• Title/Summary/Keyword: 정신적 외상 후 성장

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The influence of the Meaning in Life on the Mental Health of University Students with Relationship Loss : Focusing on the Mediating Effects of Posttraumatic Growth (관계 상실을 경험한 대학생의 삶의 의미가 정신건강에 미치는 영향 : 외상 후 성장을 매개효과로)

  • Jeon, Ji-Kyung
    • Journal of Digital Convergence
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    • v.15 no.11
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    • pp.339-349
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    • 2017
  • The purpose of this study was to examine the influence of the meaning in life(ML) on the mental health(MH) of university students with relationship loss and to verify the mediating effects of posttraumatic growth(PTG). Data collected from 349 university students in Daejeon and Chugcheong region was analyzed by descriptive statistics, t-test, one-way ANOVA, correlation analysis, and hierarchical analysis using SPSS 18.0. As the results, 1. Both ML and PTG showed a significant influence on the MH. 2. ML, PTG and MH showed a positive correlation. 3. PTG had a mediating effects on the process where ML influenced MH. The implications and limitations of the study also was suggested for a healthy mental health formation of university students with relationship troubles.

Factors Associated With Post-Traumatic Growth in Patients With Cancer (암환자의 외상 후 성장에 영향을 미치는 요인)

  • Nam Pyo Lee;Jong Woo Kim;Myungjae Baik;Mi Ae Oh;A Ra Lee;Won Sub Kang
    • Korean Journal of Psychosomatic Medicine
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    • v.31 no.2
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    • pp.79-88
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    • 2023
  • Objectives : Cancer diagnosis causes significant distress while it may also bring positive change: post-traumatic growth. This study was conducted to analyze factors that affect post-traumatic growth. Methods : Medical records of 52 cancer patients who received psychiatric treatment at a university hospital in Seoul were reviewed and the correlation between post-traumatic growth and following factors were analyzed: Resilience, Anxious thoughts and tendencies, Mindful attention awareness, Acceptance attitude Results : Using Multiple Generalized Linear model, a positive correlation was found between post-traumatic growth and resilience (B=1.45, p<0.0001), mindful attention awareness (B=0.58, p=0.0030) and acceptance attitude (B=1.29, p=0.0003), while anxious thoughts and tendencies (B=-0.84, p<0.0001) had negative association. Conclusions : Factors that have a positive impact on post-traumatic growth were resilience, mindful attention awareness, acceptance attitude and a factor with a negative impact was anxious thoughts and tendencies; Factors that impact post-traumatic growth need to be taken into account, when approaching the treatment of cancer patients.

From Trauma To growth: Posttraumatic Growth Clock (외상 후 병리에서 성장으로: 외상 후 성장 시계)

  • Lee, Hong-Seock
    • Korean Journal of Cognitive Science
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    • v.27 no.4
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    • pp.501-539
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    • 2016
  • The human mind is a self-evolving system that develops along a multidimensional hierarchical pathway in response to traumatic stimulus. In absence of trauma, a mind integrated in conflict-free state is called monistic. When the monistic mind responses to a traumatic stimulus, a response polarity forms toward stimulus polarity within the mind, turning it into a bipartite structure. Dialectical interaction between the two opposites, originating from their incompatibility, creates a new third polarity in the upper dimension. Thereby, the mind turns into a trinity structure. When the interaction among the three polarities becomes optimized, the plasticity of the mind gets maximized into the "far-from-equilibrium state," and the function of three polarities is synchronized. Through this recalibration, the mind returns back to its monistic structure. If the mind with the recurred monistic structure responds to another traumatic stimulus, this cycle of hierarchical transformation repeats itself in this cyclical and fractal growth process through synchronization of basic trinity system. Applying this concept to the process of post-traumatic growth (PTG), this paper explores how the mind transforms traumatic experiences into PTG and proposes a 'PTG Clock' that shows a fundamental sequence in the development of the human mind. The PTG Clock consists of seven hierarchical phases, and each of the first six phases has two opposite sub-phases: shocked/numbed, feared/intrusive, paranoid/avoidant, obsessional/explosive, dependent/depressive, and meaningless/searching for meaning. The seventh, the synchronization phase, completes one cycle of the mind's transformation, realizing a grand trinity system, where the mind synchronizes its biological, social, and existential dimensions. At that point, the mind becomes more susceptible to not only the stimulus of its own traumatic experience but also the pain of others. Thereby, the PTG Clock sets out on a journey to another cycle of transformation in higher dimensions. The validity of this transformational process for the PTG Clock will be examined by comparing it to Horowitz's theory of stress response syndrome.

