• 제목/요약/키워드: Psychological trauma

검색결과 158건 처리시간 0.026초

불임 치료 임부의 스트레스, 우울 및 태아애착 (Stress, Depression, and Fetal Attachment in Pregnant Women having Infertility Treatments)

  • 김미옥
    • 여성건강간호학회지
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    • 제20권2호
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    • pp.163-172
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    • 2014
  • Purpose: The purpose of this study was to determine the stress, depression, and fetal attachment of pregnant women who underwent infertility treatment, and to identify factors associated with fetal attachment. Methods: As a correlation survey design, data were collected from 136 pregnant women who underwent infertility treatment. Data were analyzed using ${\chi}^2$-test, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: Stress, depression, and fetal attachment averaged $3.01{\pm}0.60$ (range of scale 1~5), $10.02{\pm}6.51$ (out of a possible 63), and $3.64{\pm}0.55$ (range of scale 1~5), respectively. Level of fetal attachment was higher when mother's age was less than 35, having other children, and having prenatal education experience. Lower score of depression and client's age less than 35 were significant factors affecting fetal attachment. Conclusion: Infertility is a life-affecting trauma for the individual, and personal and social changes due to infertility cause physical and psychological difficulties even after a successful pregnancy with infertility treatment. Therefore, prenatal management programs need to be developed giving consideration to the emotional and physical changes in order to promote physical and psychological stability in the women pregnant following infertility treatment.

사상사고에 노출된 기관사의 경험에 대한 현상학적 연구 (A Phenomenological Study on the Lived Experience of Train Operators Exposed to Person under Train (PUT))

  • 김영주;최희승
    • 지역사회간호학회지
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    • 제28권1호
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    • pp.98-106
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    • 2017
  • Purpose: To understand the meaning of the lived experience with Person under train (PUT) for train or subway operators. Methods: The study was built on hermeneutic phenomenological themes from individual interviews of present-day train or subway operators in South Korea. Eight participants were selected to participate in the study. All qualitative data were analyzed using the heuristic guides of Van Manen. Results: Four fundamental lifeworld themes and eight sub themes emerged in the findings. The first theme of spatiality had'the place pressed by the darkness' and 'the train drags me there'. The second theme, corporeality had 'a foreboding fear', and 'debris of death that gets stuck in the whole body'. The temporality theme had'distorted time in chaos', and 'memory trapped in time'. Finally the last existential theme of relationality had 'intrapersonal encounter' and 'resentment and guilt'. Conclusion: The four existential lifeworld themes provided a framework for in-depth investigation of the operator's "lived experience." This leads to clear understanding of effects of PUT experience on related individuals. The findings imply that specific active nursing intervention strategies are necessary in order to treat affected train operators, and to prevent further issues in their work and private life.

정신건강의학과 외래환자 대상 한국판 외상 증상 체크리스트(Trauma Symptom Checklist-40)의 타당도 연구 (Validation of the Korean Version of the Trauma Symptom Checklist-40 among Psychiatric Outpatients)

  • 박진;김대호;김은경;김석현;윤미림
    • 정신신체의학
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    • 제26권1호
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    • pp.35-43
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    • 2018
  • 연구목적 복합 외상을 겪는 경우에는 PTSD의 증상을 넘어선 증상들이 다양하게 나타난다. 그러나 그러한 다양한 증상을 평가하는 도구가 부족한 실정이다. 외상 증상 체크리스트-40은 자기보고식 검사로 아동기 혹은 성인기의 외상 경험과 관련된 이러한 다양한 증상들을 측정하기 위한 도구로 원척도 연구에서 높은 신뢰도와 타당도가 검증된 검사 도구이다. 이번 연구의 목적은 정신건강의학과 외래 환자를 대상으로 한국판 외상 증상 체크리스트-40 (KTSC-40)의 타당도를 검증하기 위해 설계 되었다. 방 법 한양대학교 구리병원 정신건강의학과 외래를 진료 목적으로 방문한 367명의 환자를 대상으로 하였다. 환자들의 자기보고식 평가 자료를 사용하였으며 외상 증상 체크리스트-40 (TSC-40), 사건 충격척도 개정판(IES-revised), 일생 사건 체크리스트(LEC), Zung 자가평가 우울척도(Zung's Self-Rating Depression Scale), Zung 자가평가 불안척도(Zung's Self-Rating Anxiety Scale)를 이용하였다. 신뢰도는 내적 일치도(Cronbach's ${\alpha}$)로 산출하였고, 요인타당도는 Varimax 직각 회전을 이용한 탐색적 주성분 분석, 각 척도와의 수렴 및 공존 타당도를 위해서는 Spearman 상관분석을 하였다. 결 과 KTSC-40은 Varimax 직각회전을 이용한 주성분 요인 분석을 통해 7개의 요인을 추출하였고, 총 분산의 59.55%를 설명하였다. 이는 원척도 연구에서의 6개의 요인, 5개의 요인과 요인 수는 다르지만 그 내용은 비슷하였다. KTSC-40은 Cronbach's ${\alpha}$ 값이 0.94로 높은 내적 일치도를 가졌다. 또한 다른 PTSD scale과 우울, 불안 척도와의 비교에서 높은 수렴 및 공존 타당도를 보였다. 결 론 KTSC-40의 정신측정학 성질을 조사하여 우수한 타당도를 보이는 것을 확인하였다. 다만, 요인 분석에서의 원척도와의 약간의 차이를 보였는데 이는 문화적인 요소와 외상 관련 질환이 아닌 정신건강의학과 환자군 등 이질적인 외래 구성 집단에 따른 것으로 보인다. 결과적으로 KTSC-40은 높은 타당도로 향 후 다양한 임상영역에서 외상과 관련된 증상들을 평가 하는데 유용할 것으로 예상된다.

