• 대한불안의학회지
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• 제12권2호
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• pp.69-78
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• 2016

Objective : Disaster causes psychological distress to a large number of people in a short period of time, by both direct and indirect exposure to traumatic events embedded in various realms of disaster experience. Optimal, well-planned treatment interventions should follow from the early acute period to recovery phase, extending up to several months later. In this context, there is an increasing need for systemic review to gain comprehensive insights for disaster interventions. These need to be added to public policy, and for the prevention and treatment of disaster-related psychopathology. Here, we review the published studies on psychological interventions for disaster-related posttraumatic stress disorder. Methods : Specific psychological interventions regarded as effective treatments for have been selected for this review, such as CBT (Cognitive-Behavior Therapy), Exposure Therapy, EMDR (Eye Movement Desensitization & Reprocessing), SIT (Stress Inoculation Therapy) and Psychoeducation. In addition, natural disasters, industrial disasters, and accidents involving aircraft and ships were also categorized as disasters, along with war and combat trauma. Results : Cognitive behavior therapy and exposure therapy had the strongest research support for effectiveness, and could be considered as the first-choice treatment for disaster-related PTSD. The second line of treatment is EMDR, although this treatment modality has the advantage of reaching certain treatment improvements in fewer sessions. However, the effects of SIT and psychoeducation to the survivors of disasters, remains unclear at this point. Additionally, we propose the possibilities of using virtual reality component and imagery rescripting as modified forms of traditional cognitive behavior therapy and exposure therapy. Conclusion : Cognitive behavior therapy and exposure therapy, deemed effective treatments for various trauma, are considered to be effective for survivors from disasters. However, the efficacy of other interventions has not yet been examined methodologically in well-designed studies, such as randomized controlled trials. In particular, future empirical studies are needed, since it is difficult to conclude that psychological interventions have similar effects on different types of disasters.

• 한국산업융합학회 논문집
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• 제27권2_1호
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• pp.287-295
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• 2024

Many first aiders suffer from the stress of working in uncertain disaster sites. The stress of responding to disasters leads to an increase in post-traumatic stress disorder (PTSD) and a decrease in psychological well-being. It also has many negative effects on the meaning in life for first aiders. Reduced meaning in life will result in many societal opportunity costs due to decreased health and work engagement. To address this issue, this study conducted a survey to analyze the level of meaning in life of first aiders. The results indicated that the overall level of meaning in life of first aiders is very low. This issue needs to be addressed sooner rather than later, given the increasing trend of emergency response. Based on the results of the study, measures were proposed to reduce PTSD and psychological stability by restoring the meaningfulness of first aiders' lives.

• 한국보건간호학회지
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• 제33권2호
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• pp.214-227
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• 2019

Purpose: This study examined the socio-demographic factors, the disaster related factors, the physical health related factors and the psychological factors of older adults exposed to natural disaster and these factors may possibly cause the occurrence of PTSD. Methods: A cross-sectional study was designed using the secondary data from the 3rd Disaster Victims Panel Survey (2012-2017). The data from 1,397 disaster victims were analyzed using descriptive statistics and logistic regression analysis. Results: Compared with the younger adult disaster victims, the elderly were more likely to have symptoms of PTSD (15.0% vs. 12.1%). Factors such as the number of years since being exposed to the disaster, anxiety, depression and social adjustment were significantly associated with occurrence of PTSD for both older and younger adults. Female gender was the additional risk factors for the older adults, while marital status, income, having witnessed another person's injury or death, and having lost a home were associated with the occurrence of PTSD. Conclusion: The elderly were more likely to develop PTSD as compared with younger adults. More targeted post-disaster mental health services to the elderly with the symptoms of depressive, anxiety and impaired social adjustments, should be provided to improve their mental health.

