religion, solving the problem, emotional effusion, passive evasion), Geriatric Depression Scale and Livelihood Stress Scale. The data were statistically analyzed using Pearson correlation analysis, stepwise multiple regression and hierarchical regression. There were statistically significant correlations between bereavement stress and depression(r = .40, p < .01.), between social support and depression(r = -.74, p < .01.). Regression analysis revealed that the financial strains were moderated by the social support. But problem-focused coping behavior aggravated depression and was not of help to the widowed. Furthermore, it was found that social support and health condition explained 65.2% of total variance of the bereaved elders' depression. These results demonstrated that social support played a crucial role in the psychological maladaptation of the bereaved elderly.

참고문헌 (Reference)

1 "친족지원과 사별한 편모의 심리적 복지감" 1994

2 "치매노인 부양자들의 대처방식과 대처효과에 대한 지각" 20 (20): 183-193, 2000

3 "일부지역 노인들의 신체적 건강과 우울과의 관련성" 26 (26): 451-459, 2000

4 "역기능적 태도 및 대처방식의 우울에 대한 효과" 한국심리학회 25-438, 1993

5 "여성의 배우자 사별 스트레스 적응 과정에서 개인 내적요인들의 중재적 역할" 36 (36): 95-107, 1998

6 "스트레스이론의 비교 및 노인의 역할변화 연구에의 적용" 22 (22): 41-61, 2002

7 "스트레스 및 대처 그리고 노년기 우울간의 관계" 2002

8 "성인 노인 심리학" 중앙적성출판 1997

9 "배우자와의 사별로 인한 스트레스 및 사회적 지지가 우울감에 미치는 영향" 1997

10 "배우자 사별 노인의 자기 효능감 사회적 지지 및 심리적 적응에 관한 연구" 38 (38): 155-170, 2000

11 "미국 여성노인의 우울증에 영향을 미치는 요인-배우자유무에 따른 비교를 중심으로-" 24 (24): 147-164, 2004

12 "도시노인의 정신건강에 영향을 미치는 요인분석" 16 (16): 39-52, 1996

13 "단독가구 노인의 스트레스와 우울감 사회적 지지의 완충 효과를 중심으로" 1999

14 "노인이 지각한 스트레스 대처방법과 심리적 복지감의 관계에 따른 스트레스 대처" 28 (28): 379-402, 2005

15 "노인의 지각된 스트레스와 대처방법과 생 활만족도의 관계" 2002

16 "노인의 스트레스와 대처방식에 관한 연구" 2002

17 "노인의 스트레스에 대한 영향변인과 대처 방법에 관한 연구" 1990

18 "노인의 스트레스로 인한 우울에 대한 사회적 지지와 대처의 조절효과" 2004

19 "노인의 스트레스 사회적 지지와 우울간의 관계" 34 (34): 477-484, 2004

20 "노인 우울증^" 3 (3): 1-10, 1999

21 "노령화 지수 추이" 보건복지부 출판부 2005

22 "노년기의 고독감 Ⅳ 자녀와의 갈등에 대한 대처행동" 17-32, 1991

23 "남녀 노인의 스트레스" 1994

24 "life events and stress as modifiers of adjustment to bereavement by older adults" 429-436, 1990

25 "and psychological distress among the elderly Journal of Consulting and Clinical Psychology" 519-524, 1990

26 "Work stress and social support" Addison-Wesley 1981

27 "Widowhood and spousal bereavement over a 30-month interval" 434-441, 1992

28 "Transitory Impact of life-event stress on psychological symptoms in older adults" 28 : 197-211, 1987

29 "The support systems of American Urban widows Handbook of bereavement" Cambridge University Press 381-396, 1993

30 "The structure of coping Journal of Health and Social Behavior" 1978

31 "The role of social support in the first two years of bereavement in an elderly sample" 599-604, 1987

32 "The role of social support in bereavement Handbook of Bereavement" Cambridge University Press stylia (stylia): 1993

33 "The role of anticipatory bereavement in older women's adjustment to widowhood" 792-796, 1988

34 "The long-term effects of later life spousal and parenta bereavement on personal functioning." 35 (35): 637-647, 1995

35 "The influence of caregiving and bereavement support on adjusting to an older relative's death" & (&): 32-42, 1991

