• Title/Summary/Keyword: 심리적 외상

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The Relationship among the Coping Style, Social Support, and Post-Traumatic Stress Disorder in Breast Cancer Patients Treated with Chemotherapy (항암치료 단계 유방암 환자의 대처방식, 사회적지지 및 외상 후 스트레스 장애와의 관계)

  • Yang, Seung Kyoung;Kim, Eunshim
    • Journal of Hospice and Palliative Care
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    • v.18 no.1
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    • pp.35-41
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    • 2015
  • Purpose: This study was conducted to examine how patients' coping style and social support affect post-traumatic stress disorder (PTSD) in breast cancer patients who are treated with chemotherapy. Methods: The sample consisted of 134 outpatients who received breast cancer treatments at the cancer clinic of a university hospital. The collected data were analyzed by frequency, percentage, t-test, ANOVA, ${\chi}^2$-test, Pearson correlation coefficients using SPSS for Windows, version 18.0. Results: Among total, 26.9% of patients were classified into a high-risk PTSD group. In the high-risk group, a positive correlation was found between active and passive coping styles and between social support and active coping styles. Conclusion: In this study, the stronger the social support was, the more active the coping style was for high-risk PTSD patients with breast cancer. Considering the fact that cancer requires life-long self-management, strong social support could improve patients' healthcare capability. Furthermore, solid social support could effectively reduce the stress level and improve the quality of life for breast cancer patients in the high-risk PTSD group.

A Preliminary Study on the Psychopathological protocols of the Vietnam War Agent Orange Patients and Korean Civil War Wound Soldier -Focus on Rorschach Tests- (베트남 참전 고엽제 환자와 한국전쟁 참전 상이군인의 심리적 특성에 관한 예비 연구 -로샤 반응을 중심으로-)

  • Chang, Mun-Seon;Kim, Tae-Yeol
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.9
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    • pp.2492-2500
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    • 2009
  • This study was carried to examine overall psychopathological patterns of the Vietnam Civil War Veterans(Agent Orange patients)and Korean Civil War veterans(wounded soldier) using Rorschach tests. Test protocols of were compared with those of twenty Vietnam Civil War Veterans group and twenty-one Korean Civil War veterans. Rorschach protocols were administrated, scored, analysed according to the Exner's comprehensive system. Specifically, each Rorschach variable was divided into 3 clusters(e.g., core section, response determinants, and several special indices. The results of t-tests between the Vietnam Civil War Veterans group and the Korean Civil War veterans showed that Vietnam Civil War Veterans group were characterized as 1)cognitive rigidity, 2) ineffective problem solving, 3)emotional represion, 4)hypervigilance, 5)anxiety and 6) depressive tendency. These patterns suggest that still Vietnam Civil War Veterans experience the past trauma and lasting psychological seguela. Other implications and limitations of this study were discussed.

Exploratory Study on the Relationship between Lifestyles and Inattention, Hyperactivity/Impulsivity, Internet Overuse in Elementary and Middle School Students (초·중학생의 생활양식과 주의력 결핍, 과잉행동/충동성, 인터넷 과다사용 간 관계에 관한 탐색적 연구)

  • Yang, Mo-Huun;Kang, Eun-Jin;Lee, Dong-Hun
    • The Journal of the Korea Contents Association
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    • v.18 no.11
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    • pp.171-187
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    • 2018
  • The purpose of this study is to investigate the lifestyle factors influencing behavioral problems such as Inattention, hyperactivity/impulsivity, and internet overuse in elementary and middle school students. Data from 889 elementary school students and 676 middle school students were used and teacher reporting on students' attention deficit and hyperactivity and impulsivity symptoms was also included in the analysis. Lifestyle included opportunities for family interaction, sleep, watching TV, playing Video games, eating breakfast, eating junk food, and private education. As a result of stepwise regression analysis, Video games, junk foods, and family interactions significantly predicted the inattention of elementary and middle school students. Video games, TV, junk foods, and family interactions significantly predicted elementary school students' hyperactivity and impulsivity, but the lifestyle variables hardly accounted for the hyperactivity/impulsivity of middle school students. Video game, and family interactions significantly predicted Internet overuse for both elementary and middle school students. Current study suggest that family interaction opportunities and the use of video games, TV and junk food should be considered to intervene in behavior problems.

