• Title/Summary/Keyword: Post-traumatic Stress Disorder

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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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A Systematic Review of Programs for Post-traumatic Stress Disorder Patients in South Korea (외상 후 스트레스 장애 환자를 위한 국내 프로그램 체계적 고찰)

  • Ik-Sung KIM;Eun-Sol JU
    • The Journal of Economics, Marketing and Management
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    • v.12 no.1
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    • pp.97-104
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    • 2024
  • Purpose: This study attempted to systematically review the programs of patients with post-traumatic stress disorder in South Korea over the past decade, identify specific methods and effects, and present program guidance guidelines through them. Research design, data and methodology: This study is a systematic literature review, and studies registered in the RISS, NDSL, DBpia, and KmBASE search databases from January 1, 2013 to August 31, 2023 were targeted. Keywords were 'post-traumatic stress disorder', 'program' or 'treatment'. A total of 2,324 documents were searched, and 237 duplicate papers were excluded. After that, the title and abstract were viewed, and 2,058 papers that did not meet the inclusion criteria and exclusion criteria were excluded. In addition, the full text was checked and the final 11 documents were analyzed excluding 18 documents. Results: Among the 11 literatures, 45.45% of randomized control studies and 54.54% of non-randomized control studies were found. As for gender, 41.18% of women, 28.64% of 30-39 years old, and 34.27% of trauma causes were industrial accidents. Programs for patients with post-traumatic stress disorder were classified into art therapy, cognitive behavior therapy, and mindfulness programs, and art therapy was the most used at 45.45%. The sessions of the program were widely applied at 45.45% for 10 sessions and 36.36% for 60 minutes per session. Conclusions: This study has a limitation in that it only analyzed domestic intervention programs within 10 years. However, this study is meaningful in that it is intended to present program guidance guidelines through reviewing domestic programs for post-traumatic stress patients. In the future, it is necessary to conduct research such as expanding the scope of literature review at home and abroad.

A Study on the Mental Health of Medical Institution Administration during the Pandemic of Coronavirus Disease 2019 (COVID-19) (코로나바이러스 감염증-19(COVID-19)의 유행 기간 중 의료기관 원무 행정직 정신건강에 대한 연구)

  • Yang-Jin Song;Hyoung-Sun Jeong;Ki-Nam Jin;Min-Hee Heo;Jin-Won Noh
    • Korea Journal of Hospital Management
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    • v.28 no.3
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    • pp.15-26
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    • 2023
  • Purposes: Evaluate the level of mental health of administrative workers in medical institutions during the COVID-19 epidemic, and check the relationship. Methodology: It targeted 183 administrative workers at medical institutions located in Jeollabuk-do. The data survey method used a self-filled questionnaire, and the data collection period was 30 days from November 16, 2021 to December 16, 2021. A comparative analysis was conducted to find out the correlation between the subjects' biological factors, environmental factors, lifestyle factors, job related factors and depression, Post Traumatic Stress Disorder, and job stress. Findings: As an influencing factor of depression, it was found that the longer the working period, the higher the depression, and the higher the position, job satisfaction, and the total amount of smoking, the lower the depression. Due to the effect on Post Traumatic Stress Disorder, the higher the total amount of smoking, the higher the Post Traumatic Stress Disorder after effects, and the higher the organizational commitment and job satisfaction, the lower the Post Traumatic Stress Disorder aftereffects. It was found that organizational commitment had the highest influence on Post Traumatic Stress Disorder. As an influencing factor on job stress, it was found that the higher the job related factors was job satisfaction and organizational commitment, the lower the job stress. Practical Implications: Variables such as moderate physical activity, alcohol consumption, total smoking, working period, position, job satisfaction, and organizational commitment were identified as factors influencing depression, Post Traumatic Stress Disorder, and job stress during the COVID-19 pandemic.

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A Study on the Effects of Trauma Case Experience on PTSD of Safety/Health Manager's -The Moderated Mediation Effect of Social Support through Job Stress- (안전/보건관리자의 외상 사건 경험이 외상 후 스트레스 장애에 미치는 영향 -직무스트레스를 통한 사회적지지의 조절된 매개효과-)

