DOI QR코드

DOI QR Code

Effects of a Mind Subtraction Meditation-Based Healing Program on the Ruminations and Posttraumatic Stress Disorder Symptoms of Firefighters

마음빼기명상 기반 힐링프로그램이 소방공무원의 외상 후 스트레스장애 증상과 반추에 미치는 효과

  • Kim, JaeHwan (Dept. of Psychiatry, Mokpo Jung-Ang Hospital) ;
  • Lee, Insoo (Dept. of Paramedic Science, Korea National University of Transportation) ;
  • Yoo, Yang Gyeong (Dept. of Nursing, Kunsan National University)
  • 김재환 (목포중앙병원 정신건강의학과) ;
  • 이인수 (한국교통대학교 응급구조학과) ;
  • 유양경 (군산대학교 간호학과)
  • Received : 2019.08.27
  • Accepted : 2019.09.19
  • Published : 2019.10.31

Abstract

Firefighters are high-risk group for posttraumatic stress disorder because they are repeatedly exposed to traumatic events. In this study, we examined the effects of a short-term, intensive, Mind subtraction meditation-based healing program on the ruminations and posttraumatic stress disorder symptoms of firefighters. In 2019, we used a survey questionnaire to assess the intrusive ruminations of 80 firefighters at a firefighting headquarters before and after implementing the Mind subtraction meditation-based healing program and personal journals over a period of two nights and three days. The results showed that there was a significant decrease in posttraumatic stress disorder symptoms, from 32.40 (± 14.67) to 30.31 (± 13.76) among the male subjects, and a significant decrease in posttraumatic stress disorder symptoms, from 32.03 (± 13.31) to 27.33 (± 10.68) and intrusive ruminations, from 5.21 (± 7.32) to 3.41 (± 6.30), among the female subjects. In conclusion, the Mind subtraction meditation-based healing program was effective in reducing the posttraumatic stress disorder symptoms and intrusive ruminations of firefighters. Therefore, the Mind subtraction meditation-based healing program could be proposed as a mental health promotion program for firefighters.

소방공무원들은 외상 사건에 반복적으로 노출되면서 외상 후 스트레스장애로 이행될 가능성이 높은 고위험 집단이다. 이에 본 연구에서는 2박 3일간 단기집중 마음빼기명상 기반 힐링프로그램이 소방공무원의 외상 후 스트레스장애 증상과 반추에 미치는 효과를 확인하였다. 2019년 A소방본부 소방공무원 80명을 연구대상으로, 마음빼기명상 기반 힐링프로그램을 적용하기 전과 완료 후에 자기보고식 설문지를 통해 대상자의 상태를 측정하였으며, 질적 자료를 위해 명상체험 소감문을 수집하였다. 연구결과 마음빼기명상 기반 힐링프로그램은 남성소방공무원의 외상 후 스트레스장애 증상을 유의하게 감소시켰고, 여성소방공무원의 외상 후 스트레스장애 증상과 침습적 반추를 유의하게 감소시켰다. 결론적으로 마음빼기명상 기반 힐링프로그램은 소방공무원의 외상 후 스트레스장애 증상과 침습적 반추에 긍정적인 효과가 있었으므로, 본 연구에 적용한 마음빼기명상 기반 힐링프로그램은 소방공무원의 정신건강 관리프로그램으로 제안될 수 있을 것이다.

