아동분야 휴먼서비스 종사자의 통합성이 정신건강에 미치는 영향 : 대리외상의 매개효과를 중심으로 = The effects of the sense of coherence on the mental health among human service workers working with children: The mediating effects of vicarious trauma

다국어 초록 (Multilingual Abstract)

The current study aims to explore the relationship between the sense of coherence(SOC), vicarious trauma, and the mental health of human service workers. Based on the salutogenic model, this study investigates the path of how SOC impacts on mental health through vicarious trauma. The surveys were conducted on 358 workers involved in human services agencies. The participants of the current study included 161 child and youth counselors, 158 child protective service workers, and 39 psychiatrists. Structural equation modeling was utilized as the main statistical method. The results of the study show that the SOC of the participating workers had a direct impact on their mental health problems even after adjusting for agency types, the level of supervision that they received, and their career service lengths. In addition, the SOC of the workers also had an indirect impact on their mental health problems through vicarious trauma. It is concluded that SOC alleviates mental health problems not only directly but also indirectly through reducing vicarious trauma. Based on these result, practice implications for the mental health of human service workers were discussed.

참고문헌 (Reference)

1 박종익, "한국판 일반 건강 설문지의 요인 구조" 대한신경정신의학회 51 (51): 178-184, 2012

2 은헌정, "한국판 사건충격척도 수정판의 신뢰도 및 타당도 연구" 대한신경정신의학회 44 (44): 303-310, 2005

3 이영선, "응급구조원, 지하철 승무원, 아동보호전문기관 사회복지사의 대리 외상과 외상 후 성장" 한국사회복지연구회 43 (43): 249-273, 2012

4 윤아랑, "업무환경 요인 및 개인 내적 요인이 상담자 소진에 미치는 영향" 한국심리학회 32 (32): 967-988, 2013

5 최진혜, "아동상담자의 직무스트레스와 개인적 자원이 소진 및 직무열의에 미치는 영향" 한국보육지원학회 8 (8): 231-252, 2012

6 엄영숙, "아동보호전문기관 사회복지사의 이차외상스트레스 대처과정에 관한 연구: 고통 속에서 줄탁을 통해 나아가기" 한국정신건강사회복지학회 42 (42): 63-90, 2014

7 권해수, "성폭력상담자의 대리외상 관련 변인 연구: 상담유형, 외상경험, 사회적 지지를 중심으로" 한국상담학회 12 (12): 415-430, 2011

8 이미혜, "상담자들의 대리외상: 개관연구" 한국심리학회 33 (33): 109-137, 2014

9 나동석, "사회적 지지와 지각된 직무스트레스가 보육교사의 정신건강에 미치는 영향" 한국아동권리학회 8 (8): 733-756, 2004

10 박은아, "사회복지사의 직장 내 폭력이 정서적 소진에 미치는 영향: 슈퍼비전의 조절효과" 한국정신건강사회복지학회 44 (44): 325-351, 2016

11 장신재, "사회복지사의 정신건강에 영향을 미치는 요인에 관한 연구 -업무환경의 조절효과를 중심으로-" 사회복지연구소 19 : 253-274, 2008

12 김현정, "공감만족-공감피로(CS-CF) 모델에 근거한 임상간호사의 소진 구조모형" 한국간호과학회 44 (44): 259-269, 2014

13 노충래, "개인 및 조직특성과 대리외상이 성매매 피해 여성 상담원들의 소진에 미치는 영향" 한국정신건강사회복지학회 (28) : 265-293, 2008

14 Romppel, M., "What is the General Health Questionnaire-12assessing? Dimensionality and psychometric properties of the General Health Questionnaire-12 in a large scale German population sample" 54 (54): 406-413, 2013

15 McCann, L., "Vicarious traumatization: A framework for understanding the psychological effects of working with victims" 3 (3): 131-149, 1990

16 Osofsky, J. D., "Vicarious traumatization and the need for self-care in working with traumatized young children" Clinical Work with Traumatized Young Children 336-348, 2011

17 Antonovsky, A., "Unraveling the mystery of health" Jossey-Bass 1987

18 Kang. Jj-hee, "Traumatic experience of counselor for children, secondary traumatic stress, and moderating effect of counselor variable for vicarious trauma" Dongshin University 2015

19 Neukrug, E. S., "Theory, practice, and trends in human services: An introduction" Cengage Learning 2016

20 Goldberg, D. P., "The validity of two versions of the GHQ in the WHO study of mental illness in general health care" 27 (27): 191-197, 1997

21 Shin, Sun-in, "The validity and reliability of the Korean version of the General Health Questionnaire: KGHQ-20 & KGHQ-30" 46 : 210-235, 2001

22 Antonovsky, A., "The structure and properties of the sense of coherence scale" 36 (36): 725-733, 1993

23 Mittelmark, M. B., "The salutogenic model of health in health promotion research" 20 (20): 30-38, 2013

24 Antonovsky, A., "The salutogenic model as a theory to guide health promotion" 11 (11): 11-18, 1996

25 Cilliers, F., "The role of spirituality in coping with the demands of the hospital culture amongst fourth-year nursing students" 26 (26): 279-288, 2014

