Changes in Depressive Symptoms in Spouses of Post Myocardial Infarction Patients

Heesook Son,Erika Friedmann,Sue A. Thomas 한국간호과학회 2012 Asian Nursing Research Vol.6 No.4

Purpose: To identify parsimonious models for changes in depression in spouses of post myocardial infarction (MI) patients over 2 years based on the biopsychosocial model. Methods: A total of 442 community living patients who had experienced an MI and their spouses were included for analysis. Patients and spouses completed psychosocial assessments at baseline, 1 year, and 2 years after enrollment in the Patients’ and Families’ Psychological Response to Home Automated External Defibrillator Trial. Linear mixed models were used for testing hypotheses. Results: A total of 15.2% (baseline), 11.5% (1-year follow up), and 8.1% (2-year follow up) of spouses were depressed. Spouse biological factors did not influence changes in depression.Amongall spouses, twogroups of spouses showed increased depression over time: spouses with lower baseline depression scores (p < .001), and spouses of patients who had higher baseline depression scores (p = .001). Among psychologically distressed (anxious or depressed) spouses, three groups of spouses showed increased depression over time: spouses who had lower baseline depression scores (p < .001), spouses who had more social support at baseline (p = .023), and spouses of patientswho had higher baseline depression scores (p < .001). Conclusion: Spouse and patient baseline depression significantly predicted changes in depression for all spouses and psychologically distressed spouses. Among psychologically distressed spouses, higher baseline social support predicted higher depression scores over time. This study is an important step in understanding longitudinal changes in the psychological status of spouses ofMI patients for evaluating the need for interventions. It is crucial that patient couples’ psychosocial factors are continuously assessed. Purpose: To identify parsimonious models for changes in depression in spouses of post myocardial infarction (MI) patients over 2 years based on the biopsychosocial model. Methods: A total of 442 community living patients who had experienced an MI and their spouses were included for analysis. Patients and spouses completed psychosocial assessments at baseline, 1 year, and 2 years after enrollment in the Patients’ and Families’ Psychological Response to Home Automated External Defibrillator Trial. Linear mixed models were used for testing hypotheses. Results: A total of 15.2% (baseline), 11.5% (1-year follow up), and 8.1% (2-year follow up) of spouses were depressed. Spouse biological factors did not influence changes in depression.Amongall spouses, twogroups of spouses showed increased depression over time: spouses with lower baseline depression scores (p < .001), and spouses of patients who had higher baseline depression scores (p = .001). Among psychologically distressed (anxious or depressed) spouses, three groups of spouses showed increased depression over time: spouses who had lower baseline depression scores (p < .001), spouses who had more social support at baseline (p = .023), and spouses of patientswho had higher baseline depression scores (p < .001). Conclusion: Spouse and patient baseline depression significantly predicted changes in depression for all spouses and psychologically distressed spouses. Among psychologically distressed spouses, higher baseline social support predicted higher depression scores over time. This study is an important step in understanding longitudinal changes in the psychological status of spouses ofMI patients for evaluating the need for interventions. It is crucial that patient couples’ psychosocial factors are continuously assessed.

