암환자의 외상후성장에 영향을 미치는 요인에 관한 연구 = Posttraumatic growth in patients with cancer

다국어 초록 (Multilingual Abstract)

Cancer is a disease that threatens the individual`s life. This is why the cancer patient goes through psychosocial pain in the form of a trauma. Thus, the previous researches have only focused on the cancer patient`s psychosocial distress. However, the cancer patients who have grown more mature and brought upon positive changes in their lives have been clinically observed. Because of this, researches regarding the ways that social welfare can intervene in order to examine the cancer patients` positive changes and growth which breaks away from the previous pathological point of view of the cancer patients are being actively conducted in other countries. But it turns out that there aren`t enough basic researches related to this topic and thereby the need to lay out the basis for social welfare intervention. Therefore, this research examines positive changes and growth that may result from the traumatic experience of having a cancer. The predictable factors regarding this are analyzed in order to provide the basic information that may promote clinical intervention for cancer patient`s posttraumatic growth. For this, the information from 206 cancer patients who have agreed to participate in the research have been used to predict and evaluate the predictable factors for the cancer patient`s post-traumatic growth and hierarchy multiple regression haven been analyzed. As the result of the research, main factor of the post-traumatic growth is found to be social support and coping. The positive reconstruction of coping has been discovered to be the strongest predictable factor for cancer patient`s posttraumatic growth. Based on this result, the advice for further research and implications for social welfare have been given.

참고문헌 (Reference)

1 송승훈, "한국판 외상후 성장 척도의 타당도 및 신뢰도 연구" 한국건강심리학회 14 (14): 193-214, 2009

2 김종남, "한국판 암 대처 질문지의 타당화" 한국건강심리학회 9 (9): 395-414, 2004

3 서상연, "한국어판 Duke-UNC 사회적 지지도 설문지 개발" 18 (18): 250-260, 1997

4 랜스 암스트롱, "이것은 자전거 이야기가 아닙니다.-랜스 암스트롱, 삶의로의 귀환" 체온 365-, 2007

5 김희정, "유방암 생존자의 외상후성장 관련 요인 탐색" 한강심리학회 13 (13): 781-799, 2008

6 이양자, "외상후 성장에 대한 연구 개관 : 적응과의 관계 및 치료적 적용을 중심으로" 한국건강심리학회 13 (13): 1-23, 2008

7 이인정, "암환자 배우자의 돌봄 부담에 영향을 미치는 요인에 관한 연구" 한국가족사회복지학회 30 (30): 197-224, 2010

8 이영선, "암환자 가족의 삶의 질에 관한 연구:돌봄 부담감과 내적 성장의 매개효과 중심으로" 이화여자대학교 2008

9 이영선, "암환자 가족을 대상으로 한‘외상 후 성장 척도(K-PTGI)’의 타당도 검증" 한국사회복지연구회 40 (40): 123-143, 2009

10 이인정, "암 경험에 따른 외상후성장에 대한 국내외 연구의 체계적 고찰" 6 : 81-113, 2009

11 Schulz, U., "Turning the tide: benefit finding after cancer surgery" 59 (59): 653-662, 2004

12 Sears, S. R., "The yellow brick road and the emerald city: benefit finding, positive reappraisal coping and posttraumatic growth in women with early-stage breast cancer" 22 (22): 487-497, 2003

13 Schroevers, M. J., "The report of posttraumatic growth in Malaysian cancer patients:relationships with psychological distress and coping strategies" 17 (17): 1239-1246, 2008

14 Morrill, E. F., "The interaction of post-traumatic growth and post-traumatic stress symptoms in predicting depressive symptoms and quality of life" 17 (17): 948-953, 2008

15 Moorey. S., "The cancer coping questionnaire: A self-rating scale for measuring the impact of adjuvant psychological therapy on coping behavior" 12 : 331-344, 2003

16 Tedeschi, R. G., "The Posttraumatic Growth Inventory: measuring the positive legacy of trauma" 9 (9): 455-471, 1996

17 Stanton, A. L., "Randomized, controlled trial of written emotional expression and benefit finding in breast cancer patients" 20 (20): 4160-4168, 2002

18 Sabiston, C. M., "Psychosocial experiences of breast cancer survivors involved in a dragon boat program: exploring links to positive psychological growth" 29 (29): 419-438, 2007

19 Mehnert, A., "Psychological comorbidity and health-related quality of life and its association with awareness, utilization, and need for psychosocial support in a cancer register-based sample of long-term breast cancer survivors" 64 (64): 383-391, 2008

20 Widows, M. R., "Predictors of posttraumatic growth following bone marrow transplantation for cancer" 24 (24): 266-273, 2005

