• 정신신체의학
• /
• 제26권2호
• /
• pp.179-187
• /
• 2018

연구목적 세월호 침몰 사고 1주기에 시행한 설문조사를 통해 유가족들의 신체적 건강, 심리적 어려움, 일상 기능의 문제를 파악하고, 향후 재난 유가족들에 대한 지원 대책의 기틀을 마련하고자 하였다. 방 법 본 연구에서는 2015년 3월 22일부터 7일간 137명의 세월호 유가족들을 대상으로 실시한 자가보고식 설문조사 자료를 바탕으로 통계분석을 실시하였다. 결 과 유가족 대부분이 심리적 어려움을 호소하였고, 95.4%가 새로 진단받거나 악화된 신체질환이 있었으며, 호소하는 심리적 어려움이 많을수록 소화기계, 근골격계, 산부인과계, 비뇨생식기, 심혈관계 질환과 만성 두통이 발생하거나 악화되는 경향을 보였다. 사고 전과 비교해 71.9%가 대인관계를 회피하였으며, 63.9%가 직장생활 복귀의 어려움을 보고하는 등 일상 기능에서도 어려움을 보였다. 결 론 재난 후에는 유가족들이 겪는 심리적 외상뿐 아니라 신체질환이나 일상 기능에 대해서도 세밀한 평가와 개입이 시행되어야 한다.

• International Journal of Advanced Culture Technology
• /
• 제8권3호
• /
• pp.133-139
• /
• 2020

The purpose of this study is to contribute to the provision of basic data for psychological quarantine policy and counseling by examining the public perception of the "corona blue" phenomenon through analysis of social media big data. To do this, key words related to the word 'Corona Blue' were derived and analyzed using the big data analysis program 'Textom'. As a result of the analysis, words such as 'Corona 19', 'depression', 'problem' and 'overcome' were derived as key words. For the analysis results,"pride and awarenes as the public perception of Corona 19", "depression and anxiety as a group trauma as the corona blue phenomenon", "spreading a psychological quarantine culture and demanding social healing as the perception of overcoming corona Blue," and "hope for return to daily life and changes in daily life as the perception of post corona" were discussed. In conclusion, we have identified the need for active psychological support from the community By revealing that Corona Blue is a depression as a group trauma. At this time, it is confirmed that it is necessary to prioritize social healing and psychological quarantine for the main risk groups such as youth or the vulnerable, who are the socially weak.

• Psychiatry investigation
• /
• 제15권11호
• /
• pp.1046-1052
• /
• 2018

Objective The aims of the present study were to explore the occurrence of childhood trauma and importantly to determine the impacts of childhood trauma on psychosocial features in a Chinese sample of young adults. Methods A survey was carried out in a group of 555 university students by using Childhood Trauma Questionnaire (CTQ), Self-rating Depression Scale (SDS), Self-rating Anxiety Scale (SAS), Dysfunctional Attitudes Questionnaire (DAS), Eysenck Personality Questionnaire (EPQ), and Social Support Rating Scale (SSRS). The moderate-severe cut-off scores for CTQ were used to calculate the prevalence of childhood trauma, and then psychosocial features were compared between individuals with and without childhood trauma. Results A proportion of 18.6% of university students had self-reported childhood trauma exposures. Subjects with childhood trauma reported higher scores of SDS, SAS, DAS, and psychoticism and neuroticism dimensions of EPQ (t=4.311-5.551, p<0.001); while lower scores of SSRS and extraversion dimension of EPQ (t=-4.061- -3.039, p<0.01). Regression analyses further revealed that scores of SAS and DAS were positively (Adjusted B=0.211-0.230, p<0.05), while scores of SSRS were negatively (Adjusted B=-0.273- -0.240, p<0.05) associated with specific CTQ scores. Conclusion Childhood trauma is still a common social and psychological problem. Individuals with childhood trauma show much more depression, anxiety, distorted cognition, personality deficits, and lower levels of social support, which may represent the social and psychological vulnerability for developing psychiatric disorders after childhood trauma experiences.

