• Title/Summary/Keyword: 심리적 외상

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Post Traumatic Stress Disorder (PTSD) in Medical Accident Patients: The Interaction Effect of Clinicians' Explanation and Attitude and Social Support (의료사고 환자들의 외상후 스트레스 장애(PTSD) 실태: 의료진의 설명 및 태도와 사회적 지지의 상호작용)

  • Nayeon Kim;Suran Lee;Yaeun Choi;Young Woo Sohn
    • Korean Journal of Culture and Social Issue
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    • v.23 no.2
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    • pp.215-237
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    • 2017
  • Most research on medical accidents is related to medical disputes and malpractice of relief system. Therefore, there is a lack of research which explores the psychological experiences of patients injured by medical accidents. The purpose of this study was to investigate Post Traumatic Stress Disorder (PTSD) of patients harmed by medical accidents and to examine the moderating role of social support on the relationship between clinicians' explanation and attitude and PTSD symptoms. A total of 180 patients were drawn from a medical accident organization and online communities related to medical accidents. Results showed that 171 (95%) of the subjects experienced full PTSD symptoms and their severity of the PTSD Symptoms was as high as those who experienced other severe traumatic events. Though the main effect of clinician's explanation and attitude on PTSD symptoms was not significant, the moderating effect of social support was significant in the relationship between clinicians' explanation and attitude and PTSD symptoms. In other words, when the level of social support was low, the poorer the explanation and attitude of clinicians, the more severe the symptoms of PTSD. Drawing from these results, psychological, social, and institutional strategies were suggested to alleviate and prevent PTSD symptoms of patients injured by medical accidents. Finally, limitations of this study and suggestions for future research were discussed.

The Effect of Post-Traumatic Stress on Quality of Life in Industrial Accident Patients: Effect of Recovery Resilience (산재환자의 외상후 스트레스가 삶의 질에 미치는 영향 : 회복탄력성의 효과)

  • Han, Jeong-Won;Lee, Byoung-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.4
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    • pp.167-177
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    • 2018
  • This study was conducted to investigate the effects of post-traumatic stress on the quality of life and effects of resilience in industrial accident patients. Participants in this study were 158 patients in an industrial hospital and general hospital in two metropolitan urban areas. Data were collected from July 1 to September 30, 2017 using self-report questionnaires and analyzed by descriptive statistics, Pearson's correlation coefficient, hierarchical regression, and Sobel's test using SPSS 21.0. There were significant negative correlations post-traumatic stress, quality of life, effects of resilience and were significant positive correlations quality of life, effects of resilience. The effects of resilience showed partial mediating effects, but not moderating effects on post-traumatic stress and quality of life. Post-traumatic stress and resilience explained 45% of the effects of industrial accidents on quality of life, post-traumatic stress explained 23% of the effects on quality of life, and the mediating effect of resilience was 22%. Based on the results of this study, it is necessary to develop interventions that improve quality of life by reducing post-traumatic stress and increasing resilience among workers who experience industrial accidents.

Comparison of Sites of Intracranial Injury and the Results of MMPI & K-WAIS in the Patients with Post-Traumatic Organic Mental Disorder (외상후 기질성 정신장애 환자의 뇌손상 부위에 따른 다면적 인성검사, 한국판 웩슬러 지능검사 결과비교)

  • Kim, Tae-Ho;Na, Chul
    • Korean Journal of Psychosomatic Medicine
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    • v.9 no.1
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    • pp.37-48
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    • 2001
  • Objectives : The purpose of this study was to evaluate the difference of psychometric analysis among patients with Post-traumatic organic mental disorder according to the lesion of MRI finding of traumatic brain injury. Methods : We divided 35 patients into 4 groups according to the lesion of MRI finding of brain injury. We evaluated the difference of the subscales of MMPI and K-WAIS among 4 groups with Post-traumatic organic mental disorder by ANOVA. Results : We found no significant difference of all subscales of MMPI and K -WAIS among 4 groups by ANOVA. Compared Rt hemispheric injury group with Lt hemispheric injury group by independent t-test, the depression scale in MMPI scored significantly higher in Lt hemispheric injury group, and the block design in K-WAIS scored significantly lower in Rt hemispheric injury group. Conclusion : This study suggests that Lt hemispheric injury be significantly related to depression, and Rt hemispheric injury be significantly related to visuospatial ability.