• 한국응급구조학회지
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• 제13권2호
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• pp.61-72
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• 2009

Purpose : This study aimed to analyze the posttraumatic stress research trends in Korean and foreign firefighters. Method : Total 63 published international articles were searched by Pub Med internet site and total 17 published Korean articles were searched by Korean Medical Database internet site using 'PTSD in firefighters'. These articles were analyzed by published time, domains of journal, research designs, key words and research subjects. Result : 1) By the published time, there were 29 disaster-related researches(46.0%) and 34 job-related researches(54.0%) among 63 international articles. However, there were 16 disaster-related researches(94.1%) and 1 job-related research (5.9%) of Korean 17 articles. 2) By the international research domain, 9 researches(14.3%) were published in The Journal of Nervous and Mental Disease. Among domestic research domain, there were 9 researches(52.9%) consisting of 6 master's degrees and 3 doctor degrees. In major analysis of Korean domain, the highest portion is 4 psychology researches. (23.5%) 3) In the term of the international research design, quantitative research methods were highly used in both 23 disaster-related researches (36.5%) and 30 job-related researches(47.5%). In domestic research, quantitative research methods were mostly used in 14 job-related researches(82.3%) and Q methodology was only used in 1 disaster-related research(5.9%). 4) Looking on the research content trends according to the key words, 9 researches (31.0%) done on posttraumatic stress and coping had the most research and was followed up by posttraumatic stress symptom. Among these researches, key words for PTSD(Posttraumatic Stress Disorder) and PTS(Posttraumatic Stress) were mostly used. Moreover, there was 1 domestic study done on verifying the trends of Posttraumatic Stress in disaster-related research with PTS as the key word. In job-related research, the relationship between the Posttraumatic Stress and other factors had the most with ten studies (62.5%). Among these researches, key words for 5 PTSD(31.3%) were mostly used. 5) According to the international research subjects, the Posttrau consist the most subjects with 16 cases each for disaster and job related stress ; however, domestic research had 16 studies(94.1%) only using firefighters and 1 (5.9%) with their families as subjects. Conclusion : Although the studies of Posttraumatic Stress on Korean firefighters had started later than those on Foreign firefighters, first used for crucial topics show research development in various fields of study and should be tested for studies like those done in abroad regarding multiple topics and methods.

• 대한안전경영과학회지
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• 제16권4호
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• pp.147-157
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• 2014

Firefighters receive extreme stress and suffer from PTSD in disaster. But we have not been paid attention to them. The purpose of this study is to analyze the problems of previous PTSD education programs in fire academy and to present the practical educational programs for firefighters to use in the disaster field. In the empirical analysis of this practical educational programs(EFT program), this program is more effective than existing theory-focused education training program.

• 한국지반공학회:학술대회논문집
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• 한국지반공학회 2009년도 춘계 학술발표회
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• pp.1125-1132
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• 2009

The theory and a probe of the pilot hole wall deformation method, which is a 3-dimensional stress measurement method based on the stress relief principle, were developed. A pilot hole is drilled from the bottom of a borehole and the stress measurement probe is inserted into the pilot hole. The borehole is advanced as the overcoring and the changes in the radius of the pilot hole in three directions and in the axial lengths between the borehole bottom and the pilot hole wall along four axial lines are measured by cantilever type-displacement sensors. The differences between the displacements by the elastic stress analysis and those measured by using the probe were within 3% in the uniaxial compression test of an acrylic resin plate having a hole.

• Geomechanics and Engineering
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• 제10권3호
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• pp.325-334
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• 2016

Rock salt is a near-perfect material for gas storage repositories due to its excellent ductility and low permeability. Gas storage in rock salt layers during gas injection and gas production causes the stress redistribution surrounding the cavity. The triaxial cyclic loading and unloading tests for rock salt were performed in this paper. The elastic-plastic deformation behaviour of rock salt under cyclic loading was observed. Rock salt experienced strain hardening during the initial loading, and the irreversible deformation was large under low stress station, meanwhile the residual stress became larger along with the increase of deviatoric stress. Confining pressure had a significant effect on the unloading modulus for the variation of mechanical parameters. Based on the theory of elastic-plastic damage mechanics, the evolution of damage during cyclic loading and unloading under various confining pressure was described.

