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The Factors Influence upon Employment Volition in Alcohol Use Disorder

알코올사용장애 환자의 취업의지에 미치는 영향요인

  • Received : 2019.04.18
  • Accepted : 2019.07.05
  • Published : 2019.07.31

Abstract

This descriptive research study investigated the relationships between different degrees of family support, ego-resilience and employment volition of patients suffering from alcohol use disorder, and we identified the factors that had an influence on employment volition. This study used the survey research technique and structured questionnaires. The data was collected from 128 males (aged 20 years or older) and who had been diagnosed with alcohol use disorder. They had also undergone either inpatient hospital care or outpatient treatment. The data was analyzed using descriptive statistics, one-way ANOVA, Pearson's correlation coefficient and multiple regression analysis. The results of the study showed that family support had a value of 4.30, an ego resilience had a value of 2.37 and the employment volition had a value of 4.06. The results of the multiple regression analysis showed that there was statistically significant positive correlation between employment volition and ego resilience (${\beta}=-.314$, p<.01) and age (${\beta}=-.253$, p<.01), and the total explanatory power of these 2 factors was 16.3%. According to the results of this study, age-based approaches are needed to improve the employment volition of patients with alcohol use disorder. Additionally, the results of this study suggest that an ego resilience enhancement program be developed and implemented to help these patients.

본 연구는 알코올사용장애 환자의 가족지지, 자아탄력성, 취업의지의 관계를 파악하고, 취업의지에 영향을 미치는 요인을 확인하기 위한 서술적 조사연구이다. 자료수집은 알코올사용장애로 진단받고 입원 및 외래 치료를 받은 경험이 있는 20세 이상의 남성 128명을 대상으로 구조화된 설문지를 이용하였다. 자료분석은 SPSS 22.0 program을 이용하여 기술통계, 일원분산분석, 피어슨 상관계수, 다중회귀분석을 이용하였다. 연구결과 가족지지는 5점 만점에 4.30점, 자아탄력성은 4점 만점에 2.37점, 취업의지는 5점 만점에 4.06점이었다. 가족지지는 주거형태에 따라 자가소유 주택 거주자가 임대형 주택 거주자보다 높고($x^2=4.747$, p=.01), 자아탄력성은 교육정도에 따라 초대졸 이상이 중졸이하보다 높았으며(F=4.389, p=.01), 취업의지는 연령에 따라 40대 이하가 50대 이상보다 높았다(F=4.778, p=.01). 취업의지는 자아탄력성과 유의한 양의 상관관계가 나타나 자아탄력성이 높을수록 취업의지도 높았다.(r=.309, p<.01). 취업의지에 영향을 미치는 요인은 자아탄력성(${\beta}=-.314$, p<.01)과 연령(${\beta}=-.253$, p<.01)이며 16.3%의 설명력을 나타냈다. 연구결과를 토대로 알코올사용장애 환자의 취업의지를 향상시키기 위해 연령수준에 따른 접근이 필요하며 자아탄력성을 증진시킬 수 있는 프로그램이 개발되어 활용되기를 기대한다.

Keywords

Table 1. General Characteristics

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Table 3. Difference of Variables by the General Characteristics