The Mediating Effects of Internalized Shame and Rejection Sensitivity in the Relationship Between Childhood Trauma and Relationship Addiction (아동기 외상과 관계중독 간 관계에서 내면화된 수치심과 거절민감성의 매개효과)

  • Song, Yeon-Joo;Ha, Moon-Sun
    • Korean Journal of Culture and Social Issue
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    • v.26 no.2
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    • pp.99-119
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    • 2020
  • The purpose of this study was to construct and test a hypothetical model about impact of childhood trauma on Relationship Addiction of Korean adults the multiple mediating effects of rejection sensitivity and internalized shame. A purposive sample of 465 Korean adults was recruited from three provincial areas. The collected data were then analyzed using SPSS 23.0 and AMOS 23.0 programs. For data analysis, descriptive statistics and structural equation modeling were performed. Multiple mediating effects analysis using phantom variable and bootstrapping were implemented to verify the mediating effect of the research model. We found no significant direct effect of childhood trauma on relationship addiction, but the effects of childhood trauma on Relationship Addiction were successively multi-mediated by internalized shame and rejection sensitivity (B=.265, p<.01), and single-mediated by internalized shame (B=.496, p<.01). Based on the results of this study, it can be suggested that in order to prevent relationship addiction of adults, it is necessary to first explore whether he has experienced childhood trauma and thereby has not only internalized shame but also rejection sensitivity.

The Relation between Exposure to the News of the nth Room Case and World Assumptions: The Mediating Effect of Indirect Trauma (n번방 사건에 관한 뉴스 노출과 세상에 대한 신념의 관계: 간접 외상의 매개 효과를 중심으로)

  • Kim, Chayoung;Park, Hyekyung
    • Korean Journal of Culture and Social Issue
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    • v.27 no.3
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    • pp.237-258
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    • 2021
  • The purpose of this research was to empirically explore the association between exposure to news of the nth Room Case, indirect trauma, and beliefs about the world among adults in their 20s. A total of 228 adults in their 20s participated in an online survey designed to study the association above. Analysis using SPSS 25.0 showed that participants who were exposed to more related news immediately after the nth Room case was revealed experienced a higher level of indirect trauma. Furthermore, indirect trauma fully mediated the relationship between exposure to the news of the nth Room Case and beliefs about the world. This study empirically demonstrated the impact of news exposure on beliefs about the world through indirect trauma, suggesting that, like disasters, sex crimes can cause indirect trauma to third parties through the news. However, this study was limited to adults in their 20s, and most of the participants were women; therefore, future studies using samples representing demographically more diverse groups are needed. Future research could also examine the possibility of emotional contagion mediating or moderating the relationship between news exposure and indirect trauma.

Experiences of Christian Workers at Daycare Facilities for the Disabled A Phenomenological Study on Psychological Burnout and Post-burnout Growth (장애인주간보호시설 기독교인 종사자가 경험하는 심리적 소진과 성장에 관한 현상학적 연구)

  • Chang Seung-Chin;Kim Eun-Hye
    • Industry Promotion Research
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    • v.9 no.3
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    • pp.251-261
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    • 2024
  • The purpose of this study is to improve welfare services for the socially underprivileged, the disabled, by improving and streamlining the work environment of workers at day care facilities for the disabled. The research question consisted of three issues: conflict between employees, psychological exhaustion, and growth factors experienced as a Christian worker at a day care facility for the disabled. As a research method, from January 2024 to April 2024, 10 Christian workers working at a day care facility for the disabled were interviewed and collected facts about their experiences during the work process using Colaizzi's phenomenological research method. analyzed. According to the research results, the psychological processes experienced by workers are, first, 'conflict' between internal workers in the experience at a day care facility for the disabled, and second, exhaustion, such as symptoms of emotional exhaustion, dehumanization, and decreased sense of accomplishment, experienced by workers in 'burnout'. It was a traumatic experience. Third, in 'growth', workers overcame internal conflict and psychological exhaustion through spirituality and experienced growth with a sense of stability. This study is expected to provide useful data to improve the morale and work environment of workers at day care facilities for the disabled in the future.

Factors Influencing Posttraumatic Growth in Survivors of Breast Cancer (유방암생존자의 외상 후 성장에 영향을 미치는 요인)

  • Park, Jin-Hee;Jung, Yong-Sik;Jung, Youngmi
    • Journal of Korean Academy of Nursing
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    • v.46 no.3
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    • pp.454-462
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    • 2016
  • Purpose: Posttraumatic growth (PTG) is defined as 'positive psychological change experienced as a result of a struggle with highly challenging life circumstances'. The purpose of this study was to identify the level of PTG and its correlates in Korean patients with breast cancer. Methods: A sample of 120 participants was recruited from outpatients, who had successfully completed primary treatment of breast cancer at a university hospital., Data were collected from June to December, 2014 using Posttraumatic Growth Inventory, Illness Intrusiveness Rating Scale, Cancer Coping Questionnaire, Revised Life Orientation Test and The Multidimensional Scale of Perceived Social Support. Results: Total score for the PTG was $79.18{\pm}17.54$ in patients surviving breast cancer. Bivariate analyses indicated that PTG was positively associated with having a religion, perceived social support, greater optimism, cancer coping, and illness intrusiveness. Results of the regression analysis showed that cancer coping (${\beta}=.29$, p=.001), optimism (${\beta}=0.28$, p=.001) and illness intrusiveness (${\beta}=0.17$, p=.037) were statistically significant in patients' PTG. Conclusion: The research findings show that the variables of cancer coping, optimism and illness intrusiveness significantly explain PTG and these psychological variables can be used to provide improvement in PTG for patients with breast cancer.

