• Title/Summary/Keyword: 외상후 스트레스

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Development of PTSD Web-based learning (소방공무원을 위한 외상후스트레스장애(PTSD) 웹기반교육 개발)

  • Kim, Jee-Hee
    • Proceedings of the KAIS Fall Conference
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    • 2009.12a
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    • pp.212-213
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    • 2009
  • 본 연구의 목적은 소방공무원이 현장에서 겪는 충격 스트레스로 발생하는 외상 후 스트레스장애 (posttraumatic stress disorder, PTSD) 분석을 통해 위기상황 스트레스 해소 교육 프로그램 기초 자료를 제시하고자 하는 데 있다. 연구 목적을 달성하기 위하여 독립변인(업무부담감, 스트레스, 스트레스 대응) 3개, 매개변인(현장충격 스트레스) 1개, 종속변인(신체적 증상)으로 구성하여 영향력을 파악하였다. 본 연구 대상자는 전국 970명 소방공무원으로 2007년 3월부터 12월까지 구조화된 설문지를 이용하여 조사하였다. 자료분석은 SPSS 14.0과 구조방정식 모형인 AMOS 7.0 통계패키지를 사용하였으며, 정확한 코딩데이터의 입력확인을 위해 데이터클리닝(data cleaning) 작업을 실시하였다. 가설검증을 위하여 구조방정식 모형분석을 실시한 결과, 업무부담감, 스트레스, 현장충격 스트레스가 낮고, 스트레스 대응이 높을 때 신체적 증상이 낮아지는 것으로 나타났다. 서울소방학교와 공동으로 총 10개 차시로 웹기반 교육을 구성하였으며, 2010년 1월부터 소방공무원 전체를 대상으로 웹기반 교육을 실시하고자 한다.

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A Study on the Necessity of Psychological First Aid for Firefighters (소방공무원의 심리적 응급처치 필요성에 관한 연구)

  • Ju-Hyun Kim;Sang-Hyuk Park
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.5
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    • pp.385-390
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    • 2023
  • The purpose of this study is to study the need for psychological first aid for stress of fire officials. a 1:1 in-depth interview with 10 paramedics to solve the research problem. Through interviews, the policy on the need for psychological first aid to improve the mental health of firefighters was proposed as follows by analyzing the working environment of paramedics, post-traumatic stress experience, and psychological first aid experience. First, fire officials need to be assigned to the site to educate in advance about post-traumatic stress and the resulting physical symptoms before being exposed to traumatic events. Second, fire officials should provide psychological first aid at an appropriate time after exposure to trauma cases. Third, it is necessary to supplement the manpower and institutional devices that will specialize in mental health work. Fourth, for customized professional medical services and psychological support suitable for fire officials, it is necessary to link fire-fighting complex healing centers and national firefighting hospitals.

Effects of Stress, Resilience, and Social Support on Post-Traumatic Growth in Nurses Caring for COVID-19 Patients (코로나19 환자를 간호한 간호사의 스트레스, 회복탄력성, 사회적 지지가 외상 후 성장에 미치는 영향)

  • Eun-kyung Shin;Ji-hyun Kim;Mi-ja Kim;Kyung–Mi Park
    • Journal of Industrial Convergence
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    • v.22 no.4
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    • pp.39-48
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    • 2024
  • This study is a descriptive research study to determine the stress, resilience, and social support of nurses who cared for COVID-19 patients and the impact on post-traumatic growth. The survey was conducted on 179 nurses who cared for COVID-19 patients at a general hospital located in D City from July 19, 2021, to August 10, 2021. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis using SPSS 22.0. Post-traumatic growth showed a significant positive correlation with resilience (r=.499, p=<.001) and social support (r=.494, p=<.001). As a result of multiple regression analysis, prior knowledge about COVID-19 (𝛽=.142, p=.023), resilience (𝛽=.330, p =<.001), and social support (𝛽=.296, p =<.001) was a significant variable affecting post-traumatic growth. These results will be used as basic data to improve nurses' post-traumatic growth.

Treatment of Complex PTSD by using Eye Movement Desensitization and Reprocessing - A Case Report - (복합적 외상후 스트레스 장애의 안구운동 민감소실 및 재처리 요법을 이용한 치료 - 증례보고 -)

  • Kim, Nam-Hee
    • Anxiety and mood
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    • v.2 no.2
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    • pp.142-146
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    • 2006
  • People who were exposed to chronic interpersonal traumas in their early life consistently demonstrate complex psychological disturbances and many of them meet the criteria for proposed diagnosis of complex posttraumatic stress disorder (complx PTSD). The author reports a case of the successful sequential integrative treatment mainly composed of eye movement desensitization and reprocessing (EMDR) in a complex PTSD patient. The patient did not respond to the previous treatment with psychotropic medications and supportive psychotherapy. Twelve sessions of EMDR and three sessions of supportive psychotherapy were done for the patient. Psychological assessments were performed before starting the treatment and a week after completing the treatment. After the treatment, the patient improved on all the psychological scales and behavioral measures. This case suggests that the sequential integrative treatment mainly composed of EMDR may be effective for complex PTSD patients.