Keywords

References

  1. N. Breslau, G. C. Davis, P. Andreski and E. Peterson, "Traumatic Events and PTSD in an Urban Population of Young Adults", Archives of General Psychiatry, Vol. 48, No. 3, pp. 216-222 (1991). https://doi.org/10.1001/archpsyc.1991.01810270028003
  2. American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders(DSM-5-R)", 5th Revised ed., American Psychiatric Association Publishing, Washington, US (2013).
  3. H. K. Choi, "Effects of Traumatic Events on Posttraumatic Stress Disorder, Burnout, Physical Symptoms, and Social and Occupational Functions in Korean Fire Fighters", Ph.D. Dissertation, Ajou University (2010).
  4. J. H. Oh, "Analysis on Influence Factors of Secondary Traumatic Stress, Burnout, and Physical Symptoms for Firefighters", Ph.D. Dissertation, Hanyang University (2006).
  5. E. S. Choi, "A Model for Post-Traumatic Stress in Fire Fighters", Ph.D. Dissertation, Chungnam National University (2000).
  6. I. Lee, M. Y. Chun and Y. G. Yoo, "Effects of Mind Subtraction Meditation Program on Post-Traumatic Growth and Resilience of 119 Emergency Medical Services Personnel", Fire Science and Engineering, Vol. 32, No. 5, pp. 95-104 (2018).
  7. S. Joseph, R. Williams and W. Yule, "Changes in Outlook Following Disaster: The Preliminary Development of a Measure to Assess Positive and Negative Responses", Journal of Traumatic Stress, Vol. 6, No. 2, pp. 271-279 (1993). https://doi.org/10.1002/jts.2490060209
  8. R. G. Tedeschi and L. G. Calhoun, "Trauma and Transformation: Growing in the Aftermath of Suffering", SAGE Publications, CA, US (1995).
  9. R. G. Tedeschi and L. G. Calhoun, "The Posttraumatic Growth Inventory: Measuring the Positive Legacy of Trauma", Journal of Traumatic Stress, Vol. 9, No. 3, pp. 455-471 (1996). https://doi.org/10.1002/jts.2490090305
  10. R. G. Tedeschi and L. G. Calhoun, "Posttraumatic Growth: Conceptual Foundation and Empirical Evidence", Psychological Inquiry, Vol. 15, pp. 1-18 (2004). https://doi.org/10.1207/s15327965pli1501_01
  11. P. Frazier, A. Conlon and T. Glaser, "Positive and Negative Life Changes Following Sexual Assault", Journal of Consulting Clinical Psychology, Vol. 69, No. 6, pp. 1048-1055 (2001). https://doi.org/10.1037/0022-006X.69.6.1048
  12. J. C. McMillen and R. H. Fisher, "The Perceived Benefit Scales: Measuring Perceived Positive Life Changes after Negative Events", Social Work Research, Vol. 22, No. 3, pp. 173-187 (1998). https://doi.org/10.1093/swr/22.3.173
  13. S. Choi, "Exploration of Posttraumatic Growth Related Variables", Ph.D. Dissertation, Korea University (2008).
  14. K. H. Yang and J. N. Kim, "An Analysis of Posttraumatic Growth Process: Triple Mediation Effects of Difficulties in Emotion Regulation, Intrusive and Deliberate Rumination, and Moderation Effects of Optimism", The Korean Journal of Health Psychology, Vol. 19, No. 4, pp. 1041-1062 (2014). https://doi.org/10.17315/KJHP.2014.19.4.009
  15. M. S. Eom, "The Relationship of Core Belief Challenge, Intrusive Rumination, Deliberate Rumination, and Posttraumatic Growth: Testing Moderating Effect of Decentering", Master's Thesis, Catholic University of Korea (2015).
  16. K. N. Triplett, R. G. Tedeschi, A. Cann, L. G. Calhoun and C. L. Reeve, "Posttraumatic Growth, Meaning in Life, and Life Satisfaction in Response to Trauma", Psychological Trauma: Theory, Research, Practice, and Policy, Vol. 4, No. 4, pp. 400-410 (2012). https://doi.org/10.1037/a0024204
