• Title/Summary/Keyword: 관계 외상

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Treatment of Traumatic Vascular Injury (외상성 혈관 손상의 치료)

  • 장인석;최준영;김종우;이정은;이상호
    • Journal of Chest Surgery
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    • v.36 no.8
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    • pp.590-594
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    • 2003
  • Vascular injury has been increased with popular outside activities. However there are only a few studies for vascular trauma. We intended to find out the relationships between the vascular trauma and its prognosis. Material and Method: Forty-four patients were diagnosed and operated on for vascular injury in the Gyeongsang National University Hospital from 1992. to 1999. We reviewed their chart and analysed their data retrospectively. We studied to causes, treatments, and prognoses of traumatic vascular injury. Result: The transfer time between accident place and emergency department was mean 3,5 hour, and the operation preparing time was 8.8 hours. Five cases required amputation of extremity. All amputation cases were combined with communited bony fractures. Thirty-eight cases had combined other injuries, and almost combined injuries were muscular and neurological damages, Conclusion: The optimal treatment plan for vascular trauma was prompt diagnosis and quick management. It may decrease amputation rate and post-traumatic complications. Therefore we must be carefully evaluated the multiple traumatic patients for early diagnosis of vascular injury and operate quickly in emergency status.

Mediating Effects of Problem Focused and Emotion Focused Coping, Drinking Anticipation Between the Female Alcoholics Traumatic Experienced and Their Warning of Relapse (여성알코올중독자의 외상경험과 재발위험성의 관계에서 문제중심대처, 정서중심대처, 음주기대의 매개효과)

  • Woo, Jea-Hee
    • The Journal of the Korea Contents Association
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    • v.13 no.4
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    • pp.230-238
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    • 2013
  • This research purposes to investigate parameters which effect on the relapse of alcoholism, to understand psychological factors for stress control and drinking anticipation which lead to the relapse of female alcoholism and to seek practical ways in social welfare for alcoholism, focusing on the traumatic experiences and post traumatic stress symptoms of female alcoholics experienced physical, sexual abuses. The main results of this research can be summarized as follows. First, the characteristic related with physical, sexual traumatic experiences of subjects is that physical, sexual abuses by acquaintances under 18 is more common than that experiences over 18. Second, the 8 pathes among 10 direct pathes are statistically significant. Third, as the result of verification of indirect effects through parameters, in the model, 4 out of 6 indirect pathes parameterized as post traumatic stress symptoms, problem focused coping, and drinking anticipation are significant. Based on these results, the practical implications for the warning of relapse of female alcoholics had been discussed.

Posttraumatic Growth in Family Caregivers of Patients with Cancer (암환자 가족돌봄자의 외상 후 성장)

  • Choi, Soon Ock
    • Journal of Hospice and Palliative Care
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    • v.17 no.1
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    • pp.1-9
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    • 2014
  • Purpose: The purpose of this study was to examine posttraumatic growth (PTG) in family caregivers of patients with cancer. Methods: Participants included 201 family caregivers of cancer patients who are treated at outpatient clinics and oncology wards of a university hospital and two general hospitals in Busan, Korea. The study instrument was the Korean version of the posttraumatic growth inventory (K-PTGI). Data were analyzed with descriptive statistics, t test, one-way ANOVA and Scheffe's test using the SPSS 21 for Windows. Results: The mean score of PTG was 3.10. The factor with the highest score was "Changes to self-perception" (3.15), while the one with the lowest was "Increase in spiritual interest" (2.88). There were significant differences in PTG, depending on age, religion, importance of religious life and perceived level of daily difficulties. Conclusion: Family caregivers also experience PTG when their loved ones are diagnosed with cancer. According to these findings, it is necessary to develop a spiritual nursing program to help family caregivers growth from the experience of attending patients with cancer.

Factors affecting on life satisfaction of university students : Focusing on the moderating effects of ego-resilience (대학생의 삶의 만족도에 영향을 미치는 변인 분석 : 자아탄력성의 조절효과를 중심으로)

  • Kim, Young-Hee;Koh, Tae-Soon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.10
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    • pp.481-489
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    • 2016
  • This study examined the relationships among stress, childhood traumatic experience, ego-resilience, and life satisfaction of university students to explore the moderating effects of ego-resilience on those variables. The survey participants were 459 university students in Gyeonggi province. The collected data were analyzed using frequency, Pearson correlation coefficient, stepwise multiple regression, and moderated multiple regression by SPSS. The results were as follows. Stress, childhood traumatic experience and ego resilience had correlations with the life satisfaction. Ego resilience and stress were significant effective variables on the life satisfaction. Moderated multiple regression analysis also showed that a positive future orientation, which is a sub factor of ego-resilience, influenced the stress level. Based on these findings, it is important to lower the stress levels to increase the students' life satisfaction level. To do so, a strategy to enhance the positive future orientation is recommended.