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The Relationship between Stress Coping, Spouse Support, Intentional Rumination and Post-traumatic Growth in Women with Hysterectomy (자궁 절제술을 경험한 여성의 스트레스 대처, 배우자지지, 의도적 반추와 외상 후 성장의 관계)

  • Chae, Yeo-Joo;Kim, Young-Ran;Lee, Ok-Suk;Kim, Bo-Ram;Ko, Young-Shim;Han, Sang-Mi;Ha, Yeong-Mi
    • Journal of the Korea Convergence Society
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    • v.11 no.8
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    • pp.237-245
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    • 2020
  • The purpose of this study was to identify the relationship between stress coping, spouse support, intentional rumination, and post-traumatic growth of subjects who experienced traumatic events hysterectomy. The subjects collected from 67 women who had hysterectomy were analyzed using t-test, ANOVA and multiple regression analysis. As a result of this study, the post-traumatic growth of the subjects was passive coping (r=0.27, p=.026), active coping (r=0.34, p=.004), and intentional reflection (r=0.46, p<.001)), and passive coping was positively correlated with active coping (r=0.74, p<.001). Regression analysis to identify factors affecting on the post-traumatic growth of women with hysterectomy showed that intentional rumination was the significant factor(β = 0.42, p <.001). and their total explanatory power was 26% (F = 8.68, p < .001). Therefore, results of this study, in order to promote post-traumatic growth of subjects with hysterectomy, an intervention program is needed to increase the intentional rumination to effectively face the trauma they suffer.

Change of Temperament and Personality in Post-traumatic Stress Disorders (외상후 스트레스장애에서 기질 및 성격의 변화)

  • Choi, Hyosun;Kim, Daeho;Kim, Eunkyeong
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.2
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    • pp.155-160
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    • 2020
  • Objectives : This study investigate to identify the stability of temperament and personality characteristics of patients including Posttraumatic Stress Disorder (PTSD) patients. Methods : The number of subjects was 102, of which 33 were PTSD patients and 69 were non-PTSD patients. To demonstrate the change in individual temperament and personality characteristics, Temperament and Character Inventory (TCI) were administered repeatedly on the subjects. Repeated measures ANOVA and simple main effects analysis were conducted. Results : When analysed by dividing the subjects into PTSD groups and non-PTSD groups, the differences between the primary and secondary tests did not appear in the non-PTSD groups, but the differences between the primary and secondary tests were significant in Harm Avoidance (HA), Reward Dependence (RD), Self-Directedness (SD), Cooperativeness (C). In addition, it was noted that the time and group interaction effects of HA, RD, SD and C were significant, and that the main effects of time of HA, RD, SD and C were significant. Conclusions : This study is meaningful in that in the course of experience and recovery of traumatic events, we have clinically confirmed that changes in the temperament, known as stable variables, are possible.

Psychobiological Approach for Post-Traumatic Stress Disorder (외상후 스트레스 장애의 정신생물학적 접근)

  • Park, Ki-Chang
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.1
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    • pp.124-137
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    • 1996
  • As the society becomes more industrialized and modernized, we have more chances to experience a serious traumatic event. Post-traumatic stress disorder (PTSD) has 3 major categories of symptoms such as memory disturbance, hyperarousal and avoidance or numbness. I reviewed the psychobiological evidences in 3 main categories of symptoms and the biological treatment after a brief review of the epidemiology, psychosocial etiology and diagnosis of PTSD. The memory disturbance of PTSD might be developed by the potentiation of the memory pathway mediated by norepinephrine. PTSD induces HPA axis abnormality, it might also develop hippocampal dysfunction, which might contribute to the memory disturbance. The kindling effect develops desensitization, which might develop reexperiencing of the traumatic events and hyperarousal state. Chronic aroused state of locus ceruleus with resultant chronic maladaptive state of norepinephrine system, might develop hyperarousal state. Social avoidance and physical numbing state in PTSD might be caused by serotnin or opiate system. Stress induced analgesia might be developed by opiate reliesed against the acute stress. The biologic research results would help the selective treatment of PTSD.

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Development of a Mobile Game-Based Digital Therapeutic Device for Symptom Alleviation in Post-Traumatic Stress Disorder Patients (외상후 스트레스장애 환자의 증상 완화를 위한 모바일 게임 기반의 디지털치료기기 개발)

  • Dawon Suh;Nan Park;Inseong Baek;Gahyeon Kim;Yoonjin Cho;JeongEun Nah
    • Proceedings of the Korea Information Processing Society Conference
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    • 2023.11a
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    • pp.822-823
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    • 2023
  • 외상후 스트레스 장애(PTSD)는 장기적으로 심각한 기능 장애를 초래하므로 적절한 치료가 필수적이다. 현재 PTSD 치료법 중 효과가 검증된 주류 심리치료는 환자에게 정서적 고통을 유발하여 치료 중도 포기를 야기하고 치료 효과를 감소시키는 주요한 원인이다. 본 연구에서는 생성형 AI를 적용하여 사용자의 맞춤형 트라우마 이미지를 무의식적으로 노출시키는 방식으로 게임에 적용하였다. 개발된 게임은 디지털 치료기기로 사용함으로써 비침습적인 방법으로 치료의 효과를 증대한다.