  17. Y. S. Eom, "Moderating Effect of Positive Illusion and Active Coping in the Relationship between Intrusive Rumination and Deliberate Rumination", Master's Thesis, Kwangwoon University (2018).
  18. J. Choi, "A Study on Factors Influencing Post-traumatic Growth: With a Focus on the Mediating Effects of SelfExamination and Optimism", Master's Thesis, Korea Counseling Graduate University (2015).
  19. D. M. Fresco, Z. V. Segal, T. Buis and S. Kennedy, "Relationship of Posttreatment Decentering and Cognitive Reactivity to Relapse in Major Depression", Journal of Consulting and Clinical Psychology, Vol. 75, No. 3, pp. 447-455 (2007). https://doi.org/10.1037/0022-006X.75.3.447
  20. Z. V. Segal, J. M. G. Williams and J. D. Teasdale, "Mindfulness-based Cognitive Therapy for Depression", 2nd ed., Guilford Press, NY, US (2013).
  21. M. C. Henry and E. Stapleton, "EMT Prehospital Care", 4th Ed., Jones & Barlett Learning, Burlington, US (2014).
  22. J. H. Kim, "A Psychological and Psychotherapeutic Review of Finding True Self Meditation", Journal of Human Completion, Vol. 7, pp. 9-58 (2017).
  23. I. Lee, E. Choi and Y. G. Yoo, "The Effect of Finding True Self Meditation on Mindfulness and Psychological Wellbeing of College Students", Journal of Wellness, Vol. 12, No. 4, pp. 359-372 (2017).
  24. M. Kim, E. Choi and M. Yun, "The Effects of CommunityBased Mind Subtraction Meditation Program on Quality of Life, Life Satisfaction, and Expectancy Life in Cancer Survivors", Journal of East-West Nursing Research, Vol. 22, No. 2, pp. 87-95 (2016). https://doi.org/10.14370/jewnr.2016.22.2.87
  25. J. Y. Jeong, J. H. Kim, M. Kim and J. I. Kim, "The Effects of MAUM Meditation on Hwa-Byung Symptoms, Stress and Coping Styles", The Korean Journal of Stress Research, Vol. 23, No. 2, pp. 63-77 (2015). https://doi.org/10.17547/kjsr.2015.23.2.63
  26. www.meditationlife.org/what-is-meditation/meditation-method/(2018.04.05.)
  27. E. J. Lee, I. Lee, E. S. Choi and Y. G. Yoo, "The Effects of Mind-subtraction Meditation on Emotional State of College Students; Utilizing Silver's Draw-A-Story and Wartegg-Zeichentest Tool", Health and Social Science, Vol. 43, pp. 231-267 (2016). https://doi.org/10.21489/hass.2016.12.43.231
  28. J. H. Kim, "Trauma, Toward Growth beyond Healing", Journal of Human Completion, Vol. 8, pp. 103-127 (2017).
  29. Y. S. Yook, "The Effects of Mindfulness Based BodyPsychological Exercise Program on the Reduction of PostTraumatic Stress (PTSD) Symptoms in Fire Officials", Korean Journal of Sport Psychology, Vol. 29, No. 4, pp. 57-73 (2018). https://doi.org/10.14385/KSSP.29.3.57
  30. H. J. Eun, T. W. Kwon, S. M. Lee, T. H. Kim, M. R. Choi and S. J. Cho, "A Study on Reliability and Validity of the Korean Version of Impact of Event Scale-Revised", J. Korean Neuropsychiatr. Assoc., Vol. 44, No. 3, pp. 303-310 (2005).
  31. H. N. Ahn, H. S. Joo, K. S. Sim and J. W. Min, "Validation of the Event Related Rumination Inventory in a Korean Population", Cognitive Behavior Therapy in Korea, Vol. 13, No. 1, pp. 149-172 (2013).
  32. H. F. Hsieh and S. E. Shannon, "Three Approaches to Qualitative Content Analysis", Qualitative Health Research, Vol. 15, No. 9, pp. 1277-1288 (2005). https://doi.org/10.1177/1049732305276687
  33. M. Jung, "The Effect of Reflected Image Meditation Program (RIMP) on the Patient of Post Traumatic Stress Disorder", Journal of Meditation based Psychological Counseling, Vol. 9, pp. 27-39 (2013).
