본 연구에서는 사별 경험을 한 668명의 성인을 대상으로 사별의 예측 여부에 따른 지각된 사회적 지지와 지속비애 증상의 관계에서 외상 후 부정적 인지, 침습적 반추, 의도적 반추가 매개하는지 검증하고, 이러한 매개효과가 사별의 예측여부에 따라 다르게 나타나는지 다집단 분석과 조절된 매개효과 검증을 통해 알아보았다. 분석 결과, 지각된 사회적 지지와 지속비애 증상의 관계에서 외상 후 부정적 인지의 단일 매개효과, 외상 후 부정적 인지와 침습적 반추의 이중 매개효과가 유의하였다. 예기치 못한 사별을 경험한 집단의 경우, 지각된 사회적 지지가 의도적 반추에 미치는 효과와 침습적 반추가 지속비애 증상에 미치는 효과, 의도적 반추가 지속비애 증상에 미치는 효과가 모두 유의하였으나, 예기된 사별을 경험한 집단의 경우 모두 유의하지 않았다. 지각된 사회적 지지와 지속비애 증상과의 관계에서 외상 후 부정적 인지의 단일 매개효과는 두 집단 간 차이가 유의하지 않았다. 반면 외상 후 부정적 인지와 침습적 반추의 이중매개효과와 외상 후 부정적 인지와 침습적 반추, 의도적 반추의 삼중매개효과는 두 집단 간 차이가 유의하였다. 이러한 연구결과에 기반하여 논의와 시사점을 제시하였다.
IIn this study, we examined mediating effects of post-traumatic negative cognitions, intrusive rumination and deliberate rumination on the relationship between perceived social support and prolonged grief symptoms. A total of 668 adults who experienced loss were grouped according to the expectedness of the death. Results indicated that post-traumatic negative cognitions mediated the relationship between perceived social support and prolonged grief. Post-traumatic negative cognitions and intrusive rumination showed significant dual mediating effects on the relationship between perceived social support and prolonged grief. For groups that experienced unexpected death, the effect of perceived social support on intentional rumination, as well as the effects of intrusive rumination and intentional rumination on prolonged grief were all significant. There were also group differences in dual mediating effects of post-traumatic negative cognitions and intrusive rumination, also in triple mediating effects of post-traumatic negative cognitions, intrusive rumination and intentional rumination. Implications of the study are discussed.
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