니키 드 생 팔의 트라우마를 통해 살펴본 아상블라주와 사격회화의 양면적 특성 (A Study on the Ambivalent Characteristic Displayed in Niki de Saint Phalle's Assemblages and Shooting Paintings by Looking Into Her Trauma)

  • 유가은
    • 미술이론과 현장
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    • 제6호
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    • pp.77-99
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    • 2008
  • The purpose of this study is to show that the reason behind the ambivalent characteristic displayed in Niki de Saint Phalle's works is in her trauma and how such characteristic can be extracted from her works. During her creative years, Saint Phalle worked on various materials from different genres such as assemblages, shooting paintings, a series on Bride and Monster, 'Nana', 'Tarot Garden'and public sculptures. One commonality found among her various works is the ambivalent characteristic that contains contrasting elements simultaneously. Saint Phalle suffered a terrible psychological damage inflicted by her parents during her childhood. Specifically, she was sexually assaulted by her father and emotionally neglected by her mother, the trauma that affected her for the rest of her life. As a result, she came to develop extreme love- hate relationships with her parents and this became the main reason for the ambivalent characteristic displayed in her works. The love-hate relationship Saint Phalle developed can be identified through various researches done on the subject of the affect of sexual assault. It is common for incest victims to develop ambivalent feelings towards the perpetrator and Saint Phalle was no exception. Dissociation disorder and a snake well explain the trauma from her father. It is a generally accepted belief in the field of psychology that dissociation disorder commonly occurs to children who experience incest. And dissociation disorder is similar to the characteristic of ambivalence in the sense that a single entity contains more than two contrasting elements at the same time. In addition, the amputated doll objects used in her assemblages coincide with the expression of body detachment of people with dissociation disorder. These facts clearly indicate that the trauma from her father is showing through in her works. A snake is a subject matter that reflects the ambivalent tendency of Saint Phalle that resulted from her trauma. She remembers her father's rape as an image of a snake which is related to a phallic symbol in mythology or art reflecting her trauma. Moreover, she displays a similar pattern of ambivalent emotion like love and hate or fear towards a snake and her father. This is also confirmed by her portrayal of a snake as a monster or reversely as a creature with fundamental vitality in her works. The lack of affection from her mother can be explained by her mother's maternal deprivation. It appears that Saint Phalle's mother possessed all the causes for maternal deprivation such as maternal separation, personality disorder and inappropriate attitude towards child rearing. Especially, a study that shows mother's negative attitude towards child breeding tends to increase dissociation experience of children is another important evidence that supports Saint Phalle's dissociation tendency. These traces of Saint Phalle's trauma are clearly revealed in her assemblages and shooting paintings. The violent objects in her assemblages such as a hammer, razor, nail represent the rage and defensiveness towards her father. The objects such as fragments of broken plates of feminine patterns, pots and mirrors that her mother used symbolize the affection towards her mother. On the other hand, the destructed objects can be interpreted as her hate and resentment towards her mother. Shooting paintings contain her extreme fury and hate. Things such as acts of shooting and the image associated with blood after shooting are blunt expressions of her bursts of emotions. I have tried to define and classify the ambivalent characteristics shown in her assemblages and shooting paintings as hate, rage, violence, calm, love and pleasure according to the frame of Thanatos and Eros. Out of the six, hate, rage, violence and clam are associated with Thanatos while love and pleasure are associated with Eros and they correspondingly form an ambivalent structure. These ambivalent characteristics can be found in her assemblages and shooting paintings. The objects in her assemblages such as a razor, saw, hammer imply hate, rage, violence and the silence felt throughout her works represent calmness. And, as mentioned, the feminine objects can be seen as symbolizing love. In shooting paintings, hate, rage, violence can be found in the use of force and in the traces of watercolor after shooting, and a sense of pleasure in her feelings of catharsis after her shooting. Moreover, a shielded calmness can be found on the plywood all covered with plaster before the shooting. This study looked into the ambivalent characteristic of Saint Phalle's works by examining her trauma to find its correlation, and a meaning of this study can be found from the fact that it refocused the origin of Saint Phalle who is generally known as a feminist artist. Additionally, a meaning of the study can be found also from the fact that it examined the ambivalent characteristics of her works through a frame of Thanatos and Eros.