• Smart Structures and Systems
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• 제29권4호
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• pp.589-598
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• 2022

Timber structures are susceptible to structural damages caused by variations in moisture content (MC), inducing severe durability deterioration and safety issues. Therefore, it is of great significance to detect MC levels in timber structures. Compared to current methods for timber MC detection, which are time-consuming and require bulky equipment deployment, Lead Zirconate Titanate (PZT)-enabled stress wave sensing combined with statistic machine learning classification proposed in this paper show the advantage of the portable device and ease of operation. First, stress wave signals from different MC cases are excited and received by PZT sensors through active sensing. Subsequently, two non-baseline features are extracted from these stress wave signals. Finally, these features are fed to a statistic machine learning classifier (i.e., naïve Bayesian classification) to achieve MC detection of timber structures. Numerical simulations validate the feasibility of PZT-enabled sensing to perceive MC variations. Tests referring to five MC cases are conducted to verify the effectiveness of the proposed method. Results present high accuracy for timber MC detection, showing a great potential to conduct rapid and long-term monitoring of the MC level of timber structures in future field applications.

• 대한불안의학회지
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• 제11권2호
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• pp.91-105
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• 2015

재난 경험자들의 정신건강은 개인적인 측면뿐만 아니라 재난 이후의 지역사회의 회복 측면에서 매우 중요하기 때문에 개인적 수준과 사회적 수준 양쪽에서 접근해야 한다. 또한 재난 경험자들을 이해하고 돕기 위해서는 PTSD, 우울, 불안과 같은 정신 건강 분야뿐만 아니라 심리적 및 사회적 자원 분야, 물질남용 및 중독 분야, 비재난스트레스 분야, 기능상태 분야 등 다양한 방면의 평가가 필요하다. 재난정신건강 평가를 위해서 최소한 1시간 이내에 평가할 수 있는 표준 버전과 30분을 넘지 않는 단축 버전과 같은 기본적인 패키지가 필요하다. 임상 현장보다 재난 현장에서 시간 및 비용이 더 중요한 요소이고 재난 현장의 특성상 실현 가능성도 고려하여야 하기 때문에 이 모두를 고려한 구성을 해야 한다. 적극적인 재난정신건강의 다면적 평가를 통해 조기에 위험군을 선별하고 이를 적절히 관리한다면 재난 이후에 발생하는 외상후스트레스후유증을 최소화할 수 있을 것이다.

• 한국응급구조학회지
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• 제11권3호
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• pp.5-15
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• 2007

The purpose of this study was to identity the distribution of post-traumatic stress types and coping methods and to find the relationship between the post-traumatic stress types and the coping methods, for firefighters who experienced in Dea-Gu Subway Fire Disaster. The Subjects of this study were 126 firefighters who experienced Deagu Subway Disaster. Q questionnaire developed by Q-study and coping methods instrument based on that of Folkman & Lazaruswas revised and complemented by Kim Jung Hee was used. Data were analyzed by t-test, ANOVA using SPSS. The results of this study were as follows : 1. The distribution of post-traumatic stress types were 52.4% of Emotional arousal trauma, 34.1% of Trauma experience persistence and 13.5% of Physiological symptom experience. 2. The difference of post-traumatic stress types according to the general characteristics were significantly related to the physical injury(p = .010). 3. The minimum score of coping with post-traumatic stress types was 0.07, the maximum was 2.96 and the mean score was 1.27. 4. The coping methods according to the general characteristics were significantly different at active coping method according to educational level(p = .001), passive coping method according to educational level(p = .003) and passive coping method according to diagnosis(p = 0.20). 5. The mean score of active coping method according types were Emotional arousal trauma(1.505), trauma experience persistance(1.322) and Physiological symptom experience(1.276). The mean score of passive coping method related with types were Emotional arousal trauma(1.328), trauma experience persistance(1.254) and Physiological symptom experience(1.219).