• Title/Summary/Keyword: 신체적 외상

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소방공무원이 지각한 외상경험이 직무소진과 우울, 불안 및 대인관계에 대한 차이 비교 연구

  • Lee, Seo-Bin;Byeon, Sang-Hae
    • 한국벤처창업학회:학술대회논문집
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    • 2018.04a
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    • pp.149-154
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    • 2018
  • 본 연구의 차별화는 첫째, 소방공무원의 직무를 수행하기 위해 외상경험을 감소시킬 수 있는 주요 요인을 고찰하고 감소시킬 수 있는 대안을 제언하고자 한다. 둘째, 소방공무원이 신체적, 심리적, 특성과 사회적 영향을 고려하고, 심리적 저항감을 최소화하기 위해 회복탄력성 방안에 대한 고찰을 하고자 한다. 셋째, 소방공무원의 개인 심리적 특성, 사회적 영향 등을 살펴보고 정서적 심리치유를 할 수 있는 상담이 지속적으로 이루어져질 수 있는 사회복지상담학적 접근으로서의 연구는 필요하다. 이를 위해 본 연구의 목적은 소방공무원의 외상 경험 영향요인에 대해 살펴보고, 이들 요인이 직무소진과 우울, 불안 및 대인관계에 영향을 미치는 요인들에 대한 차이 비교를 연구하고자 한다. 이를 통해 향후 소방공무원들의 직무만족을 시키기 위해서는 심리적 정서치유가 될 수 있는 마음챙김이 이루어져야 함을 시사한다.

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Differential Response Style on the Personality Assessment Inventory according to Compensation-Seeking Status in Patients with Traumatic Brain Injury (외상성 뇌손상 환자에서 보상추구 여부에 따른 성격평가질문지 반응 양식의 차이)

  • Kim, Yeon-Jin;Kweon, Seok-Joon;Rho, Seung-Ho;Paik, Young-Suk
    • Korean Journal of Psychosomatic Medicine
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    • v.23 no.1
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    • pp.12-19
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    • 2015
  • Objectives : This study examined the characteristics and differences of PAI(Personality Assessment Inventory) profile between compensation-seeking(CS) and treatment-seeking(TS) patients with traumatic brain injury(TBI) and assessed the clinical meaning of the characteristics and differences of profiles between the two groups. Methods : 36 TBI patients who visited the Wonkwang University Hospital were selected. The patients were categorized as compensation-seeking TBI patients(n=22) and treatment-seeking TBI patients(n=14). The PAI scales and subscales were used to compare differences between two groups. t-verification for each variable and comparison analysis were performed. Results:In validity scales, CS group showed significantly higher NIM scores and lower PIM scores than TS groups. In full scales, CS group showed significantly higher SOM, ANX, ARD, DEP, and SCZ scores than TS group. In subscales, CS group showed significantly higher SOM-S, ANX-A, ARD-P, DEP(-C, A, P), (MAN-I), PAR-H, SCZ(-T, P), BOR(-A, N), and ANT-S scores than TS groups. In supplementary scales, CS group showed significantly higher SUI, NON and AGG-P, and lower RXR scores than TS group. Conclusions:There were significant differences in PAI scales with validity scales, some full and subscales according to compensation seeking status in TBI patients. The CS patients tended to exaggerate their symptoms on PAI, and showed higher scores representing somatic preoccupation and emotional distress. These results show the usefulness of PAI in reflecting the significant psychological differences between two groups.

Childhood Trauma and Pharmacotherapy Retention among Outpatients with Panic Disorder (공황장애 외래 환자의 아동기 외상과 약물치료 유지)

  • Kim, Dong Joo;Kim, Daeho;Lee, Jinbok;Kim, Yaeseul;Sohn, Sujin
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.1
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    • pp.53-62
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    • 2020
  • Objectives : This study investigated lifetime experiences of trauma, treatment retention, and psychiatric symptoms among outpatients with panic disorder after initiation of pharmacotherapy. Our research hypothesis was that panic patients with childhood trauma would display more severe symptoms and less treatment retention compared to those without such history. Methods : A total of 135 first-visit outpatients with DSM-IV panic disorder were approached during the period from March 2012 to August 2016. Fifty-three patients (39%) either refused or returned incomplete questionnaires, leading to a final sample size of 82. Participants completed the Trauma History Screen, the Beck Depression Inventory, the Beck Anxiety Inventory, and the Abbreviated PTSD checklist. Results : The number of lifetime trauma was significantly correlated with treatment retention (rho=-0.269, p=0.015). Among subtypes of trauma, only childhood physical abuse was significantly correlated with treatment retention (rho=-0.298, p=0.007). Conclusions : Our results indicated that psychological trauma, particularly of an interpersonal nature from childhood, can affect pharmacotherapy treatment retention in panic disorder. This may be mediated by poor patient-doctor relationships originating from trust issues among childhood trauma survivors or lack of perceived improvement due to the more severe symptoms and unfavorable course experienced by those with childhood trauma. Further studies are needed to explore the reasons for poor treatment adherence in this population.

