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이숙 ( Lee Sook ) - 이화여자대학교 간호대학
임승주 ( Lim Seung-Joo ) - 이대부속병원 응급실
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Abstract
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The attributional model of depression which was proposed as an alternative model of Beck´s cognitive triad and Seligman´s learnded helplessness model of depression lately. It was hypothesized that, in the attributional model of depression, depressives compaired to nondepressives attribute negative life events (faliure) to internal, uncontrollable, persistent and global cause. Clinicians generally agreed that depression tends to be associated with low self?esteems.
And the model of self?esteem maintenance was hypoghesized that the circular relation-ship of self?esteem, attrbutional style of the disease and depression.
This study has attempted to identify the relationship of the self?esteem, attributinal style of the disease and depression in non?psychiatric inpatients at the EWHA hospital.
Data collection was done from May 1st to August 5th, 1993, by means of questionare and interview. The instrument for this study were Rosenberg´s Self?esteem scale, Zung´s Self?Rating Depression scale and Attributional rating scale by Yon Kim. Analysis of data was done by use of frequency, Mean, Standard deviation, ANOVA, Pearson Correlation Coeficient.
The Result of this study can be summarized as follows :
1. "The lower level of self?esteem, the more internal attributional style of the disease." was accepted (r=?.124, p=.040).
2. "The lower level of self?esteem, the less controllable attributional style of the disease." was accepted (r=?.171, p=.008).
3. "The lower level of self?esteem, the more persistent, global attributinal style of the disease." was rejected (r=.004, p=.474: r=?.070. P=.162).
4. "The lower the level of self?esteem, the higer the level of depression." was accepted (r=?.254, p=.000).
5. "The more internal, uncontrollable, persistent and global attributional style of the disease, the higher the level of depression." was rejected.
6. Analysis of factors influencing self?esteem were Gender, Religion and Admission unit (p<.05).
7. Analysis of factors influencing depression were Duration of education(p<.05).
8. Analysis of factors influencing attributional style of the disease in
1) location were Duration of education, Ad-mission unit (p<.05).
2) Control was Age(p<.05).
3) Persistency were Growth place, Duration of admission and IV state (p<.05).
In conclusion, it was found that the lower level of self?esteem related to the depressive attributional style, and then the internal attributional style related to the depression. A conclusion of this study is that an important nursing intervention to help diminish depression, is to assess the level of self?esteem, attributional style of the disease and promote the self?esteem according to attributional style of the disease.
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KeyWords
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원문 및 링크아웃 정보
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등재저널 정보
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