저소득층의 우울증에 대한 무망감과 사회적 문제해결능력의 영향

국문 초록 (Abstract)

본 연구는 우울증에 대한 무망감 이론을 근거로 하여 저소득층의 외상과 스트레스 같은 부정적 생활 경험과 매개변인으로 제안된 무망감을 통하여 우울증이 유발되는지를 확인하고, 이 구조에서 사회적 문제해결능력의 영향을 파악하는 것이다. 연구대상은 20세 이상의 국민기초생활보장법상 수급권자와 자활후견기관과 연계된 차상위계층 175명이다. 연구결과, 저소득층의 스트레스는 무망감에 정적 영향을 마치며, 스트레스와 무망감은 우울증에 정적 영향을 나타내었다. 또한 우울증에 대한 무망감 이론을 근거로 제안된 스트레스는 무망감을 매개변인으로 우울증에 영향을 미치는 경로를 나타내었다. 이러한 구조에서 사회적 문제해결능력은 스트레스가 무망감에 미치는 영향을 무망감이 우울증에 미치는 영향을 감소하는 요인으로 밝혀졌다. 이러한 결과를 바탕으로 저소득층의 무망감과 우울증에 대한 실천개입의 강조와 정신건강증진을 위한 함의들이 논의되었다.

다국어 초록 (Multilingual Abstract)

The purpose of this study was to identify how traumatic experiences and stresses caused hopelessness and depression among low-income residents, and to delineate what social problem solving capabilities might play roles in relation to the hopelessness theory of depression. For the purpose of the study, the target group of this study was restricted to adults over 20. This study recruited 175 low-income residents(the Beneficiary of National Basic Livelihood Security Act and the Near Poor Group) in Busan, Korea and employed a self-administered survey method during February, 2004. The following are the major results of the study.<br/>
First, in low-income subjects, stresses showed positive influences on hopelessness. Second, in low-income subjects, stresses and hopelessness showed positive influences on depression. Third, stress influenced depression with hopelessness as the intervening variable, but it was not statistically significant path in traumatic experiences. The hopelessness theory of depression is to test whether the individuals who have negative attributional style and experience negative life events are likely to make negative attributions for the negative events they confront. The present study, using low-income residents, found that negative life experience predict negative attributions without negative attributional style. Fourth, social problem solving capabilities buffered the relationship between stress and hopelessness. It was also significant subscales apart from Positive Problem Orientation and Negative Problem Orientation. Fifth, social problem solving capabilities buffered the relationship between hopelessness and depression. It was also significant subscales apart from Negative Problem Orientation and Impulsivity/Carelessness Style. Based on the results, practice implications by identifying what social problem solving capabilities might play roles in hopelessness theory of depression were discussed.

목차 (Table of Contents)

• [요약]
  
• 1. 서론
  
• 2. 이론적 배경
  
• 3. 연구설계
  
• 4. 분석결과
  
• 5. 요약 및 실천적 함의
  
• 참고문헌
  
• Abstract

참고문헌 (Reference)

1 정수자, "학습된 무기력에 미치는 가정변인 효과의 경로분석" 10 (10): 257-290, 1996

2 이미정, "우울한 사람들의 사회적 문제해결능력과 태도" 16 : 85-100, 1997

3 김영미, "우울증환자들의 사회적 문제해결능력" 17 : 130-138, 1992

4 한승준, "사회조사방법론" 서울: 대영문화사 2000

5 이미정, "사회적 문제해결 프로그램의 개발 및 효과에 관한 연구" 14 (14): 199-218, 2002

6 최이순, "사회적 문제 해결 도구의 신뢰도 및 타당도 연구" 21 (21): 413-428, 2002

7 황청일, "빈곤의 원인별 정책에 관한 이론적 모색" 청주대학교 사회과학론집 87-105, 1997

8 김미혜, "노년기 우울증 원인에 대한 경로분석" 20 (20): 211-226, 2000

9 이영호, "귀인양식, 생활사건, 사건귀인 및 무망감과 우울의 관계 : 공변량구조모형을 통한 분석(미간행)" 서울대학교 박사학위논문 1993

10 Abramson L.Y, "hopelessness depression: a theory-based subtype of depression" 358-372, 1988

11 Frye A.A, "Which Social Problem-Solving Components Buffer Depression in Adolescent Girls?" 24 (24): 637-650, 2000

12 House J.S, "Understanding Social Factors and Inequalities in Health: 20th Century Progress and 21st Century Prospects" 43 : 125-142, 2001