SHGSCZ_2019_v20n7_272_t0002.png 이미지

Table 2. Mean Scores of Variables

SHGSCZ_2019_v20n7_272_t0003.png 이미지

Table 4. Correlation of Variables

SHGSCZ_2019_v20n7_272_t0004.png 이미지

Table 5. Factors influencing Employment Volition

SHGSCZ_2019_v20n7_272_t0005.png 이미지

References

  1. American Psychiatric Association, Diagnostic and statistical manual of mental disorders Fifth Edition, 2015. DOI: https://doi.org/10.1176/appi.books.9780890425596.190656
  2. The Survey of Mental Disorders in Korea, Ministry of Health & Welfare. 2016.
  3. S. R. Kang. "The Recovery Process of Alcohol Dependent Men Living in a Therapeutic Community", Journal of Korean Academy of Nursing. Apr;47(2):267-76, 2017. DOI: https://doi.org/10.4040/jkan.2017.47.2.267
  4. Y. S. Kwon, M. H. Hyun. "Relationship between Sense of Self-Control, Hopelessness, Perceived Support from Family, and Suicidal Ideation in Alcohol Use Disorders", The Korean Journal of Health Psychology. Jun;19(2):585-605, 2014. https://doi.org/10.17315/kjhp.2014.19.2.008
  5. S. J. Catanzaro. J. Laurent. "Perceived family support, negative mood regulation expectancies, coping, and adolescent alcohol use: Evidence of mediation and moderation effects", Addictive Behaviors. Elsevier BV; Dec;29(9):1779-97, 2004. DOI: http://dx.doi.org/10.1016/j.addbeh.2004.04.001
  6. D. Mortimer. L. Segal. "Economic evaluation of interventions for problem drinking and alcohol dependence: cost per QALY estimates. Alcohol and Alcoholism", Oxford University Press (OUP);15;40(6):549-55, 2005. DOI: http://dx.doi.org/10.1093/alcalc/agh192
  7. M. S. Yoon, Y. C. Chung, J. S. Lee, B, H. Lee, H. C. Cho, "Effects of Family Support on Quality of Life among Alcohol Dependent Patients : Moderating Effect of Abstinence Self-Efficacy", Journal Korean Neuropsychiatric Association. Sep;51:277-84, 2012. DOI: http://dx.doi.org/10.12934/jkpmhn.2015.24.1.50
  8. K. S. Jung. "Study on ecological-system factors affecting alcoholics' recovery", Unpublished Master's Thesis, Pusan University, 2006.
  9. B. S. Park. H. M. Jin. M. S. Hoe. "The Relationship of Depression and Life Satisfaction on Male Alcoholics Exploring on the Roles of Family Function and Family Support", Mental Health & Social Work, 38, 172-204. 2011.
  10. H. O. Jung, Y. S. Chea. H. S. Kim. "The Influence of Self-esteem, Trait anger, Depression, Family Function, and Interpersonal Relations on Existential Spiritual Well-being in Patients with Alcohol Dependence", Journal of Korean Academy of Psychiatric and Mental Health Nursing. 24(1):50-60, 2015. https://doi.org/10.12934/jkpmhn.2015.24.1.50
  11. E. M. Lee. I. J. Park. "The Relationships between Parent-Child Bonding and Children's Ego-Resiliency", Korean Journal of Family Welfare, 7(1), 3-24. 2002.
  12. Block J, Kremen AM. "IQ and ego-resiliency: Conceptual and empirical connections and separateness", Journal of Personality and Social Psychology. 70(2):349-61, 1996 DOI: http://dx.doi.org/10.1037/0022-3514.70.2.349
  13. Y. M. Han. "The Relation Between College Students' Self-Resilience and Mental Health", Journal of Human Understanding and Counseling. 30(1):97-110, 2009.
  14. D. I. Min.. "The Effects The Effects Effects of Family Strengths, Strengths, Strengths, School Life Health and Ego-Resilience and Ego-Resilience Ego-Resilience on Mental Health of Adolescents", Unpublished Doctoral Dissertation, Inha University, 2007.
  15. M. S. Yeo. "Structural Relationships between the Variables of Unemployed Person's Career Barriers, Ego-Resilience, Job Search Efficacy and Career Preparation Behavior", The Journal of Employment and Career. 17(1):95-119, 2017.
  16. J. Y. Lim. "The Factors That Influences on Employment will of Senior Citizenship- Centering on Seoul City", Unpublished Master's Thesis, Kyonggi University. 2011.
  17. J. Y. Kim. J. S. Lee. S.H. Oh. "A Study on the determinants of intent to work of people with disabilities: Uncovering the roles of positive expressions from family members, social network, and disability identity", Korean journal of social welfare studies. 45(2):147-72, 2014. https://doi.org/10.16999/kasws.2014.45.2.147
  18. S. S. Han. J. H. Han. E. K. Yun. "Predictors of Employment Intention for Mentally Disabled Persons", Journal of Korean Academy of Nursing. Aug;38(4):541-9, 2008. https://doi.org/10.4040/jkan.2008.38.4.541
  19. H. J. Park "A Study on the Factors Affecting Employment Needs Among Elderly People with Disabilities", The Journal of Special Education : Theory and Practice. Jun;8(2):169-95, 2007.
  20. K. H. Cho. "A Phenomenological Study on Return to Work of Recovering Alcoholics", Unpublished Doctoral Dissertation, Pyeongtaek University 2013.
  21. M. S. Cho. H. J. An. "Adaptation Process in the Workplace in Korean Adults with Alcohol Use Disorder", Journal of Korean Academy of Psychiatric and Mental Health Nursing, 27(3):216-226, 2018. DOI: https://doi.org/10.12934/jkpmhn.2018.27.3.216
  22. Y. S. Lee. M. J. Woo. "A vocational rehabilitation course to help alcoholics adapt to society", Journal of Korean Alcohol Science. 6(1):63-71, 2005.
  23. I. M. Beam. "Helping families survive", The American Journal of Nursing. 84(2):229-32, 1984. DOI: https://doi.org/10.1097/00000446-198402000-00022
