애착과 자아존중감이 청소년의 건강효능감에 미치는 영향 = A Childhood Attachment and Adolescent's Self Esteem as Predictors of Health Efficacy in Adolescents

다국어 초록 (Multilingual Abstract)

Purpose: Adolescence is viewed as a critical period in the formation of health behavior and many health behaviors developed during this era persist into adulthood. Social-cognitive theory, self-efficacy as a central construct, has been used to predict and intervene the health behavioral patterns in adolescent. Previous research demonstrated that the attachment in childhood and self-esteem as psychosocial factors are predictors of the health efficacy in adolescent and it is viewed as solely an antecedent for the lifelong health behavior. Method: To investigate the path pattern of attachment in childhood, self-esteem and health efficacy in adolescents, 381 adolescents in high school from two urban cities in Korea were recruited for cross-sectional sample. Attachment in childhood was measured using Mother-Father-Peer Scale. Self esteem was measured with Hare self esteem. Perceived self efficacy in Health was measured by the School Health Efficacy Questionnaire. The path analysis revealed a significant relationship between attachment in childhood and self-esteem, self-esteem and health efficacy in adolescents. Self esteem was the strongest contributing factor for health efficacy in adolescent. The results suggest that attachment in childhood may aid in formulating positive self -esteem in adolescents and self-esteem played a major role in predicting health efficacy in adolescents. Conclusion: Therefore, self-esteem enrichment should be incorporated with adolescent health promotion and certainly should be a component in any health education program in school health program and interventions. These results have implications of psychosocial and family related factors on health promotion and health education for the health care provider with regard to primary and secondary prevention in adolescent population.

참고문헌 (Reference)

1 "청소년이 지각한 신체,정신적 건강에 대한 자아효능 측정을 위한 SHEQ(School health efficacy questionnaire)의 타당도" 6 (6): 387-396, 2000

2 "청소년의 자아존중감과 애착이 대인문제해결력에 미치는 영향" 1998

3 "청소년의 애착과 자기효능감 및 학교생활적응과의 관계" 2001

4 "청소년의 성차에 따른 자아존중감 신체적 및 정신적 건강" 7 (7): 474-482, 2001

5 "청소년기 애착과 자아존중감의 관계" 1995

6 "자아의 발달" 문음사 1995

7 "애착유형과 인지적 사회지지 간호발전연구소지" 78-88, 1998

8 "애착과 일반적 자기효능감이 대학생활적응에 미치는 영향" 2001

9 "대학생의 애착유형과 자아존중감 및 우울과의 관계 연구" 2000

10 "There's more to self-esteem than whether it is high or low The importance of stability of self-esteem Journal of personality and social psychology" 1190-1204, 1993

11 "The revised personal lifestyle questionnaire for early adolescents." 25 (25): 533-547, 2002

12 "The inventory of parent and peer attachment individual difference and their relationship to psychological well-being in adolescence Journal of youth and adolescence" 427-454, 1987

13 "Social cognitive theory and exercise of control over HIV infection Theories and methods of behavioral interventions" Plenum press 1994

14 "Self-esteem and mental health in early adolescence: development and gender differences." 19 : 233-245, 1996

15 "Self-efficacy in changing societies" Cambridge university press 1995

16 "Personality and self-efficacy as a predictors of coping with abortion" 65 (65): 1224-1236, 1993

17 "Peer relations in adolescents: Effects of parenting and adolescents' self-concept." 20 : 163-176, 1997

18 "Parental bonding and mental health in adolescence." 31 (31): 381-394, 1997

19 "Ordinary magic:Resilience processes in development" 56 (56): 227-238, 2001

20 "Negative thinking mediates the effect of self-esteem on depressive symptoms in college women." 49 (49): 201-207, 2000

21 "Global self-esteem and specific self-esteem." 66 : 141-156, 1995

22 "Gender and self-esteem" 63 (63): 391-402, 1992

23 "From childhood to adolescence" 1990

24 "Developmental patterns in security of attachment to mother and father in late childhood and early adolescence: Associations with peer relations." 70 : 202-213, 1999

25 "Department of sociology" Unpublished manuscript 1985

26 "Conceptual analysis and measurement of adolescent autonomy." 30 (30): 577-595, 1999

27 "Attachment to parents and peers in late adolescence and their relationship with self-image." 32 (32): 471-482, 1997

28 "Are measures of self-esteem, neuroticism, locus of control, and generalized self-efficacy indicators of a common core construct?" 83 (83): 693-710, 2002

29 "Annual review of sociology" 1-33, 1982

30 "An application of the theory of planned behavior Journal of personality and social psychology" 843-851, 1985

31 "American and Korean adolescents' physical and mental health self-esfficacy." 14 (14): 51-58, 1999

32 "Alternate models of positive health practices in adolescents." 46 (46): 85-92, 1997

33 "Adolescent resilience: a concept analysis." 26 : 1-11, 2003

34 "Adolescent health behaviors and related factors: A reivew." 18 (18): 82-93, 2001

35 "A theoretical review or the infant-mother relationship" 969-1025, 1969

36 "A causal model of depression in early adolescents." 22 (22): 879-894, 2000