• Title/Summary/Keyword: 외상후스트레스

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Posttraumatic Stress Disorder of Patients Referred to Psychiatry after Motor Vehicle Accidents (자동차사고 후 정신과로 의뢰된 환자의 외상후 스트레스장애)

  • Yun, Kyu-Wol
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.2
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    • pp.174-183
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    • 1999
  • Objective : This study was designed to evaluate the incidence and characteristics of posttraumatic stress disorder(PTSD) after motor vehicle accidents(MVA) in 44 consecutive MVA victims referred to psychiatry for the diagnosis, treatment and psychiatric assessment. Method : The diagnosis of posttraumatic stress disorder was made on the basis of DSM-IV criteria, and posttraumatic stress symptoms were assessed by the Clinician-Administered PTSD Scale(CAPS). Correlation between the extent of physical injury and the severity of PTSD symptoms using the Abbreviated Injury Scale(AIS) was analyzed and the frequency of psychiatric comorbidity of PTSD was invested. Result : Twenty-two(45.5%) MVA victims met DSM-IV criteria for PTSD, while thirteen(29.5%) showed a subsyndromal form of it. AIS scores significantly related with the development of posttraumatic stress symptoms(r=0.565, p=0.0001). PTSD group showed high percentages of each of the 17 symptoms(criterion B, C, D), while subsyndromal PTSD group showed relatively high percentages of criterion Band D. The most frequent symptom was 'distressing dreams' of criterion B in both group. A high percentages(56%) of the MVA-PTSD group also met the criteria for current major depression. Conclusions : These findings suggest that there is apparently a high likelihood of developing all or part of the PTSD syndrome after motor vehicle accidents. So it does appear that for those MVA victims who seek medical attention and eventually need psychiatric referral, diagnostic possibility of PTSD should be taken into account in treatment planning and early intervention.

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Comparison of Post Traumatic Stress Disorder according to Organizational Characteristics among Police Officers (경찰관의 조직적 특성에 따른 외상후 스트레스 장애 비교 분석)

  • Sin, Seong-Won
    • The Journal of the Korea Contents Association
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    • v.12 no.9
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    • pp.211-216
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    • 2012
  • In this study, the relationship between the organizational characteristics of police officers and the level of post-traumatic stress disorder in the comparative analysis was to check for post-traumatic stress disorder, according to the organizational characteristics affect. To accomplish this, a way ANOVA analysis of variance(One-way ANOVA) was conducted. The department in post-traumatic stress disorder level, a significant difference was found. It was more likely to be exposed to a traumatic experience if who is working in the front-line department. Post-traumatic stress disorder according to the work unit, a significant difference was found. The level of Post-traumatic stress disorder in outside job unit officers was higher than that of desk job unit offcers. Post-traumatic stress disorder according to the rank and duration of employment and the administrative district level, a significant difference was not found.

Effect of Post Traumatic Stress Level Caused by Earthquake on Post Traumatic Growth: Focusing on the Mediating Effects of Stress Coping (지진에 의한 외상 후 스트레스 수준이 외상 후 성장에 미치는 영향: 스트레스 대처 방식의 매개효과를 중심으로)

  • Park, Hyung-Jun
    • Journal of the Society of Disaster Information
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    • v.16 no.4
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    • pp.658-669
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    • 2020
  • Purpose: This study was conducted for Pohang citizens who experienced Pohang earthquake damage. The purpose of this study is to examine how these post-traumatic stress level affect post-traumatic growth and to examine the mediating effects of stress coping on the causal relationship between post-traumatic stress level and post-traumatic growth. Method: The survey was conducted for the citizens who experienced Pohang earthquake, and the survey data were statistically analyzed using the SPSS 25.0 program. Result: Post traumatic stress level has been shown to affect post traumatic growth. In addition, as a result of examining the mediating effect of stress coping method on the relationship among these variables, the problem solving center and the social support method had a mediating effect, but the evasion method did not mediate. Conclusion: The post-traumatic stress level caused by disasters such as earthquakes was found to be able to overcome the obstacle and grow after trauma, as the coping method is problem solving and social support.

