Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
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Impact of Indirect Trauma via Media on Post-Traumatic Stress Symptoms : Online Survey Study

미디어 노출에 의한 간접외상이 외상 후 스트레스 증상에 미치는 영향 : 온라인 설문 조사 연구

  • Park, Sang Eui (Department of Psychiatry, National Center for Mental Health) ;
  • Jung, Youji (National Center for Trauma) ;
  • Lee, Jung Hyun (Department of Psychiatry, National Center for Mental Health)
  • 박상의 (국립정신건강센터 성인정신과) ;
  • 정유지 (국립트라우마센터) ;
  • 이정현 (국립정신건강센터 성인정신과)
  • Received : 2018.06.05
  • Accepted : 2018.10.14
  • Published : 2018.10.31
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Abstract

Objective : Several earlier studies have reported similar symptoms in patients with posttraumatic stress disorder (PTSD) who have been repeatedly exposed to relevant media after disasters and trauma. This study aimed to examine the effects of indirect trauma experience through media rather than direct traumatic events on an individual's social life. Methods : Five hundred and fifty-four individuals participated in our online, self-reported questionnaire survey. All subjects were asked to complete a demographic questionnaire, Posttraumatic Diagnostic Scale, Beck Depression Inventory, the Impact of Event Scale-Revised, State-Trait Anxiety Inventory, Korean version of Alcohol Use Disorder Identification Test, Patient Health Questionnaire-15, Suicidal Behaviors Questionnaire-Revised. Participants were assessed in regards to their experience of violent media exposure within the past three months. Results : Data from our study indicates that the group exposed to violent media had significantly higher perceived stress, physical symptoms, insomnia, and suicide ideation in comparison to the control group. Among the major symptoms of PTSD, the proportion of intrusion symptoms was relatively high in the media exposed group. Conclusion : This suggests that indirect trauma caused by media exposure could cause post-traumatic stress symptoms. The PTSD caused by indirect trauma may have slight differences from the PTSD caused by direct trauma. Therefore, it is necessary to understand, prevent, and control the adverse effects of media.

