위궤양환자들과 만성위염환자들간의 스트레스지각 및 대응전략의 비교

Abstract

[한글]

본 연구는 위궤양환자 40명과 만성표재성위염환자 100명을 대상으로 두 환자군 간의 스트레스인자 및 스트레스반응 지각, 대응전략을 비교하기 위해 시행되었다.

스트레스인자 및 스트레스반응 지각은 스트레스인자지각 척도(Global Assessment of Recent Stress Scale) 및 스트레스반응지각 척도(Perceived Stress Response Inventory)에 의해, 대응전략은 대응척도(Coping Scale)에 의해 각각 평가되었다. 위궤양환자들이 만성위염환자들보다 일 및 직장, 대인관계의 변화에 관련된 스트레스인자 지각점수가 각각 유의하게 더 높았다. 한편 만성위염환자들은 위궤양환자들보다 일반적 신체중상, 특정 신체중상, 수동반응적 및 부주의 행동과 같은 스트레스반응 지각점수가 각각 유의하게 더 높았다.

한편 대응전략에서는 위궤양환자들이 만성위염환자들에 비해 사회적 지지추구, 도피-회피를 더 많이 사용하였다.

결론적으로 상기 결과들은 위궤양환자들이 만성위염환자들보다 스트레스인자지각은 낮은 반면 스트레스반응지각은 더 현저하고 대응전략에서는 더 의존적이며 소극적임을 시사해준다.

The comparison of perceived stress and coping strategy between patients with

gastric ulcer and those with chronic superficial gastritis

Seung Jun Oh

Department of Medicine, The Graduate School, Yonsei University

(Directed by Professor Kyung Bong Koh)

The object of this study was to make a comparison regarding perceived stressor,

perceived stress responses, and coping strategies between 40 patients with gastric

ulcer and 100 patients with chronic superficial gastritis.

Global assessment of recent stress(GARS) scale and perceived stress response

inventory(PSRI) were used to measure perception for stressors and stress responses.

Coping scale was used to measure coping strategies.

Scores of perceived stress related to work or job, changes in relationship on

GARS scale were significantly higher in patients with gastric ulcer than those with

chronic superficial gastritis. Scores of perceived stress responses related to

general somatic symptom, specific somatic symptom, passive-responsive and careless

behavior on PSRI were significantly higher in patients with chronic superficial

gastritis than those with gastric ulcer. Scores of seeking social support,

escape-avoidance on coping scale were significantly higher in patients with gastric

ulcer than those with chronic superficial gastritis.

The above results suggest that perception for stressors were likely to be higher

in patients with gastric ulcer than those with gastritis, whereas perception for

stress responses were likely to be higher in the latter than the former. It is also

suggested that salients with gastric ulcer were likely to use more dependent and

passive coping strategies than patients with gastritis.

[영문]

The object of this study was to make a comparison regarding perceived stressor, perceived stress responses, and coping strategies between 40 patients with gastric ulcer and 100 patients with chronic superficial gastritis.

Global assessment of recent stress(GARS) scale and perceived stress response inventory(PSRI) were used to measure perception for stressors and stress responses.

Coping scale was used to measure coping strategies.

Scores of perceived stress related to work or job, changes in relationship on GARS scale were significantly higher in patients with gastric ulcer than those with chronic superficial gastritis. Scores of perceived stress responses related to general somatic symptom, specific somatic symptom, passive-responsive and careless behavior on PSRI were significantly higher in patients with chronic superficial gastritis than those with gastric ulcer. Scores of seeking social support, escape-avoidance on coping scale were significantly higher in patients with gastric ulcer than those with chronic superficial gastritis.

The above results suggest that perception for stressors were likely to be higher in patients with gastric ulcer than those with gastritis, whereas perception for stress responses were likely to be higher in the latter than the former. It is also

suggested that salients with gastric ulcer were likely to use more dependent and passive coping strategies than patients with gastritis.