• Title/Summary/Keyword: 외상후 스트레스

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The Moderating Effect of Ego Resilience on the Relationship between Post-Traumatic Stress and Anxiety of National Merits of War (참전 국가유공자들의 외상 후 스트레스와 불안과의 관계에서 자아탄력성의 조절효과)

  • Kim, Tae-Yeol;Kim, Yunyoung
    • Journal of Digital Convergence
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    • v.16 no.3
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    • pp.477-485
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    • 2018
  • The purpose of this study was to investigate the effects of post-traumatic stress on anxiety of national merits of war and to investigate the moderating effect of ego resilience on the relationship between variables. We collected data on 200 national merits of war from August 2017 to October 2017 and examined general characteristics, post traumatic stress, anxiety, and ego resilience by using SPSS 24.0 Statistics Program. Post-traumatic stress was positively correlated with anxiety (r=.426, p<.001) and negatively correlation with ego-resilience (r=-.297, p<.001), respectively. Anxiety was negatively correlated with ego-resilience (r=-.656, p<.001), and ego-resilience was found to have a moderating effect on post-traumatic stress and anxiety (F=45.796, p<.001). Based on the results of this study, it is necessary to develop a national education system to manage post-traumatic stress and to operate a training and management program considering the characteristics of the subjects.

Effects of Traumatic Events on Posttraumatic Stress Disorder(PTSD), Burnout, Physical Symptoms, and Social and Occupational Functions in Korean Fire fighters (소방공무원의 외상후 스트레스장애가 정신신체적 증상에 미치는 상관관계)

  • Choi, Hea-kyung;Kim, Jee-hee
    • Proceedings of the Korea Contents Association Conference
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    • 2010.05a
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    • pp.213-215
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    • 2010
  • 본 연구의 목적은 소방대원들의 외상사건 경험이 외상후 스트레스장애 증상, 정서적 탈진, 신체증상, 사회 및 직업기능에 미치는 영향을 파악하기 위해 이들 간의 관계를 설명하는 가설적 모형을 구축하고 검증하므로써 소방공무원의 근무여건 개선 및 외상후 스트레스 관리방안 마련을 위한 기초자료를 제공하고자 하였다. 전국의 소방공무원 2,167명을 대상으로 2008년 1월20일부터 2008년 2월 15일까지 이메일을 통한 설문조사를 실시하였으며, 연구 도구는 일반적 특성 및 근무특성 설문, 외상사건경험 설문, 사건충격척도(IES-R-K), 정서적 탈진척도(MBI), 신체증상 측정도구, 사회 및 직업기능척도(SOFAS)를 사용하였다.

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Effects of Traumatic Events on Posttraumatic Stress Disorder(PTSD), Burnout, Physical Symptoms, and Social and Occupational Functions in Korean Fire fighters (외상후 스트레스장애와 정신신체적 증상의 상관관계고찰)

  • Choi, Hea-Kyung;Kim, Jee-Hee
    • Proceedings of the KAIS Fall Conference
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    • 2010.05b
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    • pp.582-583
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    • 2010
  • 본 연구의 목적은 소방대원들의 외상사건 경험이 외상후 스트레스장애 증상, 정서적 탈진, 신체증상, 사회 및 직업기능에 미치는 영향을 파악하기 위해 이들 간의 관계를 설명하는 가설적 모형을 구축하고 검증함으로써 소방공무원의 근무여건 개선 및 외상후 스트레스 관리방안 마련을 위한 기초자료를 제공하고자 하였다. 전국의 소방공무원 2,167명을 대상으로 2008년 1월20일부터 2008년 2월 15일까지 이메일을 통한 설문 조사를 실시하였으며, 연구도구는 일반적 특성 및 근무특성 설문, 외상사건경험 설문, 사건충격척도(IES-R-K), 정서적 탈진척도(MBI), 신체증상 측정도구, 사회 및 직업기능척도(SOFAS)를 사용하였다.

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Long-Term Impact of Stigma on Coping Strategies and Depressive and Posttraumatic Stress Symptoms in MERS Survivors (메르스 대유행 생존자들이 인식한 낙인이 대처전략 및 우울 및 외상후 스트레스 증상에 끼치는 장기적 영향)

  • Yongjoon, Yoo;Hye Yoon, Park;Jeong Lan, Kim;Jung Jae, Lee;Haewoo, Lee;So Hee, Lee
    • Korean Journal of Psychosomatic Medicine
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    • v.30 no.2
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    • pp.145-154
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    • 2022
  • Objectives : This study intends to assess the associations among perceived stigma at the time of infection, coping strategies adopted 12 months later and depressive and posttraumatic symptoms 24 months later in Middle Eastern Respiratory Syndrome (MERS) survivors. Methods : A nationwide cohort study was conducted on 63 survivors of 2015 MERS outbreak. Demographic data, illness severity of MERS, depression and posttraumatic stress symptoms, coping strategies and MERS-related stigma were collected 12 and 24 months after the MERS outbreak, respectively. Results : Higher levels of perceived stigma at the time of outbreak were associated with higher levels of dysfunctional coping strategies after 12 months (p=0.003) and more severe depressive (p=0.058) and posttraumatic stress symptoms (p=0.011) after 24 months. Moreover, higher levels of dysfunctional coping strategies after 12 months were significantly associated with more severe depressive (p=0.002) and posttraumatic stress symptoms (p<0.001) after 24 months. Conclusions : Social stigma against people who have contracted an emerging infectious disease can leave a negative impact on the mental health of the survivors in the long term. In case of novel pandemics in the future, prompt rectification of stigma and promotion of adaptive coping strategies in survivors are needed.

