• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제28권1호
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• pp.14-19
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• 2017

Children exposed to potentially traumatic events are at risk of developing posttraumatic stress disorder (PTSD). However, the subsequent developmental course of posttraumatic stress symptoms appears to vary considerably. In this regard, some PTSD symptoms resolve without significant interventions, while for many children and adolescents, they persist until the patient receives appropriate treatment specifically designed to address PTSD and other trauma related symptoms. Evidence-based psychotherapies represent the standard of care for children with PTSD and, while psychopharmacologic interventions are utilized for many youth with posttraumatic stress symptoms and PTSD, there is little data available to guide the use of these medications in this population. However, given the structural challenges involved in disseminating and delivering evidence-based psychotherapies in all settings, prescribing clinicians should be aware of the medications whose use in children with pediatric PTSD has been studied. Herein, we review the PTSD assessment modalities, as well as the use of pharmacologic interventions in PTSD, including antiadrenergic agents, selective serotonin reuptake inhibitors and other medications.

• 한국방재학회:학술대회논문집
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• 한국방재학회 2008년도 정기총회 및 학술발표대회
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• pp.381-384
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• 2008

The purpose of this study is to evaluate influence factors of secondary traumatic stress, burnout, and physical symptoms which were experienced by fire fighters. The questionnaire research was done for field service fire fighters who work in Korea. I analyzed 358 questionnaires and the questionnaires consisted of stress scale, work force, burden of physical symptoms, and self-control to stress. Through this study I will propose the solution for the posttraumatic stress disorder(PTSD) for the near future.

• 보험의학회지
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• 제29권1호
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• pp.7-11
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• 2010

Anxiety disorders Anxiety disorders are among the most prevalent mental disorders in the general population. Anxiety disorders can be viewed as a family of related but distinct mental disorders, which include following as classified in the text revision of fourth edition of Diagnostic and Statistical Manual Disorders(DSM-IV-TR): (1) panic disorder with or without agoraphobia; (2) agoraphobia with or without panic disorder; (3) specific phobia; (4) social phobia; (5) obsessive-compulsive disorder; (6) posttraumatic stress disorder; (7) acute stress disorder; (8) generalized anxiety disorder. An acute intense attack of anxiety accompanied by feeling of impending doom is known as panic disorder. The term phobia refer to an excessive fear of a specific object, circumstance, or situation. Obsessivecompulsive disorder is represented by a diverse group of symptoms that include intrusive thoughts, rituals, preoccupations, and compulsions. Posttraumatic stress disorder is a condition marked by development of symptoms after exposure to traumatic life events. Generalized anxiety disorder is defined as excessive anxiety and worry about several events or activities for most days during at least a 6-month period.

• 한국화재소방학회논문지
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• 제33권5호
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• pp.118-129
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• 2019

소방공무원들은 외상 사건에 반복적으로 노출되면서 외상 후 스트레스장애로 이행될 가능성이 높은 고위험 집단이다. 이에 본 연구에서는 2박 3일간 단기집중 마음빼기명상 기반 힐링프로그램이 소방공무원의 외상 후 스트레스장애 증상과 반추에 미치는 효과를 확인하였다. 2019년 A소방본부 소방공무원 80명을 연구대상으로, 마음빼기명상 기반 힐링프로그램을 적용하기 전과 완료 후에 자기보고식 설문지를 통해 대상자의 상태를 측정하였으며, 질적 자료를 위해 명상체험 소감문을 수집하였다. 연구결과 마음빼기명상 기반 힐링프로그램은 남성소방공무원의 외상 후 스트레스장애 증상을 유의하게 감소시켰고, 여성소방공무원의 외상 후 스트레스장애 증상과 침습적 반추를 유의하게 감소시켰다. 결론적으로 마음빼기명상 기반 힐링프로그램은 소방공무원의 외상 후 스트레스장애 증상과 침습적 반추에 긍정적인 효과가 있었으므로, 본 연구에 적용한 마음빼기명상 기반 힐링프로그램은 소방공무원의 정신건강 관리프로그램으로 제안될 수 있을 것이다.

• 대한불안의학회지
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• 제15권1호
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• pp.29-34
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• 2019

Objective : To determine predictors of posttraumatic stress disorder (PTSD) symptoms in burn injured patients and evaluate factors for identifying high risk group of PTSD. Methods : This study examined sixty one patients aged in the range of 19-65 years with burn injuries. All subjects completed self-assessment inventories about PTSD (The PTSD Check List for DSM-5. PCL-5), depression (Patient Health Questionnaire-9, PHQ-9), embitterment (Posttraumatic embitterment disorder self-rating scale, PTED scale) and meaning of life (Meaning in Life Questionnaire, MLQ). Stepwise multiple regression and ROC curve analysis were the tools used for analysis. Results : The results revealed higher depression, embitterment and lower presence of meaning in life predicted severe PTSD symptoms. ROC analysis indicated PTED scale and PHQ-9 were useful for discriminating high risk group of PTSD. Conclusion : The present study established that the need to consider embitterment, depression and meaning of life for alleviation and prevention of PTSD symptoms in burn patients.