Keywords

References

  1. Cohen S, Janicki-Deverts D, Miller GE. Psychological stress and disease. Jama 2007;298:1685-1687. https://doi.org/10.1001/jama.298.14.1685
  2. Chrousos GP. Stress and disorders of the stress system. Nature Reviews Endocrinology 2009;5:374. https://doi.org/10.1038/nrendo.2009.106
  3. Friedman MJ, Resick PA, Bryant RA, Strain J, Horowitz M, Spiegel D. Classification of trauma and stressor-related disorders in DSM-5. Depression and anxiety 2011;28:737-749. https://doi.org/10.1002/da.20845
  4. Association AP. Diagnostic and statistical manual of mental disorders (DSM-5(R)): American Psychiatric Pub;2013.
  5. Brewin CR, Andrews B, Valentine JD. Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. Journal of Consulting and Clinical Psychology 2000;68:748. https://doi.org/10.1037/0022-006X.68.5.748
  6. Association AP, Association AP. DSM-IV-TR: Diagnostic and statistical manual of mental disorders, text revision. Washington, DC: American Psychiatric Association 2000;75:78-85.
  7. Palm KM, Polusny MA, Follette VM. Vicarious Traumatization:Potential Hazards and Interventions for Disaster and Trauma Workers. Prehospital and Disaster Medicine 2012;19:73-78.
  8. Bride BE, Robinson MM, Yegidis B, Figley CR. Development and validation of the secondary traumatic stress scale. Research on Social Work Practice 2004;14:27-35. https://doi.org/10.1177/1049731503254106
  9. Lee CH. A Study on Characteristics, Sensationalism and Reality Representation of CCTV Video on TV News. Broadcasting and Communication 2012;13:5-43.
  10. Schuster MA, Stein BD, Jaycox LH, Collins RL, Marshall GN, Elliott MN, et al. A national survey of stress reactions after the September 11, 2001, terrorist attacks. New England Journal of Medicine 2001;345:1507-1512. https://doi.org/10.1056/NEJM200111153452024
  11. Slone M, Shoshani A, Baumgarten-Katz I. The relation between actual exposure to political violence and preparatory intervention for exposure to media coverage of terrorism. Anxiety, Stress & Coping 2008;21:243-261. https://doi.org/10.1080/10615800701510124
  12. Schlenger WE, Caddell JM, Ebert L, Jordan BK, Rourke KM, Wilson D, et al. Psychological reactions to terrorist attacks: findings from the National Study of Americans' Reactions to September 11. Jama 2002;288:581-588. https://doi.org/10.1001/jama.288.5.581
  13. Hopwood TL, Schutte NS. Psychological outcomes in reaction to media exposure to disasters and large-scale violence: A meta-analysis. Psychology of Violence 2017;7:316-327. https://doi.org/10.1037/vio0000056
  14. Lee HP, Choi YK, Lee JH, Lee HS. The psychological consequences of indirect trauma exposure throught the news on the Sewol ferry disaster. The Korean Journal of Cultue and Social Issues 2016;22:411-430. https://doi.org/10.20406/kjcs.2016.08.22.3.411
  15. Google. YouTube Community Guidelines enforcement. Google Transparency Report;2018.
  16. Kim EM, Lee HM, Yang SE, Jung KY. Analysis of the actual condition of youth broadcasting and communication content usage: Korea Communications Standars Commission;2015.
  17. Neria Y, Sullivan GM. Understanding the mental health effects of indirect exposure to mass trauma through the media. JAMA 2011;306:1374-1375. https://doi.org/10.1001/jama.2011.1358
  18. Galea S, Vlahov D, Resnick H, Ahern J, Susser E, Gold J, et al. Trends of probable post-traumatic stress disorder in New York City after the September 11 terrorist attacks. American Journal of Epidemiology 2003;158:514-524. https://doi.org/10.1093/aje/kwg187
  19. Foa EB, Cashman L, Jaycox L, Perry K. The validation of a self-report measure of posttraumatic stress disorder: The Posttraumatic Diagnostic Scale. Psychological Assessment 1997;9:445. https://doi.org/10.1037/1040-3590.9.4.445
  20. Sheeran T, Zimmerman M. Screening for posttraumatic stress disorder in a general psychiatric outpatient setting. Journal of Consulting and Clinical Psychology 2002;70:961. https://doi.org/10.1037/0022-006X.70.4.961
  21. Nam BR, Kwon HI, Kwon JH. Psychometric Qualities of the Korean Version of the Posttraumatic Diagnosis Scale (PDS-K). Korean Journal of Clinical Psychology 2010;29:147-167. https://doi.org/10.15842/kjcp.2010.29.1.009
  22. Weiss D, Marmar C. The Impact of Event Scale-Revised. Wilson JP, Keane TM, editors. Assessing psychological trauma and PT-SD. New York Guliford Press;1997.
  23. Eun HJ, Kwon TW, Lee SM, Kim TH, Choi ML, Cho SJ. A Study on Reliability and Validity of the Korean Version of Impact of Event Scale-Revised. Journal of the Korean Neuropsychiatric Association 2005;44:303-310.
