Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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Mediating and Moderating Effects of Self-esteem, Social Participation and Discrimination Experience in the Relationship between Acceptance of Disability and Social Competence in Adults with Physical Disabilities

지체장애인의 장애수용과 사회적 유능감 간의 관계에서 자존감, 사회참여, 차별경험의 매개 및 조절효과

  • Kim, Do-Hee (Dep. of Education, Chonnam National University)
  • Received : 2019.04.15
  • Accepted : 2019.07.20
  • Published : 2019.07.28
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Abstract

The purpose of this study is to identify effective strategies for promoting psycho-social adjustment by examining the mediating effects of self-esteem (SE) and moderating effects of social participation (SP) and discrimination experience (DE) in predicting social competence (SC) with acceptance of disability (AD). The subjects of the study were 1943 adults with a physical disability (1338 males and 605 females) and 233 adults with brain lesions (160 males and 73 females) aged between 19 and 65 years. Data were analyzed using SPSS and Process macro software, and conditional process analysis (model 18) in which the degree and onset of disability were controlled was performed. The results are as follows. First, SE was found to partially mediate the relationship between AD and SC. Second, the relationship between SE and SC was found to be moderated by SP but not by DE, and the relationship between SP and SC was found to be moderated by DE. In addition, the mediating effects of SE, which was moderated by SP, were found to not be moderated by DE. The clinical implication and suggestion for future research is discussed.

본 연구는 장애수용으로 사회적 유능감을 예측함에 있어 자존감의 매개효과 및 사회참여와 차별경험의 조절효과를 살펴봄으로써 심리-사회적 적응을 촉진하기 위한 보다 효과적인 전략을 규명하는 데에 그 목적이 있다. 연구의 대상은 만19세부터 65세 사이의 지체장애인 1943명(남 1338명, 여 605명)과 뇌병변 장애인 233명(남 160명, 여 73명)이다. 자료 분석을 위하여 SPSS와 process macro 프로그램을 활용하였으며 장애의 정도와 발생 시기를 통제한 조건부 과정분석(model 18)을 실시하였다. 그 결과는 다음과 같다. 첫째, 자존감은 장애수용과 사회적 유능감 간의 관계를 부분 매개하는 것으로 나타났다. 둘째, 자존감과 사회적 유능감 간의 관계는 사회참여에 의해 조절되는 것으로 나타났으나 차별경험에 의해서는 조절되지 않는 것으로 나타났으며 사회참여와 사회적 유능감 간의 관계는 차별경험에 의해 조절되는 것으로 나타났다. 그리고 사회참여에 의해 조절된 자존감의 매개효과는 차별경험에 의해 조절되지 않는 것으로 나타났다. 이상의 결과를 바탕으로 임상적 시사점과 향후 연구를 위한 제언을 논의하였다.

Keywords

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Fig. 1. The research model

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Fig. 2. A schematic summary of results

Table 1. Demographic background of Participants

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Table 2. Relationship between each variable

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Table 3. Results of conditional process analysis

