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Factors Influencing Posttraumatic Stress Disorder Symptoms in Burn Injured Patients : Embitterment, Depression and Meaning in Life

화상환자의 외상후 스트레스 장애 증상에 대한 영향 요인 : 울분, 우울, 삶의 의미

  • Hwang, Jihyun (The Catholic Emotion Research Laboratory, Catholic Biomedical Industrial Institute, The Catholic University of Korea) ;
  • Lee, Boung Chul (Department of Psychiatry, Hallym University Hangang Sacred Heart Hospital) ;
  • Chae, Jeong-Ho (The Catholic Emotion Research Laboratory, Catholic Biomedical Industrial Institute, The Catholic University of Korea)
  • 황지현 (가톨릭대학교 의생명산업연구원 정서연구실) ;
  • 이병철 (한림대학교 한강성심병원 정신건강의학과) ;
  • 채정호 (가톨릭대학교 의생명산업연구원 정서연구실)
  • Received : 2018.12.07
  • Accepted : 2019.04.09
  • Published : 2019.04.30

Abstract

Objective : To determine predictors of posttraumatic stress disorder (PTSD) symptoms in burn injured patients and evaluate factors for identifying high risk group of PTSD. Methods : This study examined sixty one patients aged in the range of 19-65 years with burn injuries. All subjects completed self-assessment inventories about PTSD (The PTSD Check List for DSM-5. PCL-5), depression (Patient Health Questionnaire-9, PHQ-9), embitterment (Posttraumatic embitterment disorder self-rating scale, PTED scale) and meaning of life (Meaning in Life Questionnaire, MLQ). Stepwise multiple regression and ROC curve analysis were the tools used for analysis. Results : The results revealed higher depression, embitterment and lower presence of meaning in life predicted severe PTSD symptoms. ROC analysis indicated PTED scale and PHQ-9 were useful for discriminating high risk group of PTSD. Conclusion : The present study established that the need to consider embitterment, depression and meaning of life for alleviation and prevention of PTSD symptoms in burn patients.

Keywords

Acknowledgement

Supported by : 보건복지부

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