  24. Brunello N, Davidson JR, Deahl M, Kessler RC, Mendlewicz J, Racagni G, et al. Posttraumatic stress disorder: diagnosis and epidemiology, comorbidity and social consequences, biology and treatment. Neuropsychobiology 2001;43:150-162. https://doi.org/10.1159/000054884
  25. Hoge CW, Terhakopian A, Castro CA, Messer SC, Engel CC. Association of posttraumatic stress disorder with somatic symptoms, health care visits, and absenteeism among Iraq war veterans. American Journal of Psychiatry 2007;164:150-153. https://doi.org/10.1176/ajp.2007.164.1.150
  26. Marshall RD, Olfson M, Hellman F, Blanco C, Guardino M, Struening EL. Comorbidity, impairment, and suicidality in subthreshold PTSD. American Journal of Psychiatry 2001;158:1467-1473. https://doi.org/10.1176/appi.ajp.158.9.1467
  27. Beck AT, Steer RA, Brown GK. Beck Depression Inventory-ii (bdiii). San Antonio, TX: Psychological Corporation 1996.
  28. Sung H, Kim J, Park Y, Bai D, Lee S, Ahn H. A study on the reliability and the validity of Korean version of the Beck Depression Inventory-II (BDI-II). J Korean Soc Biol Ther Psychiatry 2008;14:201-212.
  29. Spielberger CD. Manual for the State-Trait Anxiety Inventory STAI (form Y)("self-evaluation questionnaire");1983.
  30. Han D, Lee C, Tak J. A Standardization of Spielberger Stait-Trait anxiety test. 1993 Korean Psychological Association Annual Conference Program & Abstract 1993;1993:505-512.
  31. Saunders JB, Aasland OG, Babor TF, De la Fuente JR, Grant M. Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction 1993;88:791-804. https://doi.org/10.1111/j.1360-0443.1993.tb02093.x
  32. Lee BO, Lee CH, Lee PG, Choi MJ, Namkoong K. Development of Korean Version of Alcohol Use Disorders Identification Test (AUDIT-K): Its Reliability and Validity. Journal of Korean academy of addiction psychiatry 2000;4:83-92.
  33. Cohen S. Perceived Stress Scale-10_Guidelines. mindgarden.com 1994.
  34. Lee J, Shin C, Ko YH, Lim J, Joe SH, Kim S, et al. The reliability and validity studies of the Korean version of the Perceived Stress Scale. Korean Journal of Psychosomatic Medicine 2012;20:127-134.
  35. Kroenke K, Spitzer RL, Williams JB. The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms. Psychosomatic Medicine 2002;64:258-266. https://doi.org/10.1097/00006842-200203000-00008
  36. Han C, Pae C-U, Patkar AA, Masand PS, Kim KW, Joe S-H, et al. Psychometric properties of the Patient Health Questionnaire-15 (PHQ-15) for measuring the somatic symptoms of psychiatric outpatients. Psychosomatics 2009;50:580-585.
  37. Bastien CH, Vallieres A, Morin CM. Insomnia Severity Index_Guidelines;2001.
  38. Cho YW, Song ML, Morin CM. Validation of a Korean version of the insomnia severity index. Journal of Clinical Neurology 2014;10: 210-215. https://doi.org/10.3988/jcn.2014.10.3.210
  39. Osman A, Bagge CL, Gutierrez PM, Konick LC, Kopper BA, Barrios FX. The Suicidal Behaviors Questionnaire-Revised (SBQ-R):validation with clinical and nonclinical samples. Assessment 2001;8:443-454. https://doi.org/10.1177/107319110100800409
  40. Lee HS, Kuwn JH. Validation for the Beck Scale for Suicide Ideation with Korean University Students. Korean Journal of Clinical Psychology 2009;28:1155-1172. https://doi.org/10.15842/kjcp.2009.28.4.011
  41. Baek JH, Kim JH, Kim BN, Park SJ, Fava M, Mischoulon D, et al. Comparisons of Subthreshold Versus Full Posttraumatic Stress Disorder Distinguished by Subjective Functional Impairment Among Train Drivers: A Population-Based Nationwide Study in South Korea. Psychiatry investigation 2017;14:1-7. https://doi.org/10.4306/pi.2017.14.1.1
  42. Henry JP. Biological basis of the stress response. Integr Physiol Behav Sci 1992;27:66-83. https://doi.org/10.1007/BF02691093
  43. Bryant RA, Creamer M, O'donnell M, Forbes D, McFarlane AC, Silove D, et al. Acute and chronic posttraumatic stress symptoms in the emergence of posttraumatic stress disorder: A network analysis. JAMA Psychiatry 2017;74:135-142. https://doi.org/10.1001/jamapsychiatry.2016.3470
  44. Riemann D, Spiegelhalder K, Feige B, Voderholzer U, Berger M, Perlis M, et al. The hyperarousal model of insomnia: a review of the concept and its evidence. Sleep Med Rev 2010;14:19-31. https://doi.org/10.1016/j.smrv.2009.04.002
  45. Neria Y, Nandi A, Galea S. Post-traumatic stress disorder following disasters: a systematic review. Psychological medicine 2008;38:467-480. https://doi.org/10.1017/S0033291707001353
  46. Rime B, Paez D, Basabe N, Martinez F. Social sharing of emotion, post-traumatic growth, and emotional climate: follow-up of Spanish citizen's response to the collective trauma of March 11th terrorist attacks in Madrid. European Journal of Social Psychology 2010;40:1029-1045. https://doi.org/10.1002/ejsp.700