Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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A Path Analysis on the Effect of Anxiety and Depression on Health-related Quality of Life of Middle aged Women

중년 여성의 불안과 우울이 삶의 질에 미치는 영향에 대한 경로분석

  • 오영경 (한양대학교 대학원 간호학과) ;
  • 황선영 (한양대학교 간호학부)
  • Received : 2017.09.01
  • Accepted : 2017.10.20
  • Published : 2017.10.28
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Abstract

The purpose of this study was to examine the effect of anxiety and depression on health-related QOL(Quality of Life) of middle aged women and to test hypothetical model of QOL. This study is a pathway analysis study using 1692 middle aged women whose age range is between 40 and 64. This study was performed as secondary analysis using the data from the 2015 Korean Social Psychological Anxiety Examination Survey. Data were analyzed using descriptive statistics, correlation analysis and pathway analysis. As a result, Stress, social support, aged preparation, self-esteem, anxiety, depression and QOL showed significant correlation. Anxiety was directly affected by stress(.21, p=.009) and social support(-.05, p=.046). Depression was directly affected by stress(.28, p=.016), social support(-.10, p=.008) and self-esteem(-.38, p=.039). Both anxiety(-.16, pp=.009) and depression(-.17, p=.011) had effect on QOL but depression was mediated by anxiety in affecting to QOL. Anxiety and depression of middle aged women affect to QOL and QOL is affected by depression via anxiety. It suggests that it needs to provide nursing intervention for mental health such as anxiety and depression for QOL of middle aged women.

본 연구는 중년 여성의 불안과 우울이 삶의 질에 미치는 영향을 파악하고 변수들 간의 관계 및 효과를 규명하는 것을 목적으로 하였다. 자료는 한국보건사회연구원에서 시행한 2015년도 한국 사회의 사회 심리적 불안 실태조사 자료를 사용하여 2차 자료분석을 실시하였으며 40세 이상 65세 미만의 여성 1692명을 대상으로 경로모형을 만들고 상관분석과 경로분석을 통해 가설을 검증하였다. 그 결과, 스트레스, 사회적지지, 노후준비, 자아존중감과 불안, 우울, 삶의 질은 모두 유의한 상관관계를 보였다. 불안에 영향을 주는 요소들의 효과 크기는 스트레스(.21, p=.009)와 사회적지지(-.05, p=.046)가 유의하였으며 우울에 대해서는 스트레스(.28, p=.016), 사회적지지(-.10, p=.008), 자아존중감(-.38, p=.039)의 효과가 유의하였다. 불안(-.16, p=.009)과 우울(-.17, p=.011)은 모두 삶의 질에 유의한 효과를 보였는데, 우울은 불안을 매개로 하여 삶의 질에 영향을 주는 것으로 나타났다. 중년 여성의 불안과 우울은 삶의 질에 영향을 미치며 그 중 우울은 불안을 매개로 하여 삶의 질에 영향을 미친다. 따라서 중년 여성의 삶의 질을 증진시키기 위해서는 불안과 우울과 같은 정신건강에 대한 간호 중재가 필요하다.

Keywords

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