The Korean Journal of Health Service Management (보건의료산업학회지)

Korea Society of Health Service Management (보건의료산업학회)
권호 표지
DOI QR코드

DOI QR Code

The Influence of Post-Traumatic Stress and Social Support on Depression of Vietnam Veterans

베트남 참전군인의 외상 후 스트레스와 사회적 지지가 우울에 미치는 영향

  • Hyun, Hye-Sun (Department of Nursing, Sangmyung University) ;
  • Kim, Tae-Yeol (Department of Health Medical Administration, Yeung Nam University College) ;
  • Kim, Yun-Young (Department of Nursing, Andong National University)
  • 현혜순 (상명대학교 간호학과) ;
  • 김태열 (영남이공대학교 보건의료행정학과) ;
  • 김윤영 (국립안동대학교 간호학과)
  • Received : 2017.12.10
  • Accepted : 2018.03.24
  • Published : 2018.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : The purpose of this study was to identify the post-traumatic stress, social support, and depression of Vietnam veterans and the effects of post-traumatic stress and social support on depression. Methods : This study was carried out from June 2017 to September 2017 with the cooperation of the Korean Society of Veterans' Affairs and 250 Vietnamese veterans from D city were randomly sampled and collected. The collected data were used by SPSS 24.0 Statistics Program. Results : Social support was inversely correlated with post-traumatic stress (r=-.268, p<.001) and depression (r=-.333, p<.001), and post-traumatic stress and depression (r=.592, p<.001) were positively correlated. Post-traumatic stress and social support of veterans had a significant effect on depression, and post-traumatic stress and social support showed an explanatory power of 37.7% in depression. Conclusions : It is necessary to improve soldiers' mental health by mediating their post-traumatic stress and reducing their depression level by establishing a social support system.

