화병의 발생기제 생활 스트레스와 화의경험 및 표현 그리고 성격간의 관계

다국어 초록 (Multilingual Abstract)

This study is meant to test the hypothetical model of the processing mechanism on hwabyung. The influence of the independent variables, including the five factors of life stress, anger experience, as well as the moderating variables, which are comprised of five factors of personality and two styles of anger expression, on hwabyung were examined.
In view of the fact that almost all of hwabyung patients were married women, subjects were confined to 681 married women. The hwabyung group consisted of 15 hwabyung patients and 84 persons supposed to be afflicted with hwabyung, and the comparison group did not have any inclusive criteria. The scales employed in the present study were the Life Stress Scale designed in this study, a Korean adaptation of STAXI, Big Five Inventory, Diagnostic Scale of hwabyung and BDI.
The major findings of the present study were as follows: from among various variables, trait angedtemperament, state anger, husband’s extramarital affairdill-treatment, illness of herself/family member, economic poverty, neuroticism, low extraversion were found to be predictors of hwabyung.
When the hwabyung group was compared with the comparison group regarding life stress, the hwabyung group revealed more stress in all of 5 of the factors of life stress. Husband’s extramarital affairshll-treatment was the most stressful factor to the hwabyung group, which revealed significantly higher scores than the comparison group.
The hwabyung group, in comparison to the comparison group, showed higher scores in both state and trait anger in terms of the experience of anger. With respect to the anger expression level, the hwabyung group also showed higher scores in both anger-in and anger-out scores compared to the comparison group.
In relation to the degree of symptoms on hwabyung, the results showed that the degree of hwabyung is significantly higher when the level of state anger was high rather than low, when the level of each of the factors of neuroticism, openness to experience, and agreeableness is high rather than low, and when the level of extraversion is low rather than high. Also, the differences in the degree of hwabyung that is based on extraversion did not appear when state anger was low. However, when state anger was high, the degree of hwabyung was also shown to be high. The results also show that the degree of hwabyung is higher when they express anger more often rather than not express anger more often, and when they suppress anger more often rather than not suppress anger more often.
When the relations between personality trait, life stress, and state anger were analyzed, neuroticism and openness to experience were significantly positively and extraversion was negatively related to both life stress and state anger.
These findings support previous research in suggesting that there are demographic characteristics in hwabyung patients and specific relationships between life stress and hwabyung. This study is suggestive with respect to employ reliable and valid instruments, and survey married women.

목차 (Table of Contents)

• 목차
• I. 서론 = 1
• 1. 연구목적 = 1
• 2. 화병의 개념 = 3
• 1) 화병과 한의 형성기제 = 3
• 2) 우리문화와 화병 = 5
• 3) 화병의 어원과 화의 개념 = 8
• 4) 화병의 정신의학적 특성 = 10
• 3. 생활스트레스 및 성격과 화병간의 관계 = 12
• 1) 생활스트레스와 화병간의 관계 = 12
• 2) 성격특성과 대처간의 관계 = 14
• 4. 화의 경험 및 표현 = 17
• 1) 화 경험 및 표현의 개념 = 18
• 2) 화 표현 및 경험과 화병간의 관계 = 21
• 5. 성격특성 = 24
• 1) 성격의 5요인 모델 = 24
• 2) 성격특성과 화병간의 관계 = 26
• 6. 화 표현 방식과 성격특성간의 관계 = 31
• 7. 화병 발생기제의 모형 = 33
• 1) 생활스트레스 = 35
• 2) 화의 경험 및 표현 = 36
• 3) 성격특성 = 37
• 8. 연구과제 = 37
• II. 방법 = 39
• 1. 조사 대상자 = 39
• 2. 측정도구 = 39
• 3. 조사실시 = 41
• III. 결과 = 43
• 1. 조사대상자의 특성 = 43
• 2. 척도의 요인구조와 신뢰도 = 48
• 1) 생활스트레스 척도 = 48
• 2) 상태-특성 화 표현 척도 = 51
• 3) 성격의 5요인 척도 = 55
• 4) 화병 진단 척도 = 56
• 3. 요인간 상관 = 57
• 4. 변병타당도 = 61
• 1) 자료수집시 구분된 화병집단과 비교집단간의 차이 = 61
• 2) 화병진단척도 점수로 구분한 화병집단과 비교집단 차이 = 62
• 5. 생활 스트레스 및 화와 화병간의 관계 = 65
• 1) 상태 화의 선행변수 = 65
• 2) 화병의 선행변수 = 66
• 3) 우울의 선행변수 = 67
• 6. 화 표현방식 미 성격의 조절효과 = 69
• 7. 결과 요약 = 76
• IV. 논의 = 80
• 참고문헌 = 87
• ABSTRACT = 100
• 질문지 = 102
• 부록1. 상태-특성 화 표현 척도 = 104
• 부록2. 생활스트레스 질문지 = 107
• 부록3. 성격의 5요인 질문지 = 109
• 부록4. 화병 진단 척도 = 113
• 부록5. Beck의 우울증 척도 = 118