• Title/Summary/Keyword: 외상사건경험

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A Study on the Effects of Trauma Case Experience on PTSD of Safety/Health Manager's -The Moderated Mediation Effect of Social Support through Job Stress- (안전/보건관리자의 외상 사건 경험이 외상 후 스트레스 장애에 미치는 영향 -직무스트레스를 통한 사회적지지의 조절된 매개효과-)

  • Shim, Jae-Beom;Lee, Mi-Eun
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.31 no.1
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    • pp.38-49
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    • 2021
  • Objectives: This study was conducted to analyze the impact of safety/health managers' experience of trauma case on their post traumatic stress disorder and the mediation effects of job stress and the moderated mediation effects of social support. Method: Using a structured questionnaire, data were collected from 241 workplace safety/health managers with experience in trauma case. The collected data were analyzed using SPSS(IBM. Ver.26.0) and verified through SPSS PROCESS Macro (Ver. 3.4). Results: The trauma case experience and the job stress, which is a mediation variable, had a statistically significant positive effect on post-traumatic stress disorder, and the job stress had a positive mediation effect in the relationship between the trauma case experience and post-traumatic stress disorder. Social support had a statistically significant negative moderation effect in the relationship between the trauma case experience and job stress; social support had a moderated mediation effect on the indirect effect of a job stress on the post-traumatic effect through a trauma case experience. Conclusion: The above findings suggest that work-related job stress management is important in order to reduce safety/health managers' post-traumatic stress disorder caused by the experience of trauma case, and that social support is essential to reduce the job stress, which can later be used as a basis for further studies.

Effects of Traumatic Events, Compassion Fatigue, Self-esteem, and Compassion Satisfaction on Burnout of Nurses in Emergency Department (ED) (응급실 간호사의 외상사건 경험, 공감피로, 자아존중감, 공감만족 및 소진)

  • Jun, Yeon-Jin;Sung, Mi Hae
    • Korean Journal of Occupational Health Nursing
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    • v.23 no.2
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    • pp.80-88
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    • 2014
  • Purpose: The purpose of this study is to verify the factors that determines burnout of nurses in emergency department. Methods: The survey was given to 170 ED nurses which are located in Busan from July 1st to August 31st of 2012. The results were analyzed by descriptive statistics, t-test, ANOVA, pearson correlation coefficients and stepwise multiple regression using SAS 9.2 program. Results: There were statistically significant differences in burnout depending on gender, position, workplace satisfaction, job satisfaction. Significant positive correlation between compassion fatigue and burnout was found. Also significant negative correlation was found between self-esteem, compassion satisfaction and burnout. Factors influencing burnout were self-esteem, compassion satisfaction and compassion fatigue with $R^2$ value 58.0%. Conclusion: Considering these results, it seems that great efforts will be needed for reducing burnout by mitigating the emergency nurses' compassion fatigue and introducing programs to increase the self-esteem and compassion satisfaction.

One Case of Combination Therapy of Acupuncture, Herbal medication and Thought Field Therapy on Hysterical Aphonia lasting for 1 year (1년 이상 지속된 히스테리성 실성증(失聲症)의 사고장요법(Thought Field Therapy)과 한방요법 병행치료 1례)

  • Park, Jong-Hoon;Cho, Sung-Hoon;Chung, Sun-Yong;Hwang, Ui-Wan;Kim, Jong-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.14 no.2
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    • pp.183-189
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    • 2003
  • Hysterical aphonia is one of the frequent symptoms in conversion disorders. If it has a recent onset, a manifest induced factor, and a good premorbid adaptation, and another mental disorder is not accompanied, its prognosis is good. We report one case of hysterical aphonia that was bad prognosis. This patient was suffering traumatic event before and after onset, and major depressive disorder was accompanied. Having hysterical aphonia, the patient who had no progress after over an years medicine therapy and often felt strong suicidal urge, was successfully treated by TFT(Thought field therapy) and oriental medicine therapy. Several case studies on hypnotic cure of hysterical aphonia has been reported but they are uncommon internally and have good prognosis. In addition, there were no relevant studies concerning alternative therapy and oriental medication. Our case report is focused on treatment through these methods.

