DOI QR코드

DOI QR Code

Influences of Life Stress on Depression of Middle-aged Woman: Focusing on Mediation Effect of Meaning of Life, and Social Support

중년여성의 생활 스트레스가 우울에 미치는 영향: 사회적 지지와 삶의 의미의 매개효과 중심으로

  • 서영숙 (대구보건대학교 간호학과) ;
  • 정추영 (대구보건대학교 간호학과)
  • Received : 2019.09.04
  • Accepted : 2020.01.03
  • Published : 2020.01.31

Abstract

This study was undertaken to provide basic data for the development of a mental health promotion intervention program, by confirming the mediating effects of social support in relation to the effect on the life stress and meaning of life in middle-aged women. The subjects of this study were 201 middle-aged women from D and K cities. The data were analyzed with descriptive statistics and Pearson's correlations using a statistical program for structural equation modeling (SEM); fitness of the final model was RMSEA 0.03, CFI 0.98, and NFI 0.95. The major learning from this study was that life stress has a direct effect on meaning of life and social support. Life stress (β=0.05, p< 0.001), meaning of life (β=0.05, p< 0.001), and social support (β=0.05, p< 0.001) have a significant and direct effect on depression. The findings also suggest that life stress indirectly affects the mediating effect between meaning of life and social support, and also depression of middle-aged women. We believe that results of this study encompass basic data that will aid in developing a program to promote the mental health of middle-aged women.

본 연구는 중년여성의 생활 스트레스와 우울 간의 관계에서 사회적 지지와 삶의 의미의 매개효과를 확인하여 중년여성의 정신건강 증진을 위한 프로그램 개발의 기초 자료를 제공하는데 목적이 있다. 연구대상자는 D시와 K시 소재 중년여성 중 본 연구에 참여하기를 동의한 201명을 대상으로 자가 보고형 설문지를 이용하였으며, 2018년 3월 4일 부터 30일까지 자료 수집하였다. 수집된 자료는 경로분석을 실시하였으며, 최종 모형의 적합지수는 RMSEA .03, CFI .98, NFI .95로 나타났다. 연구결과는 다음과 같다. 중년여성의 생활 스트레스는 삶의 의미와 사회적 지지에 직접효과가 확인되었고, 생활 스트레스(β=.05, p< .001), 삶의 의미(β=.05, p< .001), 사회적 지지(β=.05, p< .001)는 우울에 직접효과가 유의한 것으로 확인되었다. 또한 생활 스트레스는 삶의 의미와 사회적 지지를 매개하여 우울에 간접효과가 유의한 것으로 확인되어 삶의 의미와 사회적 지지는 부분 매개효과가 확인되었다. 본 연구결과를 바탕으로 중년여성의 정신건강 증진 프로그램 개발의 기초자료로 활용되기를 기대한다.

