정신분열병 환자와 일반인의 내외통제성, 여가활동 및 양가감정과의 관계

The Relation between Inter-External Control, Leisure Activities, and Schizotypal Ambiralence

본 연구는 2005년 9월 1일부터 11월 31일까지 지역사회 정신보건센터와 P정신요양원 재활병동에서 재활치료를 받고 있는 만성정신분열병 환자를 대상으로 인구사회학적 특징과 내외통제성, 여가활동 및 양가감정을 조사하여, 일반인군과 비교하여 정신분열병의 발현요인을 탐색하고, 정신재활치료의 효과적인 개입을 위한 기초적인 자료로 삼고자하였다. 연구 대상자는 총 231명으로 환자군은 DSM-Ⅳ(APA, 1994) 진단기준에 의한 환자 116명이었고, 일반인군은 N지역에 살고 있으면서 환자군과 교육수준, 나이, 성별이 비슷한 115명을 대상으로 하였다. 환자군과 일반인군의 인구사회학적 특징과 I-E Scale, LDB, K-SAS 제반 척도간의 통계처리는 SPSS 11.0 프로그램을 이용하여, t-검증, one way ANOVA를 통하여 통계적 유의성을 비교 하였다. 그 결과 정신분열병 환자군이 일반인군에 비해서 통계적으로 유의한 차이가 있는 것으로 나타났고(p< .001), 대인중심의 여가 활동도 환자군이 일반인군에 비해서 통계적으로 유의한 차이를 보여 환자군의 여가활동이 소극적인 것으로 나타났다(p< .001). 또한 정신분열병 환자군이 일반인군에 비해 높은 양가감정을 보이는 것으로 나타나(p< .001) 자신이나 대상에 대한 양가감정을 더 많이 경험하고 있는 것으로 나타났다. 본 연구 결과 증상이 안정된 정신분열병 환자의 재활치료 개입 시 내외통제성, 여가활동 및 양가감정이 전반적 심리사회적 기능을 예측하는 한 인자가 될 수 있음을 알 수 있었다. 따라서 향후 만성 정신분열병 환자의 내외통제성, 여가활동 및 양가감정 기능을 향상 시킬 수 있는 정신사회 재활 치료프로그램 개발과 시행이 필요하다.

This thesis investigated the population-sociological characteristics, inter-external control, leisure activities, and schizotypal ambiralence, targeting on the chronic schizophrenia patient group, collected arbitrarily, who underwent the treatment for rehabilitation in the community mental center and P mental nursing institute from September 1, 2005 to November 31. In addition this thesis compared them with those of common people, and groped for the revealing factors to collect basic materials which were necessary to the effective intervention of the treatment for mental rehabilitation,The persons targeted on this study were total 231 ones. The patient group was composed of 116 persons whose diagnosis standard was DSM-Ⅳ(APA,1994). The common person group was composed of 115 persons living in N district who were similar to the patient group in educational level, age, and sex. The evaluation of inter-external control about collected materials was performed based on 20 items of Inter-External Control Scale; hereafter I-E Scale which was developed by Rotter(1966) and reversed by Cha Jae Ho, Gong Jeong Ja, and Kim Cheol Su(1973). This thesis used this scale after reconstruction. The evaluation of leisure activities was performed based on total 13 items of The Leisure Diagnostic Battery: hereafter LDB developed by Witt(1987) and reversed by Kim Yeong Ho(1995). This thesis, also, used this scale after reconstruction. The schizotypical ambiralene was performed based on total 19 items of The Korean Version of Schizotypal Ambiralence Scale: hereafter K-SAS developed by Raulin ML(1986) and reversed by Seok Jeong Ho(2003). This thesis also used this scale after reconstruction with easy terms, considering the schizophrenia patients understanding. As for the population-sociological characteristic between the patient group and common person group and statistic dealing about scales such as I-E Scale, LDB, and K-SAS, this thesis compared statistic significance with frequencies, one way ANOVA, and t-verification, applying SPSS 11.0 program. As a result, there was statistically significant difference in the inter-external control of schizophrenia patient group and common person group(p< .001). As for leisure activities centered on personal relation, there was statistically significant difference in patient groups than common person groups. It means that the patient group was negative in leisure activities(p< .001). In addition, the schizophrenia patient group had the higher schizotypal ambiralence than common person group(p<.001). It means that the group experienced the more schizotypal ambiralence about themselves or the object. This thesis found that the intervened rehabilitation treatment for the schizophrenia patients whose symptoms were stabilized could be a factor with which inter-external control leisure activities and schizotypal ambiralence can predict general psychlogical and social functions. So in the future, mental and social rehabilitation treatment program should be developed and gone into effect so that chronic schizophrenia patients inter-external schizotypal ambiralence function can be elevated.