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취학기 아동의 구강관리

  • Kim, Je-Uk
    • 건강소식
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    • v.32 no.4 s.353
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    • pp.34-35
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    • 2008
  • 초봄에는 엄마 품을 처음으로 떠나 유치원이나 초등학교로 입학한 병아리 친구들을 볼 수 있다. 어른들이 보기에는 인생의 한 통과의례로 볼 수도 있지만 어린이들 입장에서는 심리적으로 큰 스트레스를 받을 수 있으며 건강에도 문제가 생길 수 있다. 단체 생활을 하므로 운동량이 많아지고 다른 친구들과의 접촉이 많아지므로 호흡기 질환에 걸리는 빈도가 잦아질 수 있다. 치과적인 측면에서도 취학기 아동은 치아 관리에 있어 중요한 시기이다. 만 6세부터 이갈이가 시작되어 평생 간직해야 할 영구치가 나기 시작하고, 유치원이나 학교에서 급식을 할 경우에는 스스로 올바르게 이를 닦을 줄 알아야 하며, 친구들과의 놀이가 지나치면 치아 외상을 입는 경우도 많아지는 시기이기 때문이다.

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The Relationship between Personality, Posttraumatic Cognition, Event-Related Rumination, Posttraumatic Disorder(PTSD) Symptoms and Posttraumatic Growth(PTG): Based on the Posttraumatic Growth Model (성격 5요인, 외상 후 인지, 사건관련 반추, PTSD 증상, 외상 후 성장의 관계: 외상 후 성장모델을 중심으로)

  • Lee, Dong Hun;Lee, Su Yeon;Yun, Ki Won;Choi, Su Jung;Kim, si Hyeong
    • Korean journal of psychology:General
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    • v.36 no.2
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    • pp.241-270
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    • 2017
  • In this study we investigated the structural relationship between the Big Five personality traits which is a pretrauma characteristic, posttraumatic cognition, rumination, posttraumatic growth(PTG), and posttraumatic stress disorder(PTSD) symptoms. The participants were 1,000 adults who experienced traumatic event. For statistical analysis we set the research model with the Big Five personality traits affecting deliberate rumination through posttraumatic cognition and intrusive rumination. Competing model was set without the path from intrusive rumination to deliberate rumination. The results indicated that rumination and posttraumatic cognition did not mediate the relationship between extraversion, agreeableness, conscientiousness and PTG, PTSD symptoms. Second, there was a mediating effect of intrusive rumination between openness to experience and PTSD symptoms. Moreover, the pathway to intrusive rumination, deliberate rumination, and PTG from openness to experience was also significant. Third, the pathway to posttraumatic cognition, event-related rumination, and both PTSD symptoms and PTG from neuroticism was significant. These results support the cognitive process of PTG model In the end we discussed the implication and limitations of the study.

Neuropsychiatric Treatment of Patients with Traumatic Brain Injury (외상성 뇌 손상 환자의 신경정신과 영역 치료)

  • Jung, Han Yong
    • Korean Journal of Biological Psychiatry
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    • v.5 no.1
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    • pp.71-82
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    • 1998
  • The neuropsychiatric sequelae of traumatic brain injury are effects on complex aspect of cognition, emotion and behavior. They include problems with attention and arousal, concentration, executive function, intellectual changes, memory inpairments, personality changes, affective disorders, anxiety disorders, psychosis, apathy, aggression, and irritability. There are many useful therapeutic approaches available for people who have been brain injuries. Although a multifactioral, multidisciplinary, collaborative approach to treatment is proposed, for purposes of exposition the author have divided treatment into psychopharmacological, cognitive, behavioral, psychological, and social interventions.

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Cognitive behavior intervention for critical incident stress management in fire fighters in Korea (소방공무원의 위기상황 스트레스 관리를 위한 인지행동 개입과 대책)

  • Lee, Eun-Jung;Kim, Jee-Hee
    • Journal of the Korea Convergence Society
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    • v.6 no.2
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    • pp.13-18
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    • 2015
  • The purpose of the study is to investigate the predisposing factors of posttraumatic stress disorder (PTSD) in fire fighters in Korea and to suggest the program development and solution to the critical incident stress management (CISM) in the future. PTSD is characterized by invasion, withdrawal, negative change of cognition and mood, and hypersensitivity. Trauma memory includes explicit memory and implicit memory. The explicit memory is conscious, cognitive, and descriptive and is controlled by hippocampus. The data of explicit memory have inhibitive and narrative language structure. The implicit memory is inconscious, emotional, and remembered by the body. The implicit memory is controlled by amygdala and has inexpressive language structure. The deletion of implicit memory is the key point to trauma treatment. Critical incident stress management (CISM) is the approach for the solution of PTSD. In conclusion, the essential goal of CISM is the psychological cessation of PTSD. This study tried to suggest the education program development of PTSD.

