• Title/Summary/Keyword: Posttraumatic stress

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Assessment Instruments for Disaster Behavioral Health (재난정신건강 평가도구)

  • Park, Joo Eon;Kang, Suk-Hoon;Won, Sung-Doo;Roh, Daeyoung;Kim, Won-Hyoung
    • Anxiety and mood
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    • v.11 no.2
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    • pp.91-105
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    • 2015
  • Objectives : After disaster, some people develop posttraumatic stress sequelae such as posttraumatic stress disorder (PTSD), major depression, substance use disorders, and suicide. To date, numerous screening and assessment tools for behavioral health issues including mental health problems, psychosocial maladjustment and status of recovery after disaster have been developed. In this condition, one of important topics is to choose instruments that can quickly and accurately measure the issues. Methods : This article reviewed several self-reported scales in adults for disaster behavioral health, which were searched using academic search engines like PubMed, Scopus, KoreaMed and KISS from the earliest available date of indexing through January 31, 2015. Results : More than 40 eligible instruments evaluating the disaster behavioral health issues containing posttraumatic stress sequelae, psychological and social resources, non-disaster stress, and general functions were presented in terms of availability, effectiveness, and expeditiousness. Also, we introduced basic frame aiming on practical usage, which includes standard version and brief version of the instruments for disaster behavioral health. Conclusion : We suggest the accessibility and the applicability of assessment instruments for disaster behavioral health. The systemic review of this article will provide further directions for them.

Effect of Cognitive behavior therapy program in child with Posttraumatic Stress Disorde (인지행동치료 프로그램이 외상 후 스트레스장애(PTSD) 아동에 미치는 효과 - 학교폭력 피해아동을 중심으로 -)

  • Lee Jin-Suk;Han Young-Suk
    • Korean Journal of Human Ecology
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    • v.9 no.2
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    • pp.21-31
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    • 2006
  • The purpose of this study is to investigate the differences in irrational faith and the school adaptation of elementary school students by experimental group and control group. To achieve these goals, the followings are setting the programs. The subjects are selected from grade 4, 5, 6 students from the elementary schools. The tools used for this study were Irrational faith Test and School adaptation Test. The followings are the results of the analysis of the collected data. First, in the analysis of irrational faith, there is no significant difference between experimental group and control group. Second, in the analysis of school adaptation, there is significant difference between experimental group and control group(t=.05, p<.05).

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A Brief Screening Tool for PTSD: Validation of the Korean Version of the Primary Care PTSD Screen for DSM-5 (K-PC-PTSD-5)

  • Jung, Young-Eun;Kim, Daeho;Kim, Won-Hyoung;Roh, Daeyoung;Chae, Jeong-Ho;Park, Joo Eon
    • Journal of Korean Medical Science
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    • v.33 no.52
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    • pp.338.1-338.5
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    • 2018
  • The purpose of this study was to develop and evaluate psychometrically the Korean version of the Primary Care Posttraumatic Stress Disorder Screen for the Diagnostic and Statistical Manual-fifth edition (K-PC-PTSD-5). In total, 252 participants were interviewed with the Structured Clinical Interview for Diagnostic and Statistical Manual-fifth edition-research version (SCID-5-RV). The K-PC-PTSD-5 showed good internal consistency (${\alpha}=0.872$), test-retest reliability (r = 0.89), and concurrent validity (r = 0.81). A score of 3 was identified as the threshold for clinically significant posttraumatic stress disorder (PTSD) symptoms. Overall, the results indicate that the K-PC-PTSD-5 is a useful, timesaving instrument for screening PTSD symptoms.