Validation of the Korean Version of the Posttraumatic Growth Inventory-Expanded (외상 후 성장 척도 확장판(The Posttraumatic Growth Inventory-Expanded: PTGI-X)의 한국판 타당화 연구)

  • Kim, Si Hyeong;Lim, Sujeong;Shin, Jiyoung;Lee, Deok Hee;Lee, Dong Hun
    • Korean Journal of Culture and Social Issue
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    • v.26 no.3
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    • pp.195-220
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    • 2020
  • The purpose of this study was to validate the Korean version of the post-traumatic growth inventory-expanded(K-PTGI-X), which has been widely used to assess posttraumatic growth. The PTGI-X is a measure of the addition of the items to measure the existential growth as the need for modification to the factors of the 'increase of spiritual interest' in the existing PTGI is suggested. We examined the factor structure, reliability, and validity of a Korean version of the PTGI-X among 625 Korean adults who have experienced trauma events. First, EFA confirmed the appropriate PTGI-X factor structure and found that the 4-factor structure was the most appropriate. Next, as a result of CFA, it was found that the model to which correlation between items was added to the 4-factor model was good. Next, testing internal consistency, CR, and AVE of the K-PTGI-X showed that PTGI-X's items are reliable. Also, we tested the concurrent validity and discriminative validity. All of the K-PTGI-X scales significantly correlated with measures of deliberate rumination and core-belief except for the intrusive rumination. Finally, to add an understanding of K-PTGI-X, t-test according to demographic variables was conducted. Recommendations for future research and implications were discussed.

Factors Affecting Posttraumatic Stress of Emergency Medical Personnels (구급대원의 외상성 스트레스 영향요인)

  • Baek, Mi-Lye
    • Journal of the Korean Society of Hazard Mitigation
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    • v.11 no.1
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    • pp.29-35
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    • 2011
  • This study not only investigates emergency medical personnel's posttraumatic stress(PTS), social support, work burden, and coping style but also identifies related factors which were exerted influence on PTS and active coping method of emergency medical personnels among the firefighters. The data were gathered from 143 emergency medical personnels who were receiving training. The data were collected by IES-R, consisting of twenty-two questions that determine the level of PTS, method used in Cho's research(2000) that deal with work burden, method used in Oh's article (2006) relating to social support, and sixty-two questions that deals with coping methods. Then the data gathered were analyzed using SPSSWIN 14.0 program. PTS of general characteristics showed significant difference in age, marriage status, education, and position. High risk group of PTS was 74(51.7%). Work burden, active and passive coping method, and three symptoms in PTS are significantly high(p=0.000) in high risk group. PTS was correlated with work burden(r=0.508, p=0.000), active coping method(r=0.375, p=0.000), and passive coping method(r=0.505, p=0.000) but not with social support. Related factors of PTS were work burden(0.371) and passive coping method(0.366). Also related factors of high risk group of PTS were work burden(odds ratio=1.064, 95% confidence interval:1.031-1.103) and passive coping(odds ratio=1.050, 95% confidence interval:1.022-1.080). Related factors of active coping method were PTS(0.392) and social support(0.158). To minimize the PTS of emergency medical personnels, the new policy should decrease their work burden and passive coping method and strengthen the social support to encourage active coping method.

A Phenomenological Study on Emotional Experiences of Adult Women with Childhood Trauma (아동기 트라우마 성인여성의 정서적 경험에 관한 현상학적연구)

  • Kim, Heung;Kim, Hyun Jin
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.5
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    • pp.341-349
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    • 2022
  • This study explored in-depth emotional experiences influenced by childhood trauma of adult female survivors. For this purpose, in-depth interviews were conducted with married adult women who experienced trauma in their childhood. The collected data were analyzed using Colaizzi phenomenological research method. As a result of the study, 7 categories were derived: 'children who cannot protect themselves', 'childhood trauma,' 'insecure attachment and good child syndrome,' 'difficulties in interpersonal relationships,' 'difficulties in raising children,' 'somatization symptoms,' 'finding myself who is lost.' In addition, this study aims to understand the psychological experience of children in the family and the relationship between parents and children and the growth experience of healing them by comparing and contrasting the two cases of trauma. The foundation for healthy ego-resilience and emotional well-being has been laid through the research results on negative and maladaptive emotional experiences reflected throughout the life of adult women who suffered childhood trauma.