21 Bellizzi, K. M., "Predicting posttraumatic growth in breast cancer survivors" 25 (25): 47-56, 2006

22 Kangas, M., "Posttraumatic stress disorder following cancer. A conceptual and empirical review" 22 (22): 499-524, 2002

23 Jim, H. S., "Posttraumatic stress and posttraumatic growth in cancer survivorship: a review" 14 (14): 414-419, 2008

24 Dunigan, J. T., "Posttraumatic growth, immunity and survival in patients with hepatoma" 52 (52): 2452-2459, 2007

25 Weiss, T., "Posttraumatic growth in women with breast cancer and their husbands: an intersubjective validation study" 20 (20): 65-80, 2002

26 Thornton, A. A., "Posttraumatic growth in prostate cancer survivors and their partners" 15 (15): 285-296, 2006

27 Smith, B. W., "Posttraumatic growth in non-Hispanic White and Hispanic women with cervical cancer" 26 (26): 91-109, 2008

28 Zwahlen, D., "Posttraumatic growth in cancer patients and partners-effects of role, gender and the dyad on couples' posttraumatic growth experience" 19 (19): 12-20, 2010

29 Barakat, L. P., "Posttraumatic growth in adolescent survivors of cancer and their mothers and fathers" 31 (31): 413-419, 2006

30 Zoellner, T., "Posttraumatic growth in accident survivors: openness and optimism as predictors of its constructive or illusory sides" 64 (64): 245-263, 2008

31 Ho, S. M., "Posttraumatic growth in Chinese cancer survivors" 13 (13): 377-389, 2004

32 Cordova, M. J., "Posttraumatic growth following breast cancer: a controlled comparison study" 20 (20): 176-185, 2001

33 Manne, S., "Posttraumatic growth after breast cancer: patient, partner, and couple perspectives" 66 (66): 442-454, 2004

34 Mystakidou, K., "Post-traumatic growth in advanced cancer patients receiving palliative care" 13 (13): 633-646, 2008

35 Taylor, S., "Positive illusions and coping with adversity" 64 : 873-898, 1996

36 Mystakidou, K., "Personal growth and psychological distress in advanced breast cancer" 17 (17): 382-386, 2008

37 Best, M., "Parental distress during pediatric leukemia and posttraumatic stress symptoms (PTSS) after treatment ends" 26 (26): 299-307, 2001

38 Steel, J. L., "Measuring post-traumatic growth in people diagnosed with hepatobiliary cancer: directions for future research" 35 (35): 643-650, 2008

39 Lelorain, S., "Long term posttraumatic growth after breast cancer: prevalence, predictors and relationships with psychological health" 17 (17): 14-22, 2010

40 Tomich, P., L., "Is finding something good in the bad always good?" 23 (23): 16-23, 2004

41 Bellizzi, K. M., "Expressions of generativity and posttraumatic growth in adult cancer survivors" 58 (58): 267-287, 2004

42 Lieberman, M. A., "Electronic support groups for breast carcinoma:a clinical trial of effectiveness" 97 (97): 920-925, 2003

43 Lechner, S. C., "Do sociodemographic and disease-related variables influence benefit-finding in cancer patients?" 12 (12): 491-499, 2003

44 American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders(DSM-IV). 정신장애의 진단 및 통계편람(제4판)" 1994

45 Weiss, T., "Correlates of posttraumatic growth in husbands of breast cancer survivors" 13 (13): 260-268, 2004

46 Weaver, K. E., "Comparing unidimensional and multidimensional models of benefit finding in breast and prostate cancer" 17 (17): 771-781, 2008

47 Cruess, D. G., "Cognitive-behavioral stress management reduces serum cortisol by enhancing benefit finding among women being treated for early stage breast cancer" 62 (62): 304-308, 2000

48 Antoni, M. H., "Cognitive-behavioral stress management intervention decreases the prevalence of depression and enhances benefit finding among women under treatment for early-stage breast cancer" 20 (20): 20-32, 2001

49 McGregor, B. A., "Cognitive-behavioral stress management increases benefit finding and immune function among women with early-stage breast cancer" 56 (56): 1-8, 2004

50 Tedeschi, R. G., "Beyond the concept of recovery: growth and the experience of loss" 32 (32): 27-39, 2008

51 Kim, Y., "Benefit-finding in the cancer caregiving experience" 69 (69): 283-291, 2007

52 Dahan, J. F., "A qualitative study of the trauma and posttraumatic growth of multiple myeloma patients treated with peripheral blood stem cell transplant" 4 (4): 365-387, 2006