본 연구는 부부간의 관계에서 애착손상을 경험한 유방암 여성을 대상으로 애착손상이 부부친밀감과 정신건강에 미치는 영향에 대한 구조 모형을 구축하고 이들 간의 관계에서 용서의 매개효과를 검증하기 위하여 수행되었다. 연구의 대상은 서울과 경기지역의 2개 종합병원 유방암 클리닉에 내원하는 유방암 진단을 받은 여성 216명이었다. 선행연구를 통하여 애착손상을 외생변인으로 하여 용서는 매개변인, 부부친밀감과 정신건강은 내생변인으로 하는 가설적 모형을 설정하였다. 모형의 적합도를 규명하고 경로를 분석하기 위하여 Amos 18.0 프로그램을 사용하였다. 연구의 주요결과는 다음과 같다. 첫째, 가설적 모형의 적합도 지수들은 권장수준을 충족하지 못하여 모형의 수정을 가하였다. 그 결과 χ2=29.0, 표준 χ2= 1.61(CMIN/DF), GFI=.97, AGFI=.93, NFI=.90, SRMR=.06, TLI=.91, RMSEA=.05로 지수들이 적합한 모형을 구축하였다. 둘째, 수정 모형에서는 가설적 모형에서 설정한 5개의 경로 중 4개의 경로가 유의하게 나타났다. 즉, 애착손상에서 용서, 부부친밀감, 정신건강으로 가는 경로가 유의하였고, 용서에서 부부친밀감으로 가는 직접적인 경로도 유의하였다. 그러나 용서에서 정신건강으로 가는 경로는 유의하지 않았다. 셋째, 용서는 애착손상과 부부친밀감의 관계에서 유의한 매개요인이었으나 정신건강과의 관계에서는 매개요인이 되지 못하였다. 모든 경로의 직접적인 효과에서 용서가 부부친밀감에 미치는 영향이 가장 강했으며 애착손상과 용서는 부부친밀감을 63% 설명하였고 정신건강은 8% 설명하였다. 본 연구결과를 토대로 애착손상을 경험한 유방암 여성의 부부친밀감을 증진시키기 위한 교육 및 상담 프로그램 개발 시 용서에 대한 개입의 필요성이 제언된다.
The purpose of this study was to investigate the effects of attachment injury on marital intimacy and mental health and to test the mediating effects of forgiveness in breast cancer women. Total 216 women with breast cancer who had experience of attachment injury participated in this study. Data was collected at two clinics of breast cancer in general hospital in Seoul and Kyounggi province. Hypothetical model was consisted of variables with attachment injury, marital intimacy, mental health, and forgiveness. Amos 18.0 was used to identify fitness and analyze the paths of the model. The results were as follows. First, fitness indices of hypothetical model indicated that the data did not fit well and it needed to be modified. After modification model fit showed good with χ2=29.0, Normed χ2= 1.61(CMIN/DF), GFI=.97, AGFI=.93, NFI=.90, SRMR=.06, TLI=.91, RMSEA=.05. Second, four paths from attachment injury to marital intimacy, mental health, and forgiveness and from forgiveness to marital intimacy were significant. But path from forgiveness to mental health was not significant. Third, forgiveness was not a significant mediating variable between attachment injury and mental health but a significant mediating variable between attachment injury and marital intimacy. Forgiveness was the strongest influencing factor to marital intimacy in the model. Attachment injury and forgiveness explained 63% of marital intimacy and 8% of mental health. It is suggested to include forgiveness in development of education and marital therapy for breast cancer women with attachment injury.
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