Determinants of Secondary Traumatic Stress among Public Social Welfare Specialists (사회복지전담공무원의 이차적 외상스트레스 결정 요인)

  • Yang, Jung-Bin;Kim, Doe-Yoon;Ryu, Soon-Ok;Kim, Ja-Young
    • The Journal of the Korea Contents Association
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    • v.15 no.11
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    • pp.115-125
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    • 2015
  • This study was to identify major risk factors associated with secondary traumatic stress in a sample of 654 public social welfare specialists. Findings indicated that 69.0% of the subjects experienced secondary traumatic stress, and 36.9% of them were in a high-risk group. Multiple regression analysis showed that the risk of the secondary traumatic stress was associated with gender, work hours, physical violence and threats from clients, coping strategies, and vocational self-efficacy. Based on these results, several interventions for preventing the incidence of secondary traumatic stress among public social welfare specialists are suggested as the follows: construction of secure job environment, development of educational programs for improving vocational self-efficacy and coping skills, and implementation of mental health screening system on a regular basis to prevent the outbreak of mental disease among the workers.

Development of PTSD Web-based learning (소방공무원을 위한 외상후스트레스장애(PTSD) 웹기반교육 개발)

  • Kim, Jee-Hee
    • Proceedings of the KAIS Fall Conference
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    • 2009.12a
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    • pp.212-213
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    • 2009
  • 본 연구의 목적은 소방공무원이 현장에서 겪는 충격 스트레스로 발생하는 외상 후 스트레스장애 (posttraumatic stress disorder, PTSD) 분석을 통해 위기상황 스트레스 해소 교육 프로그램 기초 자료를 제시하고자 하는 데 있다. 연구 목적을 달성하기 위하여 독립변인(업무부담감, 스트레스, 스트레스 대응) 3개, 매개변인(현장충격 스트레스) 1개, 종속변인(신체적 증상)으로 구성하여 영향력을 파악하였다. 본 연구 대상자는 전국 970명 소방공무원으로 2007년 3월부터 12월까지 구조화된 설문지를 이용하여 조사하였다. 자료분석은 SPSS 14.0과 구조방정식 모형인 AMOS 7.0 통계패키지를 사용하였으며, 정확한 코딩데이터의 입력확인을 위해 데이터클리닝(data cleaning) 작업을 실시하였다. 가설검증을 위하여 구조방정식 모형분석을 실시한 결과, 업무부담감, 스트레스, 현장충격 스트레스가 낮고, 스트레스 대응이 높을 때 신체적 증상이 낮아지는 것으로 나타났다. 서울소방학교와 공동으로 총 10개 차시로 웹기반 교육을 구성하였으며, 2010년 1월부터 소방공무원 전체를 대상으로 웹기반 교육을 실시하고자 한다.

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Traumatic Experience and the obsessive behaviors in romantic relationship of Female Sex Workers (성매매 여성의 외상 경험과 이성 관계 집착)

  • Kim, Su-Sie
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.4
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    • pp.1632-1643
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    • 2013
  • This study investigated the characteristics of obsessive behaviors in romantic relationship of 42 female sex workers and the effect of traumatic experiences on them. Research results that there was no significant difference in loneliness, jealousy, over sensitiveness between the female sex workers group and the controls. But fear of rejection and doubt in the romantic relationship are significantly higher in the female sex workers group than in the controls. Among the subscales, childhood neglect and family secret were most frequently associated with the various obsessive behaviors. This is also the case for the control group, with family secret and physical abuse being the most. Finally, in regression analysis, in the control group, childhood physical abuse had the biggest impact on the obsessive behaviors in romantic relationship. On the other hand, the target group, childhood neglect had the biggest impact on the obsessive behaviors in romantic relationship.

A Technical Approach to Post-Traumatic Stress Disorder of the Sewol Ferry Victims' Parents (세월호 참사 희생자 부모들의 심리적 외상에 관한 기술적 접근)

  • Park, Gi-Muk
    • The Journal of the Korea Contents Association
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    • v.15 no.9
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    • pp.134-145
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    • 2015
  • It has been 1 year since Sewol Ferry disaster occurred in the Gwanmaedo sea of Jindo, Jeollanamdo, on Apr. 16, 2014. The Sewol Ferry Disaster which took 304 lives and had some victims still missed has become the largest tragic accident in Korea since 2010. Although one year has passed since the disaster, there is no psychological communication research on the trauma of the victims' families. This study first investigated the actual state of the Sewol Ferry victims' parents suffering from post-traumatic stress disorder (PTSD) after their losses of children by the disaster. This study revealed that the victims' families suffer from physical and psychological the PTSD but neglect treatment. The PTSD still influences their daily life. It was observed that the victims' families have a lot of difficulties with interpersonal relationship, relationship with co-workers, residence, values, and other kinds of daily life. Given that the victims' families have a great deal of PTSD after the disaster, the academic circle needs to make discussions of the issue actively in order to heal the pains of the Sewol Ferry victims' families who are unattended in our society.