• 생물정신의학
• /
• 제24권4호
• /
• pp.196-203
• /
• 2017

Objectives Childhood trauma increases substantial risks for later developing not only mental health issues including psychotic illnesses such as schizophrenia but also physical illness. In this study, possible associations of childhood trauma with metabolic syndrome and physical heath indices were tested among outpatients with schizophrenia. Methods A final sample of 46 adult outpatients with schizophrenia was recruited from an outpatient psychiatric unit of Hanyang University Guri Hospital. Participants completed the Childhood Trauma Questionnaire-Short Form (CTQ-SF), laboratory tests and physical measurement including Body Mass Index (BMI) and Waist to hip ratio (WHR). The Clinical Global Impression (CGI) scale and the Global Assessment of Functioning scale (GAF) were also administered. Results We did not find significant correlations between total scores of childhood trauma and any of these variables, but physical neglect was negatively associated with BMI (r = -0.329, p = 0.026) and waist circumference (r = -0.304, p = 0.040). Conclusions In this preliminary study, we noted that subtypes of childhood trauma could contribute to physical health status separately. Clinicians need to consider the possibility that childhood trauma may affect physical health as well as psychological aspect of schizophrenic illness.

• 한국간호교육학회지
• /
• 제25권2호
• /
• pp.263-272
• /
• 2019

Purpose: The purpose of this study was to identify the moderating effect of interpersonal skills on the relationship between childhood emotional trauma and depression. Methods: From June to July, 2017, a convenience sample of 226 nursing students was recruited. Research data were collected through self-report questionnaires and analyzed using SPSS version 22.0. Results: 68.1% (154) respondents experienced emotional abuse, and 48.1% (110) emotional neglect in childhood emotional trauma. The average depression score was 10.76. There were 54.4% (123), 34.5% (78), 12.8% (29), and 7.1% (16) of respondents with mild, moderate, and severe depression, respectively. The average interpersonal skills score was 3.59. There was a significant correlation between childhood emotional trauma (emotional abuse, emotional neglect), interpersonal skills and depression. And the moderating effect of interpersonal skills on the relationship between childhood emotional neglect and depression was significant. Conclusion: Interpersonal skills play a role as a moderating variable influencing the relationship between emotional neglect of childhood emotional trauma and depression, and also reduce the effects of childhood emotional trauma on depression. When developing a depression prevention program for nursing college students, such programs should consider strategies to reduce the negative effects of childhood emotional trauma and to improve interpersonal skills.

• 동의신경정신과학회지
• /
• 제26권2호
• /
• pp.79-88
• /
• 2015

Objectives: The purpose of this study is to investigate the effects of the M&L Trauma Psychotherapy Program on: Impact of Event Scale - Revised (IES-R-K); Euro QOL-5 Dimension (EQ5D); Five-facet Mindfulness Questionnaire (FFMQ); and psychological tests. Methods: Eight middle-aged women subjected to domestic violence participated in the two-day M&L Trauma Psychotherapy Program. The Program was executed 5 times 2 days for about 3 hours. We evaluated IES-R-K, EQ5D, FFMQ, Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), State-Trait Anger Expression inventory (STAXI) and SUDS before the Program and for four weeks afterwards, to analyze the effects of the M&L Trauma Psychotherapy Program. Results: The scores of IES-R-K, BDI, STAI-S, STAI-T, Hwa ST and Hwa CT decreased significantly (p<0.05). EQ5D scores increased significantly (p<0.05) and overall physical condition scale (VAS) increased. In the FFMQ scores, all five facet scores increased slightly. Scores of SUDS decreased significantly right after the program, and remained decreased four weeks later, rather than before the Program (p<0.05). Conclusions: The results suggested that the M&L Trauma Psychotherapy Program improved post-traumatic stress, quality of life and mindfulness skills, and had positive responses to psychological problems - depression, anxiety, anger and distress.

• 정신신체의학
• /
• 제6권1호
• /
• pp.28-34
• /
• 1998

Objective: This study was designed to evaluate the etiological factors of the PTSD(post traumatic stress disorder) by examining the relationship between severity of physical trauma and subsequent the severity of PTSD symptom in traffic accident related PTSD patients. Method: Subjects were 21 psychiatric inpatients with history of traffic accident related PTSD(DSM-IV criteria), the purpose of evaluation of mental disability and no evidence of organic brain leisons. The severity of physical trauma was assessed by McBride number of nonpsychiatric department and the presence / absence of loss of conciousness. The severity of PTSD symptom was assessed by Hovens' self rating inventory for PTSD. And then we evaluated the correlation between these two factors. And we also evaluated relationship between severity of PTSD symtom and clinical variables. Results : There were no significant relationship between McBride number of nonpsychiatric department severity and symptomatic severity(r= 0.17, p<0.05), the presence / absence of loss of conciousness and symptomatic severity(p>0.05). And significant relationship between symptomatic severity and clinical varibles such as sex, education level, marital status(p<0.05). Conclusions : These data did not support data of previous studies that traumatic severity was correlated with symptom severity but, suggested that other variables affecting the severity of PTSD symptom is more important indirectly. And that the 'trauma' in PTSD is psychological meaning rather than physical meaning is also suggested.

