DOI QR코드

DOI QR Code

The Effect of Spirituality on Depression and Psychological Well-Being in Undergraduate Students

영성(영적 경향성)이 대학생에서 우울과 심리적 안녕감에 미치는 영향

  • Lee, Jung-Sik (Department of Psychiatry, Yong-In Mental Hospital) ;
  • Kim, Han-sung (Department of Psychiatry, Yong-In Mental Hospital) ;
  • Han, Seung-rie (Department of Psychiatry, Yong-In Mental Hospital) ;
  • Han, Seung-Min (Department of Psychiatry, Yong-In Mental Hospital) ;
  • Choi, Sun (Department of Clinical Psychology, Yong-In Mental Hospital) ;
  • Kim, Seo-hyeon (Department of Clinical Psychology, Yong-In Mental Hospital)
  • 이정식 (용인정신병원 정신건강의학과) ;
  • 김한성 (용인정신병원 정신건강의학과) ;
  • 한승리 (용인정신병원 정신건강의학과) ;
  • 한승민 (용인정신병원 정신건강의학과) ;
  • 최선 (용인정신병원 임상심리과) ;
  • 김서현 (용인정신병원 임상심리과)
  • Received : 2017.07.25
  • Accepted : 2018.01.26
  • Published : 2018.04.30

Abstract

Objective : The aims of this study are to investigate the correlation between spiritual well-being and the pattern of stress coping strategies, as well as understand how they impact depression and psychological well-being. Methods : We analyzed 320 undergraduate students in a capital area (135 males, 170 females; 15 students who answered irrelevantly were excluded). Spiritual well-being (religious and existential), stress coping strategies (active and passive), psychological well-being and, depression were rated using the Spiritual Well-Being scale, Ways of Coping checklist, Psychological Well-Being measurement, and Depression Scale (CES-D), respectively. For the analysis, we utilized Pearson correlation analysis and simple regression analysis. Results : The analysis revealed a positive correlation between Spiritual well-being and active coping strategies, a negative correlation between existential well-being and depression, and a positive correlation between religious well-being and psychological well-being. By regression analysis, it showed spiritual-well being affected depression negatively. Existential well-being, but not religious well-being, affected depression negatively. Furthermore, the impact of existential well-being on depression remained a strong predictor in males better than females. Existential well-being affected psychological well-being positively through active coping strategies. Conclusion : In this study, we verified a correlation between existential well-Being and active coping strategies which affected depression and psychological well-being in undergraduate students.

본 연구는 영성이 어떠한 대처방식을 통해 우울과 심리적 안녕감에 영향을 미치는지 알아보기 위해 경기도 소재의 대학생 320명을 대상으로 연구를 수행하였다. 영적 안녕 척도, 스트레스 대처방식 척도, 심리적 안녕감 척도, 우울 척도를 이용하여 대상자들을 평가하였으며 Pearson 상관 분석, 회귀 분석을 이용해 자료를 분석하였다. 영성은 심리적 안녕감, 적극적 대처방식과는 정적 상관관계를 우울과는 부적 상관관계를 보였다. 실존적 안녕은 우울과는 부적 상관관계를 종교적 안녕은 심리적 안녕감에 정적인 상관관계를 나타냈다. 영성이 영향을 미치는 각각의 변수에 대해 더욱 자세히 알아보기 위해 단순회귀분석을 시행하였고 영성은 우울에 부적으로 유의미한 영향을 주었다. 그 중 실존적 안녕이 우울에 유의미하게 부적 영향을 미쳤으며 종교가 있는 군과 남자 군에서 더욱 설명력이 높았다. 영성이 심리적 안녕과 스트레스 상황 시 적극적인 대처방식에 정적으로 유의미한 영향을 미쳤다. 결론적으로, 본 연구에서는 실존적 영성이 적극적 대처방식을 통해 우울과 심리적 안녕감에 긍정적 영향을 미치는 것을 확인 하였다. 이를 근거로 실존적 영성을 활성화 하는 치료적 개입을 통해 환자의 정신건강에 도움을 줄 수 있겠다.