  34. J. Park, G. E. Lee, J. H. Sue, D. B. Bae, S. Choi and H. Kang, "A Case Report for PTSD Patients Based on Mindfulness & I-Jeong-Byeon-Gi Therapy", Journal of Oriental Neuropsychiatry, Vol. 25, No. 1, pp. 73-84 (2014). https://doi.org/10.7231/jon.2014.25.1.073
  35. J. E. Bormann, D. Oman, K. H. Walter and B. D. Johnson, "Mindful Attention Increases and Mediates Psychological Outcomes Following Mantram Repetition Practice in Veterans With Posttraumatic Stress Disorder", Medical Care, Vol. 52, No. 12, pp. s13-s18 (2014). https://doi.org/10.1097/MLR.0000000000000200
  36. E . M. Seppala, J. B. Nitschke, D. L. Tudorascu, A. Hayes, M. R. Goldstein, D. T. H. Nguyen, D. Perlman and R. J. Davidson, "Breathing-Based Meditation Decreases Posttraumatic Stress Disorder Symptoms in U.S. Military Veterans: A Randomized Controlled Longitudinal Study", Journal of Traumatic Stress, Vol. 27, pp. 397-405 (2014). https://doi.org/10.1002/jts.21936
  37. M. Woo, "Heaven's Formula For Saving The World", Cham books, Seoul, Korea (2005).
  38. M. Woo, "Stop Living In This Land, Go To The Everlasting World Of Happiness, Live There Forever", Cham Books, Seoul, Korea (2011).
  39. M. R. Yun, E. H. Choi, K. A. Kim and Y. G. Yoo, "Effects of Mind Subtraction Meditation on the Decrease of Depression, Anxiety, and Stress Response of Adults with Depression", Journal of Wellness, Vol. 10, No. 3, pp. 109-121 (2015).
  40. D. M. Jeong and S. Y. Lee, "Analysis of Psychosomatic Medicine Effects and Principle of MAUM Meditation", Journal of the Korean Society of Jungshin Science, Vol. 5, No. 2, pp. 37-48 (2001).
  41. I. S. Lee, "The Effects of Maum Meditation on Stress, Depression and Quality of Life for Teachers", Journal of Human Completion, Vol. 2, pp. 49-71 (2010).
  42. S. Jain, S. L. Shapiro, S. Swanick, S. C. Roesch, P. J. Mills, I. Bell and G. E. R. Schwartz, "A Randomized Controlled Trial of Mindfulness Meditation Versus Relaxation Training: Effects on Distress, Positive States of Mind, Rumination, and Distraction", Ann. Behav. Med., Vol. 33, No. 1, pp. 11-21 (2007). https://doi.org/10.1207/s15324796abm3301_2
  43. A. Heeren and P. Philippot, "Changes in Ruminative Thinking Mediate the Clinical Benefits of Mindfulness: Preliminary Findings", Mindfulness, Vol. 2, pp. 8-13 (2011). https://doi.org/10.1007/s12671-010-0037-y
  44. J. H. Lee and H. S. Kim, "The Effects of a Mindfulness Meditation Program on Attention Control, Decentering, Rumination, and Depressive Symptoms among Depressive College Students", The Korean Journal of Counseling and Psychotherapy, Vol. 30, No. 4, pp. 1035-1066 (2018). https://doi.org/10.23844/kjcp.2018.11.30.4.1035
  45. H. S. Lee and S. H. Hwang, "The Effect of Single-Session Mindful Loving-Kindness Compassion Meditation on Dysfunctional Expression and Rumination of Anger", The Korean Journal of Health Psychology, Vol. 23, No. 3, pp. 631-655 (2018). https://doi.org/10.17315/KJHP.2018.23.3.003
  46. A. R. Gwak, "The Mediating Effects of Thought Control Strategies on the Relationship between Event-Related Rumination and Posttraumatic Growth", Master's Thesis, The Catholic University of Korea (2015).
  47. L. G. Calhoun and R. G. Tedeschi, "Handbook of Posttraumatic Growth: Research and Practice", Lawrence Erlbaum Associates, NJ, US (2006).
  48. M. Woo, "World Beyond World", Cham Books, Seoul, Korea (2003).
  49. M. Woo, "Where You Become True Is The Place Of Truth", Cham Books, Seoul, Korea (2008).
  50. Y. K. Yoon, "A Study on Literature Therapy for PostTraumatic Stress Disorder of the Firefighter", Master's Thesis, Kyunghee Cyber University (2015).