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우수 알파인스노보드 선수의 심리적 부상요인 (Psychological Injury Factors of Excellent Alpine Snowboard Athlete)

  • 유하나;최재원;강성구;이경하
    • 융합정보논문지
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    • 제11권1호
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    • pp.143-155
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    • 2021
  • 본 연구의 목적은 우수 알파인스노보드 선수들을 대상으로 질적연구방법을 채택하여 그들의 부상요인을 심리적 관점에서 심층적으로 분석해 보고자 한다. 이에 국가대표 및 국가대표 후보팀 경력 등 다양한 입상 경력을 가진 우수 알파인스노보드 선수 4명을 대상으로 심층면담을 실시하였으며 결과는 다음과 같다. 우수 알파인스노보드 선수들의 부상요인 중 심리적 관점의 요인에서는 '특성불안', '성격특성', '주요타자기대', '능력과 기대의 불일치', '부상 트라우마'의 5개 요인으로 도출되었다. 5개 심리적 부상요인은 연구대상자의 원자료를 사례 중심적으로 표현하였으며, 실증적이고 현장 중심적인 면담자료는 미래의 알파인스노보드 선수들 및 코치진들에게 부상에 관련한 심리적 요인들을 심층적으로 분석할 수 있을 것이라고 판단된다. 또한 더 나아가 부상에 대한 예방 및 대책 수립에 관한 근거자료로 활용될 수 있을 것이라 사료되며 이러한 모든 자료는 국내 설상 종목의 운동선수들의 경기력과 운동선수로서 삶의 질에 긍정적인 효과를 가져다주는 기초자료로 활용될 수 있을 것이다.

성인 출소자의 아동기 외상과 가족기능성과의 관계에서 분노표현방식의 매개효과검증 (The Mediating Effect of Ex-offenders, Anger Expression between the in Childhood Trauma and Family Functioning)

  • 이아름;김지윤;이동훈
    • 한국콘텐츠학회논문지
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    • 제19권3호
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    • pp.100-113
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    • 2019
  • 본 연구는 출소자를 대상으로 아동기 외상과 가족기능성과의 관계를 분노표현방식이 매개하는지 알아보고자 하였다. 이를 위해 한국법무보호복지공단에서 주거지원을 받고 있는 출소자 500명을 대상으로 자료수집을 하여 최종 400명의 자료로 구조모형분석을 실시하였다. 분석 결과, 첫째, 아동기 외상은 가족기능과 부적상관을 나타냈고, 아동기 외상과 기능적 분노표현방식인 분노조절은 부적상관을 나타낸 반면, 역기능적 분노표현방식의 하위요인인 분노표출, 분노억제와는 정적상관을 나타냈다. 또한 기능적 분노표현방식인 분노조절은 가족기능성과 정적 상관을 나타낸 반면, 역기능적 분노표현방식인 분노표출, 분노억제는 가족기능성과 부적 상관을 나타냈다. 둘째, 아동기 외상경험과 가족기능과의 관계에서 기능적 분노표현방식인 분노조절과 역기능적 분노표현방식인 분노표출, 분노억제의 매개효과를 검증한 결과, 분노조절과 분노표출, 분노억제가 아동기 외상경험과 가족기능과의 관계를 부분매개하는 것으로 나타났다. 구체적으로는 아동기 외상경험과 가족기능과의 관계에서 분노조절은 가족기능에 긍정적인 영향을 미치는 반면, 분노표출 및 분노억제는 가족기능에 부정적인 영향을 미치는 것으로 확인되었다. 연구결과를 토대로 논의 및 시사점이 제시되었다.