The Effects of Traumatic Event Type on Posttraumatic Growth and Wisdom: the Mediating effects of Social Support and Coping (외상 유형이 외상후성장 및 지혜에 미치는 영향: 사회적 지지와 대처의 매개효과)

  • Lee Sulim
    • Korean Journal of Culture and Social Issue
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    • v.19 no.3
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    • pp.319-341
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    • 2013
  • This study investigated the mediating effects of social support and coping on the relation between traumatic event type, posttraumatic growth and wisdom by the data from 247 adults by using path analysis. Besides, the difference of the level of posttraumatic growth and related variables between traumatic event type groups. At first, The results of the MANCOVA, person-related traumatic event group were higher than the non-personal traumatic event group in negative coping and trauma stress level, and lower in social support, positive coping, posttraumatic growth and wisdom. The path analysis results shows that traumatic event type was related to wisdom by mediate factors. Traumatic event type affected wisdom through social support, positive coping, posttraumatic growth. The significant mediators were social support, positive coping, posttraumatic growth. Negative coping was not a significant mediator between event type and posttraumatic growth. The results show that non-personal traumatic event group are tends to have high level of social support, positive coping, posttraumatic growth, and wisdom. In the end, we described that the implication and the limitation of this study and suggestions for following studies.

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Early Interventions After Trauma (외상 후 초기중재)

  • Park, Joo-Eon;Lee, Boung-Chul;Jung, Young-Eun;Chae, Jeong-Ho
    • Anxiety and mood
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    • v.5 no.2
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    • pp.75-79
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    • 2009
  • In this article, we review the efficacy of early interventions after traumatic incidents and during acute stress disorder (ASD). There are some evidences that psychopharmacological medications such as propronolol, morphine, and hydrocortisone are effective in the prevention of posttraumatic stress disorder (PTSD). Considering the role of selective serotonin reuptake inhibitors in hippocampal neurogenesis and an animal model of PTSD, early administration of selective serotonin reuptake inhibitors is also fairly promising. Other pharmacological treatments including benzodiazepines did not treat ASD nor prevent PTSD. There are good evidences that cognitive behavioral therapy including cognitive therapy and prolonged exposure is a valuable intervention for ASD and the most effective prevention for PTSD. No contolled researches on eye movement desensitization&reprocessing, psychodynamic psychotherapy and hypnotherapy have performed. Recent randomized controlled studies using psychological debriefing did not prove as a useful intervention for the prevention of PTSD until now, although the efficacy of debriefing has been at the centre of controversy.

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Differences in quality of sleep, job stress, fatigue, job satisfaction, and posttraumatic stress disorder according to the type of work in fire-fighting officers (소방공무원의 근무형태에 따른 수면의 질, 직무스트레스, 피로도, 직무만족 및 외상 후 스트레스장애 차이)

  • Choi, Jin;Song, Yeon-Joo
    • The Korean Journal of Emergency Medical Services
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    • v.22 no.3
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    • pp.149-162
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    • 2018
  • Purpose: The purpose of the study was to investigate the differences in quality of sleep, job stress, fatigue, job satisfaction, and posttraumatic stress disorder (PTSD) according to the type of work in fire-fighting officers. Methods: This study used an online questionnaire. The participants were 322 fire-fighting officers. The data were collected from May 2 to 20, 2018. Data were analyzed using SPSS 22.0. Results: According to the work styles of fire fighting officers, job stress, job satisfaction, and PTSD showed significant differences. However, There were no differences in sleep quality and fatigue. There were significant differences in job stress, job satisfaction, and PTSD in those in roles of fire suppression and rescue emergency medical technicians and this result suggests a way to improve the quality of sleep, job stress, job satisfaction and fatigue for fire-fighting officers who suffer from PTSD. Conclusion: Based on the results of this study, mental health of fire-fighting officers will be improved through basic data for psychotherapy which can overcome the quality of sleep, job stress, fatigue, job satisfaction and PTSD according to the work style of fire-fighting officers.

Temperament and Charcater Dimensions of Posttraumatic Stress Disorder in Burn Patients (외상 후 스트레스장애로 진단된 화상 환자의 기질 및 성격차원 특성)

