정신신체의학 (Korean Journal of Psychosomatic Medicine)

한국정신신체의학회 (Korean Psychosomatic Society)
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메르스(Middle East Respiratory Syndrome)사태에 따른 병원종사자와 일반인의 스트레스 정도가 사회심리적 건강에 미치는 영향과 회복탄력성의 매개효과

The Effects of MERS(Middle East Respiratory Syndrome) Event on the Psychosocial Wellbeing of Healthcare Workers and the Public with the Mediating Effect of Resilience

  • 권혁민 (예수병원 정신건강의학과) ;
  • 김태형 (예수병원 정신건강의학과) ;
  • 최말례 (예수병원 정신건강의학과) ;
  • 김병조 (예수병원 정신건강의학과) ;
  • 김형욱 (예수병원 정신건강의학과) ;
  • 송옥선 (예수병원 정신건강의학과) ;
  • 은헌정 (예수병원 정신건강의학과)
  • Kwon, Hyuk-Min (Department of Neuropsychiatry, Presbyterian Medical Center-Jesus Hospital) ;
  • Kim, Tae-Hyung (Department of Neuropsychiatry, Presbyterian Medical Center-Jesus Hospital) ;
  • Choi, Mal-Rye (Department of Neuropsychiatry, Presbyterian Medical Center-Jesus Hospital) ;
  • Kim, Byoung-Jo (Department of Neuropsychiatry, Presbyterian Medical Center-Jesus Hospital) ;
  • Kim, Hyoung-Wook (Department of Neuropsychiatry, Presbyterian Medical Center-Jesus Hospital) ;
  • Song, Ok-Sun (Department of Neuropsychiatry, Presbyterian Medical Center-Jesus Hospital) ;
  • Eun, Hun-Jeong (Department of Neuropsychiatry, Presbyterian Medical Center-Jesus Hospital)
  • 투고 : 2017.07.03
  • 심사 : 2017.11.07
  • 발행 : 2017.12.31
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초록

연구목적 본 연구는 메르스(Middle East Respiratory Syndrome, MERS(Middle East Respiratory Syndrome, 이하 MERS) 사태 발생 당시에 받은 스트레스가 사회심리적 건강에 미치는 영향을 알아보고, 회복탄력성이 매개효과로서 사회심리적 건강에 영향을 주는지를 알아보고자 하였다. 방 법 MERS가 발생한 병원의 병원종사자 156명과 일반인 127명을 대상으로 스트레스 자각척도, 사회심리적 건강측정 도구, 코너-데이비슨 리질리언스 척도를 시행하였다. 스트레스가 사회심리적 건강에 미치는 영향 및 회복탄력성의 매개효과를 확인하기 위해 피어슨 상관관계분석과 위계적 다중회귀분석을 실시하였다. 결 과 병원종사자와 일반인 모두에서 지각된 스트레스가 높을수록 사회 심리적 건강이 좋지 않음을 보였고, 지각된 스트레스가 높을수록 낮은 회복탄력성을 나타냈으며, 스트레스와 사회심리적 건강 사이의 관계에서 회복탄력성이 부분 매개를 하는 것으로 나타났다. 결 론 본 연구는 MERS 사태로 인해 받은 스트레스가 사회심리적 건강에 영향을 미침에 있어서 개인의 회복탄력성의 정도가 간접적으로 사회심리적 건강에 긍정적 효과를 끼칠 수 있고, 회복탄력성 강화를 목표로 한 임상적 개입 및 사회심리적 접근방법이 위기 발생시 정신건강을 유지하는데 중요함을 시사한다.

Objectives : The purpose of this study is to investigate the effects of stress on psychosocial wellbeing at the time of an outbreak of Middle East respiratory syndrome(MERS) and to investigate the effect of resilience as a mediator on the relationship between stress and psychosocial wellbeing. Methods : Perceived Stress Scale, Psychosocial Wellbeing Index Short Form, and the Conner-Davidson Resilience Scale was implemented for 156 medical persons who worked at the hospital in which exposure to MERS cases had been confirmed and 127 ordinary people. We conducted a Pearson correlation coefficient and a hierarchical multiple regression to confirm the effect of stress on psychosocial wellbeing and the mediating effect of resilience between stress and psychosocial wellbeing. Results : The higher the perceived stress, the lower the psychosocial wellbeing in both healthcare workers and the public. The higher the perceived stress, the lower the resilience and the research results showed that there was a partially mediating effect of resilience in the relationship between stress and psychosocial wellbeing. Conclusions : This study demonstrated that the degree of individual resilience can indirectly give a positive effect on the psychosocial wellbeing when people under the stress by MERS shows adverse effects on psychosocial wellbeing. This suggests that clinical intervention and psychosocial approach aiming at strengthening resilience is important to maintain mental health during crisis development.

키워드

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