Keywords

References

  1. M.S. Jang, T.Y. Kim(2009), A Preliminary Study on the Psychopathological Protocols of the Vietnam War Agent Orange Patients and Korean Civil War Wound Soldier -Focus on Rorschach Tests-. Journal of the Korea Academia-Industrial cooperation Society, Vol.10(9);2492-2500. https://doi.org/10.5762/KAIS.2009.10.9.2492
  2. C. Zaetta, P. Santonastaso, A. Favaro(2011), Long-Term Physical and Psychological Effects of the Vajont Disaster. European Journal of Psychotraumatology, Vol.2;1-5.
  3. R.A. Kulka, W.E. Schlenger, J.A. Fairbank, R.L. Hough, B.K. Jordan, C.R. Marmar, D.S. Weiss, D.A. Grady, S.A. Cranston(1990), Trauma and the Vietnam War Generation Report of Findings from the National Vietnam Veterans Readjustment Study: Brunner/Maze,. pp.321-322.
  4. Centers for Disease Control(1988), Health Status of Vietnam Veterans: I. Psychosocial Characteristics. Journal of the American Medical Association, Vol.259;2701-2707. https://doi.org/10.1001/jama.1988.03720180027028
  5. M.Y. Chung, I. Suh, D.K. Kim, I.J. Jeong(2005), Prevalence of Post Traumatic Stress Disorder in Korean Veterans and an Analysis of Associated Variables, Psychiatry Investigation, Vol.2;8-17.
  6. S.R. Kang, S.H.Kim, H.Y. Lee(2014), Predictors of PTSD symptoms in Korean Vietnam War veterans, Korean Journal of Clinical Psychology, Vol.33(1);35-50. https://doi.org/10.15842/kjcp.2014.33.1.003
  7. D.F. Gros, J.C. Flanagan, K.J. Korte, A.C. Mills, K.T. Brady, S.E. Back(2016), Relations among Social Support, PTSD Symptoms, and Substance use in Veterans. Psychology of Addictive Behaviors, Vol.30(7);764-770. https://doi.org/10.1037/adb0000205
  8. M.R. Weiner, J.K. Monin, N. Mota, RH. Pietrzak(2016), Age Differences in the Association of Social Support and Mental Health in Male U.S. Veterans: Results from the National Health and Resilience in Veterans Study. The American Journal of Geriatric Psychiatry, Vol.24(4);327-336. https://doi.org/10.1016/j.jagp.2015.11.007
  9. S.S. Roy R.E. Foraker, R.A. Girton, A.J. Mansfield(2015), Posttraumatic Stress Disorder and Incident Heart Failure Among a Community-Based Sample of US Veterans, American Journal of Public Health, Vol.105(4);757-763. https://doi.org/10.2105/AJPH.2014.302342
  10. A.L. Byers, K. Yaffe(2014), Depression and Dementias among Military Veterans. Alzheimer's & Dementia, Vol.10;S116-S173.
  11. Y. Church(2014), Reductions in Pain, Depression, and Anxiety Symptoms after PTSD Remediation in Veterans. The Journal of Science and Healing, Vol.10(3);162-169.
  12. J.T. Goodson, C,M. Lefkowitz, Q.W. Helstrom, M.J. Gawrysiak(2013), Outcomes of Prolonged Exposure Therapy for Veterans with Post Traumatic Stress Disorder. Journal of Traumatic Stress, Vol.26(4);419-425. https://doi.org/10.1002/jts.21830
  13. S.W. Yi(2007), The Epidemiologic Studies on the Effects of Agent Orange Exposure on Korean Vietnam Veterans, Journal of Patriots and Veterans Affairs in the Republic Korea, Vol.6(1);95-126.
  14. T.Y. Kim(2009), A Study on the Improvement of Medical-Welfare Support with Diseases Analysis of Agent Orange patients. Journal of Patriots and Veterans Affairs in the Republic Korea, Vol.8(2);203-228.
  15. S.J. Oum, J.H. Choi, T.Y. Kim, H.G. Chung, M.Y. Chung, H.S. So(2011), The Relationship between Post Traumatic Stress Disorder and the Quality of Life among the Vietnam War Veterans. Korean Journal of Psychosomatic Medicine, Vol.19(2);83-91.
  16. D.S. Weiss, C.R. Marmar(1997), The Impact of Event Scalerevised. In J. P. Wilson, & T. M. Keane (Eds.), Assessing Psychological Trauma and PTSD: A Practitioner's Handbook New York, NY: Guilford Press, pp.339-411.
  17. H.J. Eun, T.W. Kwon, S.M. Lee, T.H. Kim, M.R. Choi, S.J. Cho(2005), A Study on Reliability and Validity of the Korean Version of Impact event Scale-Revised. Journal of Korean Neuropsychiatric Association, Vol.44(3);303-310.
  18. J.W. Park(1986), A Study to Development a Scale of Social Support. Nursing Inquiry, Vol.9(1);22-31.
  19. L.S. Radloff(1977), The CES-D Scale a Self-Report Depression Scale for Research in the General Population. Applied Psychological Measurement, Vol.1(3);385-401. https://doi.org/10.1177/014662167700100306
  20. M.J. Cho, K.H. Kim(1993), Diagnostic Validity of the CES-D(Korean Version) in the Assessment of DSM-III-R Major Depression. Journal of Korean Neuropsychiatric Association, Vol.32(3);381-399.
  21. Y.R. Jeong, S.H. Jeong, W.K. Yoo, S.S Han(2017), The Effects of Economic Support from Spouse on Depressive Symptoms of Working Women. The Korean Journal of Health Service Management, Vol.11(2);93-103. https://doi.org/10.12811/kshsm.2017.11.2.093
  22. S.W. Sin(2012), A Study on the Post Traumatic Stress Disorder among Police Officers. Journal of Korean Public Police and Security Studies, Vol.8(4);237-260. https://doi.org/10.25023/kapsa.8.4.201202.237
  23. M.M. Thomas, I. Harpaz-Rotem, J. Tsai, S.M. Southwick R.H. Pietrzak(2017), Mental and Physical Health Conditions in US Combat Veterans: Results From the National Health and Resilience in Veterans Study. Prim Care Companion CNS Disord, Vol.19(3);doi: 10.4088/PCC.17m02118
  24. H.K. Kim, J.M. Sung(2014), The Longitudinal Factors related to the Depression of the Korean Elderly: Comparison of Younger-Old and Older-Old: Journal of Welfare for the Aged, Vol.66;427-449.
  25. B.P. Dohrenwend, J.B. Turner, N.A. Turse, R. Lewis-Fernandez, T.J. Yager(2008), War-Related Post Traumatic Stress Disorder in Black, Hispanic, and Majority White Vietnam Veterans: The Roles of Exposure and Vulnerability. Journal of Traumatic Stress, Vol.21;133-141. https://doi.org/10.1002/jts.20327

Cited by

  1. 한국전, 베트남 참전 국가유공자들의 외상 후 스트레스가 우울에 미치는 영향에 대한 융복합적 연구 : 자아-적응유연성의 매개효과 분석 vol.17, pp.11, 2018, https://doi.org/10.14400/jdc.2019.17.11.547