36 "The effects of widowhood on physical and mental health, health behaviors, and health outcomes." 22 (22): 513-522, 2003

37 "Stressful event and life satisfaction among elderly men and women Journal of Gerontology" 84-92, 1991

38 "Stress, health, and depressive symptoms in older adults at three time points over 18 months." 19 : 207-224, 1998

39 "Stress, coping, and social support processes: Where are we? what next" 36 (36): 53-79, 1995

40 "Stress and religious involvement among older blacks Journal of Gerontology" 4-13, 1989

41 "Status and role change through the life cycle. in R. H. Binstock & E. Shanas (Eds.)" 62-93, 1995

42 "Social support for the bereaved Recipients' and providers' perspectives on what is helpful Journal of Consulting and Clinical Psychological" 438-446, 1986

43 "Social support as a moderator of life stress" 40 : 539-550, 1976

44 "Social support and quality of life" 12 (12): 25-31, 2003

45 "Social support and adaptation to widowhood" 11 : 827-839, 1983

46 "Social forces and aging" Belmont. CA: Wadsworth Publishing Company. 2000

47 "Social class differences in social support among older adults" 35 (35): 498-508, 1995

48 "Social capital and participation in everyday life" London: Routledge. 2001

49 "Situational determinants of coping and coping effectiveness Journal of Health And Social Behavior" 103-122, 1990

50 "Reconceptualizing marital status as a continuum of social attachment" 57 (57): 129-140, 1995

51 "Recent evidence and development of a shorter version A Guide to Assessment and Intervention" Geriatric depression scale The Haworth Press 1986

52 "Positive events and social support as buffers of life change stress" 13 : 99-125, 1983

53 "Older adult family stress and adaptation before and after bereavement Journal of Gerontology" 606-612, 1987

54 "Models of the stress-buffering functions of coping resources" 26 : 352-364, 1985

55 "Living longer depression free" Johns Hopkins University Press. 2003

56 "Life satisfaction determinants of older male and females" 7 : 47-63, 1985

57 "Life Events" New York: Academic Press 1996

58 "Late life depression" 251 (251): 11-61, 2001

59 "Journal of Social Issues" 1-18, 1988

60 "Journal of Gerontology" 1985

61 "Issues in the study and application of social support" Academic Press 1985

62 "Introduction to social psychology" Blackwell Inc 1989

63 "Intrapersonal resources and the effectives of self-help groups for bereaved older adults" 619-629, 1991

64 "Implications of age differences in perceived control Journal of Gerontology" 174-180, 1991

65 "Gender difference through two years of bereavement among the elderly" 314-320, 1986

66 "Financial experience and well-being among mature widowed women" 245-251, 1989

67 "Family status and health behaviors" 28 : 306-319, 1987

68 "Examining the efffects of coping and social support on work and life stress among police officers" 31 : 215-226, 2003

69 "Effects of different sources of social support and social conflict on emotional well-being" 111-129, 1985

70 "Does intergenerational social support influence the psychological well-being of older parents? The contingencies of declining health and widowhood" 943-957, 1994

71 "Does Differential Social Support Cause Sex Differences in Bereavement Outcome?." 9 : 1-12, 1999

72 "Diagnostic and treatment considerations in depression associated with late life bereavement Diagnosis and treatment of depression in late life" American Psychiatric Press 1994

73 "Depression through the first year after the death of a spouse American Journal of Psychiatry" 46-52, 1991

74 "Deficiencies in social support among depressed patients antecedents or consequence of stress Journal of Health and Social Behavior" 438-452, 1984

75 "Beyond widowhood from bereavement to emerge and hope" The Free Press 1989

76 "Bereavement as a psychosocial transition:Processes of adaptation to change" 44 : 53-65, 1993

77 "Assessment of depression and bereavement in older adults. In paper A. Lichtenberg(Ed.)," 11-58, 1999

78 "Age differences in stress and coping process" 171-184, 1987

79 "Age and depression" 33 : 187-205, 1992

80 "Adjustment to loss of spouse as a multivariate construct" 229-245, 1994

81 "Adjusting to widowhood" 101-107, 1989

82 "A prospective study of widowhood and changes in symptoms of depression in a community sample of the elderly" 613-624, 1994