Methods for Question Presentation in New Sijo Education (새로운 시조 교육을 위한 질문 제시의 기법 - 중.고등학교 국어 교과서에 실린 시조를 중심으로 -)

  • Jung, Ki-Cheol
    • Sijohaknonchong
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    • v.30
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    • pp.189-217
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    • 2009
  • Unlike Sijo researchers' wishes, there is no enough place for Sijo in school education. Its falling tendency has caused the crisis of literature. Literature is not only an act of making a human life become itself humanly but also the most effective way for communicating with all around the world. Especially, Sijo is an important genre for four reasons: (1)understanding about the traditional sentiment, ideology (thoughts), and way of life of a people, (2) including the wisdom to help us live in reality, (3)having a set pattern (standard) which is an important element to develop the language culture, (4)letting us know about the root of the racial literature. These peculiar characteristics of Sijo are the machinery and materials that can elevate the self-identity of teenager who has been undergoing emotional and psychological instability. Therefore, Sijo education should be done to draw a 'clear-map' by using the following order: to understand of Sijo and apply the subjective experience, imagination, and pre-understanding of a learner to it - to understand the embodied world in Sijo in the concrete and experience the basic manner about the way of putting the world into shape - to express the learner's idea and feeling freely and positively - the expression activity focused on their critical thinking - an appreciation expression stressed on the learner's activity to elevate the self-identity.

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A study on the disaster countermeasures considering the psychological impact of rural residents (재난에 따른 농촌주민의 심리적 영향을 고려한 재난대책 방안)

  • Seo, Eunyoung;Kim, Yeounjung;Lee, Young-Kune;Park, Miri
    • Journal of the Society of Disaster Information
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    • v.14 no.1
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    • pp.17-27
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    • 2018
  • The purpose of this study was to investigate the individual change, disaster awareness, and psychological stress of rural residents who experienced natural disasters, and to find measures to cope with the disaster of rural residents. The subjects of this study were rural residents living in Cheongju city, Chungcheongnamdo province, which suffered direct or indirect damage due to heavy rain in July, 2017. Survey and interview methods were used. There were significant differences in perception of disaster according to gender, and many residents were suffering from post traumatic stress. Finally, the present study suggests directions for growth after the disaster of rural people.

The awareness and coping of human suffering in the "PTSD era": Searching for an alternative paradigm of trauma recovery ('PTSD 시대'의 고통 인식과 대응: 외상 회복의 대안 패러다임 모색)

  • Choi, Hyunjung
    • Korean Journal of Cognitive Science
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    • v.26 no.2
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    • pp.167-207
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    • 2015
  • This study focused on the awareness and coping methods of psychological trauma and human suffering in the contemporary era after the development of posttraumatic stress disorder(PTSD) including the situations in the Korean society, and proposed principles for an alternative paradigm of trauma recovery. Trauma is defined as an 'external' stress causing chronic suffering mediated by memory, and the American Psychiatric Association approved PTSD in the Diagnostic and Statistical Manual of Mental Disorders in 1980. The development of PTSD empowered moral legitimacy to the victims, opened a successful way to treatment, and accomplished explosive amount of research in the area of neurobiology and cognitive neuroscience. However, this also narrowed the understanding of human suffering, and the importance of an alternative coping method which overcomes the limitations of technical intervention became overlooked. Moreover, the Korean society has an underlying mechanism of replacing the matter of trauma to a problem of an individual. This is shown among the historical context of splitting and denial, and among medicalized bureaucracy. Trauma should be acknowledged as a social suffering, and searching for an alternative paradigm is in need. This study suggested the following principles; seeking for truth and justice, survivor as the agent of recovery emphasizing the responsibility of the community, ecological adaptations of recent bio-psychological achievements, and finally putting emphasis on continuous discussions about the definition of recovery.