13 Dooley D, "Underemployment and Depression: Longitudinal Relationships" 41 : 421-436, 2000

14 Kapci E.G, "The mediation component of the hopelessness depression in relation to negative life events" 13 (13): 413-423, 2000

15 Beck A.T, "The measurement of pessimism : The hopelessness scale" 42 : 861-865, 1974

16 Turner R.J, "The Epidemiology of Social Stress" 60 : 104-125, 1995

17 Mcumurran M, "Stop & Think!: social problem-solving therapy with personality-disordered offenders" 11 : 273-285, 2001

18 Eaton W.W, "Socioeconomic Status and Depressive Syndrome: The Role of Intera- generational Mobility, Government Assistance, and Work Environment" 41 : 277-294, 2001

19 Link B.G, "Socioeconomic Status and Depression: The Role of Occupations Involving Direction, Control, and Planning" 98 (98): 1351-1387, 1993

20 Miech R.A, "Socioeconomic Status and Depression Over the Life Course" 41 : 162-176, 2000

21 Lantz P.M, "Socioeconomic Factors, Health Behaviors, and Mortality" 1703-1708, 1998

22 Elliott T.R, "Social problem-solving abilities and distress among family members assuming a caregiving role" 8 : 149-163, 2003

23 Holahan C.J, "Social context, coping strategies, and depressive symptoms: An expanded model with cardiac patients" 72 : 918-928, 1997

24 D'Zurilla T.J, "Social Problem-solving in adults" n Advances in cognitive-behavioral research and therapy, edited by P. C. Kendall. New York: Academic Press 201-274, 1982

25 Baker S.R, "Short Communication: Relation between social problem-solving appraisals, work stress and psychological distress in male firefighters" 17 : 219-229, 2001

26 Norris F.H, "Received and perceived social support in times of stress: A test of the social support deterioration deterrence model" 11 : 498-511, 1996

27 Belle D, "Poverty and women's mental health" 45 : 385-389, 1990

28 Kessler R, "Posttraumatic stress disorder in the National Comorbidity Survey" 52 : 1048-1060, 1995

29 Dooley D, "Mental Health and Welfare Transitions: Depression and Alcohol Abuse in AFDC Women" 30 (30): 787-814, 2002

30 D'Zurilla T.J, "Manual for the Social Problem Solving Inventory-Revised" New York: Multi-Health Systems 1999

31 Beck A.T, "Manual for the Beck Hopelessness Scale. San Antonio" TX: Psychological Corp 1988

32 Abramson L.Y, "Learned helplessness in humans: Critique and reformulation" 49-74, 1978

33 유희정, "IMF에 관련된 경제적 스트레스가 정신건강에 미치는 영향" 39 : 65-77, 2000

34 Beck A.T, "Hopelessness, depression, suicidal ideation, and clinical diagnosis of depression." 23 : 139-145, 1993

35 American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders. 4th ed.(DSM-Ⅳ)" Washington, DC. 1994

36 Green B.L, "Determinants of Social Support Among Low-Income Mothers: A Longitudinal Analysis" 29 (29): 419-441, 2001

37 BellSouth J.W, "An Empirical Test of Crisis, Social Selection, and Role Explanations of the Relationship Between Marital Disruption and Psychological Distress: A Pooled Time-Series Analysis of Four-Wave Panel Data" 64 : 211-224, 2002

38 Mirowsky J, "Age and the Effect of Economic Hardship on Depression" 42 : 132-150, 2001

39 Cohen S, "A global measure of perceived stress" 24 : 385-396, 1983

40 Meydeu-Olivares A, "A factor-analytic study of the social problem solving inventory: An integration of theory and data" 20 : 115-133, 1996

41 Abela J.R.Z, "A Test of the Integration of the Hopelessness and Self-Esteem Theories of Depression in Schoolchildren" 27 (27): 519-535, 2003