• Title/Summary/Keyword: 외상성 스트레스

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Media Use during the Sewol Ferry Disaster and Post Traumatic Stress Disorder (미디어 이용과 외상 후 스트레스 장애(PTSD): 세월호 사건을 중심으로)

  • Park, Nohil;Chang, Seok-Hwan;Jeong, JiYeon
    • Journal of Digital Contents Society
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    • v.19 no.4
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    • pp.673-683
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    • 2018
  • The accident of Sewol Ferry is a disaster that provoked serious mental shock to the Korean people way beyond the level of generally-perceived catastrophic aftermaths. The purpose of this study is to examine the relationship between vicarious disaster experiences through media and post-traumatic stress(PTSD) symptoms of media users related to the accident. The responses of 417 people consisted of college, middle and high school students, and adults in a metropolitan area were collected for 12 days from the April 28, 2014 right after the accident. The results showed that the level of PTSD of social media users were higher than that of traditional media (newspapers or TV news) users on the accident. Also, the amount of use of disaster news information and social media revealed positive correlations with PTSD. Implications of this study are to demonstrate possible mechanisms of psychological trauma mediated by media on a disaster and its empirical data and to facilitate further research.

The Use of Music for Alleviating PTSD Symptoms Among North Korean Resettlers (외상후 스트레스 증상완화를 위한 새터민의 음악사용)

  • Kim, Ha Nee;Lee, Jin Hyung
    • Journal of Music and Human Behavior
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    • v.12 no.2
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    • pp.79-97
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    • 2015
  • The purpose of this study was to explore the use of music for alleviating PTSD symptoms among North Korean resettlers. Out of 80 initial responses from North Korean resettlers living in Seoul metropolitan area, 78 surveys were analyzed. The questionnaire focused on traumatic events encountered, PTSD symptoms experienced, and the use of music in relation to the symptoms. The analysis revealed that all participants had been exposed to traumatic events either directly or indirectly, and 32% of the responders have experienced at least one of the PTSD symptoms in the last one month. Most of the participants perceived music to be necessary in everyday life as well as for managing PTSD related symptoms. On the other hand, only 38% actually use music in everyday life whereas 75% use music for managing PTSD symptoms. They mainly listen to music but also engage in singing, utilize music from both North and South Korea, and they perceive the most important reason for using music to be for emotional comfort and transition. The analysis provides additional information that are valuable for the therapeutic use of music for North Korean resettlers living with PTSD symptoms.

Experiences of traumatic events, knowledge and attitudes concerning post-traumatic stress disorder, and resilience among nurses and paramedics working in emergency department (응급실 간호사와 응급구조사의 외상성 사건의 경험, 외상후 스트레스장애에 대한 지식, 태도 및 회복탄력성)

  • Hong, Sun-Woo;Bang, Kyung-Sook;Bang, Hwal Lan;Hyun, Hye Jin;Lee, Miyoung;Jung, Yu Na
    • The Journal of Korean Academic Society of Nursing Education
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    • v.29 no.1
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    • pp.86-97
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    • 2023
  • Purpose: This study aimed to assess exposure to traumatic events, knowledge and attitudes concerning post-traumatic stress disorder (PTSD) and the level of resilience among nurses and paramedics working in emergency departments. Methods: Data were collected from May 22 to June 12, 2022, using a self-administered survey questionnaire. The participants comprised 135 nurses and 80 paramedics working in emergency departments. The collected data were analyzed with descriptive statistics, a t-test, and an analysis of variance with Scheffé's test. Results: Compared with emergency room nurses, paramedics were more positive about the government's spending on job opportunities for people with PTSD. There were no significant differences in attitude regarding government strategies and people with PTSD between nurses and paramedics. Paramedics had higher scores on the effective treatment for PTSD, while emergency room nurses showed higher scores on effective psychotherapy. General knowledge of PTSD differed according to sex (t=-2.33, p=.021) and education level (F=3.21, p=.042). Resilience scores differed significantly according to sex (t=2.02, p=.045), education level (F=4.10, p=.018), self-reported economic state (F=10.34, p<.001), and self-reported health (F=11.57, p<.001). Conclusion: The findings support that emergency department nurses and paramedics are in need of self-care programs to support their mental health and indicate that intervention programs should be developed to enhance resilience in emergency department professionals.

