DOI QR코드

DOI QR Code

Aging Anxiety and Subjective Well-being of Persons with Mental Disorder

정신질환자의 노화불안과 주관적 안녕감

  • Received : 2018.10.08
  • Accepted : 2019.01.08
  • Published : 2019.01.28

Abstract

The purpose of this study was to examine the degree of aging anxiety and subjective well-being, and identify the effect of aging anxiety on subjective well-being among persons with mental disorder. A cross-sectional descriptive study design was used. 107 participants who were diagnosed with schizophrenia or mood disorder were recruited in D and C province. Collected data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson correlation and multiple regression with SPSS 23.0 program. Mean score of aging anxiety and subjective well-being were $3.95{\pm}0.80$ and $3.53{\pm}0.73$ respectively. Aging anxiety had significant negative correlation with subjective well-being (r= -.48, p <.001). Aging anxiety, subjective health status, and employment status were significant influencing factors on subjective well-being, and these variables total explained for 31.1%. Therefore, it is necessary to provide a systematic and integrative strategy to cope with the aging anxiety for improving subjective well-being of person with mental disorder.

본 연구는 정신질환자의 노화불안과 주관적 안녕감 정도를 확인하고 노화불안이 주관적 안녕감에 미치는 영향을 파악하기 위해 서술적 조사연구 방법으로 수행되었다. D와 C 지역에 거주하는 정신질환자 107명(조현병=48명, 기분장애=59명)이 연구에 참여하였다. 수집된 자료는 SPSS 23.0 program을 이용해 기술 통계, t-test, one-way ANOVA, Pearson correlation, Multiple regression을 이용하여 분석하였다. 연구결과, 대상자의 노화불안은 7점 만점에 $3.95{\pm}0.80$이었고, 주관적 안녕감은 6점 만점에 $3.53{\pm}0.73$이었으며, 노화불안과 주관적 안녕감은 통계적으로 유의한 부적상관관계(r= -.48, p <.001)가 있었다. 회귀분석 결과 노화불안, 주관적 건강상태, 직업상태는 주관적 안녕감에 영향을 미치는 유의한 변수로 확인되었으며, 이들 변수의 총 설명력은 31.1%이었다. 따라서 정신질환자의 주관적 안녕감을 향상시키기 위해 노화불안을 관리할 수 있는 체계적이고 통합적인 중재가 필요하다.