장애인가정 결혼이민자의 생활만족에 미치는 영향요인

김필호(Kim Pilho),류주현(Ryu Juhyun) 숙명여자대학교 아시아여성연구원 2020 다문화사회연구 Vol.13 No.3

본 연구의 목적은 장애인가정 결혼이민자의 생활만족도에 영향을 미치는 요인을 분석하는 것에 있다. 연구자료는 여성가족부에서 2018년 전국 다문화가족을 전수 조사한 자료인 2018년 다문화가족실태조사의 데이터를 분석 자료로 활용하였으며, 장애인가정에 속한 결혼이민자 1,066명을 최종 분석 대상으로 하였다. 분석결과 첫째, 장애인가정 결혼이민자의 개인 체계요인 중, 주관적 건강상태, 우울정도(정신건강)는 결혼이민자의 생활만족에 통계적으로 유의한 영향을 미치는 것으로 나타났다. 둘째, 장애인가정 결혼이민자의 가족 체계 요인 중, 배우자와의 관계, 자녀와의 관계는 생활만족에 통계적으로 유의한 영향을 미치는 것으로 나타났다. 셋째, 장애인가정 결혼이민자의 사회적 지지는 생활만족에 통계적으로 유의한 영향을 미치는 것으로 나타났다. 이에 본 연구에서는 분석 결과를 바탕으로 장애인가정 결혼이민자의 생활만족에 관한 정책적·실천적 함의를 제시하였다. This study analyzes the factors influencing the immigrant spouses’ life satisfaction of immigrant spouses in the households with disabled members. For research and analysis, the data of a survey conducted by the 2018 Ministry of Gender Equality and Family’s National Survey on the Multi-Cultural Families conducted by the Ministry of Gender Equality and Family with and the census method for data analysis, and an analysis was conducted 1,066 immigrant spouses in the living in households with disabled members are the subject of to the final analysis. The findings of the study were as follows; First, the results found that subjective health status and the degree of depression[mental health] among personal system variables have a statistically significant effect on life satisfaction of the immigrant spouses; Second, the results indicated that the relationships of the immigrant spouses with spouses and children among family system variables have a statistically significant effect on the life satisfaction of the immigrant spouses; Third, the results indicated that the social support has a statistically significant effect on the life satisfaction of the immigrant spouses. This study suggests the policy and practical implications based on the analysis of the immigrant spouses regarding their life satisfaction.

Association Between Dyadic Coping and Quality of Life in Breast Cancer Patients and Their Spouses: An Actor-partner Interdependence Mediation Model

Chen Wei,Li Hui,Cai Jian-Zheng,Qin Nan 한국간호과학회 2024 Asian Nursing Research Vol.18 No.1

Purpose This study aims to examine the relationship between dyadic coping (DC), intimate relationship, and quality of life (QOL), and to explore the mediating role of intimate relationship in patients with breast cancer (BC) and their spouses from a dyadic perspective. Methods A cross-sectional design was used in this present study, and 205 dyads of BC patients and their spouses who completed a sociodemographic and clinical questionnaire and self-reported measures assessing their DC, intimate relationship, and QOL were recruited. The actor-partner interdependence mediation model (APIMeM) was adopted for dyadic distinguished data analysis. The paired t-test, Pearson's correlation coefficients, and the structural equation model were employed for data analysis by using SPSS 22.0 and Amos 24.0. Results The current study revealed that, for BC patients and their spouses, intimate relationship mediates completely the actor effect of DC on QOL. That is to say, DC was positively related to intimate relationship and then improved QOL. It was interesting to find that, for both patients and their spouses, the intimate relationship could exert a partner-actor complete mediation effect between DC and QOL. Conclusions The DC perceived by both BC patients and their spouses has significant actor effects on QOL by improving the level of an intimate relationship. Furthermore, intimate relationship has significant actor-actor and partner-actor complete mediation effects for both patients and their spouses. Given the vital role of patient-spouse dyads, nursing staff should take patients’ spouses into account when conducting related psychosocial interventions aiming to improve the QOL of BC patients and their spouses.