  • Shim, Jae-Beom;Lee, Mi-Eun
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.31 no.1
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    • pp.38-49
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    • 2021
  • Objectives: This study was conducted to analyze the impact of safety/health managers' experience of trauma case on their post traumatic stress disorder and the mediation effects of job stress and the moderated mediation effects of social support. Method: Using a structured questionnaire, data were collected from 241 workplace safety/health managers with experience in trauma case. The collected data were analyzed using SPSS(IBM. Ver.26.0) and verified through SPSS PROCESS Macro (Ver. 3.4). Results: The trauma case experience and the job stress, which is a mediation variable, had a statistically significant positive effect on post-traumatic stress disorder, and the job stress had a positive mediation effect in the relationship between the trauma case experience and post-traumatic stress disorder. Social support had a statistically significant negative moderation effect in the relationship between the trauma case experience and job stress; social support had a moderated mediation effect on the indirect effect of a job stress on the post-traumatic effect through a trauma case experience. Conclusion: The above findings suggest that work-related job stress management is important in order to reduce safety/health managers' post-traumatic stress disorder caused by the experience of trauma case, and that social support is essential to reduce the job stress, which can later be used as a basis for further studies.

A Systematic Review of the Variables Related to Post-Traumatic Stress Disorder in Firefighters (소방공무원의 외상 후 스트레스 장애 관련변인에 관한 체계적 문헌고찰)

  • Kang, Min-Ju;Kim, Young-Hwa;Han, Seung-Woo
    • Fire Science and Engineering
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    • v.33 no.2
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    • pp.164-172
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    • 2019
  • This study examined the Post-Traumatic Stress Disorder (PTSD)-related variables of firefighters through a systematic literature review. Electronic databases were searched, including RISS, National Assembly Library, NDSL, KmBase. The search terms were PTSD, Post-Traumatic Stress, Post-Traumatic Stress Disorder and Firefighter. Eleven studies from 146 references screened were included. All studies were non-experimental and correlational analyses. The positive correlation factors were age, duration of work, traumatic events, frequency of mobilization, number and strength of traumatic events experienced, work burden, coping method, D-type personality, depression, and anger rumination. The negative correlation factors were resilience, social support, self-esteem. To improve the mental health of firefighters in the future, professional intervention programs should be constructed to improve resilience, social support, and self-esteem, which are protective factors of PTSD.

Post-traumatic stress and related factors among safety managers in Korea National Parks (국립공원 안전관리전담자들의 외상 후 스트레스 실태 및 관련요인)

  • Kim, Hyung-Wook;Han, Mi-Ah
    • The Korean Journal of Emergency Medical Services
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    • v.20 no.2
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    • pp.37-49
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    • 2016
  • Purpose: This study investigated the current status of post-traumatic stress and related factors among safety managers in Korea National Parks. Methods: The study subjects were 109 safety managers working in Korea National Parks. General characteristics, job-related characteristics, experience of traumatic events and post-traumatic stress were collected by self-reported questionnaires through the mail. The associated factors with post-traumatic stress was analyzed by t-test, ANOVA and multiple linear regression. Results: Overall score of post-traumatic stress was $10.32{\pm}11.37$ and 12.8% was the high-risk group of post-traumatic stress disorder. In simple analysis, score of post-traumatic stress was associated with drinking frequency, disease history, duration of career, delay of rescue, provided the break, rest space and the number of experiences of traumatic events. Finally, the score of post-traumatic stress was significantly higher in subjects who experienced 3 (B=9.141, SE=3.538) or more than 4 (B=11.367, SE=3.063) traumatic events compared to subjects without experience of traumatic event. Conclusion: The score of post-traumatic stress was $10.32{\pm}11.37$ and 12.8% was the high-risk group among safety managers in Korea National Parks. Post-traumatic stress was associated with the experience of traumatic events. Management of safety managers after mobilization or experience of traumatic events will be helpful to decrease of post-traumatic stress.

Influencing Factor on the Job Satisfaction of Emergency Room Nurses: Focusing on Violence Experience and Post-Traumatic Stress Disorder, Compassion Fatigue (응급실 간호사의 직무만족도에 영향을 미치는 요인: 폭력 경험과 외상 후 스트레스, 공감피로를 중심으로)

  • Kim, Hwa-Jin;Park, Jum-Mi
    • Journal of Convergence for Information Technology
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    • v.10 no.7
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    • pp.67-74
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    • 2020
  • This study was a correlational study between the violence experience and post-traumatic stress disorder, compassion fatigue, and job satisfaction of emergency room nurses. The researcher conducted this study on 114 randomized emergency room nurses from 9 emergency rooms located in Gyeonggi-do and collected data for approximately 4 weeks from July 1, 2019 to July 31, 2019. The mean values of verbal violence showed 11.50±3.37 points, physical threatening showed 11.57±4.15 points, and physical violence showed 11.07±5.20. In this study, the mean values of post-traumatic stress disorder was 34.59±14.46 points, compassion fatigue was 26.50±7.17, and job satisfaction was 61.19 ± 8.38 points. Multiple linear regression indicated that post-traumatic stress disorder (β=-.21, p=.009) respectively predicted job satisfaction(F=23.11, p<.001) Based on the study results above, it is considered that programs that can systematically manage and prevent post-traumatic stress disorder and compassion fatigue are required to reduce post-traumatic stress disorder, and compassion fatigue from violence experience of emergency room nurses. Moreover, safe work environments should be established to work efficiency.