  • Yoon, Suk-Chan;Ham, Byung-Joo;Byun, Jeong-Hyun;Eun, Heon-Jeong;Son, Hyeon-Gyun;Suh, Kuk-Hee;Choi, Ihn-Geun
    • Korean Journal of Biological Psychiatry
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    • v.12 no.2
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    • pp.159-164
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    • 2005
  • Objective:The aim of this study was to evaluate the temperament and character profiles of the patients with posttraumatic stress disorder(PTSD) after burn injury. Methods:The study subjects consisted of 23 PTSD patients after burn injury, 24 patients not being diagnosed as PTSD after burn injury(non-PTSD) and 53 healthy controls. The assessment of PTSD was performed using clinician administered PTSD scale. All participants were instructed to complete the Temperament and Character Inventory(TCI), the Beck Depression Inventory and the State and Trait Anxiety Inventory of Spielberger. Results:The PTSD group after burn injury, compared with the non-PTSD group and the normal controls, had the higher novelty seeking and harm avoidance scores. But there were no differences in other dimensions in the TCI among the three groups. Conclusion:The results of this study suggest that the PTSD group after burn injury showed the specific properties of temperament and character compared with the non-PTSD group and the normal group.

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Comorbidity of Posttraumatic Stress Disorder and Its Effect on Treatment Outcomes in Patients with Schizophrenia : One-Year Prospective Follow-Up Study (외상 후 스트레스 장애 동반 여부에 따른 정신분열병 환자의 임상증상과 치료효과의 비교 : 1년간의 전향적 추적연구)

  • Park, Sung-Jong;Kim, Nam Hee;Jeong, Jae-Yeol;Lee, Sunny
    • Korean Journal of Biological Psychiatry
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    • v.16 no.4
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    • pp.256-265
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    • 2009
  • Objectives : The aims of this study were to assess a) the prevalence of trauma and posttraumatic stress disorder(PTSD) in schizophrenic patients and b) the differences in symptomatology and outcome after 1year treatment between those with and without PTSD. Methods : Twenty eight schizophrenia and schizoaffective disorder patients completed the Positive and Negative Syndrome Scale(PANSS), Life Stressor Checklist-Revised(LSCL-R), Clinician-Administered PTSD Scale(CAPS), Dissociative Experiences Scale(DES), Hamilton Psychiatry Rating Scale for Depression(HAM-D), and Rosenberg Self-Esteem Scale(RSE). Results : Twenty six patients(92.9%) had at least one trauma in their life time. Eleven patients(39.3%) were diagnosed with PTSD. PTSD group had significantly higher scores on HAM-D and DES but lower scores on RSE. PTSD group also had significantly lower score in the baseline PANSS Negative score. Higher CAPS scores were significantly correlated with lower baseline PANSS Negative score and greater change after 1year of PANSS Negative score. Conclusion : These results showed that the prevalences of trauma and PTSD are high in schizophrenic patients and suggested that PTSD and trauma-related symptoms affected the symptomatology and treatment outcome. More research is warranted to better understand the effects of PTSD in schizophrenic patients.

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Symptoms of Posttraumatic Stress Disorder in Relation to the Alcohol Problem in Korean Veterans of Vietnam War (월남전 참전자에서 문제음주와 관련한 외상 후 스트레스 장애의 증상 차이)

  • Kwon, Tae Hyo;Chung, Hae Gyung;Kim, Dong Su;Choi, Jin Hee;Kim, Tae Yong;So, Hyung Seok;Chung, Moon Yong
    • Anxiety and mood
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    • v.7 no.2
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    • pp.119-125
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    • 2011
  • Objectives : The three symptom clusters of posttraumatic stress disorder (PTSD) are reexperience, avoidance, and hyperarousal. Alcohol use disorders frequently co-occur with PTSD, and possible functional correlations are suspected. Scholarly evaluation of the differences between the symptoms of PTSD and those of alcohol problems may be useful in understanding the pathophysiology of the comorbidity. Methods : We recruited Vietnam veterans with PTSD (n=97) and without PTSD (n=132). The alcohol use disorder identification test (AUDIT), and clinician-administered PTSD scale (CAPS) were administered to participants. The PTSD group was divided into two categories: those with PTSD only (n=57) and those with concurrent alcohol-related problems (n=40). Results : The PTSD group showed higher AUDIT scores compared to the control group. In the PTSD group, participants with alcohol problems had a severer symptoms of recurrent dream and sleep disturbance symptoms compared to the PTSD only group. No significant differences were found in the three major symptom clusters of PTSD. Conclusion : These findings support the proposed existence of a functional correlation between PTSD and alcohol use disorder. Clinicians should carefully evaluate and treat comorbid alcohol use disorder in patients with PTSD.