임신 후반기 여성의 마음챙김이 심리적 불편감에 미치는 영향 : 낭만애착의 매개효과 검증

채진영

서지반출

국문초록

이 연구는 한국 애착 종단연구(The Korea Attachment Longitudinal Study, KALS) 1차년도에 참가한 J 지역의 임신 후반기의 여성 가운데 자발적으로 참여를 희망하는 182명을 대상으로 이들의 마음챙김과 심리적 불 편감의 관계를 알아보고, 배우자에 대한 낭만애착이 이 관계를 매개하는지 검증하기 위해 실시되었다. 조 사 당시 결혼기간은 3년 이하가 반 이상이었고, 부부 모두 원했던 임신인 경우는 84% 정도이었다. 수집 된 자료는 SPSS 20.0을 이용하여 빈도와 백분율, Pearson의 적률상관관계를 산출하였고, AMOS 20.0을 이용 한 구조방정식으로 변인들 간의 영향관계를 파악하였다. 주요 결과는 다음과 같다. 첫째, 임신 후반기 여 성의 마음챙김, 낭만애착은 중간 수준 이상으로 나타났으며, 심리적 불편감은 중간 수준 이하였다. 둘째, 임신 후반기 여성의 마음챙김이 심리적 불편감에 미치는 영향에서 낭만애착의 부분매개효과가 있었고, 이는 bootstrapping을 실시한 결과 통계적으로 유의하였다. 이러한 결과는 임신한 여성의 부정적인 신체화 나 우울 및 불안을 감소하게 하려면 마음챙김 수준을 높여야 하고, 향상된 마음챙김으로 인해 배우자에 대해 안정적인 낭만애착을 형성한다면 임산부의 심리적 불편감을 완화시킬 수 있을 것임을 시사한다. 추 후 다양한 일반적 배경을 지닌 임산부를 대상자로 선정하여 임산부 표본의 대표성을 높일 필요성에 대해 논의하였다.

영문초록

The purpose of this study was to examine the effect of mindfulness on psychological discomfort in pregnant women, and their romantic attachment to their partner as a mediating factor. The subjects comprised of 182 women in their third trimester of pregnancy in J province who had participated in the first wave of the Korean Attachment Longitudinal Study (KALS). Data were analyzed by means of frequency, percentages, Cronbach’s reliability coefficient, and partial correlation using SPSS 20.0 and structural equation modeling through AMOS 20.0. The findings were as follows. First, the degrees of mindfulness, romantic attachment and negative psychological discomfort of the pregnant women in their trimester of pregnancy were above the median score. Second, the model proposed by this research demonstrated the effectiveness of using the structural equation model for analysis, and showed that romantic attachment had a partial mediating effect on the pregnant women's mindfulness and psychological discomfort, which was further proved as being statistically significant by means of bootstrapping. These findings suggest that the mindfulness of pregnant women needs to be increased in order for their psychological discomfort to be reduced. Moreover, it may be further deduced that there is a need for pregnant women to feel securely attached to their husbands.

키워드

마음챙김 심리적 불편감 낭만애착 매개효과 mindfulness psychological discomfort romantic attachment mediating effect

참고문헌 (46건)

