분노, 결혼만족 및 관상동맥 질환 = Anger, Marital Satisfaction, and Coronary Heart Disease

다국어 초록 (Multilingual Abstract)

The present study examined the association of several aspects of anger experience and expression with marital satisfaction in one hundred and eighty seven coronary heart disease (CHD) patients and their spouses. Anger and marital satisfaction were measured by the Korean adaptation of the State-Trait Anger Expression Inventory (STAXI-K, Chon, Hahn, & Lee, 1998), and a short version of the Marital Satisfaction Scale (Lee, 1998), respectively. Regression analyses revealed that higher levels of CHD patients’ anger-out predicted lower levels of spouses’ marital satisfaction, and CHD patients’ state anger predicted lower levels of their own marital satisfaction. In contrast, higher levels of CHD patients’ anger-control predicted higher levels of spouses’ marital satisfaction. In addition, higher levels of spouses’ state anger predicted lower levels of CHD patients’ and spouses’ own marital satisfaction, and spouses’ anger-in predicted lower levels of their own marital satisfaction. These associations were stronger for female patients than for males. The results suggest that models of psychosocial risk factors for CHD should consider the combined effects of personality and relationship variables. Finally, the findings were discussed from a cross-cultural perspective, and some implications for future studies are suggested.

국문 초록 (Abstract)

본 연구에서는 관상동맥 질환에 대한 분노와 결혼만족 간에 연관성을 살펴보았다. 이 목적을 위하여 187명의 관상동맥 질환 환자와 환자의 배우자를 대상으로 한국판 상태-특성 분노 표현 척도(STAXI-K, Chon, Hahn, & Lee, 1998)과 결혼만족도 척도(이경성, 1998)의 단축형을 사용하였다. 회귀 분석 결과 관상동맥 질환자 가운데 높은 수준의 분노 표출이 배우자의 낮은 수준의 결혼만족도를 예언하고 있었으며, 관상동맥 질환자의 상태 분노는 자신의 낮은 수준의 결혼만족도를 예언하는 것으로 나타났다. 반면에, 관상동맥 질환자의 높은 수준의 분노 통제는 배우자의 높은 수준의 결혼만족도를 예언하고 있었다. 덧붙여, 배우자의 높은 수준의 상태 분노는 관상동맥 질환자와 자신의 낮은 수준의 결혼만족도를 예언하고 있었으며, 배우자의 높은 수준의 분노 억제는 자신의 낮은 수준의 결혼만족도를 예언하고 있었다. 이러한 연관성은 전반적으로 남자에 비하여 여자에게서 두드러지게 나타났다. 본 연구 결과는 관상동맥 질환의 위험 요인에 관한 모형에서 개인내적인 성격과 개인외적인 사회적 맥락을 함께 고려할 필요가 있음을 암시하고 있다. 끝으로, 본 결과를 비교문화적 조망에서 논의하고, 추후 연구를 위한 시사점이 제안되었다.

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