Vicarious Trauma and Posttraumatic Growth in Emergency Workers, Subway Operators, and Child Protective Service Workers (응급구조원, 지하철 승무원, 아동보호전문기관 사회복지사의 대리 외상과 외상 후 성장)

  • Rhee, Young Sun;Lee, So Rae;Joo, Sung A;Ko, Young Bin;Kim, Ye Jin;Han, In Young
    • Korean Journal of Social Welfare Studies
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    • v.43 no.1
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    • pp.249-273
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    • 2012
  • Certain professionals face repeated exposure to traumatic events throughout their career. Although typically linked to pathological outcomes, research has identified sustained positive benefits and posttraumatic growth (PTG) as consistent posttrauma outcomes in occupational exposed to trauma. This study investigated the association of occupation, subjective psychological distress to a traumatic event, and demographic characteristics with posttraumatic growth in emergency workers (firefighters, rescue, and ambulance personnel), subway operators, and child protective service workers. The study led to the following conclusions: First, all three groups are risk groups of PTSD, especially, subway operators demonstrated the highest degree. Child protective service workers demonstrated the highest degree of PTG and emergency workers and subway operators followed respectively. Second, vicarious trauma and PTG were significantly correlated, in particular, invasion and avoidance were more highly correlated. Third, multivariate analysis revealed that occupation, invasion, avoidance, religion, and sex were significantly associated with PTG. Discussion addresses the need to serve mental health service and to apply concept of PTG for occupations exposed to trauma.

Factors Influencing Posttraumatic Growth of North Korean Defectors in South Korea (북한이탈주민의 외상 후 성장에 영향을 미치는 요인)

  • Kim, Yun Ah;Kim, MiYoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.5
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    • pp.332-338
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    • 2016
  • This study examined the posttraumatic growth of North Korean defectors, the relation between their characteristics and posttraumatic growth and the factors influencing their posttraumatic growth, and explored methods of improving their mental health status. 145 North Korean defectors, who were trained in B city and G city, participated in the survey from February 1 to March 10, 2016. The posttraumatic growth, resilience, self-esteem, deliberate rumination, and impact of the (traumatic) event were measured using the PTGI (Posttraumatic Growth Inventory), RS (Rumination Scale, Resilience Scale), SES (Self-esteem Scale) and ISR (Impact of Event). The data were analyzed using the t-test, ANOVA, Pearson correlation coefficient and stepwise multiple regression. The mean scores were 29.64 for posttraumatic growth. There were significant positive correlations between posttraumatic growth and resilience and between posttraumatic growth and rumination. The influence of the independent variables on the total posttraumatic growth was examined using regression analysis. Models including the variables (resilience, positive self-esteem, and rumination) explained 54.2% of the variance for the posttraumatic growth. These findings demonstrate that it is essential for nurses to continuously intervene and help North Korean defectors so as to promote their posttraumatic growth and resilience. Furthermore, it is also necessary for nurses to find ways to develop ideal interventions in order to activate deliberate rumination.

The Structural Equation Model for Posttraumatic Growth of Firefighter: Based on the Calhoun and Tedeschi's model of posttraumatic growth (소방공무원의 외상 후 성장 구조모형: Calhoun과 Tedeschi의 외상 후 성장 모형을 중심으로)

  • Jeong, Yeo Ju;Jeon, Mi Yang
    • Research in Community and Public Health Nursing
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    • v.31 no.4
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    • pp.459-471
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    • 2020
  • Purpose: The purpose of this study is to construct and validate a posttraumatic growth structural model for firefighters based on Calhoun and Tedeschi's model (2006). Methods: The research data was collected from 200 firefighters working in Gyeongsang-do, Jeolla-do, and Gyeonggi-do. The participants completed an anonymous survey asking about ego-resilience, active coping, family support, organizational support, self-exposure, deliberate rumination, posstraumatic stress and posttraumatic growth. Results: The model selected as a final model was the one that supports 10 hypotheses out of 13 hypotheses. In the final model, deliberate rumination (β=.59, p<.001) had a significant effect in the posttraumatic growth of firefighters. Active coping, organizational support, self-exposure, ego-resilience and posttraumatic stress had a significant indirect effect. The explanatory power of these variables was 36.0%. Conclusion: The results of the survey show that it is important to develop a strategy to strengthen deliberate rumination. In addition, encouraging deliberate rumination through organizational support and self-exposure can promote posttraumatic growth of firefighters.

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.