The Effects of Life Changes on Post-Traumatic Stress Disorder after Disasters (재난 후 생활변화가 외상 후 스트레스 장애에 미치는 영향)

  • Lim, Hye Sun;Sim, Kyungok
    • Stress
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    • v.26 no.4
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    • pp.319-326
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    • 2018
  • Background: This study investigated whether pre- and peri-disaster experiences influence on PostTraumatic Stress Disorder (PTSD) and whether post-disaster stress by life changes have impact on PTSD after controlling pre- and peri-disaster factors. Methods: Data came from a sample of 1,182 respondents who experienced natural disasters (flood and typhoon) in South Korea from 2012 to 2015. The SPSS Win 22.0 program was used for descriptive analysis, t-test, Chi-square test, Pearson's correlation and logistic regression analysis. Results: The results indicated that 24.3% of the disaster victims were in PTSD risk group. Compared with non-PTSD, PTSD risk group showed lower interpersonal trust and satisfaction, higher depression and anxiety, and lower subjective well-being. The results of hierarchical logistc regression revealed that all pre-, peri-, and post-disaster factors increased the probability of developing PTSD, except for relocation of residence. Moreover, a primary post-disaster predictor of PTSD was economic distress after controlling for pre- and peri-disaster. Conclusions: This study tested relative contributions of post-disaster factors on PTSD.

Effects of Mind Subtraction Meditation Program on Post-traumatic Growth (마음빼기명상 프로그램이 119 구급대원의 외상 후 성장과 회복탄력성에 미치는 효과)

  • Lee, Insoo;Chun, Min Young;Yoo, Yang Gyeong
    • Fire Science and Engineering
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    • v.32 no.5
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    • pp.95-104
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    • 2018
  • The 119 emergency medical services(EMS) personnel studied in this research are constantly exposed to traumatic events, which can lead to a variety of psychosocial problems and poor quality of life. In this study, we examined the effects of the Mind Subtraction Meditation Program on post-traumatic growth and resilience of 119 EMS personnel. In this study, we measured the conditions of 26 EMS personnel of A firefighting headquarters based on post-traumatic growth and resilience before and after implementing the short-term intensive for 2 nights and 3 days in $201^*$. The results showed that there was a significant increase in post-traumatic growth from $2.85({\pm}.67)$ to $3.60({\pm}.72)$ and resilience from $2.45({\pm}.39)$ to $2.83({\pm}.48)$ of the subjects between before and after the Mind Subtraction Meditation. In conclusion, the Mind Subtraction Meditation Program was effective in improving the posttraumatic growth and resilience of 119 EMS personnel. Therefore, Mind Subtraction Meditation Program could be proposed as a mental health promotion program for EMS personnel.

Idea of Persecution and Psychological Factors Associated With Idea of Persecution in Patients With PTSD (PTSD 환자의 피해 사고 및 피해 사고에 기여하는 심리학적 요인)

  • Seungyun Lee;Young Kyung Moon;Sora Lee;Hayun Choi
    • Korean Journal of Psychosomatic Medicine
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    • v.31 no.2
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    • pp.155-164
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    • 2023
  • Objectives : The aim of this study was to identify the factors affecting ideas of persecution in post-traumatic stress disorder (PTSD) patients who underwent Clinician-Administered PTSD Scale (CAPS) and Minnesota Multiphasic Personality Inventory-2 (MMPI-2). Methods : We retrospectively reviewed 116 patients who underwent CAPS and MMPI 2 between May 2013 and April 2020 at Veteran Health Service Medical Center. Based on the CAPS score, the patients were divided into the PTSD group (n=63, age: 58.16±17.84) and the trauma exposed without PTSD group (n=53, age: 67.34±12.05). After checking the correlation between Ideas of persecution, CAPS, and MMPI-2 scales, linear regression analysis was performed to identify the risk factors for clinically relevant symptoms. Results : The PTSD group showed significant differences in Schizophrenia, Ideas of persecution, Dysfunctional negative emotions, Aberrant Experiences, Psychoticism, Negative Emotionality/Neuroticism, Anxiety, Depression, and Anger scales compared to the trauma-exposed without PTSD group. When analyzing the correlation between Idea of persecution, CAPS and MMPI-2 scales, there was a strong association with most of the scales in MMPI-2 and Idea of persecution except Disconstraint. Multiple linear regression analysis performed in PTSD group identified that risk factors for Idea of persecution were Dysfunctional negative emotions and Anger scale. Conclusions : The PTSD group had increased idea of persecution compared to the trauma exposed without PTSD group. Dysfunctional negative emotions and anger may be risk factors for idea of persecution in trauma exposed population.