우리나라 배우자 상속공제제도에 대한 연구

김신언(Kim Shineon) 한국세법학회 2012 조세법연구 Vol.18 No.2

배우자간 재산상속에 대하여 상속공제를 인정하는 것을 헌법적 차원에서 본다면 이것은 생존배우자 등의 행복추구권·인간다운 생활을 할 권리의 물질적 충족을 보장하는 구체적 내용이라고 해석할 수 있다. 행복이 물질적 풍요와 정신적 만족이라는 점에서 볼때, 배우자간 재산상속에 대하여 그 부담을 덜어주는 것 또한 생존배우자의 행복추구를 보장하는 것이 될 수도 있기 때문이다. 그러나 그 부담을 덜어주기 위한 구체적인 방법과 한도에 대하여는 그 형평성에 대하여 여전히 논란이 많다. 현재 우리나라는 배우자의 실제 상속 여부와는 상관없이 배우자 공제액을 최대 30억원을 한도로 하되, 최소 5억원을 공제하는 제도를 함께 실시하고 있다. 그리하여 공평의 잣대에 따라 배우자공제액의 한도액과 관련하여 논란이 있어 왔었고, 최근 세법학자 중에는 사실혼 배우자에 대하여도 배우자공제를 인정하자는 주장이 제기되고 있다. 본 논문은 배우자공제에 있어서 배우자상속지분에 대한 상속세 과세시 어떠한 이론적 근거에 의해서 공제하는 것이 타당한지에 대하여 먼저 합의가 되어야 하고 이에 맞는 공제한도를 설정하는 것이 우선임을 주장하고자 한다. 또한 배우자가 실제 상속받지 않았음에도 배우자공제를 인정하는 현 제도의 문제점과 그 개선방안을 제시하고, 사실혼 배우자의 경우에도 배우자공제를 인정하자는 주장을 반박하면서 그 근거로 민법과의 관계를 고려하여 상속권과 재산분할권에 대한 법률적인 문제를 중심으로 서술하고자 한다. If it is considered from the perspective of the Construction that deduction for succession is recognized with respect to the succession of properties between spouses, it can be interpreted as the concrete content to guarantee material satisfaction of the right to pursue happiness by surviving spouses and the right to live like a human being. It is because alleviating burdenson the succession of properties between spouses can also guarantee the pursuit of happiness for surviving spouses. However, with respect to the concrete method and limit to alleviate the burdens, it is still controversial whether it is fair. As of now, Korea is implementing the system that the deduction amount of a spouse is limited to a maximum of 3 billion KRW, and a minimum of 500 million KRW is deducted. Therefore, there have been disputes among scholars as to the limit of deduction amount of spouse depending upon yardsticks of equity. Recently, some tax scholars have made an argument that spouse deductions should be also recognized for de facto marriage spouses. The purpose of this thesis is to argue that with respect to spouse deductions, there should be a consensus as to the legal bases under which the deductions should be made when succession taxes are imposed on spouse succession shares, and that a deduction limit should be established in compliance therewith. Also this thesis proposes the problems of the current system that spouse successions are recognized even though a spouse has not received any succession of properties, and the improvement methods therefore, and excludes the argument tha tspouse successions should be also recognized for de facto marriage spouses. For the bases of the arguments, taking into account the relations with the Civil Code, this thesis seeks to focus on and describe legal problems for the succession rights and the rights for division of properties.

도박중독자 배우자의 삶에 대한 내러티브 탐구

황종순 국제인문사회연구학회 2024 Studies on Humanities and Social Sciences (SHSC) Vol.6 No.3

도박중독자 배우자의 삶에 대한 내러티브 탐구 황 종 순 연구 목적: 본 연구는 내러티브 탐구를 활용하여 도박중독자 배우자들의 과거의 경험을 바탕으로 현재의 삶을 이해하기 위한 연구이다. 본 연구의 연구참여자는 도박중독자 도박 기간 각 26년, 40년 경험했던 배우자 2명과 현재 33년째 도박을 유지하는 배우자 1명 총 3명을 통해 내러티브 탐구를 수행하였다. 연구 방법: 자료수집을 위한 심층면접은 2023년 3월부터 4월까지 반구조화된 면담을 총 6회 모임을 통해 실시하였다. 연구 내용: Clandinin & Connelly(2000)가 제안하는 내러티브 탐구 절차에 따라 시간성, 사회성, 장소 3차원적 내러티브탐구를 적용한 삶의 대한 도박중독 배우자의 질적 연구이다. 결론 및 제언: 첫째, 연구참여자들은 과거의 도박중독자 배우자의 은폐된 삶에서 자기노출로 인해 자신들의 이야기를 전파하는 사회적 지지자 활동과 삶의 재발견이다. 둘째, 사회적 모임과 활동은 도박중독자를 둔 배우자에게는 정서적으로 안정된 삶을 이어가는 데 의의가 있다. 이에 중독 가족들이 사회적지지 자원과 지원 체계화의 방향을 제시하고 현실적인 실천방향의 필요성을 제안했다. 핵심어: 내러티브 탐구, 도박중독자, 도박중독자 배우자, 삶, 사회적지지자 Narrative Inquiry into the Lives of Spouses of Gambling Addicts Jongsoon Hwang* Abstract: This study aims to understand the current lives of spouses of gambling addicts based on their past experiences using narrative inquiry. The participants were three spouses of gambling addicts: two whose spouses were addicted to gambling for 26 years and 40 years, respectively, and one whose spouse has continued to gamble for 33 years. In-depth interviews for data collection were conducted in the form of semi-structured interviews by meeting with the participants six times from March to April 2023. It is a qualitative study of gambling addicts’ spouses’ lives by applying time, sociality, and place three-dimensional narrative exploration according to the narrative exploration procedure proposed by Clandinin & Connelly (2000). This study had the following effects, first, the participants could rediscover their lives and serve as social supporters who tell their stories and expose their lives, breaking free from their hidden lives as spouses of gambling addicts from the past. Second, social gatherings and activities have significance by allowing the spouses of gambling addicts to continue living an emotionally stable life. Accordingly, addicted families presented social support resources and directions for systemizing support and suggested the need for realistic action directions. Accordingly, addicted families presented social support resources and directions for systemizing support and suggested the need for realistic action directions. Key Words: Narrative Inquiry, Gambling Addicts, Spouses of Gambling Addicts, Lives, Social Supporters □ 접수일: 2024년 5월 29일, 수정일: 2024년 6월 17일, 게재확정일: 2024년 6월 20일* 남서울대학교 중독재활상담 박사수료(Completion of Doctoral Course, Namseoul Univ., Email: woow2001@naver.com)