• 한국심리학회지 : 문화 및 사회문제
• /
• 제22권3호
• /
• pp.411-430
• /
• 2016

본 연구는 재난 뉴스를 통한 간접 외상 노출의 심리적 영향을 살펴보기 위해 수행되었다. 참가자들(N=439)은 세월호 사건이 발생한 지 평균 68.11(±18.47)일이 경과한 후 일련의 자기 보고식 질문지를 작성하였으며, 여기에는 외상후 위기 체크리스트(Posttraumatic Risk Checklist: PRC), 사건 충격 척도(Impact of Event Scale-Revised: IES-R) 및 다차원적 죽음불안 척도(Multidimensional Fear of Death Scale: MFODS)가 포함되었다. 재난 뉴스노출과 외상후 스트레스 증상의 관계에서 죽음불안, 외상당시 및 외상후 위기의 매개효과를 살펴보기 위해 구조방정식을 수행하였다. 그 결과, 죽음불안, 외상 당시 및 외상 후 위기는 초기 뉴스노출과 외상후 스트레스 증상 간의 관계를 유의하게 매개하였다. 이러한 결과는 재난 직후의 뉴스노출이 죽음불안에 영향을 주고, 이것이 외상당시 및 외상후 위기를 유발하며, 이러한 위기 요인들이 외상후 스트레스 증상을 증가시킬 수 있음을 의미한다. 마지막으로, 본 연구의 제한점과 미래 연구를 위한 제안이 논의되었다.

• 한국심리학회지 : 문화 및 사회문제
• /
• 제29권1호
• /
• pp.53-74
• /
• 2023

본 연구의 목적은 재난 뉴스의 점화 효과를 확인하는 것이다. 특히 재난과의 지리적 거리와 심리적 거리에 따라 외상점화 효과 및 중립점화 효과에서 차이가 나는지를 검증하는 것이었다. 본 연구의 참가자는 대구 지하철 화재 사건을 직접 경험한 적이 없고, 스크리닝 설문에서 배제 기준에 해당되지 않는 대학생 75명이었으며, 모든 참가자는 뉴스 동영상을 시청한 후 어휘판단과제를 수행하였다. 설계는 2(지리적 거리) × 2(심리적 거리) × 2(점화 유형) 혼합 설계를 사용하였다. 본 연구의 결과를 요약하면 다음과 같다. 첫째, 재난으로부터 지리적으로 가까운 집단이 먼 집단에 비해 점화 효과가 큰 경향성을 보였다. 둘째, 재난으로부터 심리적으로 가까운 경우, 지리적으로도 가까운 집단이 지리적으로 먼 집단에 비해 점화 효과가 큰 것으로 나타났다. 셋째, 재난으로부터 지리적으로 가까운 집단이 먼 집단에 비해 중립점화 효과가 크게 나타났다. 넷째, 재난으로부터 심리적으로 먼 집단이 가까운 집단에 비해 중립점화 효과가 크게 나타났다. 요약하면, 재난 뉴스가 사람들에게 암묵적으로 영향을 미칠 수 있으며, 지리적 거리와 심리적 거리에 따라 그 영향이 달라질 수 있음이 확인되었다. 마지막으로, 본 연구의 한계점과 후속연구를 위한 제언이 논의되었다.

• 대한불안의학회지
• /
• 제13권1호
• /
• pp.1-9
• /
• 2017

We reviewed the scientific literature on psychological effects of Chemical, Biological, Radiological, Nuclear, Explosive (CBRNE) disaster, which is one of the biggest threat to modern society. CBRNE disaster has the potential to cause specific physical symptoms and psychological distress in victims ; moreover, various toxic symptoms and carcinogenesis/mutation would be an important issue. Bioterrorism can cause localized outbreaks of infectious disease or pandemic disaster. Somatization as well as posttraumatic stress symptoms and depression are the characteristic psychological symptoms in CBRNE disaster's victims. CBRNE disasters could lead to large-scale public fear and social chaos due to the difficulties involved in verifying the extent of exposure and unfamiliar area to the common people. In the evacuation process, problems associated with adjustment and conflict between victims and residents should be considered.