  24. J. W. Park.. "A Study to Development a Scale of Social Support", Unpublished Doctoral Dissertation, Yonsei University, 1985.
  25. J. S Won. H. Cho. "The Effect of Community Based Mental Health Rehabilitation Program on Perceived Family Support of Mentally Ill Patients", Journal of Korean Academy of Psychiatric and Mental Health Nursing. 7(1):187-98, 1998.
  26. S. K. You. H. W. Sim. "Psychological Protective Factors in Resilient Adolescents in Korea", Journal of Educational Psychology. 16(4):189-206, 2002.
  27. C. J. Van Dongen. "Quality of life and self-esteem in working and nonworking persons with mental illness", Community mental health journal. 32(6):535-48, 1996. DOI: https://doi.org/10.1007/bf02251064
  28. H. S. Choi. "A Study on the Predictors of Vocational Rehabilitation Outcome for Persons with Schizophrenia", Unpublished Doctoral Dissertation, Seoul Women's University. 1999.
  29. Y. C. Lee. J. Y. Park. "A Study on Factors Affecting Recovery of Alcoholics: Focus on Hospitalized Patients", Alcohol and Health Behavior Research. 18(1):15-29, 2017. DOI: https://doi.org/10.15524/ksas.2017.18.1.015
  30. Y. H. Kang. "Effects of Family Support and Social Support on Life Satisfaction of Middle-Aged Men", The Journal of the Korea Contents Association. 16(2):344-53, 2016. DOI: https://doi.org/10.5392/jkca.2016.16.02.344
  31. E. S. Yu. S. S. Lee. "An Exploratory study on the Effects of Family Support, Social Support for Elderly's Self-identity", The Journal of the Korea Contents Association. 14(12):254-73, 2014.
  32. S. Y. Park. "Relationships of Depression and Positive Emotions with Hope and the Mediating and Moderating Role of Family Support for People in Low-income", Korean journal of family social work. 40:189-214, 2013. DOI: https://doi.org/10.16975/kjfsw.2013..40.007
  33. H. M. Cho. E. K. Yoo. "Effects of Depression, Family support on Resilience in Patients with Gynecological Cancer", Journal of Wellness. 10(4):183-95, 2015.
  34. S. J. Park. M. J. An. H. S. So. "Relationships of Stigma, Family Support, and Quality of Life in Tuberculosis Patients", The Journal of the Korea Contents Association. 15(9):285-94, 2015. DOI: https://doi.org/10.5392/jkca.2015.15.09.285
  35. I. H. Park. S. W. Park. H. C. Kwon. "The Correlation between Quality of Life and Family Support of Stroke Patients", The Journal of Occupational Therapy for the Aged and Dementia. 5(2):41-9, 2011.
  36. Y. Y. Kim. S. W. Bae. "The Level of Perceived Family Support of the Mentally Ill and its Differential Impact on Psychosocial Rehabilitation Outcomes", Family and culture. 17:235-57, 2005.
  37. K. H. Seo. S. M. Kim. "Roles of Life Stress and Ego-Resilience in Problem Drinking of College Students", Alcohol and Health Behavior Research, 10(2), 21-34. 2009.
  38. K. S. Park. H. M. Yoon. "University Students' Health Behavior, Depression, and Ego-resilience", Journal of Korean Academy of Psychiatric and Mental Health Nursing, 25(2), 113-122. 2016. DOI: https://doi.org/10.12934/jkpmhn.2016.25.2.113
  39. S. H. Park. S. H. Han. "Effect of Self-resilience and Professional Self-concept, Major satisfaction on Nursing Student's Adjustment to college life" Journal of the Korea Academia-Industrial cooperation Society, 17(8), 517-526. 2016. DOI: https://doi.org/10.5762/kais.2016.17.8.517
  40. M. S. Park. C. U. Oh. H. K. Kang. "Relationships among Bullying, Ego-Resilience, Perceived Stress, and College Adaptation in Nursing Students", Journal of the Korea Convergence Society, 8(2), 73-81. 2017. DOI: https://doi.org/10.15207/jkcs.2017.8.2.073
  41. A. S. Lee. C. K. Yoon. J. M. Lee. "Influence of Ego-resilience and Social Support on the Depression of Hospital Nurses", Korean Journal of Occupational Health Nursing, 21(1). 2012. DOI: https://doi.org/10.5807/kjohn.2012.21.1.46
  42. N. Y. Eom. E. H. Kim. "The Moderating Effects of Resilience and Social Support on the Relation between Job-seeking Stress and Depression/Psychological Well-being", Journal of the Korea Academia-Industrial cooperation Society, 17(5), 619-630. 2016. DOI: https://doi.org/10.5762/kais.2016.17.5.619
  43. J. H. Woo. "A Study on the Relation between Family Relationships and Suicide for Alcoholics: Focused on the Mediating Effect of Ego-resilience", Korean Journal of Family Welfare, 19(3), 365-386. 2016. DOI: https://doi.org/10.13049/kfwa.2014.19.3.365
  44. Y. S. Rhee. S. Y. Kim. "Effect of Abstinence efficacy on Recovery Among Alcoholics-Focused on the Mediating Effect of Resilience-", Journal of the Korea Academia-Industrial cooperation Society, 16(12), 8472-8478. 2015. DOI: https://doi.org/10.5762/kais.2015.16.12.8472
  45. Y. M. Yang. S. "The Influence of Resilience in the Relationship between Therapeutic Factors of Alcoholics Anonymous and Abstinence Self-Efficacy", Alcohol and Health Behavior Research, 11(1), 57-75. 2010.
  46. S. W. Lee. S. Jung. "A Study on Factors Affecting the Employment and the Willingness to Work of People with Disabilities", Disability & Employment, 26(1), 41-66. 2016. DOI: https://doi.org/10.15707/disem.2016.26.1.002
  47. A. R. Park. "Recovery experiences of Korean alcoholics : being reborn" Unpublished Doctoral Dissertation, Ehwa Women's University. 2008