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장애인의 주관적 건강수준이 일상생활만족도에 미치는 영향 -장애수용과 우울의 매개효과-

The Influence of Subjective Health Status on Daily Life Satisfaction of the People with Disabilities - Focusing on the Mediating Effects of Acceptance of Disability and Depression -

  • Kim, Dong-Joo (Dept. of Rehabilitation Studies, Woosuk University)
  • 투고 : 2016.11.14
  • 심사 : 2017.01.20
  • 발행 : 2017.01.28

초록

본 연구는 장애인의 주관적인 건강수준이 일상생활만족도에 미치는 영향과 장애인의 심리적 기제인 우울과 장애수용의 매개효과를 분석하였다. 본 연구의 목적은 장애인의 주관적인 건강수준과 생활만족도와의 관계를 밝힘으로써 구체적인 실천적 개입 전략과, 정책적 제도방안 수립의 기초자료로 활용하는데 있다. 본 연구는 한국장애인고용공단 고용개발원에서 조사한 제4차 장애인고용패널조사(Panel Survey of Employment for the Disabled, PSED)의 원자료(raw data)를 이용하여 분석하였다. 연구결과를 요약하면 다음과 같다. 첫째, 장애인의 주관적 건강수준, 장애수용, 우울, 일상생활만족도 간의 상관관계를 분석한 결과, 일상생활만족도는 주관적 건강수준과 장애수용과는 정의 상관관계를 보인 반면, 우울과는 부의 상관관계를 보였다. 둘째, 주관적 건강수준이 일상생활 만족도에 미치는 영향과 장애수용 및 우울의 매개효과에서는 주관적 건강수준은 일상생활만족도에 통계적으로 유의미한 영향을 미치며, 이들 간의 관계에서 장애수용과 우울은 부분매개효과가 있음이 확인되었다. 이런 결과를 토대로 장애인의 일상생활만족을 위하여 실천적 정책적 제언을 제시하였다.

참고문헌

  1. Jong-Hyun Park, "People with Disabilities and Right of Health, Rehabilitation : 60 years of struggle for Rights and Inclusion and Incheon Strategy." 43rd RI Korea Congress source book, pp.238-240. 2014.
  2. US Department of Health and Human Services, Health people 2010: understanding and improving health. Washington. DC: "US Department of Health and Human Services; 2000". 2009.
  3. Campbell, M. L., Sheets, D, Strong, P. S., "Secondary health conditions among middle-aged individuals with chronic physical disabilities: Implications for unmet needs for services." Assistive Technology, Vol. 11, No. 2, pp.105-122. 1999. https://doi.org/10.1080/10400435.1999.10131995
  4. Wade, T. J, Previalin, D. J.,Vingilis, E, "Revisiting student self-rated physical health?. Journal of Adolescent," Vol. 23, No. 6, pp.785-791. 2000. https://doi.org/10.1006/jado.2000.0359
  5. Jin-Hyang Lee, "Mediating effects of subjective health rates on the relationship between stress and life satisfaction of the persons with mental illness." Korean Journal of Health Education and Promotion, Vol. 32, No. 1, pp.23-32. 2015. https://doi.org/10.14367/kjhep.2015.32.1.23
  6. Eun-Ryoung Paik, Seung-Hyun Roh, "The Longitudinal Study on the Factors of Life Satisfaction Among Disabled Elderly." Journal of Rehabilitation Research, Vol. 16, No. 3, pp.81-108. 2012.
  7. Oh-Gyun Kwon, "A Survey on the Living Status and Welfare Needs of Disabled Elders' in the Incheon City. Korean Academy of Clinical Social Work," Vol. 5, No. 1, pp.5-24. 2008.
  8. Hus, H, "Does disability affect the possibility of successful aging? Physical function trajectories, depressive symptoms, and life satisfaction among the elderly". The Gerontologist, Vol. 48, No. 5, pp.115. 2008. https://doi.org/10.1093/geront/48.1.115
  9. Doug-Woong Han, "Relationship between emotional and physical illness from the perspective of Korean traditional cine." Korean Journal of Health Psychology, Vol. 6, No. 1, pp.1-22. 2001.
  10. Su-Jin Kim, Se-Young Kim, "A Study on the Relationship of Marital Intimacy, Depression, and Menopausal Symptom in Middle-aged Women. Korean Journal of Women Health Nursing," Vol. 19, No. 3, pp.176-187. 2013. https://doi.org/10.4069/kjwhn.2013.19.3.176
  11. Kathol, R. G, Mutgi, A., Wiliams, J, Clamon, G, Noyes, R." Diagnosis of major depression in cancer patients according to four sets of criteria." American Journal of Psychology, Vol. 147, pp.1021-1024. 1990. https://doi.org/10.1176/ajp.147.8.1021
  12. Doug-Woong Han, Joon-Ho Park, Kyo-Heon Kim, "Effects of self-disclosure and rumination about stressful life event and emotional experiences on physical health." Korean Journal of Health Psychology, Vol. 9, No. 1, pp.99-103. 2004. https://doi.org/10.1177/1359105304036104
  13. Yoo-Soon Bang, Myung Heo, Hee-Young Kim, "A Study of the Relationship between Post-Stroke Depression, Acceptance of Disability, and Social Support. Journal of Korean Society of Occupational Therapy," Vol. 17, No. 2, pp.29-40. 2009.
  14. Korea Employment Agency for the Disabled, Panel Survey of Employment for the Disabled." Seoul: Korea Employment Agency for the Disabled, Vol. 5.3. 2013.
  15. Farner M. M, Ferraro, K. F., "Distress and perceived health : Mechanism of health decline. Journal of Health and Social behavior," Vol. 38, No. 3, pp.298-311. 1997. https://doi.org/10.2307/2955372
  16. Horowitz, A, "Sons and Daughters as Caregivers to Older Parents: Differences in Role Performance and Consequences." The Gerontologist, Vol. 25, No. 6, pp.612-617. 1985. https://doi.org/10.1093/geront/25.6.612
  17. Kaiser, Susan B, "Acceptance of physical disability and attitudes toward personal appearance. Rehabilitation Psychology,1" Vol. 32, No. 1, pp.51. 1987. https://doi.org/10.1037/h0091558
  18. Young-Seung Baik, Dong-Gun Park, "KEPAD self acceptance test for the disabled. Seoul: Korea Employment Agency for the Disabled," 2001.
  19. Yong-Joo Kang, Ja-Kyung Park, In-Soun Gu, "Validation of the Self Concept and Self Acceptance Test for the People with Disabilities." Seongnam: Korea Employment Agency for the Disabled, 2008.
  20. Baron, R. M., Kenny. D. A, "The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology," Vol. 51, pp.1173-1182. 1986. https://doi.org/10.1037/0022-3514.51.6.1173
  21. Jin-Hee Kim, "The Relationship among Socioeconomics Status, Health Behavior, and Self-Rated Health Status in Employees: Gender Difference." Korean Journal of Health Education and Promotion, Vol. 28, No. 1, pp.57-67. 2011.
  22. Hudson, L, Neighbors, H. W., Geronimus, A. T, Jackson, J, S., "The relationship between socioeconomic position and depression among a US nationally representative sample of African Americans. Social Psychiatry Psychiatric Epidemiology," Vol. 47, No. 3, pp.373-381. 2012. https://doi.org/10.1007/s00127-011-0348-x