A Structural Equation Model of Factors Influencing Posttraumatic Growth of Earthquake Victims (지진 피해자의 외상 후 성장에 영향을 미치는 요인들 간의 구조모형)

  • Kwak, Minyeong
    • Research in Community and Public Health Nursing
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    • v.30 no.3
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    • pp.345-356
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    • 2019
  • Purpose: The purpose of this study is to construct and test a structural equation model of posttraumatic growth (PTG) of earthquake victims based on Tedeschi and Calhoun's model (2004). Methods: Data were collected from 195 earthquake victims living in K. City. The exogenous variables include distress perception, resilience, and social support, and the endogenous variables include intrusive rumination, deliberate rumination, and posttraumatic growth. For data analysis, descriptive statistics, factor analysis, and structural equation modeling were performed. Results: The modified model showed a good fitness to the data. Moreover, 6 of the 9 paths of the final model were statistically significant, which include PTG affected by deliberate rumination (${\beta}=.58$, p<.001), resilience (${\gamma}=.18$, p=.001), and distress perception (${\gamma}=.20$, p=.002). These predictors explain 51.8% of variance in posttraumatic growth. Conclusion: Based on the results of this study, it is necessary to develop and disseminate preventive intervention programs to increase the resilience of earthquake-prone communities. In addition, after exposure to a community-scale traumatic event such as earthquake, we should provide social supports to alleviate distress perception and transition from intrusive rumination to deliberate rumination so that we can seek new meaning from the earthquake and facilitate posttraumatic growth.

Effects of Mind Subtraction Meditation Program on Post-traumatic Growth (마음빼기명상 프로그램이 119 구급대원의 외상 후 성장과 회복탄력성에 미치는 효과)

  • Lee, Insoo;Chun, Min Young;Yoo, Yang Gyeong
    • Fire Science and Engineering
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    • v.32 no.5
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    • pp.95-104
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    • 2018
  • The 119 emergency medical services(EMS) personnel studied in this research are constantly exposed to traumatic events, which can lead to a variety of psychosocial problems and poor quality of life. In this study, we examined the effects of the Mind Subtraction Meditation Program on post-traumatic growth and resilience of 119 EMS personnel. In this study, we measured the conditions of 26 EMS personnel of A firefighting headquarters based on post-traumatic growth and resilience before and after implementing the short-term intensive for 2 nights and 3 days in $201^*$. The results showed that there was a significant increase in post-traumatic growth from $2.85({\pm}.67)$ to $3.60({\pm}.72)$ and resilience from $2.45({\pm}.39)$ to $2.83({\pm}.48)$ of the subjects between before and after the Mind Subtraction Meditation. In conclusion, the Mind Subtraction Meditation Program was effective in improving the posttraumatic growth and resilience of 119 EMS personnel. Therefore, Mind Subtraction Meditation Program could be proposed as a mental health promotion program for EMS personnel.

A CASE-ANALYSIS OF THE PSYCHIATRIC SEQUELAE IN ADOLESCENTS VICTIMIZED BY SCHOOL VIOLENCE (학교폭력 피해 청소년의 정신의학적 후유증에 관한 사례 연구)

  • Yook, Ki-Hwan;Lee, Ho-Bun;Noh, Kyung S.;Song, Dong-Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.8 no.2
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    • pp.232-241
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    • 1997
  • The psychological problems following the experiences of school-violence could be more important than the physical problems. Victims could suffer from fear, depression, anger, lowered self-esteem, suicidal thought, and personality changes. To study the risk factors for school violence and the psychiatric problems after the experiences to school-violence provide us important informations to prevent and solve the problems of school violence. We examined clinical characteristics and psychosocial backgrounds of 13 adolescents who visited the psychiatric clinic after exposures to school violence from September, 1996 to May, 1997. The clinical data included intensity, motivations, durations, and methods of violence, psychiatric symptoms following exposure, findings of psychological test, and treatment course. The socioeconomic data included developmental characteristics of subjects, family characteristics, school life, and peer relationships. Of the 13 adolescents who experienced exposure to violence, 8 have experienced chronic psychiatric disturbances, 5 experienced transient psychiatric symptoms such as anxiety, depression, suicidal attempt who eventually returned to home and school life. Of the 8 adolescents who experienced chronic psychiatric disturbances, 4 experienced PTSD and depression lasting 3-6 months more, otherwise 4 showed converted features, such as aggressive behavioral disorder or perpetrator by strong compensatory effects after psychological shock. The subjects who have experienced chronic psychiatric disturbance have clinical characteristics such as physical or emotional abuse, physical illness or handicap, defects of ego functionings, and lack of family support. In summary, victims by school-violence manifested serious psychiatric disturbances, and they had clinically significant risk factors and some of them became perpetrators of school-violence.

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