권미경 (2007). 임신 중 우울과 모-태아 상호작용. 아동간호학회, 13(4), 416-426.
권선중, 김교헌 (2008). 마음챙김과 자기-조절 그리고 애착. 한국심리학회 연차학술대회 논문집, 12-13.
김승옥, 정혜정 (2013). 기혼남녀의 마음챙김과 일치성이 부부친밀감에 미치는 영향. 한국가족치료학회지, 21(2), 203-229.
문정순 (2007). 한국판 마음챙김 주의 자각 척도의 신뢰도와 타당도 연구. 전남대학교 대학원 석사학위논문.
문정순 (2010). 마음챙김과 심리적 안녕감 간의 관계: 공상자각과 인지적 탈융합의 매개에 초점을 둔 구조모형과 Q유형분석. 전남대학교 대학원 박사학위논문.
박기쁨, 우상우, 장문선 (2012). 대학생 집단을 통한 단축형 간이정신진단 검사-18(BSI-18)의 타당화 연구. 한국심리학회지: 임상, 31(2), 507-521.
이명은, 권영란 (2011). 임신 중 우울에 영향을 미치는 심리사회적 요인. 정신간호학회지, 20(3), 252-260.
이우경, 방희정 (2008). 사회, 정서발달: 성인기 여성의 스트레스, 마음챙김, 자기-자애, 심리적 안녕감 및 심리 증상 간의 관계. 한국심리학회지: 발달, 21(4), 127-146.
정미라, 강수경, 이혜진 (2012). 임신기 부부의 부부관계 질과 태아애착의 관계. 대한가정학회지, 50(4), 51-61.
조현주, 권정혜 (2002). 임신 중 우울에 대한 애착 모델. 한국심리학회지: 임상, 21(4), 727-744.
Baer, R. A. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10(2), 125-143.
Barnes, S., Brown, K. W., Krusemark, E., Campbell, W. K., & Rogge, R. D. (2007). The role of mindfulness in romantic relationship satisfaction and responses to relationship stress. Journal of Marital and Family Therapy, 33(4), 482-500.
Bifulco, A., Mahon, J., Kwon, J.-H., Moran, P. M., & Jacobs, C. (2003). The vulnerable attachment style questionnaire(VASQ): An interview-based measure of attachment styles that predict depressive disorder. Psychological Medicine, 33, 1099-1110.
Brown, K. W., & Ryan, R. M. (2003). The benefit of being present: Mindfulness and its role in psychological well-being. Journal of Personality & Social Psychology, 84(4), 822- 848.
Burpee, L. C., & Langer, E. J. (2005). Mindfulness and marital satisfaction. Journal of Adult Development, 12(1), 43-51.
Collins, N. L., & Read, S. J. (1990). Adult attachment, working models, and relationship quality in dating couples. Journal of Personality & Social Psychology, 58(4), 644-663.
Derogatis, L. R. (2001). Brief Symptom Inventory (BSI-18). Administration, scoring and procedures manual. Minneapolis: NCS Pearson, Inc.
Duncan, L., & Bardacke, N. (2010). Mindfulness-based childbirth and parenting education: Promoting family mindfulness during the perinatal period. Journal of Child and Family Studies, 19(2), 190-202.
Gambrel, L. E., & Keeling, M. L. (2010). Relational aspects of mindfulness: Implications for the practice of marriage and family therapy. Contemporary Family Therapy, 32, 412-426.
Germer, C. K., Siegel, R D., & Fulton, P. R (2012). 마음챙김과 심리치료: 불교명상과 심리학의 만남. 김재성(역). 서울: 학지사. (원본발간일, 2005)
Glover, V. (2014). Maternal depression, anxiety and stress during pregnancy and child outcome: What needs to be done. Best Practice & Research Clinical Obstetrics and Gynaecology, 28(1), 25-35.
Hazan, C., & Shaver, P. (1987). Romantic love conceptualized as an attachment process. Journal of Personality and Social Psychology, 52(3), 511-524.
Jones, K. C., Welton, S. R., Oliver, T. C., & Thoburn, J. W. (2011). Mindfulness, spousal attachment, and marital satisfaction: A mediated model. The Family Journal: Counseling and Therapy for Couples and Families, 19(4), 357-361.
Kabat-Zinn, J. (1994). Wherever you go there you are: Mindfulness meditation in everyday life. New York: Hyperion.
Kabat-Zinn, J., Massion, A., & Kristeller, J. (1992). Effectiveness of a meditation-based stress education program in the treatment of anxiety disorders. American Journal of Psychiatry, 149, 936-943.
Kobak, R. R., & Hazan, C. (1991). Attachment in marriage: Effects of security and accuracy of working models. Journal of Personality and Social Psychology, 60, 861-869.
