Korean Journal of Family Medicine (가정의학회지)

The Korean Academy of Family Medicine (대한가정의학회)
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Influence of Anxiety, Depression and Stress on Adjustment to College in Freshmen of a University

일개 대학 신입생들의 대학생활적응에 대한 불안, 우울, 스트레스의 영향

Lee, Sin-Hyeong;Jeong, Hwee-Soo;Lee, Dong-Wook;Park, Ki-Heum;Yun, Zu-Young;Park, Jung-Jae
이신형;정휘수;이동욱;박기흠;윤주영;박정재

  • Published : 20091000
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Abstract

Background: Freshmen maladaptation to university life has brought a lot of attention recently. Therefore, we intended to investigate about the relationship between anxiety, depression, stress and freshmen adaptation to university life. Methods: We recruited 861 freshmen of a university located in Gyeongju, Gyeongbuk, and measured their degree of anxiety, depression, and stress by questionnaire from March 10 to 14, 2008. After 8 weeks, we examined their adaptation to university life by questionnaire and finally, analyzed the data of 600 freshmen. Results: Among the freshmen, 285 (47.5%) had anxiety, 95 (15.8%) depression, and 70 (11.7%) stress. Adaptation to university life significantly associated with college-entrance exam experience, the number of close friends in class, willingness to join the club, major satisfaction and distance from the university to hometown, in addition to anxiety, depression, and stress. Risk factors of maladaptation to university life were stress (odds ratio: 2.66, 95% confidence interval: 1.60 to 4.45), depression (2.45; 1.56 to 3.84), one experience of college entrance exam (1.83; 1.24 to 2.69), anxiety (1.73; 1.27 to 2.37) and fewer than 5 close friends (1.60; 1.17 to 2.20). Short distance from the university to hometown (0.72; 0.53 to 0.98), willingness to join the club (0.60; 0.41 to 0.87) and major satisfaction (0.42; 0.29 to 0.61) were identified as lowering the risk of maladaptation to university life. Conclusion: Anxiety, depression, and stress closely related to freshmen adaptation to university life. During freshmen's health examination, we need to identify the degree of anxiety, depression and stress in order to predict maladaptation to university life.

연구배경: 대학신입생들의 대학생활 부적응은 최근 들어 사회적 주목을 받고 있다. 이에 대학신입생들의 불안, 우울성향 및 스트레스와 대학생활적응의 관련성을 확인하기 위해 본 연구를 시행하였다. 방법: 2008년 3월 10일부터 14일까지 경상북도 경주시의 일개 대학 신입생 861명에게 자기기입 설문지를 이용하여 불안, 우울, 스트레스 정도를 확인하였고, 8주 뒤인 2008년 4월 28일부터 5월 2일 사이에 대학 생활 적응 정도를 조사하여 최종적으로 600명의 자료를 분석하였다. 결과: 불안, 우울성향 및 스트레스가 있는 대상자들은 각각 285명(47.5%), 95명(15.8%), 70명(11.7%)으로 확인되었다. 대학 생활 적응은 불안 및 우울성향, 스트레스, 수학능력시험 본 횟수, 학과내 친한 동료의 수, 동아리 가입의사, 학과 만족도, 대학 소재지와 출신지역의 근접성 여부와 유의한 연관성이 있었다. 대학생활의 부적응과 관련된 위험요인은 스트레스가 있는 경우(교차비, 2.66; 95% 신뢰구간, 1.60-4.45), 우울성향(2.45; 1.56-3.84), 수학능력시험을 한 번 본 경우(1.83; 1.24-2.69), 불안성향(1.73; 1.27-2.37), 친한 친구가 5명 미만인 경우(1.60; 1.17-2.20)로 확인되었다. 대학 소재지 주변 지역 출신인 경우(0.72; 0.53-0.98), 동아리 가입의사가 있는 경우(0.60;0.41-0.87) 학과에 대한 만족감이 있는 경우(0.42; 0.29-0.61)는 위험감소 요인으로 확인되었다. 결론: 불안, 우울성향 및 스트레스가 대학 신입생의 대학생활 적응과 밀접한 연관이 있음을 알 수 있었다. 따라서 입학초기 건강검진 시 대학신입생의 부적응 여부를 예측하기 위해 불안, 우울성향 및 스트레스 여부를 확인함이 필요하다.

Keywords

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