대처 방식과 우울에 관한 탐색적 연구 : 뇌졸중의 재활을 중심으로 = A Preliminary examination of the relation between coping styles and depression : With special reference to stroke rehabilitation

다국어 초록 (Multilingual Abstract)

The present study examined, especially within the context of stroke rehabilitation, the relation between coping styles and depression in a group of 220 adults. To begin with, development of both coping styles and depression was pursued. In developing scales, special attention was paid to the multi-dimensional nature of coping styles and a convenient assessment of depression for general population, For this purpose, a multi-dimensional coping scale was developed and a Korean version CES-D was validated. An examination of the validation for both scales revealed satisfactory. Specifically, a multi-dimensional coping scale was found to be composed of 12 meaningful factor structures : active coping (α=.74), passive withdrawal (α=.51), emotional expression (α=.73), emotional repression (α=.46), active forgetting (α=.73), drug addict (α=.71), perseverance (α=.61), accommodation (α=.69), positive comparison (α=.82), self-criticism (α=.81), social coping (α=.80), and religious coping (α=.93), A Korean version of CES-D revealed a similar factor structure to that of CES-D (Radloff, 1977) and its internal consistency was .89. With the employment of a multi-dimensional coping scale, a Korean version of CES-D, and a Korean version of SCL-90-R, an exploration on the relation between coping styles and depression was pursued. When correlations were calculated between coping styles and a Korean version of CES-D and/or depression(in a Korean version SCL-90-R), both active coping and perseverance revealed significant negative association, implying effective coping styles. Meanwhile, passive withdrawal and emotional expression revealed significant positive correlation, implying ineffective coping styles. When the total subject pool was divided into depressed group (over 16 in CES-D) and non-depressed group (less than 15 in CES-D), non-depressed group revealed a similar pattern to that of total group. In contrast, in the case of depressed group, there was no significant correlation at all between coping styles and depression scores. When somatization (in a Korean version of SCL-90-R) was used as criterion variable and coping styles and/or depression (in a Korean version of SCL-90-R) were employed as predictor variables in regression equation, depression and self-criticism coping styles were found to be significant predictors. Finally, results are discussed and implications for future studies are suggested.