PTSD 환자의 피해 사고 및 피해 사고에 기여하는 심리학적 요인 (Idea of Persecution and Psychological Factors Associated With Idea of Persecution in Patients With PTSD)

  • 이승윤;문영경;이소라;최하연
    • 정신신체의학
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    • 제31권2호
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    • pp.155-164
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    • 2023
  • 연구목적 본 연구는 외상 후 스트레스 장애 환자(Post-traumatic stress disorder, PTSD) 중 Clinician-Administered PTSD Scale (CAPS) Minnesota Multiphasic Personality Inventory-2 (MMPI-2)를 시행한 환자들을 대상으로 피해 사고에 영향을 미치는 요인을 확인하고자 한다. 방 법 2013년 5월부터 2020년 4월까지 중앙보훈병원에서 CAPS와 MMPI-2를 시행한 116명의 환자를 후향적으로 검토하였다. CAPS 점수를 기준으로 하여 환자들은 PTSD군(n=63, 연령: 58.16±17.84)과 외상 노출이 있는 비PTSD군(n=53, 연령: 67.34±12.05)으로 나뉘었다. 피해사고, CAPS 및 MMPI-2의 척도들 간의 상관 관계를 확인한 후 임상적으로 관련된 위험 요인을 확인하기 위해 선형 회귀 분석을 시행하였다. 결 과 PTSD 군은 외상 노출이 있는 비PTSD 군에 비해 MMPI-2에서 정신분열증, 피해 사고, 역기능적 부정적 정서, 기태적 경험, 정신증, 부정적 정서성/신경증, 불안, 우울, 분노 척도에서 유의한 차이를 보였다. 피해 사고와 CAPS, MMPI-2의 상관 관계를 보았을 때, 피해 사고와 MMPI-2 항목들 간에는 통제 결여 항목을 제외하고 강한 관련성을 보였다. PTSD 군에서 다중선형회귀분석을 통해 역기능적 부정적 정서 및 분노 척도가 피해 사고의 위험 요인임을 확인하였다. 결 론 PTSD 군은 외상 노출이 있는 비 PTSD 군에 비해 피해 사고가 높게 나타나고, 역기능적 부정적 정서 및 분노 척도가 피해 사고의 위험 요인일 수 있어 이에 대해 평가하고 적절한 치료를 제공하는 것이 필요하다.

로버트 로월 "인생연구"에 나타난 고백시의 특징 (The characteristics of confessional poetry in Robert Lowell's Life Studies)

  • 양현철
    • 영어어문교육
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    • 제16권3호
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    • pp.253-268
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    • 2010
  • Robert Lowell is one of the major poets in the modern American poetic world. His major work, Life Studies, is a representative of confessional poetry. It presented American spiritual civilization and universality for life from the late 1950s to 1960s. It dealt with the subject of the poet's private life under the psychological pressure. Lowell described his distinctive vision of the relationship of painful world and suffering self in his poetry. An important feature of his confessional poems was the criticism on modern civilization by means of characterization. Life Studies was written as a kind of therapy to overcome his early trauma, as well as the social problems of contemporary Americans which Lowell was confronted with. Through his personal experiences, Lowell exposed and judged the collapse of traditional value and moral confusion in the society. Therefore, he is a poet who opened his own world of poetry with his poetic achievements.

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Examining the Role of Psychosocial Stressors in Hypertension

  • Komal, Marwaha
    • Journal of Preventive Medicine and Public Health
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    • 제55권6호
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    • pp.499-505
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    • 2022
  • Despite advances in medicine and preventive strategies, fewer than 1 in 5 people with hypertension have the problem under control. This could partly be due to gaps in fully elucidating the etiology of hypertension. Genetics and conventional lifestyle risk factors, such as the lack of exercise, unhealthy diet, excess salt intake, and alcohol consumption, do not fully explain the pathogenesis of hypertension. Thus, it is necessary to revisit other suggested risk factors that have not been paid due attention. One such factor is psychosocial stress. This paper explores the evidence for the association of psychosocial stressors with hypertension and shows that robust evidence supports the role of a chronic stressful environment at work or in marriage, low socioeconomic status, lack of social support, depression, anxiety, post-traumatic stress, childhood psychological trauma, and racial discrimination in the development or progression of hypertension. Furthermore, the potential pathophysiological mechanisms that link psychosocial stress to hypertension are explained to address the ambiguity in this area and set the stage for further research.

Diagnosis of complex regional pain syndrome

  • Kim, Young-Do
    • Annals of Clinical Neurophysiology
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    • 제24권2호
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    • pp.35-45
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    • 2022
  • Complex regional pain syndrome (CRPS) is a chronic regional pain disorder that most frequently affects the limbs. It is characterized by hyperalgesia, allodynia, edema, motor disturbance, and vasomotor instability, and typically occurs following surgery or trauma. In type-I CRPS there is no confirmed nerve injury, while peripheral nerve injury is present in type-II CRPS. The multifactorial pathophysiological etiology of CRPS includes inflammation, autoimmune responses, abnormal cytokine production, autonomic dysfunction, altered blood flow, psychological factors, and central cortical reorganization. There are no specific laboratory diagnostic tools for CRPS, and so it is diagnosed clinically. The Budapest criteria are currently the most-accepted diagnostic criteria.