• 대한불안의학회지
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• 제12권1호
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• pp.28-33
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• 2016

Objective : One of the aims of this study was to confirm the relationship in firefighters who have a high risk of developing posttraumatic stress disorder. We also explored the mediation effects of resilience and posttraumatic growth (PTG) on the association between traumatic experiences and posttraumatic stress symptoms. Methods : A total of 677 firefighters were assessed in terms of the intensity of job-related traumatic experiences using the Visual Analogue Scale. They completed the Korean version of the Posttraumatic Growth Inventory (PTGI), the Korean version of the Impact of Event Scale-Revised (IES-R), and the Korean version of the 10-item Connor-Davidson Resilience Scale (CD-RISC-10). Results : The intensity of traumatic experiences was significantly negatively related to the CD-RISC-10 score, but it was positively related to the PTGI and the IES-R scores. The CD-RISC-10 score had a significantly positive correlation with the PTGI score, but it was negatively correlated to the IES-R score. Path analyses revealed that resilience and PTG independently mediated the association between traumatic experiences and posttraumatic stress symptoms. Conclusion : These results suggest that traumatic experiences contribute to posttraumatic stress symptoms and that these impacts may be mediated through resilience and PTG.

• 대한불안의학회지
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• 제18권1호
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• pp.1-9
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• 2022

Mindfulness has been widely researched in mental, physical health, and healthy populations. The effectiveness of mindfulness-based interventions have also been demonstrated in research studies. This report reviews the research on mindfulness based interventions currently employed for the treatment of posttraumatic stress disorder (PTSD). Mindfulness-based theories postulate that symptoms of PTSD are developed and maintained by experiential avoidance and non-mindful behaviors. Recent emerging work indicates that mindfulness based interventions, such as mindfulness-based stress reduction and mindfulness-based cognitive therapy, may improve the symptoms of PTSD. Further advances are needed to gain a better understanding of the ability of mindfulness based interventions to target specific symptom dimensions of PTSD and the psychological/neurobiological mechanisms of actions underlying these interventions.

• 대한불안의학회지
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• 제4권1호
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• pp.19-27
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• 2008

Objective : This study was conducted to evaluate the changes in the levels of neurotransmitters and cortisol in patients with chronic posttraumatic stress disorder (PTSD) and to evaluate their correlation with symptoms after long-term pharmacological treatment. Methods : Twenty-eight Vietnam veterans with chronic PTSD and 34 non-PTSD patients were consecutively recruited. The Combat Exposure Scale (CES), Mississippi Scale for Combat-Related Posttraumatic Stress Disorder (M-PTSD), Clinician Administered PTSD Scale (CAPS), Hamilton Rating Scale for Depression (HRSD) and Hamilton Anxiety Scale (HAS) were used to evaluate symptom severity. High performance liquid chromatography (HPLC) was used to measure the plasma levels of epinephrine, norepinephrine, and dopamine, and a radioimmunoassay (RIA) was performed to evaluate the plasma level of cortisol. Results : Plasma cortisol was significantly lower in PTSD patients than in control subjects, while there was no significant difference in plasma epinephrine, norepinephrine and dopamine between the two groups. The scores of M-PTSD, CAPS, HAMD and HAMA were signigicantly higher in PTSD patients than control group. Conclusion : After long-term treatment, the levels of neurotransmitters in PTSD patients returned to within the normal range, and the patients' symptoms showed some improvement. However, the core symptoms of PTSD continued to appear intermittently, and they are thought to be associated with hormonal systems, such as the HPA axis. It is also suggested that PTSD should be considered to be a complex disorder associated with multiple systems and that combinations of the effective medications for each system should be used to treat patients with PTSD.

• 대한불안의학회지
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• 제14권2호
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• pp.71-79
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• 2018

Objective : Several earlier studies have reported similar symptoms in patients with posttraumatic stress disorder (PTSD) who have been repeatedly exposed to relevant media after disasters and trauma. This study aimed to examine the effects of indirect trauma experience through media rather than direct traumatic events on an individual's social life. Methods : Five hundred and fifty-four individuals participated in our online, self-reported questionnaire survey. All subjects were asked to complete a demographic questionnaire, Posttraumatic Diagnostic Scale, Beck Depression Inventory, the Impact of Event Scale-Revised, State-Trait Anxiety Inventory, Korean version of Alcohol Use Disorder Identification Test, Patient Health Questionnaire-15, Suicidal Behaviors Questionnaire-Revised. Participants were assessed in regards to their experience of violent media exposure within the past three months. Results : Data from our study indicates that the group exposed to violent media had significantly higher perceived stress, physical symptoms, insomnia, and suicide ideation in comparison to the control group. Among the major symptoms of PTSD, the proportion of intrusion symptoms was relatively high in the media exposed group. Conclusion : This suggests that indirect trauma caused by media exposure could cause post-traumatic stress symptoms. The PTSD caused by indirect trauma may have slight differences from the PTSD caused by direct trauma. Therefore, it is necessary to understand, prevent, and control the adverse effects of media.

• 대한불안의학회지
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• 제7권2호
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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.