목회자 사모 국내 연구 동향 분석: 키워드 네트워크 분석과 토픽 모델링을 활용하여

김나미 ( Na Mi Kim ),김세미 ( Se Mi Kim ) 한국창의정보문화학회 2024 창의정보문화연구 Vol.10 No.2

본 연구는 목회자 사모 연구 동향을 파악하고 향후 사모 연구의 심층적 방향성을 모색하는 데 있다. 국내 목회자 사모에 관해 게재된 학술 및 학술 연구논문 중 총 181편을 연구대상으로 선정하여 분석한 결과는 다음과 같다. 첫째, 시기 구분에 따른 사모 연구 동향의 1기는 목회 사역에서 사모의 역할 갈등, 2기는 사모의 스트레스와 소진, 3기는 목회자 사모의 정신건강과 회복, 4기는 사모의 정체성과 자기실현에 관한 연구 주제로 구분되었다. 둘째, 사모에 관한 토픽 대주제는 LDA알고리즘과 토픽모델링의 Coherence에 의해 사모의 사역 경험과 영성, 사모의 정신건강과 치료 프로그램, 사모의 대인관계와 치유, 사모의 역할과 정체성 4가지 주제로 분류되었다. 셋째, 본 연구를 통해 목회자 사모의 영적 경험을 통해 사역과 역할을 재인식하고, 삶의 의미를 이해할 때 인지적 변화에 따른 자아정체성 형성과 자아실현의 가능성을 보여주었다.. This study focuses on understanding the research trends related to pastors' spouses and exploring the direction for future research. The analysis was conducted on 181 academic and thesis papers published domestically. First, research trends were categorized based on different periods. In the first period, the focus was on the role conflict of pastors' spouses in ministry, in the second period, it shifted to the stress and burnout experienced by spouses, the third period explored the mental health and recovery of pastors' spouses, and the fourth period delved into research topics related to the identity and self-realization of spouses. Second, major topics were classified using the LDA algorithm and coherence of topic modeling, resulting in four categories: Spouses' ministry experience and spirituality, Spouses' mental health and treatment programs, Spouses' interpersonal relationships and healing, and Spouses' roles and identity. Based on findings, reflections and implications from a Christian perspective are suggested.