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References

  1. A. L. Terrill, I. R. Molton, D. M. Ehde, D. Amtmann, C. H. Bombardier, A. E. Smith & M. P. Jensen. (2016). Resilience, age, and perceived symptoms in persons with long-term physical disabilities. Journal of Health Psychology, 21(5), 640-649. https://doi.org/10.1177/1359105314532973
  2. National Institute of Special Education. (2018). Dictionary of Special Education Terms. Seoul: Hawoo.
  3. S. J. Tlustos, M. W. Kirkwood, H. G. Taylor. T. Stancin, T. M. Brown & S. L. Wade. (2016). A randomized problem-solving trial for adolescent brain injury: changes in social competence. Rehabilitation Psychology, 61(4), 347-357. https://doi.org/10.1037/rep0000098
  4. M. Pinquart & J. P. Pfeiffer. (2015). Solving developmental tasks in adolescents with a chronic physical illness or physical/sensory disability: a meta-analysis. International Journal of Disability. Development and Education, 62(3), 249-264. https://doi.org/10.1080/1034912X.2015.1020922
  5. E. V. Morozova., S. V. Shmeleva., E. A. Sorokoumova, V. B. Nikishina & L. V. Abdalina. (2015). Acceptance of disability: determinants of overcoming social frustration. Global Journal of Health Science, 7(3), 317-323. https://doi.org/10.5539/gjhs.v7n3p317
  6. C. Gaynor, L. Devaux, M. Stephanie, K. Petropoulou, B. Stubbs & A. Soundy. (2016). Supported rehabilitation for individuals who have experienced a stroke: a pilot control rial. Open Journal of Therapy and Rehabilitation, 4(2), 87-98. https://doi.org/10.4236/ojtr.2016.42008
  7. Ministry of Health & Welfare. (2018). 2017 Survey of the Disabled. Sejong: Korea Institute for Health and Social Affairs.
  8. The Stroke Association and The Chartered Soceity of Physiotherapy. (2010). Moving on a Vision for Community Based Physiotherapy after Stroke in England. London: The Stroke Association,
  9. M. J. Kim. (2015). Research trends in rehabilitation program for disabled applying virtual reality technology in korea. Journal of Digital Convergence, 13(2), 381-391. https://doi.org/10.14400/JDC.2015.13.2.381
  10. J. S. Kwon. (2015). Effects of computer based virtual reality program on clinical rehabilitation in korea: a meta-analysis. Journal of Digital Convergence, 13(7), 293-304. https://doi.org/10.14400/JDC.2015.13.7.293
  11. R. Schwarzer, S. Lippke & A. Luszczynska. (2011). Mechanisms of health behavior change in persons with chronic illness or disability: the health action process approach (hapa). Rehabilitation Psychology, 56(3), 161-170. https://doi.org/10.1037/a0024509
  12. W. Stiers, S. Hanson, A. P. Turner, K. Stucky, M. Barisa, M. Brownsberger, M. V. Tubbergen, T. Ashman & A. Kuemmel. (2012). Guidelines for competency development and measurement in rehabilitation psychology postdoctoral training. Rehabilitation Psychology, 57(4), 267-279. https://doi.org/10.1037/a0030774
  13. W. Stiers, K. N. Perry, P. Kennedy & M. J. Scherer. (2011). Rehabilitation Psychology. In P. R. Martin., F. M. Cheung., M. C. Knowles., M. Kyrios., L. Littlefield., J. B. Overmier & M. Prieto. (Eds.), IAAP Handbook of Applied Psychology (pp. 537-587). NJ: Wiley-Blackwell.
  14. D. H. Kim. (2018). Key topics in rehabilitation psychology studies in the united states and korea: a comparison using keyword network. Journal of Rehabilitation Psychology, 25(3), 447-460.
  15. D. H. Kim & J. R. Park. (2018). An analysis on research trends in art therapy interventions for individuals with physical disabilities in korean academic journals. Journal of Rehabilitation Psychology, 25(4), 839-864.
  16. K. R. Bogart. (2015). Disability identity predicts lower anxiety and depression in multiple sclerosis. Rehabilitation Psychology, 60(1), 105-109. https://doi.org/10.1037/rep0000029
  17. A. J. Forber-Pratt, D. A. Lyew, C. Mueller & L. B. Samples. (2017). Disability identity development: a systematic review of the literature. Rehabilitation Psychology, 62(2), 198-207. https://doi.org/10.1037/rep0000134
  18. R. Muller, C. Peter, A. Cieza, M. W. Post, C. M. Van Leeuwen, C. S. Werner & S. Geyh. (2015). Social skills: a resource for more social support, lower depression levels, higher quality of life, and participation in individuals with spinal cord injury?. Archives of Physical Medicine and Rehabilitation, 96(3), 447-455. https://doi.org/10.1016/j.apmr.2014.09.006
