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화병 여성의 원인지각에 대한 주관성 연구

 Korean Women´s Causal Perceptions of Hwabyung

여성건강간호학회지 2004년 10권 4호 p.283 ~ 290
KMID : 0606420040100040283
신혜숙 ( Shin Hye-Sook ) - 경희대학교 간호과학대학

신동수 ( Shin Dong-Soo ) - 경희대학교 간호과학대학

Abstract

Purpose: This study elicited Korean women´s perceptions of the life situations that contribute to Hwabyung, a culture bound psychiatric illness in Korea, and delineated a typology of the perceived causative factors for this illness.

Method: A purposive sample of 21 Korean women was recruited from a church, a senior center in Seoul and a clinic that provides traditional Korean and westernized medical services to patients in the Gyeonggi area. Inclusion criteria were: 1) the diagnosis of Hwabyung by a traditional doctor or "stress reaction and depression" by a westernized doctor; and 2) a score greater than 40 on the Hwabyung Self Report Instrument. Surveys using the HSRI and individual interviews using Q methodology were used.

Result: The average age of the participants was 53.7 years(range 35-84). The mean score on the HSRI was 46.2(range = 42-52). Data analysis showed that participants perceived three life situations to cause Hwabyung: vulnerable situation, lowered self esteem, and negative life events.

Conclusions: Korean women, suffering from Hwabyung, perceived at least three different causal patterns for this illness. Nursing care plans should be tailored to meet these differences.
KeyWords

Hwabyung, Causal perception
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학술진흥재단(KCI) KoreaMed