본 연구에서는 초기 청소년기에 있는 학생들의 성격과 자기개념이 복약순응, 건강행동 처방준수 및 실천과 관계가 있는지를 확인하고, 각각 성격과 자기개념이 복약순응, 건강행동 처방준수 및 실천을 예언하는 회귀모형을 검증하였다. 연구 참여자는 369명의 남녀 초등학생과 중학생이었다. 본 연구에서는 성격으로 5요인 성격을, 자기개념으로 자존감, 자기효능감 및 자신감을, 처방준수로 건강행동 준수와 복약순응을, 그리고 일반적인 건강행동을 실천하는 정도를 측정하였다. 상관분석 결과, 청소년의 성격 중에는 신경증적 경향, 성실성 및 개방성이 복약순응과 유의한 상관이 있었으며, 성격 5요인 모두가 건강행동 준수나 실천과 유의한 상관을 보였다. 청소년의 자존감, 자기효능감 및 자신감이 복약순응, 건강행동 준수 및 실천 모두와 정적 상관이 있었다. 중다회귀모형에서는 5요인 성격과 자기개념이 각각 복약순응의 변량을 11.0%와 11.7% 가량 설명하고 있었다. 한편 5요인 성격과 자기개념이 각각 건강행동 준수의 변량을 19.6%와 14.2% 가량 설명하고, 건강행동 실천의 변량을 30.5%와 25.4%를 설명하는 것으로 나타났다. 단계적 회귀분석 결과, 복약순응에는 자신감이, 건강행동 준수에는 성실성이, 건강행동 실천에는 자기효능감이 가장 결정적인 변인이었다. 이런 결과는 아동이나 청소년의 처방준수와 건강행동에 대한 성격과 자기개념의 영향력에 관한 정보를 제공한다.
This study identified the correlations of personality and self-concept with medication compliance, adherence and practice of health behaviors among students in early adolescence. Additionally, the regression models for medication compliance, practice and adherence of health behaviors with personality and self-concept were examined. Participants were 369 male and female students in elementary and middle schools. Personality was measured by Big-5 personality traits, self-concept was measured by self-esteem, self-efficacy, and self-confidence, and adherence was measured by adherence of health behaviors and medication compliance. Practice of health behaviors in daily life was also measured. Correlational analysis revealed that neuroticism, conscientiousness, and openness were significantly correlated with medication compliance, whereas all factors of Big-5 personality traits were significantly correlated with adherence and practice of health behaviors. Self-esteem, self-efficacy, and self-confidence of adolescents were positively correlated with medication compliance, practice and adherence of health behaviors. In multiple regression models, Big-5 personality traits and three self-concepts accounted for 11.0% and 11.7% of variation in medication compliance by , respectively. In addition, Big-5 personality traits and self-concepts accounted for the variance of adherence of health behaviors by 19.6% and 14.2%, respectively while Big-5 personality traits and self-concepts accounted for the variance of practice of health behaviors by 30.5% and 25.4%, respectively. Stepwise regression analyses indicated that self-confidence was a determinant for medication compliance, conscientiousness for adherence of health behaviors, and self-efficacy for practice of health behaviors. This study provided useful information about accountability of personality and self-concept for adherence and practice of health behaviors among children and adolescents.