The Effects of Stress on Depression and Quality of Life in Cancer Survivors : Focusing on the Moderating Effects of Posttraumatic Growth (암생존자의 스트레스가 우울과 삶의 질에 미치는 영향: 외상 후 성장의 조절효과를 중심으로)

  • Lim, Soo-Youp;Kim, Yeong-Hee
    • Journal of Convergence for Information Technology
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    • v.9 no.5
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    • pp.95-103
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    • 2019
  • The purpose of this study was to explore whether posttraumatic growth moderates the effects of stress on depression and quality of life in cancer survivors. Data were collected from 173 cancer survivors in Seoul, Gyeonggi, Chungcheong, and Jeolla provinces. We used hierarchical regression to analyze the data. As the results, first, the interaction of stress and posttraumatic growth affected depression and quality of life. It means that even though the levels of stress are high when the levels of posttraumatic growth are high, the levels of depression are lower and the levels of quality of life are higher than posttraumatic growth being low. Second, the interaction of stress and posttraumatic growth affected two sub-factors of quality of life. We discussed the interventions to reduce depression and to increase quality of life.

Posttraumatic Growth in Cancer Survivors: The Application of Double ABCX Family Stress Model (암 생존자의 외상 후 성장 영향요인: Double ABCX 가족스트레스 모델의 적용)

  • Lim, Soo-Youb;Kim, Yeong-Hee
    • Journal of Convergence for Information Technology
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    • v.10 no.10
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    • pp.88-99
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    • 2020
  • This study aimed to explore the effects of perceived family stress, supportive resources, intentional rumination, and coping behaviors on posttraumatic growth of cancer survivors based on the Double ABCX Family Stress Model. Data were collected from 200 cancer survivors currently living with their spouses and analyzed by path analysis using AMOS program. The results of this study were as follows. First, perceived family stress of cancer survivors had direct effects on supportive resources, intentional rumination, and coping behaviors, and had indirect effects on posttraumatic growth mediated by supportive resources, intentional rumination, and coping behaviors. Second, supportive resources, intentional rumination, and coping behaviors had direct effects on posttraumatic growth. Third, supportive resources and intentional rumination had direct effects on coping behaviors and had an indirect effect on posttraumatic growth mediated by coping behaviors. The current study supported the applicability of the Double ABCX Family Stress Model to the posttraumatic growth process of cancer survivors.

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.

Cognitive Processing Therapy as a First-line Treatment for Post-Traumatic Stress Disorder (인지처리치료: 외상후 스트레스 장애의 일차 치료)

  • Jin-Hee, Choi;Hyung-Seok, So;Soonjo, Hwang;Ji-Woo, Suk;Hayun, Choi;Seung-Hoon, Lee;EunYoung, Lee
    • Korean Journal of Psychosomatic Medicine
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    • v.30 no.2
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    • pp.80-98
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    • 2022
  • Posttraumatic stress disorder (PTSD) is well known to have a limited response to drug treatment. Many recently published clinical care guidelines recommend trauma-focused psychotherapies such as cognitive processing therapy (CPT) and prolonged exposure therapy (PE) as first-line treatment and medication such as serotonin reuptake inhibitors and venlafaxine as second-line treatment. Current review introduces the session composition and contents of CPT and presents various CPT studies that show therapeutic effect for civilian and veterans/military with PTSD. In order for clinicians to help effectively patients with PTSD, it is necessary to learn and actively use evidence-based trauma-focused psychotherapies including CPT and PE.

Adolescent Parenting Stress and Posttraumatic Growth of Middle Aged Women (중년 여성의 청소년 자녀 양육스트레스와 외상 후 성장과의 관계)

  • Sung, Kyung Mi;Lee, Seung Min
    • Journal of Digital Convergence
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    • v.17 no.5
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    • pp.267-277
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    • 2019
  • The purpose of this study was to investigate the level of parenting traumatic experiences, parenting stress and posttraumatic growth related characteristics in middle aged women and identify relationships among the variables. The subjects were 197 middle aged women who experienced adolescent parenting stress. The data was collected from September 20, 2018 to September 30, 2018. Collected data were analyzed using descriptive statistics, independent samples t-test, One-way ANOVA, Pearson correlation coefficient with SPSS/WIN 28.0. Parenting stress of adolescent was relatively high, but posttraumatic stress was low. There were significant negative correlations for posttraumatic growth with parenting traumatic. These results are expected to be important data for the development and application of the intervention program to reduce the stress of parenting and posttraumatic growth in the middle aged women.

Complex Trauma and Disorder of Extreme Stress(DESNOS) (복합외상과 극단적 스트레스 장애)

  • Park, Seon-Cheol;Kim, Seok-Hyeon
    • Anxiety and mood
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    • v.5 no.2
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    • pp.80-88
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    • 2009
  • Disorder of Extreme Stress, Not Otherwise Specified (DESNOS) is the proposed diagnosis that meets the severe, complex, and prolonged psychological sequela of victims with chronic traumatization (e.g., family violence, incest, and childhood sexual or physical abuse). The hallmarks of DESNOS are a multiplicity of symptoms (e.g., somatization, dissociation, and depression), pathological changes in relationships, identity disturbances, and a propensity to experience repeated harm and injury at the hands of oneself and others. DESNOS can be directly assessed by Structured Interview of Disorder of Extreme Stress (SIDES) and Self- Report Inventory of Disorder of Extreme Stress (SIDES-SR). The treatment of DESNOS should be phaseoriented and involve movement back and forth among three basic stages : 1) stabilization ; 2) trauma processing ; 3) reintegration.

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