Influencing Factor on the Job Satisfaction of Emergency Room Nurses: Focusing on Violence Experience and Post-Traumatic Stress Disorder, Compassion Fatigue (응급실 간호사의 직무만족도에 영향을 미치는 요인: 폭력 경험과 외상 후 스트레스, 공감피로를 중심으로)

  • Kim, Hwa-Jin;Park, Jum-Mi
    • Journal of Convergence for Information Technology
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    • v.10 no.7
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    • pp.67-74
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    • 2020
  • This study was a correlational study between the violence experience and post-traumatic stress disorder, compassion fatigue, and job satisfaction of emergency room nurses. The researcher conducted this study on 114 randomized emergency room nurses from 9 emergency rooms located in Gyeonggi-do and collected data for approximately 4 weeks from July 1, 2019 to July 31, 2019. The mean values of verbal violence showed 11.50±3.37 points, physical threatening showed 11.57±4.15 points, and physical violence showed 11.07±5.20. In this study, the mean values of post-traumatic stress disorder was 34.59±14.46 points, compassion fatigue was 26.50±7.17, and job satisfaction was 61.19 ± 8.38 points. Multiple linear regression indicated that post-traumatic stress disorder (β=-.21, p=.009) respectively predicted job satisfaction(F=23.11, p<.001) Based on the study results above, it is considered that programs that can systematically manage and prevent post-traumatic stress disorder and compassion fatigue are required to reduce post-traumatic stress disorder, and compassion fatigue from violence experience of emergency room nurses. Moreover, safe work environments should be established to work efficiency.

Intervention for Chest Trauma and Large Vessel Injury (흉부 및 대혈관 외상의 인터벤션)

  • Hojun Lee;Hoon Kwon;Chang Won Kim;Lee Hwangbo
    • Journal of the Korean Society of Radiology
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    • v.84 no.4
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    • pp.809-823
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    • 2023
  • Trauma is an injury to the body that involves multiple anatomical and pathophysiological changes caused by forces acting from outside the body. The number of patients with trauma is increasing as our society becomes more sophisticated. The importance and demand of traumatology are growing due to the development and spread of treatment and diagnostic technologies. In particular, damage to the large blood vessels of the chest can be life-threatening, and the sequelae are often severe; therefore, diagnostic and therapeutic methods are becoming increasingly important. Trauma to nonaortic vessels of the thorax and aorta results in varying degrees of physical damage depending on the mechanism of the accident and anatomical damage involved. The main damage is hemorrhage from non-aortic vessels of the thorax and aorta, accompanied by hemodynamic instability and coagulation disorders, which can be life-threatening. Immediate diagnosis and rapid therapeutic access can often improve the prognosis. The treatment of trauma can be surgical or interventional, depending on the patient's condition. Among them, interventional procedures are increasingly gaining popularity owing to their convenience, rapidity, and high therapeutic effectiveness, with increasing use in more trauma centers worldwide. Typical interventional procedures for patients with thoracic trauma include embolization for non-aortic injuries and thoracic endovascular aortic repair for aortic injuries. These procedures have many advantages over surgical treatments, such as fewer internal or surgical side effects, and can be performed more quickly than surgical procedures, contributing to improved outcomes for patients with trauma.

Effects of Dancing Healing on Post-traumatic Growth -Focused on Female Victims of Domestic Violence in Shelter- (춤 치유가 외상 후 성장에 미치는 효과 -쉼터거주 가정폭력 피해여성을 중심으로-)

  • Shin, Woo-Jung;Lim, Dong-Ho
    • The Journal of the Korea Contents Association
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    • v.18 no.2
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    • pp.158-168
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    • 2018
  • The purpose of this study was to investigate the effect of applying physical expression program through dancing on the post-traumatic growth of domestic violence female victims. The subjects of this study were female victims of domestic violence living in shelters (7 facilities) for women victims of domestic violence in Seoul, consisting of 23 experimental groups and 23 control groups. The dancing healing physical expression program applied to the experimental group consisted of 18 sessions, which was conducted three times a week for 6 weeks, and each session was conducted for 90 minutes. This study was aimed to dancing based on physical expression and movement experience, but focuses on improvisational, non-formal and creative expression for inner expression. We referred to the activities and principles of previous studies, and applied characters, which were counseling techniques, interactions, and healing principles of previous counseling psychology studies on domestic violence and trauma, to every stage of the session. As a result of this study, it was found that the dancing healing physical expression program had an effect on the entire post-traumatic growth of the experimental group and lower dimension lists of the depth of interpersonal relationship, self-perception, potential discovery, spiritual interest level, The results of the post - test were compared. There was a significant difference between the experimental and control groups after the test. In conclusion, this study aimed to understand the fundamental and healing attributes of dance, and provided basic data to establish a virtuous intervention strategy that provided opportunities for self-recovery to those who experienced psychological pain, such as women victimized by domestic violence at the social aspect.