Stress (스트레스연구)

The Korean Society of Stress Medicine (대한스트레스학회)
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The Effects of Life Changes on Post-Traumatic Stress Disorder after Disasters

재난 후 생활변화가 외상 후 스트레스 장애에 미치는 영향

  • Lim, Hye Sun (National Disaster Management Research Institute) ;
  • Sim, Kyungok (Department of Psychology, Kyungsung University)
  • Received : 2018.11.20
  • Accepted : 2018.12.09
  • Published : 2018.12.31
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Abstract

Background: This study investigated whether pre- and peri-disaster experiences influence on PostTraumatic Stress Disorder (PTSD) and whether post-disaster stress by life changes have impact on PTSD after controlling pre- and peri-disaster factors. Methods: Data came from a sample of 1,182 respondents who experienced natural disasters (flood and typhoon) in South Korea from 2012 to 2015. The SPSS Win 22.0 program was used for descriptive analysis, t-test, Chi-square test, Pearson's correlation and logistic regression analysis. Results: The results indicated that 24.3% of the disaster victims were in PTSD risk group. Compared with non-PTSD, PTSD risk group showed lower interpersonal trust and satisfaction, higher depression and anxiety, and lower subjective well-being. The results of hierarchical logistc regression revealed that all pre-, peri-, and post-disaster factors increased the probability of developing PTSD, except for relocation of residence. Moreover, a primary post-disaster predictor of PTSD was economic distress after controlling for pre- and peri-disaster. Conclusions: This study tested relative contributions of post-disaster factors on PTSD.

본 연구는 2012년부터 2015년까지 자연재난 피해자 1,182명의 자료를 활용하여 재난피해자의 외상 후 스트레스 증상을 예측하기위해 수행되었다. 연구결과는 아래와 같다. 첫번째, t-test 분석결과 PTSD군과 비PTSD군은 대인관계 만족, 대인관계 신뢰, 불안, 우울, 주관적 웰빙에서 통계적으로 유의미한 차이가 있는 것으로 나타났다. 두번째, 로지스틱 회귀분석결과 재난 PTSD발병에 영향을 미치는 요인은 재난 전 정신건강 문제, 트라우마 경험, 재난당시 인명피해 경험, 재난 후 자산감소, 경제적 어려움, 대인관계 신뢰 및 만족으로 나타났다. 본 연구는 재난피해자의 PTSD에 영향을 미치는 요인을 확인하여 PTSD예방을 위한 심리사회적 중재프로그램 개발에 기초자료로 활용할 수 있다는데 의의가 있다.

Keywords

Acknowledgement

Supported by : National Disaster Management Research Institute

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