Keywords

References

  1. Meezenbroek EJ, Garssen B, Berg M, Dierendonck D, Visser A, Wilmar B, et al. Measuring Spirituality as a Universal Human Experience: A Review of Spirituality Questionnaires 2012;51:336-354. https://doi.org/10.1007/s10943-010-9376-1
  2. Weaver AJ, Pargament KI, Flannelly KJ, Oppenheimer JE. Trends in the scientifc study of religion, spirituality, and health: 1965-2000. Journal of Religion and Health 2006;45:208-214. https://doi.org/10.1007/s10943-006-9011-3
  3. Cook CCH. Addiction and spirituality. Addiction 2004;99:539-551. https://doi.org/10.1111/j.1360-0443.2004.00715.x
  4. George LK, Larson DB, Koenig HG, McCullough ME. Spirituality and health: What we know, what we need to know. Journal of Social and Clinical Psychology 2000;19:102-116. https://doi.org/10.1521/jscp.2000.19.1.102
  5. Hill PC, Pargament KI, Hood RW, McCullough ME, Swyers JP, Larson DB, et al. Conceptualizing religion and spirituality: Points of commonality, points of departure. Journal for the Theory of Social Behaviour 2000;30:51-77. https://doi.org/10.1111/1468-5914.00119
  6. Moberg DO. Assessing and measuring spirituality: Confronting dilemmas of universal and particular evaluative criteria. Journal of Adult Development 2002;9:47-60. https://doi.org/10.1023/A:1013877201375
  7. Muldoon M, King N. Spirituality, health care, and bioethics. Journal of Religion and Health 1995;34:329-349. https://doi.org/10.1007/BF02248742
  8. Vaughan F. Spiritual issues in psychotherapy. Journal of Transper- sonal Psychology 1991;23:105-119.
  9. Murray RB, Zenter JB. Nursing concepts for health promotion. London: Prentice-Hall; 1989. Spiritual well-being: a defnition. Athens, GA: National Interfaith Coalition on Aging;1975.
  10. Reed PG. An emerging paradigm for the investigation of spirituality in nursing. Research in Nursing and Health 1992;15:349-357. https://doi.org/10.1002/nur.4770150505
  11. Elkins DN, Hedstrom LJ, Hughes LL, Leaf JA, Saunders C. Toward a humanistic phenomenological spirituality. Defnition, description, and measurement. Journal of Humanistic Psychology 1988;28:5-18. https://doi.org/10.1177/0022167888284002
  12. Stefanek M, McDonald PG, Hess SA. Religion, spirituality and cancer: Current status and methodological challenges. Psycho-Oncology 2005;14:450-463. https://doi.org/10.1002/pon.861
  13. Smith TB, McCullough ME, Poll J. Religiousness and depression: Evidence for a main effect and the moderating infuence of stressful life events. Psychological Bulletin 2003;129:614-636. https://doi.org/10.1037/0033-2909.129.4.614
  14. Sawatzky R, Ratner PA, Chiu L. A meta-analysis of the relationship between spirituality and quality of life. Social Indicators Research 2005;72:153-188. https://doi.org/10.1007/s11205-004-5577-x
  15. Koenig HG, McCullough ME, Larson DB. Handbook of religion and health. New York: University Press;2001.
  16. Dew RE, Daniel SS, Goldston DB, Koenig HG J. Religion, spirituality, and depression in adolescent psychiatric outpatients. Nervous and Menttal Disease 2008;196;247-251. https://doi.org/10.1097/NMD.0b013e3181663002
  17. Chang EJ. A Study on Correlation Among University Students' Spirituality, Emotion, and Depression [Master dissertation]. Seoul: Yonsei University;2006.
  18. Rickhi B, Moritz S, Reesal R, Xu TJ, Paccagnan P, Urbanska B, et al. A spirituality teaching program for depression: a randomized controlled trial. Int J Psychiatry Med. 2011;42;315-329. https://doi.org/10.2190/PM.42.3.f
  19. Mackenzie ER, Rajagopal DE, Meibohm M, Lavizzo-Mourey R. Spiritual support and psychological well-being: older adults' perceptions of the religion and health connection. Altern Ther Health Med 2000;6;37-45.
  20. Fehring RJ, Brennan PF, Keller ML. Psychological and spiritual well-being in college students. Res Nurs Health 1987;10;391-398. https://doi.org/10.1002/nur.4770100607
  21. Creagan ET. Attitude and disposition: do they make a difference in cancer survival? Mayo Clin Proc 1997;72:160-164. https://doi.org/10.4065/72.2.160
  22. Paloutzian RF, Ellison CW. Loneliness, spiritual well-being & the quality of life. In Loneliness: a Source-book of current theory. Research & therapy, ed by Peplau LA and Perman D, New York, John Wiley & Son;1982.
  23. Cheung SD, Lee JB, Park HB, Kim JS, Bai DS, Lee KH, et al. A study on reliability and validity of the korean version of spiritual well being scale. J Korean Neuropsychiatr Assoc 2001;40:230-242.
  24. Lazarus RS, Folkman S. Coping and adaptation. In: Gentry WD, editor. The handbook of behavioral medicine. New York, Guilford;1984.
  25. Kim JH, Lee JH. The relationship between components of stress coping styles and depression. The Journal of Behavioral Sciences 1985;7: 127-138.
  26. Ryff CD. Happiness is everything, or is it? Explorations on the meanig of psychological well-being. Journal of Personality and Social Psychology 1989;57:1069-1081. https://doi.org/10.1037/0022-3514.57.6.1069
  27. Ryff CD, Keyes CLM. The structure of psychological well-being revisited. Journal of Personality and Social Psychology 1995;73:549- 559.
  28. Kim MS, Kim HW, Cha KH. Analyses on the Construct of Psychological Well-Being (PWB) of Korean Male and Female Adults. Korean Journal of Social and Personality Psychology 2001;15:19-39.
  29. Radloff LS. The CES-D scale. A self-report depression scale for research in the general population. Applied Psychological Measurement 1997;1:385-401.
  30. Cho MJ, Kim KH. Diagnostic Validity of the CES-D(Korean Version) in the Assessment of DSM-III-R Major Depression. J Korean Neuropsychiatr Assoc 1993; 37:340-351.
  31. Waaijman K. Spirituality: forms, foundations, methods;2002. p.1.
  32. Kim JS. A study on the infuence factors on depression in the elderly : focused on the spirituality[Master dissertation]. Seoul: Seoul woman university;2008.
  33. Lim SH. Mediating Effects of Religious Well-being in the Relation- ships between Neuroticism and Subjective Well-being[Master dissertation]. Anyang: Sungkyul University;2012.
  34. Kim KM. The Infuence of Christian's Spirituality on Well-being : The Mediating effect of gratitude[Master dissertation]. Suwon: Ajou university;2009.
  35. Lee SJ. The relation between spirituality and coping : cognitive emotion regulation as a mediating variable[Master dissertation]. Seoul: Catholic University;2009.