트라우마와 릴레이셔널 홈: 위기에 처한 목회자와 사모 돌봄과 상담을 위한 개념적 틀

김정선 한국실천신학회 2018 신학과 실천 Vol.0 No.58

This study, following the pastoral theological methodology which consists of practice-theory-practice, presents a conceptual framework for caring and counseling pastors and spouses with reference to the two concepts: trauma and relational home. First, it briefly introduces the concepts of trauma and relational home, then demonstrates that these two concepts serve to understand the situation and emotional state of pastors and spouses, and finally provides practical suggestions for their caring and counseling on the basis of these two concepts. By not limiting the concept of trauma to a criterion of abnormal psychology, but understanding it as a theoretical paradigm for interpreting human existence and predicaments in a comprehensive way, on the one hand, and by employing the notion of relational home coined by Robert D. Stolorow as a major metaphor for healing trauma, on the other hand, this study seeks to analyze the situation of pastors and spouses and their healing process. Church division and conflicts may inflict shocks comparable to trauma on pastors and spouses, and they may be subject to indirect traumas in their caring those in crisis as well as the weak and oppressed. Since pastors and spouses tend to have difficulties in expressing their pains and experiences to others, their traumas may become intensified. Pastors and spouses who are under the effects of traumas through traumatic events and conditions in the present and in the past have great need of a relational home. This study presents the following five strategies for caring and counseling pastors and spouses: (1) to create groups of pastors and spouses which may become a relational home; (2) to establish an environment of safety for mutual support and empathy through the counselor’s active intervention in the initial stage of the group; (3) to introduce the nonviolent communication for empathy and effective communication; (4) to inform the trauma perspective and model frequently; (5) to utilize the Tongseong Gido (Korean prayer) at the end of the group work. In concluding remarks this study raises concern for scientific studies of stresses and traumas of pastors and spouses. 본고는 목회 사건과 자료에서 출발하여 실천-이론-실천으로 이어지는 목회신학 방법론에 따라 트라우마와 릴레이셔널 홈(relational home)이란 개념을 중심으로 목회자와 사모를 이해하고 돌보고 상담하는 틀을 제시한다. 이를 위해 트라우마와 릴레이셔널 홈의 개념을 간략히 소개하고, 두 개념이 목회자와 사모의 상황과 심리를 이해하는데 도움을 준다는 것을 보여주며, 두 개념에 기초하여 목회자와 사모의 돌봄과 상담을 위한 실제적인 방안을 제시한다. 본고는 트라우마를 이상심리학의 한 범주로만 제한시키지 않고 인간의 존재와 상황을 폭넓게 해석할 수 있는 이론적 패러다임으로 이해하고, 스톨로로우(Robert D. Stolorow)의 ‘릴레이션날 홈’을 트라우마 치유의 주요한 은유로 활용하여 목회자와 사모의 상황과 치유과정을 분석하려고 노력했다. 교회 분열과 갈등은 목회자와 사모에게는 트라우마에 상응하는 충격을 줄 수 있고, 위기에 처한 교인이나 사회적 약자를 도우면서 목회자와 사모는 간접적 트라우마를 겪을 수도 있다. 고통이 있어도 다른 사람들에게 털어놓기 어려운 목회자와 사모의 특수한 사정은 트라우마를 더욱 심화시킬 수 있다. 외상성 사건과 조건에 의해 과거와 현재의 트라우마의 영향을 받고 있는 목회자와 사모에게는 릴레이셔널 홈이 절대적으로 필요하다. 이를 위해 릴레이셔널 홈이 될 수 있는 지지모임을 만들고, 초기에는 상담자가 적극적인 개입하여 서로 지지하고 공감할 수 있는 안전한 분위기를 확립하고, 공감과 소통을 위해 비폭력대화를 도입하며, 트라우마의 관점을 수시로 소개하며, 마무리를 할 때에는 통성기도를 하는 것이 효과적인 방법이 될 수 있다고 제시한다. 결론적으로 본고는 목회자와 사모의 스트레스와 트라우마에 대한 학문적 연구를 촉구한다.