Keywords

References

  1. Statistics Korea. 2017 life tables for Korea [Internet]. Seoul: Statistics Korea; 2017 [cited 2018 June 23]. Available From: http://kostat.go.kr/portal/korea/kor_nw/2/6/1/index.board?bmode=read&aSeq=354777
  2. Korea Centers for Disease Control and Prevention, Assessment of women's health during menopausal periods, Available From:http://www.cdc.go.kr/CDC/info/CdcKrInfo0201.jsp?menuIds=HOME001-MNU1154-MNU0005-MNU1889&cid=21521 (accessed Mar. 13, 2018)
  3. J. H. Kim, P. J. Oh, "Menopause symptoms and perceived cognitive decline in menopausal women: The mediating effect of health promotion behavior", The Journal of Korean Academic Society of Adult Nursing, Vol.29, No.2, pp.200-210, 2017. DOI: https://dx.doi.org/10.7475/kjan.2017.29.2.200
  4. S. M. Choi, I. S. Ko, M. N. Choi, Y. S. Jang, "The relationship among menopausal symptoms, competency of self-care agency and social support in middle-aged woman", Journal of Korean Clinical Nursing Research, Vol.21 No.1, pp.105-115, 2015. https://doi.org/10.22650/JKCNR.2015.21.1.105
  5. J. H. Lee, K. H. Kim, G. D. Kim, "The mediating effect of cognitive function on climacteric symptoms and quality of life in the middle-aged women", Journal of the Korea Academia-Industrial cooperation Society, Vol.15, No.7, pp.4439-4448, 2014. DOI: https://dx.doi.org/10.5762/KAIS.2014.15.7.4439
  6. S. K. Choi, I. S. Kim, "Effects of a cardiocerebrovascular disease prevention education program for postmenopausal middle-aged women", Journal of Korean Academy of Nursing, Vol.45, No.1, pp.25-34, 2015. https://doi.org/10.4040/jkan.2015.45.1.25
  7. S. Y. Park, S. Y. Park, "A longitudinal study on ecological determinants associated with middle-aged and elderly women's life satisfaction and depressive symptoms", Health and Social Welfare Review, Vol.38, No.4, pp.129-163, 2018. DOI: https://dx.doi.org/10.15709/hswr.2018.38.4.129
  8. M. J. Han, J. H. Lee, "Factors Influencing Self-Identity and Menopausal Symptoms on Level of Depression in Middle Aged Women", Korean Journal Women Health Nursing, Vol.19, No.4, pp.275-284, 2013. DOI: https://dx.doi.org/10.4069/kjwhn.2013.19.4.275
  9. J. M. Sohn, "Factors influencing depression in middle aged women: focused on quality of life on menopause", Journal of The Korea Socity of Health Informatics and Statistics, Vol.4,3 No.2, pp.148-157, 2018. DOI: https://dx.doi.org/10.21032/jhis.2018.43.2.148
  10. H. S. Lee, Y. Koo, "The effects of self-esteem, stress, and social support on depression among middle-aged women", Journal of Korean Public Health Nursing, Vol.31, No.1, pp.58-70, 2017. DOI: https://dx.doi.org/10.5932/JKPHN.2017.31.1.58
  11. E. Y. Hong, Y. S. Kang, "Structural equation modeling on healthy menopausal transition", Journal of Korean Academy of Nursing, Vol.45, No.1, pp.64-75, 2015. DOI: https://dx.doi.org/10.4040/jkan.2015.45.1.64
  12. J. E. Heo, Y. S. Tae, "Influence of spiritual wellbeing and social support on depression in middle-aged women", The Journal of Korean Academic Society of Adult Nursing, Vol.26, No.2, pp.181-190, 2014. DOI:https://dx.doi.org/10.7475/kjan.2014.26.2.181
  13. H. S. Lee, C. M. Kim, D. H. Lee, "Factors influencing middle-aged women's depression", Korean Journal of Health Promotion, Vol.16, No.1, pp. 1-10, 2016. DOI: https://dx.doi.org/10.15384/kjhp.2016.16.1.1
  14. N. Y. Choi, "The relationship among climacteric symptoms, menopause knowledge and coping for middle-aged women", Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol.7 No.4, pp.733-740, 2017. DOI: https://dx.doi.org/10.14257/AJMAHS.2017.04.01
  15. C. D. Sherbourne, A. L. Stewart, "The MOS social support survey", Social Science and Medicine, Vol.32, No.6, pp. 705-714, 1991. https://doi.org/10.1016/0277-9536(91)90150-B
  16. M. F. Steger, P. Frazier, S. Oishi, M. Kaler, "The meaning in life questionnaire: assessing the presence of and search for meaning in life", Journal of Counselling Psychology, Vol.53, No.1, pp.80-93, 2006. https://doi.org/10.1037/0022-0167.53.1.80
  17. J. E. Heo, K. S. Jeong, Y. S. Tae, "Influence of spiritual wellbeing and social support on health promotion behavior in middle aged women", Journal of Wholistic Nursing Science, Vol.7, pp.151-163, 2015.
  18. G. J. Park, "Factors influencing the meaning of life for middle-aged women", Korean Journal of Women Health Nursing, Vol.8, No.2, pp.232-243, 2002. https://doi.org/10.4069/kjwhn.2002.8.2.232
  19. D. R. Won, K. H. Kim, S. J. Kwon, "Validation of the korean version of meaning in life questionnaire", Korean Journal of Health Psychology, Vol.10, No.2, pp.211-225, 2005. https://doi.org/10.1177/1359105305049769
  20. S. H. Frank, S. J. Zyznask, "Stress in the clinical setting: the brief encounter psychosocial instrument", Journal of Family Practice, Vol.26, No.5, pp.533-539, 1988.
  21. J. H, Yim, J. M. Bae, S. S. Choi, S. W. Kim, H. S. Hwang, B. Y. Huh, "The validity of modified korean-translated BEPSI (Brief Encounter Psychosocial Instrument) as instrument of stress measurement in outpatient clinic", Journal of Academy Family Medicine, Vol.17, No.1, pp.42-53, 1996.
  22. G. D. Zimet, W. Dahlem, S. G. Zimet, G. K. Farley, "The multidimensional scale of perceived social support", Journal of Personality Assessment, Vol.52, No.1, pp.30-41, 1988. https://doi.org/10.1207/s15327752jpa5201_2
  23. L. S. Rodoff, "The CES-D scale: A self report depression scale for research in the general population", Applied Psychological Measurements, Vol.1, pp.385-401, 1977. DOI: https://dx.doi.org/10.1177/014662167700100306
  24. K. K. Chun, S. C. Choi, B. C. Yang, "Integrated adaptation of CES-D in Korea", Korean Journal of Health Psychology, Vol.6, No.1, pp.59-76, 2001.
  25. M. J. Han, J. H. Lee, "Factors influencing self-identity and menopausal symptoms on level of depression in middle aged women", Korean Journal of Women Health Nursing, Vol.19, No.4, pp.275-284, 2013. DOI: https://dx.doi.org/10.4069/kjwhn.2013.19.4.275
  26. M. H. Sung, J. W. Yoon, H. Y. Son, "A study of the relationship between stressful life events and mental health in middle-aged women", Journal of Korean Academy psychiatric and Mental Health Nursing, Vol.14, No.2, pp.186-194, 2005.