Characteristics of the Perception of the Somatic Symptoms and the Cognitive Emotion Regulation Strategies in Patients With Posttraumatic Stress Disorder (외상후스트레스장애 환자의 신체증상 지각 특성과 인지적 정서조절전략)

  • Kwon, Joo-Han;Park, Jong-Il;Sakong, Jeong-Kyu;Yang, Jong-Chul
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.102-110
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    • 2021
  • Objectives : The purpose of this study is to investigate the characteristics of the perception of the somatic symptoms and the cognitive emotion regulation strategies in patients with posttraumatic stress disorder (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 Clinician-Administered PTSD Scale (CAPS), Somato-Sensory Amplification Scale (SSAS), Hamilton Anxiety Scale (HAM-A) and Cognitive Emotion Regulation Questionnaire (CERQ). We analyzed data using an independent t-test and Pearson's correlation analysis. Results : In terms of SSAS, PTSD patients presented higher average SSAS scores than normal controls but the result is not statistically significant. In PTSD patients, the severity of PTSD is significantly correlated with CERQ-rumination and CERQ-catastrophizing. The SSAS scores of PTSD patients show the significant positive correlation with PTSD hyperarousal symptoms, CERQ-catastrophizing and CERQ-blaming others. Conclusions : These results reveal that patients with PTSD have maladaptive cognitive emotion regulation strategies such as rumination and catastrophizing. Somato-sensory amplification seems to be related with PTSD hyperarousal, CERQ-catastrophizing and CERQ-blaming others. Therefore, reducing somato-sensory amplification, rumination and catastrophizing can be helpful to reduce PTSD symptoms and somatic symptoms in PTSD patients.

Depression as a Mediator of the Relationship Between Resilience and Posttraumatic Stress Symptoms and Dissociation in Firefighters (소방공무원에서 탄력성이 외상후스트레스 증상과 해리에 미치는 영향 : 우울의 매개 효과)

  • Kwon, Tae Hoon;Hyun, So Yeon;Chung, Young Ki;Lim, Ki Young;Noh, Jae Sung;Kang, Dae Ryong;Ha, Gwiyeom;Kim, Nam Hee
    • Korean Journal of Psychosomatic Medicine
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    • v.24 no.1
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    • pp.109-116
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    • 2016
  • Objectives : This study aimed to investigate the effects of resilience on posttraumatic stress symptoms and dissociation and whether depression mediates the relationships between resilience and posttraumatic stress symptoms and dissociation. Methods : A total of 115 firefighters participated in the study. Data were collected via the Life Events Checklist, Impact of Event Scale-Revised, Dissociative Experience Scale, Beck Depression Inventory, and Connor-Davidson Resilience Scale. Structural equation modeling and path analysis were applied to estimate the relationships between resilience, depression, posttraumatic stress symptoms, and dissociation. Results : Greater resilience was associated with lower posttraumatic stress symptoms and dissociation, and the relationship between them was fully mediated by depression. Conclusions : Specific aspects of depression may help explain the relationships between resilience and posttraumatic stress symptoms and dissociation. Tailored prevention programs and treatments based on resilience and depression may prevent posttraumatic stress symptoms and dissociation in firefighters and improve treatments outcomes among firefighters with posttraumatic stress symptoms and/or dissociation.

