암환자와 건강한 성인의 스트레스 지각과 대응양상이 우울에 미치는 효과 비교 = Comparison of Effects of Perceived Stress and Coping Patterns on Depression between Cancer Patients and Healthy Adults

다국어 초록 (Multilingual Abstract)

Purpose: This study was undertaken to compare perceived stress and coping patterns, and their effects on depression between cancer patients and healthy adults. Methods: A descriptive design was used with 278 subjects, consisting of 139 cancer patients and 139 health adults, living in an urban area. All participants completed the following prerequisites; Stress Visual Analog Scale, Ways of Coping Checklist (W.C.C.L), Depression Index (CES-D), and Demography and Disease Data Questionnaire. Results: Perceived stress and depression were significantly higher, while wishful thinking was lower among cancer patients than healthy adults, after adjusting for education and family income which were not homogeneous between the groups. Among cancer patients, 20.2% of depression was mainly due to seeking support (10.7%), perceived stress and education, while 30.7% of depression in healthy adults was due to perceived stress, problem solving, and seeking support. Conclusion: These findings suggest that interventions to manage depression in cancer patients should include strategies to best foster positive coping patterns and reduce perceived stress.

참고문헌 (Reference)

1 신경림, "한국 성인 여성의 우울" 31 (31): 391-400, 2001

2 최영민, "지각된 스트레스와 스트레스 대처 방식이 직장인의 우울과 불안에 미치는 영향" 35 (35): 1376-1385, 1996

3 이윤정, "일개지역 암환자의 불확실성과 대처 및 우울에 관한 연구" 31 (31): 244-256, 2001

4 류은정, "암환자의 우울, 자기효능 및 대처간의 상관관계" 13 (13): 70-81, 2001

5 도복늠, "암환자의 생활스트레스, 사회적지지 및 대응방법" 7 (7): 407-416, 2002

6 김복련, "암환자의 대처양상에 관한 연구" 한국간호과학회 33 (33): 321-330, 2003

7 도복늠, "암환자와 건강인의 스트레스와 대응기전" 12 (12): 1-12, 1998

8 김희승, "암환자와 가족원의 스트레스와 대처방법 차이" 한국간호과학회 33 (33): 538-543, 2003

9 전겸구, "암환자에서의 우울의 역할: 예비연구" 3 (3): 59-69, 1999

10 이평숙, "암 환자의 지각된 스트레스,분노표현방식 및 우울간의 관계" 한국간호과학회 35 (35): 195-205, 2005

11 박애선, "기혼여성의 성역할 특성과 스트레스 지각이 스트레스 대처방식에 미치는 영향" 4 (4): 69-79, 1992

12 이미라, "간호학생의 스트레스 지각, 대처, 스트레스 결과에 대한 구조모형" 11 (11): 321-332, 2000

13 Wonghongkul T, "The influence of uncertainty in illness, stress appraisal, and hope on coping in survivors of breast cancer" 23 (23): 422-429, 2000

14 Kim HS, "Stress and coping strategies: A Korean study" 25 (25): 425-431, 2002

15 Graves KD, "Social cognitive theory and cancer patients' quality of life: a meta analysis of psychological intervention components" 22 (22): 210-219, 2003

16 Bacher E, "Sexual dysfunction after treatment for genitourinary cancers" 1 (1): 18-24, 1985

17 Vachon M, "Psychosocial distress and coping after cancer treatment" 106 (106): 26-31, 2006

18 Massie MJ, "Prevalence of depression in patients with cancer" 32 : 57-71, 2004

19 Carter PA, "Personality and coping: predictors of depression and sleep problems among caregivers of individuals who have cancer" 32 (32): 45-53, 2006

20 Hjorleifsdottir E, "Distress and coping in cancer patients: feasibility of the icelandic version of BSI 18 and WOC-CA querstionnaires" 15 : 80-89, 2006

21 Ben-Zur H, "Coping with breast cancer: patient, spouse, and dyad models" 63 : 32-39, 2002

22 Baider L, "Coping with additional stresses: comparative study of healthy and cancer patient new immigrants" 42 (42): 1077-1084, 1996

23 Halstead MT, "Coping strategies of long-term cancer survivors" 17 (17): 94-100, 1994

24 Li J, "Coping strategies and predictors of general well-being in women with breast cacner in the People's Republic of China" 9 : 199-204, 2007

25 Lazarus, RS, "A stress, appraisal and coping" New York:Spring pub 1984

26 통계청, "2005년 사망원인 통계결과"