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Priming Effects of Disaster-related TV News: Focusing on the Interactions of Geographical and Psychological Distance (재난 뉴스의 점화 효과: 지리적·심리적 거리의 상호작용을 중심으로)

  • Bu Jong, Kim;Yun Kyeung, Choi
    • Korean Journal of Culture and Social Issue
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    • v.29 no.1
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    • pp.53-74
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    • 2023
  • The purpose of this study was to identify the priming effects of disaster-related news. Specifically, this study aimed to examine the priming effects about trauma words and neutral words according to the geographical and psychological distance from the disaster. The participants in this study were 75 college students who had not experienced the Daegu subway fire accident, and whom were not ruled out after completing the screening measure completing the screening measure the completion of questionnaires for screening. All participants conducted a lexical decision task after watching a news video about the Daegu subway fire accident. The design was a 2 (Geographical distance: close vs. distant) × 2 (Psychological distance: close vs. distant) × 2 (Priming type: trauma priming vs. neutral priming) mixed-design. The results of this study are summarized as follows: First, the group which was geographically closer to the disaster tended to revealed a largerbigger priming effect than the distant group-a trend toward significance. Second, within the psychologically closer to the disaster, group, for those who were geographically closer too, the priming effect was larger for those who were geographically closer geographically closer than for the geographically distant group. Third, the geographically closer group had a largerbigger neutral priming effect than the distant group. Fourth, the psychologically distant group had a largerbigger neutral priming effect than the close group. To sum up, this study identified that disaster news coverage may have an implicit effect on people, and this influence can change according to the geographical and psychological distance. Finally, this study discussed the limitations of the study and recommendations for further research.

Factors Affecting Sleep Quality of Firefighters (소방공무원의 수면의 질에 대한 영향요인)

  • Oh, Jinuk;Ko, Miae;Song, Hoo Rim;Hong, Min Ha;Kim, Hyun Soo;Kim, Woo Jung
    • Korean Journal of Psychosomatic Medicine
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    • v.26 no.1
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    • pp.19-25
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    • 2018
  • Objectives : Firefighters frequently experience traumatic events, high-tension situations and shift work. Therefore, the prevalence of insomnia of firefighters is higher than one of general population. Not only does the quality of sleep affect the satisfaction of personal life, but it also influences their performance for the public's safety. We investigated which factors affect the quality of sleep of firefighters. Methods : After personally delivering 120 questionnaires to 3 fire stations, the survey was conducted when the consents were signed. It inquired about alcohol use, smoking, shift work, sleep quality, depression, anxiety, and experience of traumatic events. We then divided the firefighting officers in two groups according to the quality of sleep and compared the variables examined to conduct the logistic regression analyses according to the results. Results : The poor sleeper group reported a higher level of current alcohol consumption, depression, anxiety and experience of traumatic events. Logistic regression analyses showed that the current alcohol intake (Crude odds ratio=3.707, 95% confidence interval=1.288-10.672, p=0.015 ; Adjusted odds ratio=3.288, 95% confidence interval=1.011-10.694, p=0.048) has a significant effect on sleep quality. Conclusions : Current alcohol consumption, depression, anxiety and experience of traumatic events were respectively associated with sleep quality of firefighters. When all significant factors considered, the current alcohol use was the only statistically significant. To improve the quality of sleep for firefighters, it will be necessary to evaluate alcohol intake, educate the poor sleep quality caused by alcohol, and provide specific interventions to reduce consumption.

The Effects of Firefighters' Experience of Trauma and Forest Walks on Burnout (소방공무원의 외상사건 경험 및 산림산책이 소진에 미치는 영향)

  • Shin, Sun-Hee;Kong, Ha-Sung
    • Journal of the Korea Safety Management & Science
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    • v.22 no.2
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    • pp.57-71
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    • 2020
  • The purpose of this study is to explore the effects of fire officers' experience of traumatic events and subsequent forest healing on their occupational burnout. The results are as follows: First, the experience of traumatic events, social and psychological healing, and relieving stress by strolling had a significant effect on burnout. The more fire officers are exposed to traumatic events, the more they lose self-control in social and psychological aspects, and the lower the level of stress relieved through strolling, the higher the level of burnout. Thi sresult suggests that the more fire office rsare called out for fire fighting, the more they see their colleagues with severein juries, and the higher the level of mental and physical an xiety, the more they areex hausted. Moreover, for es thealing help store duce the irmental and physi calfatig uecaused by traumatic events, thu spreven ting them from suffering from burn out. Second, the experience of traumatic events, social and psychological healing, and relieving stress by strolling had a significant impact on occupational stress. The more fire officers are exposed to traumatic events, the more they lose self-control in social and psychological aspects, and the lower the level of stress relieved through strolling, the higher the level of occupational stress. This result indicates that to relieve job stress caused by fire fighting, increased forest healing activities, including various programs such as psychotherapy, developing interpersonal relationships and self-control, and creating a positive mind-set, can reducejobstress and help fire officers recover from it. Lastly, job stress had a mediation effect on the effects of the experience of traumatic events and forest healing on burnout. This implies that burnout can be prevented when fire officers gain high emotional stability through social and psychological healing and stress-relief strolling over a traumatic experience, and stronger support from the organization and family can keep them from being emotionally drained, thus contributing to the prevention of burnout.