외상 후 스트레스 장애의 평가

  • Kim Jeong-Beom
    • 대한불안의학회:학술대회논문집
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    • 2004.06a
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    • pp.185-213
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    • 2004
  • 우리는 살아가면서 흔히 개인적으로 극심한 스트레스를 겪거나 불행히도 어떤 뜻밖의 재난이나 큰 사고를 경험할 수 있다. 이런 외상적 사건들을 겪고 대부분의 사람들은 잘 극복할 수 있으나 일부 사람들은 심각한 의상 후 스트레스 반응을 보여 그런 외상이 지나감에도 불구하고 괴로운 기억 속에서 그것을 회상시키는 활동과 상황을 피하며 늘 불안한 마음으로 몸은 현재에 살고 있지만 마음은 실상 과거에 매달려 있고 과거의 고통 속에서 헤어 나오지 못하고 있다. 외상 후 스트레스 장애는 다른 불안 장애, 우울증처럼 흔한 질환으로 사회생활에 큰 지장을 주며 삶의 질을 손상시킨다. 그렇지만 외상을 당한 당사자들이 이런 이야기를 하기 꺼려하고, 이런 사람들을 진료실에서 종종 만날 수 있는 임상가들도 외상의 심각성과 외상 후 스트레스 장애에 대한 인식이 부족하여, 우리 주위에 많은 사람이 외상 후 스트레스 장애로 고생하고 있지만 외상 후 스트레스 장애로 진단되는 경우가 실제보다 훨씬 적다. 따라서 외상 후 스트레스 장애에 대한 평가를 배움으로써 더 많은 환자들을 정확히 진단하며 다른 질환과의 감별을 쉽게 할 수 있고, 환자들의 고통과 어려움이 과연 무엇인지 잘 알 수 있으며, 치료 표적과 치료 전략을 정하고, 치료 계획을 세우는 데 도움을 얻을 수 있다. 평가 방법으로는 구조화된 면담, 평가 척도, 정신 생리적 측정법, 치료자의 임상적인 결정 등이 있다. 향후에는 외상 후 스트레스 장애의 증상 정도뿐만 아니라 일상생활, 사회적 관계, 직업적, 사회적 적응 및 기능에 미치는 영향도 같이 평가하는 도구들이 개발되고, 현재 개발된 많은 평가 척도들이 새로이 수정되고 표준화되어, 이런 평가 척도들을 통해 외상 후 스트레스 장애의 경과와 외상 후 스트레스 장애로 인한 정신 사회적 영향을 더 잘 알 수 있는 자료들이 많이 수집되길 바란다. 대칭이, 작은대칭이, 펄조개는 저질이 니질인 곳에서 주로 서식하고 있었고 귀이빨대칭이는 사니질과 사질에 주로 서식하고 있었다. 특히 삽교호 수계 채집된 귀이빨대칭이는 사니질과 사질의 저질에서 출현하였다.및 내장낭 조직들이 중요한 에너지 저장소이며, 영양 공급 기관임을 알 수 있었으며, 폐각근 조직과 내장낭 조직들의 영양물질 함량 변화는 생식소의 에너지 요구에 따라 변하고 있음을 알 수 있었다.. 따른 신장 기능에 대한 영향을 평가해 보아야 한다.하를 조사한 결과, 연간 진동해역으로 유입되는 오염부하량은 부유물질 기준으로 전체 37,316 ton/yr로 추정되었고, 이중 육지기원 부하량이 9,809 ton/yr (26.3%) 였고, 해역의 침강량 23,576 ton/yr (63.2%), 양식생물의 배설량이 3,932 ton/yr (10.5%) 로 대부분이 해역의 침강량에 의한 것으로 조사되었다. 육지오염부하량이 변동이 없다는 전제 조건 아래, 진동만의 피조개 채묘장을 미더덕 양식장으로 품종전환시킬 경우, 전체 부하량은 산술적으로 약 196%가 증가한 72,998 ton/yr 가 되고, 양식생물의 배설량은 10배 정도 증가하게 되어 진동만의 오염부하를 가중하게 된다. 진동만은 여름철 빈산소수괴 및 적조가 빈번하게 발생하고 있으므로 미더덕 양식장을 새로이 시설할 경우 오염부하가 가중될 것으로 판단되어, 앞으로 진동만의 양식장 수용능력을 파악하여 적정량의 양식물량이 시설되어야 할 것이다.25 psu에서 가장 높게 나타났다.인 단백뇨는 진행성 경과의 위험성을 동시에 암시해 주는 매우 유용한 지표이다. 본 연구 결과 학교 신체 검사상에서 발견된 단독 단백뇨의 주된 원인은 기립성 단백뇨로 81.8%를 차지하였다. 그러나 지속성 단백뇨의 경우 비록 9.1%의 빈도를 보였지만, 신장 조직검사를 시행한 결과 진행성 경과를 취할 수 있는

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The Status of Managing Posttraumatic Stress in Life Managers for Elderly People Living Alone and Measures for its Improvement: Focusing on Employees in Seoul (독거노인생활관리사의 외상 후 스트레스 관리 실태와 개선 방안: 서울 지역 종사자를 중심으로)

  • Kim, Keun-Hong;Yang, Jae-seok;Lee, Gyeong-jin;Kim, Jeong-yeon
    • 한국노년학
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    • v.37 no.2
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    • pp.293-308
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    • 2017
  • This study aims to examine Life Managers for Elderly People Living Alone (LMEPLAs) in Seoul regarding their traumatic experience and the status of their posttraumatic stress disorder and also how they are coping with it in order to find out ways to improve it. As a study method, we investigated LMEPLAs in Seoul through a self-administered survey regarding whether they had faced any traumatic experience, types of their traumatic experience, diagnosis on posttraumatic stress, and the status of their coping with traumatic experience. According to the study results, 186 respondents (37.57%) have been found to indicate either partial or complete posttraumatic stress symptoms, but the status of their coping with it is very poor. The followings are the results of our discussion. First, it is needed to find out life managers suffering from posttraumatic stress disorder and build up a system to manage them consistently. Second, it is necessary to vitalize education about traumatic experience and posttraumatic stress management. Third, it is urgently needed to build up a system to support life managers who have faced any traumatic experience or been diagnosed to have posttraumatic stress disorder. Fourth, it is demanded to cultivate and arrange experts equipped with specialized knowledge and technique. Fifth, it is needed for them to build a network with medical institutes to receive a prompt diagnosis and specialized treatment.