Relationship between Severity of Physical Trauma and Subsequent the Severity of PTSD Symptoms in Traffic Accident Related PTSD Patients (교통사고 관련 외상후 스트레스 장애 환자에서 신체적 외상의 정도와 외상후 스트레스 장애 증상의 심각도 사이의 관계)

  • Lee, Ji-Youn;Na, Chul;Cho, Ju-Yeon
    • Korean Journal of Psychosomatic Medicine
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    • v.6 no.1
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    • pp.28-34
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    • 1998
  • Objective: This study was designed to evaluate the etiological factors of the PTSD(post traumatic stress disorder) by examining the relationship between severity of physical trauma and subsequent the severity of PTSD symptom in traffic accident related PTSD patients. Method: Subjects were 21 psychiatric inpatients with history of traffic accident related PTSD(DSM-IV criteria), the purpose of evaluation of mental disability and no evidence of organic brain leisons. The severity of physical trauma was assessed by McBride number of nonpsychiatric department and the presence / absence of loss of conciousness. The severity of PTSD symptom was assessed by Hovens' self rating inventory for PTSD. And then we evaluated the correlation between these two factors. And we also evaluated relationship between severity of PTSD symtom and clinical variables. Results : There were no significant relationship between McBride number of nonpsychiatric department severity and symptomatic severity(r= 0.17, p<0.05), the presence / absence of loss of conciousness and symptomatic severity(p>0.05). And significant relationship between symptomatic severity and clinical varibles such as sex, education level, marital status(p<0.05). Conclusions : These data did not support data of previous studies that traumatic severity was correlated with symptom severity but, suggested that other variables affecting the severity of PTSD symptom is more important indirectly. And that the 'trauma' in PTSD is psychological meaning rather than physical meaning is also suggested.

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Review of Music Intervention Research With North Korean Defectors: A Focus on Posttraumatic Growth (탈북민 대상 음악중재 연구 고찰 : 외상 후 성장을 중심으로)

  • Kim Sun A;Park Hye Young
    • Journal of Music and Human Behavior
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    • v.20 no.1
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    • pp.21-46
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    • 2023
  • The purpose of this study was to review the literature on music intervention research with North Korean defectors, focusing on posttraumatic growth. Eleven research papers were searched and selected to examine their general characteristics, intervention content, and therapeutic basis of music interventions for North Korean defectors. The investigated variables were related to posttraumatic growth-related aspects in changes in individuals, intervention goals, measurement tools, outcomes depending on developmental stages of the participants. The analysis showed that music provided a safe and familiar environment, which facilitated voluntary participation. Through music interventions, it was confirmed that individuals were able to discover their inner strength, leading to improved adaptability in daily life; positive changes were experienced in the social and relational aspects; and confidence in the future was strengthened. By reviewing music interventions with North Korean defectors, this study can present implications for music interventions with people who have experienced trauma and require assistance in fostering posttraumatic growth.

A Study on the recovery predictive factors for North Korean refugees with torture experience (북한이탈주민의 고문으로 인한 외상 후 충격에 영향을 미치는 요인)

  • Kim, Hyun Kyoung
    • Korean Journal of Social Welfare Studies
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    • v.41 no.3
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    • pp.81-106
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    • 2010
  • The purpose of this study was to find out correlation and predictors of recovery predictive factors for North Korean refugees experienced torture in South Korea. This survey was conducted on 205 North Korean refugees with questions on socio-demographic variables, mental health & personality variables, and social & economical variables. The influence of these variables was analysed. Result indicated that sex, age, disease, child living in the North, marriage experience in the North and the China were associated with post-traumatic stress of torture. Also, depression, rumination, self-efficacy, resilience, secure-attachment, social support from the South, economic difficulties predicted the recovery for North Korean refugees with torture experience. Finally, clinical intervention with healing relationship and human rights for North Korean refugees were discussed.