• Title/Summary/Keyword: 외상 후 위기

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The psychological consequences of indirect trauma exposure through the news on the Sewol ferry disaster (세월호 뉴스 노출을 통한 간접 외상의 심리적 영향)

  • Heung Pyo Lee;Yun Kyeung Choi;Jae Ho Lee;Hong Seock Lee
    • Korean Journal of Culture and Social Issue
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    • v.22 no.3
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    • pp.411-430
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    • 2016
  • The purpose of the present study was to examine psychological consequences of indirect trauma exposure through the disaster news. Participants(N=439) completed some self-report questionnaires such as Posttraumatic Risk Checklist(PRC), Impact of Event Scale-Revised(IES-R), and Multidimensional Fear of Death Scale(MFODS) at 68.11(±18.47) days after the Sewol ferry disaster. The data were analyzed with structural equation modeling by AMOS 23.0 program. The results showed that fear of death and periand post-traumatic crisis factors mediated the association of news exposure immediately after disaster and posttraumatic stress symptoms. Findings in this study indicated that news exposure immediately after disaster influenced fear of death which led to the peri- and post-traumatic crisis, and these crisis factors increased posttraumatic stress symptoms. Finally, limitations of this study and suggestions for future study were discussed.

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Cognitive behavior intervention for critical incident stress management in fire fighters in Korea (소방공무원의 위기상황 스트레스 관리를 위한 인지행동 개입과 대책)

  • Lee, Eun-Jung;Kim, Jee-Hee
    • Journal of the Korea Convergence Society
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    • v.6 no.2
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    • pp.13-18
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    • 2015
  • The purpose of the study is to investigate the predisposing factors of posttraumatic stress disorder (PTSD) in fire fighters in Korea and to suggest the program development and solution to the critical incident stress management (CISM) in the future. PTSD is characterized by invasion, withdrawal, negative change of cognition and mood, and hypersensitivity. Trauma memory includes explicit memory and implicit memory. The explicit memory is conscious, cognitive, and descriptive and is controlled by hippocampus. The data of explicit memory have inhibitive and narrative language structure. The implicit memory is inconscious, emotional, and remembered by the body. The implicit memory is controlled by amygdala and has inexpressive language structure. The deletion of implicit memory is the key point to trauma treatment. Critical incident stress management (CISM) is the approach for the solution of PTSD. In conclusion, the essential goal of CISM is the psychological cessation of PTSD. This study tried to suggest the education program development of PTSD.

The Actual Conditions and Countermeasures of Post Traumatic Stress Disorder among Police Officers (경찰관의 외상후 스트레스 장애 실태 및 대처방안)

  • Sin, Seong-Won
    • Proceedings of the Korea Contents Association Conference
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    • 2011.05a
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    • pp.175-176
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    • 2011
  • 이 연구에서는 경찰관의 외상후 스트레스 장애 실태를 파악하고 그에 따른 대처방안을 모색하고자 하였다. 경찰관의 외상후 스트레스 장애 실태는 연구에 따라 다소 차이는 있으나 비교적 높은 수준이고, 소방관과 비교해도 상대적으로 높은 수준이다. 이에 대한 대처방안으로 고위험 경찰공무원의 발견 및 관리, 위기상황 스트레스 관리 기법의 보급, 직원 지원 프로그램의 도입, 동료 및 가족의 적극적 개입, 스트레스 관리 교육 등을 제시하였다.

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Relationship Between Attachment, Post-traumatic Growth, and Self-realization of Middle-aged Women (중년여성의 애착, 외상 후 성장 및 자기실현과의 관계)

  • Kim, Ok-Hee;Kim, Youn-Kyoung
    • The Journal of the Korea Contents Association
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    • v.16 no.12
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    • pp.507-517
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    • 2016
  • This study examines the types and characteristics of traumatic events middle-aged women experience and to explore the effects of attachment in the process of post-traumatic growth and forming a self-realization. 221 of participants were middle-aged women from the area of Seoul, Gyeong-Gi and the survey was composed of post-traumatic experience questionnaire, attachment scale, post-traumatic growth scale, self-realization scale. The type and characteristics of traumatic experience by middle-aged women were executed by frequency analysis and correlation with the structural equation model validation was used in order to analyze the relationship between each variable. the major findings are First, the loss of someone close(such as death, breaking up, divorce, breaking off) was reported as something general yet the biggest crisis event, Second, looking at the relationship between attachment, post-traumatic growth and self-realization, the secure parental attachment and spiritual transformation showed the correlation in all subregions except the subvariables of humanity and self-acceptance and Third, the results of Structural Equation Modeling shows that attachment has a static effect on post-traumatic growth and self-realization, and post-traumatic growth appeared to be the mediating factor of attachment and self-realization.

Recurrent Gastrobronchial Fistula after Esophagectomy -one case report- (식도암 적출술후 발생한 재발성 위-기관지 누공)

  • 임수빈;조재일
    • Journal of Chest Surgery
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    • v.34 no.2
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    • pp.189-193
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    • 2001
  • 위기관지 누공은 매우 드문 질환으로 대부분의 경우 외상, 상부위장관 수술, 횡경막하 농양, 양성 위궤양, 신생물 등 이 원인으로 생각된다. 식도암의 Ivor Lewis 수술후 2년과 3년에 양성 위궤양으로 인해 발생한 재발성 위기관지 누공 1예를 문헌고찰과 함께 보고하는 바이다.