Impact of COVID-19-Related Stress and Depression in Public Sector Workers (코로나 19 관련 공공근로자에서의 우울증상 및 스트레스 반응)

  • Park, Jinsol;Cho, Hye-mi;Ko, Min-soo;Chi, Su-hyuk;Han, Changsu;Yi, Hyun-suk;Lee, Moon-Soo
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.136-143
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    • 2021
  • Objectives : The coronavirus disease 2019 (COVID-19) outbreak is a global medical crisis imposing particular burden on public sector employees. The aim of this study was to investigate the psychiatric distress among public sector workers amid the COVID-19 pandemic. Methods : We conducted a cross-sectional study with 531 public sector workers in Gwangmyung city who completed Korean versions of the Perceived Stress Scale (PSS), Patient Health Questionnaire-9 (PHQ-9), and Impact of Event Scale-Revised-Korean (IES-R-K). Results : The results revealed more than moderate levels of stress (85.2%), depressive symptoms (22.2%), and posttraumatic stress symptoms (38.8%). PSS total score was significantly correlated with PHQ-9, IES-R-K total scores as well as IES-R-K subscale scores. Total scores on the PSS, PHQ-9, and IES-R-K were all inversely correlated with age. Conclusions : COVID-19-related workers experience considerable stress and depressive symptoms, with self-rated stress correlating significantly with depression scores. Age may serve as a protective factor against occupational stress and burnout. These findings highlight the need for adequate psychiatric screening and intervention for public sector workers.

The Possibility of Application of the US CASA Program in Korea - Focusing on comparison of child protection service between USA and Korea (한국에서의 미국 CASA프로그램 적용 가능성 탐색 - 미국과 한국의 아동보호서비스 비교를 중심으로)

  • Sunghae Park
    • Korean Journal of Culture and Social Issue
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    • v.24 no.3
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    • pp.473-489
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    • 2018
  • Our society has an obligation and responsibility to respect and protect the character of the child. Recently, however, Korean society has been suffering from child abuse and abuse that is pouring out every day. In order to protect these children, the child protection system and the judicial system should be fundamentally child-friendly. The CASA(Court Appointed Special Advocates) volunteer program, which is being held in the United States with such a concern, is a continuing program of court attendance and emotional support services for abused children throughout the United States. In Korea, however, there are many similar programs such as mentoring projects, dream co-supporters project similar to the CASA program in various organizations of the region and the enactment of the Act on the Punishment of Child Abuse increases the involvement of the public system in child abuse. There is also an increased awareness of children's rights and strengthened government intervention through active monitoring to prevent recurrence of child abuse. These changes in the Korean society should be actively reviewed by the US CASA program and settled as a national project in the Korean society so that the system of protecting the safety and rights of the victims of child abuse will be established. It is anticipated to be a way to prevent social problems from occurring in advance.

Psychosocial Impact of Chronic Orofacial Pain (만성 구강안면통증의 사회심리적 영향)

  • Yang, Dong-Hyo;Kim, Mee-Eun
    • Journal of Oral Medicine and Pain
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    • v.34 no.4
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    • pp.397-407
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    • 2009
  • The aim of the study was to evaluate psychosocial impact of non-dental chronic orofacial pain (OFP) on daily living using the graded chronic pain (GCP) scale. It is also investigated the clinical profile such as demographics, event related to initiation of OFP and prior treatments for patients. During previous 6 months since September 2008, 572 patients (M:F=1:1.5, mean age=34.7 years) with non-dental OFP attended university-based specialist orofacial pain clinic (Dankook University Dental Hospital, Cheonan) to seek care although 63% of them already experienced related treatment for their OFP problem. They visited the most frequently general dental practitioner and orthopedic doctors due to their pain problem and medication was the most commonly employed modality. Most of the patients (89.2%) had TMD and the most common related event to initiation of their pain was trauma, followed by dental treatment. Almost half of the patients (46%) suffered from chronic pain(${\geq}6\;M$) and 40% of them exhibited relatively high disability due to chronic OFP. GCP pain intensity and disability days were significantly different for age and diagnosis (p<0.05) but not for gender and duration. GCP grades were affected by all the factors including gender, age, pain duration and diagnosis.(p=0.000) Female gender, elders, and long lasting pain were closely related to high disability. The patients with neuropathic Pain and mixed OFP rather than TMD were graded as being highly disabled. Conclusively, a considerable percentage of chronic OFP patients reports high pain-related disability in their daily, social and work activity, which suggest a need for psychosocial support and importance of earlier referral for appropriate diagnosis and tailored management.