Latent Profile Analysis of PTSD symptoms and PTG among Adults in South Korea: the Differences in Binge Eating, Non-Suicidal Self-Injury, and Problem Drinking Behaviors (잠재프로파일분석(LPA)을 활용한 PTSD 증상과 외상 후 성장 수준의 양상: 폭식, 비자살적 자해, 문제성 음주행동에서의 차이)

  • DeokHee Lee;DongHun Lee;HayoungJung
    • Korean Journal of Culture and Social Issue
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    • v.25 no.4
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    • pp.325-351
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    • 2019
  • The present study examined patterns of co-occurrence between DSM-5 posttraumatic stress disorder(PTSD) symptoms and posttraumatic growth(PTG) among Korean populations(n= 860). Latent profile analysis was used to identify subclasses and suggested that the 3-class model fit best: (1) Low PTSD/Mild PTG group (2) Low PTSD/High PTG group; (3) High PTSD/High PTG group. Class membership was predicted by demographic variables, social isolation, and frequency of traumatic experiences. Classes also differed with respect to self-destructive behaviors(binge eating, non-suicidal self-injury, and problem drinking). These findings contribute to future research about the coexisting patterns of PTSD and PTG, and to identify high-risk individuals who suffer from trauma-related problems in clinical practice.

Awareness of disaster and post traumatic stress disorder in occupational therapy students (재난 및 외상 후 스트레스장애에 대한 작업치료 전공자의 인식조사)

  • Hong, Young-Ho;Cho, Su-Bin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.7
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    • pp.539-547
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    • 2017
  • This study examined the perception of disasters and post-traumatic stress disorder in occupational therapy majors to provide the basic data necessary for future occupational therapy. A questionnaire survey was conducted on 545 students in occupational therapy departments of three year and four year universities. The frequency of the questionnaire was calculated by frequency analysis using the SPSS 19.0 win program. A chi-squared test was conducted to verify the analyzed questionnaire data. The reliability of the questionnaire in this study showed a Cronbach' alpha value of 0.891. According to the survey results, approximately 20% of learners who majored in occupational therapy were unaware of the symptoms, developmental mechanism, and diagnostic criteria of post-traumatic stress disorder(PTSD). Knowledge of the underlying causes of psychological symptoms, such as post-traumatic stress disorder as well as physical damage through industrial accidents, was found to be 2.92 on the Likert 5-point scale. To be effective in rehabilitation treatment, the degree of the approach to education from the viewpoint of occupational therapy is important enough to be recognized as 3.90 on the Likert 5-point scale. The Pearson correlation coefficient for the need for education on disasters was higher than the correlation with the awareness of disasters.

North-Korean-Refugee Women's Experience of Discrimination in South Korea and Reemergence of Trauma Experience (탈북여성들의 남한사회에서의 차별 경험과 트라우마 경험의 재현에 관한 탐색적 연구)

  • Sung, Jung-Hyun
    • The Journal of the Korea Contents Association
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    • v.14 no.5
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    • pp.117-131
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    • 2014
  • This study aims to explore the reexperience of trauma caused by experience of discrimination and stigma from South Korean. For this purpose of this study, focus group interview methods are used. The participants are five women who escaped from North Korea and they were from 20s to 50s. From the outcomes of this study, I find out that they had experienced to put in prison, to let arrest to let human traffic, and sexual or physical assault. Now they have PTSD(Post Trauma Stress Symptom) of nightmare related with past trauma, avoidance of interpersonal relationships and similar situations, and retrospection and memorization of negative experiences. In that situation, they also have experienced discrimination caused by lack of understanding of their suffering in South Korea. And almost of them suffer from poor situation economically and physically. Participants regret their entry to South Korea and perceive that their hope has gone. And they have anger of Korean's discrimination and stigma and they feel suicide impulse after experiencing very difficult situation. These negative experiences affect their PTSD and make reemergence of trauma experience. In conclusion, the outcomes of this study are discussed and I proposed the practical suggestions which have affected decreasing the PTSD.

Relationship between Traumatic Events, Stress Coping Strategies and Post-Traumatic Stress Symptoms among Social Workers in Public Sector (사회복지전담공무원의 외상사건 및 스트레스 대처방식과 외상후스트레스증상 관련성)