The Influence of Workplace Violence on Anger and Post Traumatic Stress Disorder among Nurses (간호사의 직장폭력 경험에 따른 분노 및 외상 후 스트레스 장애)

  • Yi, Hyeryeon;Moon, Hyun-Sook;Shin, Mee-Kyung
    • Korean Journal of Occupational Health Nursing
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    • v.22 no.3
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    • pp.240-248
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    • 2013
  • Purpose: This study was done to identify the influence of workplace violence on anger and post traumatic stress disorder among nurses. Methods: The research design for this study was a descriptive survey design using a random sampling. Data collection was done using self-questionnaire with 477 nurses. The collected data were analyzed by descriptive statistics, ${\chi}^2$-test and logistics regression. Results: The incidences of total violence, verbal, physical, and sexual violence were 31.2%, 28.7%, 6.3%, 3.6% of the nurses, respectively. Anger was significantly associated with verbal violence (OR: 2.34, CI: 1.40~3.91) and physical violence (OR:4.85 CI: 1.67~14.13). Post traumatic stress disorder was significantly associated with verbal violence (OR: 15.99, CI: 9.58~26.69) and physical violence (OR: 5.37, CI: 1.66~17.40). Conclusion: To promote psychological health in nurses, there is a need to develop prevention programs to decrease workplace violence and to develop programs supporting psychological aspects of verbal violence that nurses experience.

Have you Exposure to a trauma and No PTSD? Which factors help and which are not?

  • Bulathwatta, Asanka;Witruk, Evelin;Reschke, Konrad
    • The Korean Journal of Food & Health Convergence
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    • v.5 no.1
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    • pp.21-31
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    • 2019
  • Exposure to a traumatic events gives people many post traumatic conditions resulting Post Traumatic Stress Disorder (PTSD) or Post Traumatic Growth (PTG). Some of them may come up with acute Stress Disorder and some may having with grievances. But most of people overcome their traumatic condition with using their Emotional Intelligence and Resilience capacities. This article is focused on indicating basic mechanisms and resources in which can be lead to have better social rehabilitation along with the matters that can be important in trauma coping. The later part of the article appeals the concept of social work theory highlighting the psych dynamic approach which can be impact positively on psycho social rehabilitation. Traumatic experiences are really unpredictable and it can be resulted Post Traumatic Stress Disorders, Post traumatic growth in the end. But developing skills that required to overcoming trauma is facilitated by the Emotional Intelligence, Resilience, and Coping capacities that people having with. Exposure to a traumatic experience and not having a PTSD is determined by the many other factors such as social support system and government facilitation of the wellbeing afterwards the trauma. Here in this article the basic components of Emotional Intelligence, Resilience, and coping mechanisms have been considered as the major factors.

Effects of PTSD Experience on Organization Commitment in Korea Investigation Police (수사경찰의 외상 후 스트레스 장애 경험이 조직몰입에 미치는 영향 -대구지역 수사경찰관을 대상으로-)

  • Kim, Sang-Woon
    • The Journal of the Korea Contents Association
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    • v.14 no.9
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    • pp.247-254
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    • 2014
  • Recent crime is serious. The police who investigate crime seriously impact. It is a psychological impact on the police. police officer or police investigation leaves many great events that have suffered since. In this study, post-traumatic stress disorder (Post Traumatic Stress Disorder; PTSD) have studied the impact policeman impact on organizational commitment. In order to measure post-traumatic stress disorder and divide this study, arousal, avoidance, invasive, post-traumatic stress disorder and sleep disorders in the sub-region. Organizational commitment and affective commitment, continuance commitment and normative commitment divided. We were in Daegu Metropolitan Police Agency survey of police officers belonging to the investigation officer. As a result, the impact on affective commitment invasion. To avoid the influence on continuance commitment. Avoidance of invasive and normative factors had influenced. With the help of information technology.