Living Experiences of Male Spouses of Patients with Metastatic Cancer in Taiwan

Lin, Hui-Chen,Lin, Wen-Chuan,Lee, Tzu-Ying,Lin, Hung-Ru Asian Pacific Journal of Cancer Prevention 2013 Asian Pacific journal of cancer prevention Vol.14 No.1

Background: Cancer is the leading cause of death in Taiwan. Spouses are generally the main caregivers of affectyed patients but previous studies have seldom investigated the needs of male spouses of patients with metastatic cancer. Purpose: To explore the lived experiences of such male spouses. Methods: A qualitative design using in-depth interviewswasconducted with male spouses of patients with metastatic cancer being treated at the oncology outpatient department in a teaching hospital in northern Taiwan. Results: Nine participants aged 31-78 were interviewed. Content analysis of the interviews revealed five themes: suffering and struggling, difficulty in focusing on communication and interaction, shouldering responsibility, cherishing the love between husband and wife, and enabling each other to live better. This study demonstrated how male spousse experienced physical and psychological suffering when their wives suffered from metastatic cancer. They had to bear the pain of their wife's suffering, and also had to shoulder the responsibility for everything. All their efforts were put towards enabling each other to live a better life. They cherished the rest of the time they could spend with their wives, even though they had to live a hard life. As the male spouses of patients with metastatic cancer, the participants exhibited both the masculinity of men and the ability to express care and tenderness. Conclusions: The results showed that male spouses need more attention in terms of communication and bearing with suffering. Health care professionals should more actively understand the needs and provide assistance when facing the male spouse of patients with cancer, so as make sure that they possess the ability to take care of their wives. Health care professionals should also assist and properly act as a bridge of communication between husbands and wives.

결혼이민자 가정의 문제점과 해결방안 연구

서종남 ( Chong Nam Suh ) 한국사회과교육학회 2010 시민교육연구 Vol.42 No.1

This research analyzes difficulties faced by immigrant spouses married into Korean families, and their children. The primary purpose of the research is, in the light of the findings, to propose supportive measures to help their smooth adaptation into Korean society. The chief method of analysis is extensive interviews with actual immigrant spouses. Families with immigrant spouses make up the highest percentage among multicultural families in Korea, and their children, likewise, occupy the largest proportion among all children from various types of multicultural families who are currently enrolled in public schools. Since these immigrant spouses and their children are generally expected to permanently settle in Korea as citizens, and since they are also exposed to domestic issues stemming from various racial, linguistic, religious, or ethnic backgrounds, establishing adequate citizen-education of multiculturalism in Korean society is crucial. Result of the study has shown that female immigrant spouses are likely to suffer from domestic, legal, and social discriminations, as well as difficulties in getting Korean citizenship. Moreover, they are often isolated within the family or in the society as a result of their limited proficiency in Korean language or understanding of local culture. Their children also endure hardship in making friends at school because of stereotypes and bullying. As a consequence, many experience identity crises and refusal to attend schools. The conclusion of the research asserts that the means to improve the current system of educating immigrant spouses and their children for cultural adaptation must be sought out, and concurrently, society-wide education on the importance of multiculturalism must be implemented as well.

기혼 남녀의 부부 상호작용 변인이 역기능적 의사소통에 미치는 영향에 관한 연구

서윤희,박정윤 한국아동가족복지학회 2018 한국가족복지학 Vol.23 No.4

The purpose of this study is to examine main variables of dysfunctional communication, which worsen marital conflicts in terms of marital interaction and to clarify the relative effects of such variables. The subjects were 295 married males and females, and collected data were analyzed using SPSS WIN 23.0 program. The main findings are as follows : First, the tendencies of related variables showed that the levels of spouses’ perspective taking and routine marital responsiveness were higher for both males and females, while the levels of irrational belief for marital relations and dysfunctional communication were low. Second, an analysis of spouses’ perspective taking, routine marital responsiveness, irrational belief in marital relations and correlations of dysfunctional communication showed that spouses’ perspective taking and routine marital responsiveness for both males and females have negative correlations with dysfunctional communication. The higher spouses’ perspective taking and routine marital responsiveness, the lower the level of irrational belief related to marital relations and the lower the level of dysfunctional communication. This study clarifies that spouses’ perspective taking, routine marital responsiveness and irrational faith for marital relations influence marital dysfuctional communication and has an implication, in that the findings can be used as basic data for seeking methods to solve problems of couples who experience conflicts derived from dysfunctional communication.