26 Dietscher, C., "The handbook of salutogenesis" Springer International Publishing 277-298, 2017

27 Maslach, C., "The Maslach burnout inventory" Consulting Psychologists Press 1981

28 Vinje, H. F., "The Handbook of Salutogenesis" Springer International Publishing 307-318, 2017

29 Mittelmark, M. B., "The Handbook of Salutogenesis" Springer International Publishing 45-56, 2017

30 Stamm, B. H., "The Concise ProQOL Manual"

31 Jakobsson, U., "Testing construct validity of the 13-item sense of coherence scale in a sample of older people" 4 (4): 6-13, 2011

32 Lee, Hak-sik,., "Structural equation modeling AMOS 18.0/19.0" JHJbook 2011

33 Bae, Byung-ryul, "Structural equation model with AMOS 19 - principles and practice -" Chung Ram Book 2011

34 Post-White, J., "Stress, coping, and health in families: Sense of coherence and resiliency, 1" Sage 279-291, 1998

35 Krohne, H. W., "Stress and Coping Theories" 22 : 15163-15170, 2002

36 Schnyder, U., "Sense of coherence-a mediator between disability and handicap?" 68 (68): 102-110, 1999

37 Veronese, G., "Sense of coherence mediates the effect of trauma on the social and emotional functioning of Palestinian health providers" 84 (84): 597-606, 2014

38 Mullen, P. M., "Sense of coherence as a mediator of stress for cancer patients and spouses" 11 (11): 23-46, 1994

39 Kivimaki, M., "Sense of coherence as a mediator between hostility and health Seven-year prospective study on female employees" 52 : 239-247, 2002

40 Veronese, G., "Sense of coherence as a determinant of psychological well-being across professional groups of aid workers exposed to war trauma" 2015

41 Amirkhan, J. H., "Sense of coherence and stress: The mechanics of a healthy disposition" 18 (18): 31-62, 2003

42 Cohen, O., "Sense of coherence and adjustment to divorce among muslim arab citizens of Israel" 17 (17): 309-326, 2003

43 NCTSN, "Secondary traumatic stress: A fact sheet for child-serving professionals" National Center for Child Traumatic Stress

44 Sprang, G., "Secondary traumatic stress and burnout in child welfare workers: A comparative analysis of occupational distress across professional groups" 90 (90): 149-168, 2011

45 Samios, C., "Secondary traumatic stress and adjustment in therapists who work with sexual violence survivors: The moderating role of posttraumatic growth" 40 (40): 341-356, 2012

46 Ying, Y. W., "Psychological dysfunction in Southeast Asian refugees as mediated by sense of coherence" 25 (25): 839-859, 1997

47 Bride, B. E., "Prevalence of secondary traumatic stress among social workers" 52 (52): 63-70, 2007

48 Hyman, O., "Perceived social support and secondary traumatic stress symptoms in emergency responders" 17 (17): 149-156, 2004

49 Yoon, Myeong-sook, "Mental health status and related factors of mental health social worker" 23-58, 2014

50 Kwon, Hea-kyung, "Integrative trauma Seminar: Psychoanalyst Dr. Kwon Hea-Kyung-August 20(Kwangju, Korea), 21(Seoul, Korea) & 22(Daegu, Korea)"

51 Burger, W., "Human services in contemporary America" Brooks/Cole 2013

52 Antonovsky, A., "Health, stress and coping" Jossey-Bass 1979

53 Faltermaier, T., "Gesundheitspsychologie. grundriss der psychologie" Band 21 2005

54 Sullivan, G. C., "Evaluating Antonovsky's salutogenic model for its adaptability to nursing" 14 (14): 336-342, 1989

55 Kim, Na-young, "Development and effect of a salutogenic program for married immigrant women" Kyungpook National University 2014

56 Lindstrom, B., "Contextualizing salutogenesis and Antonovsky in public health development" 21 (21): 238-244, 2006

57 Conrad, D., "Compassion fatigue, burnout, and compassion satisfaction among Colorado child protection workers" 30 (30): 1071-1080, 2006

58 Veronese, G., "Can sense of coherence moderate traumatic reactions? A cross-sectional study of Palestinian helpers operating in war contexts" 43 (43): 651-666, 2012

59 Weiss, D. S., "Assessing psychological trauma and PTSD: A practitioner's handbook" Guilford Press 399-411, 1997

60 Eriksson, M., "Antonovsky's sense of coherence scale and the relation with health: a systematic review" 60 (60): 376-381, 2006

61 Kim, Gi-deok, "An introduction to human services" SJbook 2013

62 Kim, Gye-soo, "AMOS 18.0 structural equation modeling" Hannarae Publishing Co. 2010

63 Goldberg, D., "A user's guide to the General Health Questionnaire"

64 Park, Ji-young, "A study on trauma-related helping workers' stress" 32 (32): 97-118, 2015

65 Song, Ji-joon, "2nd edition SPSS/AMOS statistical analysis" 21c Book 2012