  19. M. S. Suk & O. S. Cho. (2018). An analysis of factors impact of disabled's disability Acceptance on job satisfaction. Journal of Convergence for Information Technology, 8(6), 317-326. https://doi.org/10.22156/CS4SMB.2018.8.6.317
  20. A. J. Forber-Pratt & M. P. Zape. (2017). Disability identity development model: voices from the ada-generation. Disability and Health Journal, 10(2), 350-355. https://doi.org/10.1016/j.dhjo.2016.12.013
  21. D. S. Dunn & S. Burcaw. (2013). Disability identity: exploring narrative accounts of disability. Rehabilitation Psychology, 58(2), 148-157. https://doi.org/10.1037/a0031691
  22. K. R. Bogart. (2014). The role of disability self-concept in adaptation to congenital or acquired disability. Rehabilitation Psychology, 59(1), 107-115. https://doi.org/10.1037/a0035800
  23. M. Rosenberg. (1979). Conceiving the Self. NY: Basic Books.
  24. C. Gernigon, C. Pereira Dias, F. Riou, W. Briki & G. Ninot. (2015). Reference system of competence and engagement in adapted physical activities of people with recent spinal cord injury. Disability and Rehabilitation, 37(23), 2192-2196. https://doi.org/10.3109/09638288.2014.1002575
  25. S. W. Jeong. (2014). The prospective effect of acceptance of disability on self-esteem of persons with hearing impairments. Disability & Employment, 24(1), 167-197. https://doi.org/10.15707/disem.2014.24.1.007
  26. C. H. Kwon & H. C. Choi. (2016). The prospective effect of acceptance of disability on self-esteem of persons with physical disabilities -through analysis on psed-. Journal of Special Education & Rehabilitation Science, 55(2), 149-172. https://doi.org/10.15870/jsers.2016.06.55.2.149
  27. M. C. Hocking, M. McCurdy, E. Turner, A. E. Kazak, R. B. Noll., P. Phillips & L. P. Barakat. (2015). Social competence in pediatric brain tumor survivors: application of a model from social neuroscience and developmental psychology. Pediatric Blood & Cancer, 62(3), 375-384. https://doi.org/10.1002/pbc.25300
  28. D. H. Kim. (2014). A research on the effect of group art therapy on school children's sociability and peer relationship. Journal of Arts Psychotherapy, 10(4), 213-239.
  29. M. F. Hoffman, I Cejas, A. L. Quittner & CDaCI Investigative Team. (2016). Comparisons of longitudinal trajectories of social competence: Parent ratings of children with cochlear implants versus hearing peers. Otol Neurotol, 37(2), 152-159. https://doi.org/10.1097/MAO.0000000000000938
  30. D. Serbic & T. Pincus. (2017). The relationship between pain, disability, guilt and acceptance in low back pain: a mediation analysis. Journal of Behavioral Medicine, 40(4), 651-658. https://doi.org/10.1007/s10865-017-9826-2
  31. P. Switaj, P. Grygiel, M. Anczewska & J. Wciorka. (2015). Experiences of discrimination and the feelings of loneliness in people with psychotic disorders: The mediating effects of self-esteem and support seeking. Comprehensive Psychiatry, 59, 73-79. https://doi.org/10.1016/j.comppsych.2015.02.016
  32. D. H. Kim. (2018). Mediating and moderating effects of self-regulation and career identity in the relationship between achievement value and academic adjustment of middle school students. Journal of Digital Convergence, 16(11), 589-598. https://doi.org/10.14400/JDC.2018.16.11.589
  33. R. Olkin. (2007). Disability-affirmative therapy and case formulation: a template for understanding disability in a clinical context. Counseling and Human Development, 39(8), 1-20.
  34. R. Olkin. (2009). Disability-affirmative therapy. In Stebnicki, M. A. (Ed.). The Professional Counselor's Desk Reference (pp. 355-370). NY: Springer.
  35. A. F. Hayes. (2013). Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression Based Approach. NY: The Guilford Press.
  36. O. H. Kweon & J. W. Moon. (2018). The influence of interpersonal relation of people with disability on daily life satisfaction; focusing on mediating effect of self-efficacy. Journal of Convergence for Information Technology, 8(6), 327-333. https://doi.org/10.22156/CS4SMB.2018.8.6.327