The Study on the Mediating Effect of Resilience in the Relationship between Post-traumatic Stress and Mental Health of Social Worker who Experienced Traumatic Event (사회복지사의 외상사건경험에 따른 외상후스트레스와 정신건강의 영향관계에서 회복탄력성의 매개효과)

  • Kim, Pyeong-ho;Lee, Yu-Ri
    • Journal of Digital Convergence
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    • v.14 no.9
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    • pp.545-552
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    • 2016
  • The purpose of study is analyzing the mediating effect of resilience in the relationship between posttraumatic stress and mental health. To get the result, a survey was conducted, targeting social workers who work in Gwang-Ju and Jeonnam area and traumatic experience, posttraumatic stress, social support, resilience and mental health outcome measures were used in the survey. Key outcomes of the analysis are as follows. Firstly, it was showed that between posttraumatic stress, resilience and mental health have a direct relationship. Secondly, it was analyzed that resilience had a partial mediation effect in the relationship between posttraumatic stress and mental health. Based on these results, comprehensive interventions for improving the mental health and resilience of social workers were proposed.

he Influence of Posttraumatic Stress on Suicidal Ideation in Firefighters : Cognitive Emotion Regulation as a Moderator (소방공무원의 외상 후 스트레스가 자살생각에 미치는 영향 - 인지적 정서조절의 조절효과-)

  • Kim, Sung-Jung;Yook, Sung-Pil
    • Fire Science and Engineering
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    • v.32 no.2
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    • pp.92-101
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    • 2018
  • This study investigated the impact of post-traumatic stress of the fire-fighting officers who are exposed to traumatic events repeatedly on suicide and attempted to verify the moderating effect of cognitive emotion regulation in the relationship between post-traumatic stress and suicidal ideation. For this investigation, this study measured Post-traumatic stress Diagnostic Scale, Korean Beck scale for Suicidal Ideation, Cognitive Emotion Regulation Questionnaire. The research results are as follows. First, Post-traumatic stress, suicidal ideation, adaptive cognitive emotion regulation, and maladaptive cognitive emotion regulation were correlated. second, A hierarchical regression analysis was conducted in order to examine the moderating effect of cognitive emotion regulation in the relationship between post-traumatic stress and suicidal ideation, and as a result, it was found that a sub-factor of cognitive emotion regulation, adaptive cognitive emotion regulation had a moderating effect in a group of persons with low post-traumatic stress, while maladaptive cognitive emotion regulation had a moderating effect in a group of persons with high post-traumatic stress. These results, this study discussed the necessity of follow-up studies, in addition to its academic and clinical implications.

A Study of Convergence Relationship among Nurse's Working Conditions, Posttraumatic Stress Syndrome (간호사의 근로환경, 외상 후 스트레스 증후군과 자아탄력성과의 융복합적 관계)

  • Oh, Su Mi;Kwon, Young-Chae
    • Journal of Digital Convergence
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    • v.14 no.9
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    • pp.369-378
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    • 2016
  • The purpose of this study was conducted to determine the working conditions, post-traumatic stress syndrome and the self-resilience of nurses, and find out the relationship between the post-traumatic stress syndrome and the self-resilience. Data were collected by questionnaire method among 220 General Hospital nurses at Gyeongnam G and J city. Data were analyzed by using SPSS 21.0 program WIN. The results of working conditions of the nurses majority were shift work 70.5%, currently working in the ward 54.6%. Scores were shown as Post-traumatic stress syndrome (28.20) and self resilience (39.98). There is a negative correlation (r =.226, p=.001) between the post-traumatic stress syndrome and the self-resilience. Based on the result, since working conditions of nurses caused psychological stress and nurses with high self-resilience eased the degree of post-traumatic stress, in terms of the personnel management of hospitals, a psychological intervention strategy should be considered.