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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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Changes in Pain, Mood and Posttrauma Risk Level of Patients with Acute Hand Microsurgery (응급 수부 미세수술 후 통증, 기분 및 외상 후 위기 정도의 변화양상)

  • Kim, Min-Suk;Yoon, Soon-Young;So, Hee-Young
    • The Korean Journal of Rehabilitation Nursing
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    • v.13 no.1
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    • pp.44-52
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    • 2010
  • Purpose: The purposes of this study were to explore changes in pain, mood and the level of posttrauma risk for 2 weeks after acute hand microsurgery and determine predictors of pain 2-week after microsurgery. Method: Using a sample of 84 patients with hand microsurgery, pain, mood, and posttrauma risk were measured by the Brief Pain Inventory-Korea, the modified Profile of mood states, and the Posttrauma risk checklist at 1-day, 1-week and 2-week post-microsurgery. Repeated measures ANOVA and Multiple regression analysis were conducted to evaluate changes in pain, mood, and posttrauma risk over time after the surgery and determine predictors of pain 2-week after the surgery. Results: Pain significantly decreased (F=63.22, p<.001), mood significantly improved (F=41.04, p<.001) 2 weeks after microsurgery and interestingly, posttrauma risk significantly decreased from baseline to 1-week microsurgery but increased at 2-week after microsurgery (F=24.66, p<.001). Approximately 57% of the variance of pain 2-week post-microsurgery was explained by pain at 1-week post-microsurgery, mood and the numbers of injured fingers. Conclusion: The findings suggest the pain control for 1week after acute surgery being critical and posttrauma rehabilitation of injured finger being necessary. Developing nursing interventions is urgently needed to help individuals with impending hand microsurgery.

Problems in Psychological Debriefing and Suggestions for Best Practice (심리적 경험보고(debriefing)의 문제점들과 올바른 적용을 위한 제언)

  • Seung-yeon Lee
    • Korean Journal of Culture and Social Issue
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    • v.13 no.1
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    • pp.63-89
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    • 2007
  • This study introduces major models of psychological debriefing that has been utilized as an early psychological intervention after traumatic incidents and examines the controversy on the effects of psychological debriefing. It is difficult to make consistent conclusions regarding its effects based on the previous research data. Therefore, this study examines the major issues related to psychological debriefing and suggests the important points for best practice in crisis situations.

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The Influence of Field-Shock Experience and Post Traumatic Stress Perceived by Fire Officials upon Somatic Symptoms and Coping Methods (소방공무원의 지각한 현장출동 충격경험과 외상 후 스트레스가 신체증상 및 대처방식에 미치는 영향)

  • Moon, Tae-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.8
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    • pp.3815-3823
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    • 2013
  • The purpose of this study was to closely examine the influence of field-shock experience and post traumatic stress perceived by fire officials upon somatic symptoms and coping methods. A survey was carried out targeting 362 male and female fire officials who are working at fire safety centers where are located in Gangwon-do Province. The collected data were used SPSS 19.0 and AMOS 19.0 for Windows. It carried out frequency analysis, factor analysis for validity and reliability, Cronbach's ${\alpha}$ analysis, descriptive statistics and correlation. For hypothesis verification, an analysis was carried out by using structural equation modeling. All the statistical analyses were set for the significant level in p<.05. The results are as follows. First, the perceived field-shock stress was indicated to have influence upon post traumatic stress. Second, the perceived field-shock stress was indicated to have influence upon somatic symptom. Third, the perceived field-shock stress was indicated to have influence upon a coping method. Fourth, the post traumatic stress was indicated to have influence upon somatic symptom. Fifth, the post traumatic stress was indicated to have influence upon a coping method. Sixthly, the somatic symptom was indicated to have influence upon a method of coping with stress.

Disaster Victims' Post-trauma Risk, Posttraumatic Growth and Subjective Well-being - Social Support as a Mediator and Income as a Moderator - (재난피해자의 외상 후 위기와 외상 후 성장, 주관적 안녕감 간의 관계 - 사회적 지지의 매개효과, 소득의 조절효과 -)

  • Sim, Olivia S.;Sohn, Young Woo;Park, Sang Hyun;Yoon, Ji Won
    • Journal of the Korean Society of Safety
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    • v.31 no.6
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    • pp.105-112
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    • 2016
  • The current study examined the relationships between disaster victims' post-trauma risk and posttraumatic growth, and the mediational role of social support for this relationships. In addition, we tested the hypothesis that income status would moderate the relationship between post-trauma risk and subjective well-being. Two hundred disaster victims completed Post-trauma Risk Checklist (PRC), Posttraumatic growth scale, Social support scale and Concise Measure of Subjective Well-Being (COMOSWB) as well as questions about their demographic characteristics. Results showed that those with high post-trauma risk demonstrated significantly higher levels of posttraumatic growth as compared to those with low post-trauma risk and social support partially mediated this relationship. Also, high levels of post-trauma risk predicted low levels of recent subjective well-being. Participants with high income obtained higher subjective well-being than did those with low income among high post-trauma risk groups. Implications for post-trauma risk and posttraumatic growth are discussed.