Keywords

Table 1. General Characteristics of Participants

CCTHCV_2019_v19n1_329_t0001.png 이미지

Table 2. Scores of Aging Anxiety and Subjective well-being

CCTHCV_2019_v19n1_329_t0002.png 이미지

Table 3. Differences of Aging Anxiety and Subjective Well-being

CCTHCV_2019_v19n1_329_t0003.png 이미지

Table 4. Correlation among Aging Anxiety and Subjective Well-being

CCTHCV_2019_v19n1_329_t0004.png 이미지

Table 5. Factors Influencing on Subjective well-being

CCTHCV_2019_v19n1_329_t0005.png 이미지

References

  1. http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=339117&page=1, 2018.8.1.
  2. 김채리, 박진완, 백두현, 이연정, 한상우, 우성일, 황재욱, "양극성 장애, 조증 삽화 입원 환자에서 조증 증상 경과 예측과 관련 있는 임상 변인 연구," 생물치료정신의학, 제23권, 제3호, pp.155-163, 2017.
  3. 대한신경정신의학회, 신경정신의학 개정 3판, 아이엠이즈컴퍼니, 2017.
  4. C. I. Cohen, I. Vahia, P. Reyes, S. Diwan, A. O. Bankole, N. Palekar, M. Kehn, and P. Ramirez, "Focus on geriatric psychiatry: schizophrenia in later life: clinical symptoms and social well-being," Psychiatric Services, Vol.59, No.3, pp.232-234, 2008. https://doi.org/10.1176/ps.2008.59.3.232
  5. P. Mushkin, T. Band-Winterstein, and H. Avieli, ""Like every normal person?!" The paradoxical effect of aging with schizophrenia," Qualitative Health Research, Vol.28, No.6, pp.977-986, 2018. https://doi.org/10.1177/1049732318764389
  6. J. Angst and R. Sellaro, "Historical perspectives and natural history of bipolar disorder," Biological Psychiatry, Vol.48, No.6, pp.445-457, 2000. https://doi.org/10.1016/S0006-3223(00)00909-4
  7. D. Naber, A. Karow, and M. Lambert, "Subjective well‐being under neuroleptic treatment and its relevance for compliance," Acta Psychiatrica Scandinavica Supplementum, Vol.111, No.s427, pp.29-34, 2005.
  8. 윤진상, 국승희, 이형영, 이 철, 백인호, "항정신병 약물치료하에서 주관적 안녕감을 평가 하는 한국형 척도의 개발," 신경정신의학, 제39권, 제6호, pp.987-998, 2000.
  9. R. Schennach-Wolff, R. M. Jager, M. Obermeier, M. Schmauss, G. Laux, H. Pfeiffer, D. Naber, L. G. Schmidt, W. Gaebel, J. Klosterkotter, I. Heuser, K. U. Kuhn, M. R. Lemke, E. Ruther, S. Klingberg, M. Gastpar, F. Seemuller, H. J. Moller, and M. Riedel, "Quality of life and subjective well-being in schizophrenia and schizophrenia spectrum disorders: valid predictors of symptomatic response and remission?," The World Journal of Biological Psychiatry, Vol.11, No.5, pp.729-738, 2010. https://doi.org/10.3109/15622971003690289
  10. 양옥지, 중년의 노화불안과 심리적 안녕감의 관계: 인지적 유연성과 주관적 경제수준의 조절된 매개효과, 가톨릭대학교, 석사학위논문, 2018.
  11. 김 욱, "대학생의 노인에 대한 태도가 우울과 삶의 만족도에 미치는 영향," 청소년학연구, 제22권, 제5호, pp.461-482, 2015.
  12. D. Kotter-Gruhn and T. M. Hess, "The impact of age stereotypes on self-perceptions of aging across the adult lifespan," Journals of Gerontology Series B: Psychological Sciences and Social Sciences, Vol.67, No.5, pp.563-571, 2012. https://doi.org/10.1093/geronb/gbr153
  13. K. P. Lasher and P. J. Faulkender, "Measurement of aging anxiety: development of the anxiety about aging scale," The International Journal of Aging and Human Development, Vol.37, No.4, pp.247-259, 1993. https://doi.org/10.2190/1U69-9AU2-V6LH-9Y1L
  14. 변은경, 전성숙, "정신보건센터를 이용하는 정신장애인의 삶의 질 관련 요인," 정신간호학회지 제, 제20권, 제2호, pp.157-166, 2011.
  15. S. M. Lynch, "Measurement and prediction of aging anxiety," Research on Aging, Vol.22, No.5, pp.533-558, 2000. https://doi.org/10.1177/0164027500225004
  16. 김숙남, 최순옥, 신경일, 이정희, "노화불안 척도의 타당화 연구," 정신간호학회지, 제17권, 제3호, pp.292-301, 2008.
  17. E. Deiner, R. E. Lucas, and S. Oishi, Subjective well-being: the science of happiness and life satisfaction, Handbook of positive psychology, Oxford University Press, 2002.
  18. D. Naber, A. Walther, T, Kircher, D. Hayek, and R. Holzbach, "Subjective effects of neuroleptics predict compliance," Prediction of neuroleptic treatment outcome in schizophrenia, Springer, 1994.