Kostanski, M., & Hassed, C. (2008). Mindfulness as a concept and a process. Australian Psychologist, 43, 15-21.
Mace, C. (2010). 마음챙김과 정신건강: 치료, 이론과 과학. 안희영(역). 서울: 학지사. (원본발간일, 2008)
Main, M., & Goldwyn, R. (1994). Interview-based adult attachment classifications: Related to infant-mother and infant-father attachment. Unpublished manuscript, University of California, Berkely.
Mercer, R. T., & Walker, L. O. (2006). A review of nursing interventions to foster becoming a mother. Journal of Obstetric Gynecologic & Neonatal Nursing, 35(5), 568-582.
Miller, J., Fletcher, K., & Kabat-Zinn, J. (1995). Three-year follow-up and clinical implications of a mindfulness meditation-based stress reduction intervention in the treatment of anxiety disorders. General Hospital Psychiatry, 17, 192-200.
Milulincer, M., & Florian, V. (1999). Maternal-fetal bonding, coping strategies, and mental health during pregnancy -The contribution of attachment style. Journal of Social and Clinical Psychology, 18(3), 255-276.
Möhler, E., Parzer, P., Brunner, R., Wiebel, A., & Resch, F. (2006). Emotional stress in pregnancy predicts human infant reactivity. Early Human Development, 82, 731-737.
Pearson, R. M., Evans, J., Kounali, D., Lewis, G., Heron, J., Ramchandani, P. G., O'Connor, T. G., & Stein, A. (2013). Maternal depression during pregnancy and the postnatal period: Risk and possible mechanisms for offspring depression at age 18 years. The Journal of the American Medical Association Psychiatry, 70(10), 1312-1319.
Robertson, E., Grace, S., Wallington, T., & Stewart, D. E. (2004). Antenatal risk factors for postpartum depression: A synthesis of recent literature. General Hospital Psychiatry, 26, 289-295.
Schumacker, R. E., & Lomax, R. G. (2010). A beginner's guide to structural equation modeling (3rd ed.). New Jersey: Lawrence Erlbaum Associates.
Segal, Z. V., Williams, J. M., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford Press.
Siegel, D. J. (2007). Mindfulness training and neural integration: Differentiation of distinct streams of awareness and the cultivation of well-being. Social Cognitive and Affective Neuroscience, 2, 259-263.
Spinelli, M. G., & Endicott, J. (2003). Controlled clinical trial of interpersonal psychotherapy versus parenting education program for depressed pregnant women. American Journal of Psychiatry, 160. 555-562.
Synder, R., Shapiro, S., & Treleaven, D. (2012). Attachment theory and mindfulness. Journal of Child & Family Studies, 21, 709-717.
Teasdale, J. D., Segal, Z. V., Williams, J. M., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Counseling and Clinical Psychology, 68, 615-623.
Van Bussel, J. C. H., Spitz, B., & Demyttenaere, K. (2009). Anxiety in pregnant and postpartum women: An exploratory study of the role of maternal orientations. Journal of Affective Disorders, 114, 232-242.
Waches, J. J., & Cordova, J. V. (2007). Mindful relating: Exploring mindfulness and emotion repertoires in intimate relationships. Journal of Marital and Family Therapy, 33(4), 464- 481.
Wallin, D. J. (2010). 애착과 심리치료. 김진숙, 이지연, 윤숙경 (역). 서울: 학지사. (원본발간일, 2007)
Welwood, J. (1996). Love and awakening. New York: Harper Collins.
Zettle, R., & Raines, J. (1989). Group cognitive and contextual therapies in treatment of depression. Journal of Clinical Psychology, 45, 438-445.

구매하기 (4,600)

장바구니

국문초록

영문초록

목차

키워드

참고문헌 (46건)