  • Lee, Junghyun H.;Kim, Jiae;Sim, Minyoung;Jeon, Kyoungsun;Oh, Seunga;Yang, Jungll;Lee, Yunglyul
    • Korean Journal of Biological Psychiatry
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    • v.22 no.2
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    • pp.55-62
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    • 2015
  • Objectives Social workers can suffer from occupational stress resulting from dealing with clients, which might lead to metal health problems. We aimed to investigate the association of duty-related traumatic experiences and stress coping strategies with post-traumatic stress symptoms among social workers in public sector. Methods A total of 110 social workers in public sector (men 30.9%, $36.5{\pm}7.6$ yrs) participated in this study. All subjects were evaluated the frequency and the impact of duty-related traumatic events. Additionally, they completed questionnaires including the Impact of Event Scale-Revised for post-traumatic stress symptoms, the Beck Depression Inventory-II for depressive symptoms, the Scale for Suicidal Ideation for suicide symptoms and the Ways of Coping Checklist for stress coping strategies. Results The most frequent traumatic events were "Violent or abusive language from a client" (95.0%) and "Client made a fuss" (94.5%). The most distressing traumatic event was "Seeing a dead body on duty" (7.6 out of 10), which predicted post-traumatic stress symptoms (odds ratio 4.04 ; 95% confidence interval, 1.79-9.11). Among 4 types of stress coping strategies, the emotion-focused coping was positively correlated with post-traumatic stress symptoms after controlling age and sex (${\beta}$ = 0.50, p < 0.001). Conclusions Social workers in public sector showed high level of post-traumatic stress symptoms. Duty-related traumatic events and the emotional-focused coping strategies were associated with the severity of post-traumatic stress symptoms. The modification of stress coping strategies would alleviate post-traumatic stress symptoms in social workers in public sector.

The effect of music therapy for 119 emergency medical technicians with high post-traumatic stress

  • Ahn, Hee-Jeong;Shim, Gyu-Sik
    • Journal of the Korea Society of Computer and Information
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    • v.26 no.12
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    • pp.221-226
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    • 2021
  • This study was examined the effect and the continuity of music therapy for reduce on post-traumatic stress (PTS) in 119 emergency medical technicians (EMTs). The subjects of the study were 42 EMTs in the C area, and the study was conducted from November 25, 2019 to March 1, 2020. The experimental group conducted a total of ten music therapy programs twice a day for five days. The session-specific program was conducted by two music therapists, including the early, mid, late, and closed stages. Each step applied intervention techniques necessary for goals such as improvisation, rhythm making, Nanta, and couple physical activities. The control group was required to take a free break (TV viewing, cell phone games, sleep, exercise, etc.) at the same time as the experimental group's program. The study found that the control group had no difference in PTS before and after the application of music therapy, but the experimental group had a significant decrease in PTS immediately after the application of music therapy and a gradual increase in PTS after 4 and 12 weeks (p<.05). Repetitive music therapy is judged to be an effective way to mitigate the PTS leve for EMTs.

The Association among Stress Coping Strategies, Social Support, and Self-Esteem in Patients with Posttraumatic Stress Disorder (외상후스트레스장애 환자의 증상 정도와 스트레스 대처 방식, 사회적 지지, 자존감의 관련성)

  • Chung, Jae-Hee;Kwon, Joo-Han;Park, Jong-Il;Yang, Jong-Chul
    • Anxiety and mood
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    • v.17 no.2
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    • pp.59-66
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    • 2021
  • Objective : The purpose of this study is to investigate the relationship among the degree of symptoms of posttraumatic stress disorder (PTSD) and social support, stress coping strategies, and self-esteem in patients with PTSD. Methods : A total of 48 patients meeting DSM-5 criteria for PTSD and 48 normal controls were recruited for participation in this study. We evaluated subjects using the Clinician-Administered PTSD Scale (CAPS), Hamilton Anxiety Scale (HAM-A), Hamilton Depression Scale (HAM-D), Rosenberg Self-Esteem Scale (RSES), Multidimensional Scale of Perceived Social Support (MSPSS) and The Ways of Stress Coping Questionnaire (SCQ). We analyzed data using an independent t-test and Pearson's correlation analysis. Results : In PTSD patients, total CAPS scores showed a significant positive correlation with HAM-A and HAM-D scores and a significant negative correlation with MSPSS scores. RSES scores showed a significant positive correlation with MSPSS and SCQ scores. MSPSS scores showed a significant negative correlation with PTSD avoidance and numbing and HAM-D scores. SCQ scores showed a significant negative correlation with PTSD avoidance and numbing. Conclusion : These results revealed that the better the stress coping strategies and social support, the lower the degree of symptoms in patients with PTSD. In addition, it was found that the higher the social support and self-esteem, the lower the degree of depression and anxiety. Therefore, in the treatment process, it seems important to identify and correct the self-esteem, social support system, and stress coping strategies of patients with PTSD.

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.