  19. H. Temmingh and E. J. Stein, "Anxiety in patients with schizophrenia: epidemiology and management," CNS Drugs, Vol.29, No.10, pp.819-832, 2015. https://doi.org/10.1007/s40263-015-0282-7
  20. L. A. Harris and S. M. C. Dollinger, "Individual differences in personality traits and anxiety about aging," Personality and Individual Differences, Vol.34, No.2, pp.187-194, 2003. https://doi.org/10.1016/S0191-8869(02)00019-3
  21. 장휘숙, "대학생과 노인의 노화불안과 특성불안 및 5 요인 성격특성의 관계," 한국심리학회지: 발달, 제25권, 제1호, pp.1-18, 2012. https://doi.org/10.24230/KSIOP.25.1.201202.1
  22. S. Koukouli, V. Pattakou-Parasyri, and A. E. Kalaitzaki, "Self-reported aging anxiety in Greek students, health care professionals, and community residents: a comparative study," The Gerontologist, Vol.54, No.2, pp.201-210, 2013. https://doi.org/10.1093/geront/gnt036
  23. L. M. Guedes de Pinho, A. M. S. Pereira, and C. M. C. B. Chaves, "Quality of life in schizophrenic patients: the influence of sociodemographic and clinical characteristics and satisfaction with social support," Trends in Psychiatry and Psychotherapy, Vol.40, No.3, pp.202-209, 2018. https://doi.org/10.1590/2237-6089-2017-0002
  24. 류석환, "정신분열병 환자의 삶의 질: 항정신병약물의 차이에 따른 주관적 삶의 질, 약물 태도와 약물 부작용의 관련성," 대한정신약물학회지, 제16권, 제1호, pp.42-51, 2005.
  25. J. W. Kasckow, E. Twamley, J. J. Mulchahey, B. Carroll, M. Sabai, S. M. Strakowski, T. Patterson, and D. V, Jeste, "Health-related quality of well-being in chronically hospitalized patients with schizophrenia: comparison with matched outpatients," Psychiatry Research, Vol.103, No.1, pp.69-78, 2001. https://doi.org/10.1016/S0165-1781(01)00260-8
  26. 최장원, "노년기 경제적 스트레스가 노화불안에 미치는 영향," 한국콘텐츠학회논문지, 제18권, 제1호, pp.117-131, 2018. https://doi.org/10.5392/JKCA.2018.18.01.117
  27. 서순림, 최희정, "중년기 성인의 노화불안과 영향요인," 성인간호학회지, 제25권, 제4호, pp.464-472, 2013 https://doi.org/10.7475/kjan.2013.25.4.464
  28. M. C. Perez, J. R. Fernandez, and M. Gili, "Prevalence and factors associated to mental disorders in primary care attenders aged 75 and older," Actas Esp Psiquiatr, Vol.41, No.4, pp.218-226, 2013.
  29. J. Yoon, D. Ko, and Y. Won, "Relationship between perceived health status, future time perspective, health promoting behaviors and quality of life in the elderly," Journal of the Korean Gerontological Society, Vol.36, No.4, pp.1191-1206, 2016.
  30. 김정선, 강 숙, "베이비붐세대의 자녀돌봄부담감, 노화불안, 노후준비 및 삶의 질," 한국보건간호학회지, 제26권, 제3호, pp.440-452, 2012. https://doi.org/10.5932/JKPHN.2012.26.3.440
  31. L. Ramirez and X. Palacios‐Espinosa, "Stereotypes about old age, social support, aging anxiety and evaluations of one's own health," Journal of Social Issues, Vol.72, No.1, pp.47-68, 2016. https://doi.org/10.1111/josi.12155
  32. 정영옥, 오효숙, "중년여성의 사회적지지, 자기효능감, 지각된 건강상태가 노화불안에 미치는 영향," 한국보건간호학회지, 제30권, 제1호, pp.30-41, 2016. https://doi.org/10.5932/JKPHN.2016.30.1.30
  33. 조진희, 중년여성의 성공적 노화 예측모형, 한양대학교, 박사학위논문, 2013.
  34. J. H. Kim, J. Lee, Y. B. Kim, and A. Y. Han, "Association between subjective well-being and depressive symptoms in treatment-resistant schizophrenia before and after treatment with clozapine," Comprehensive Psychiatry, Vol.55, No.3, pp.708-713, 2014. https://doi.org/10.1016/j.comppsych.2013.11.002
  35. E. S. Gardsjord, K. L. Romm, S. Friis, H. E. Barder, J. Evensen, U. Haahr, W. V. Hegelstad, I. Joa, J. O. Johannessen, J. Langeveld, T. K. Larsen, S. Opjordsmoen, B. R. Rund, E. Simonsen, P. Vaglum, T. McGlashan, I. Melle, and J. I. Rossberg, "Subjective quality of life in first-episode psychosis. A ten year follow-up study," Schizophrenia Research, Vol.172, No.1-3, pp.23-28, 2016. https://doi.org/10.1016/j.schres.2016.02.034
  36. S. Saperia, S. Da Silva, I. Siddiqui, K. McDonald, O. Agid, G. Remington, and G. Foussiaset, "Investigating the predictors of happiness, life satisfaction and success in schizophrenia," Comprehensive Psychiatry, Vol.81, pp.42-47, 2018. https://doi.org/10.1016/j.comppsych.2017.11.005