• 생물정신의학
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• 제2권2호
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• pp.193-204
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• 1995

Traumatic brain injury(TBI) used to be developed after a severe traumatic event. Therefore TBI usually induces acute or chronic stress reaction. I reviewed the concept, epidemiology, biological or psychosocial etiology, diagnosis and treatment of post-traumatic stress disorder (PTSD), and discussed about PTSD or stress reaction after TBI. Early evaluation and management of stress reaction after TBI are important.

• 임상간호연구
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• 제28권2호
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• pp.99-111
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• 2022

Purpose: This study aimed to identify the relationship between the experiences of workplace violence and post-traumatic stress disorder and the moderating effect of resilience and social support at work on the relationship in tertiary hospital nurses. Methods: This was a descriptive correlation study to confirm the moderating effect of resilience and social support at work on the factors affecting post-traumatic stress disorder for nurses who have experienced violence. A total of 146 registered nurses were recruited from a tertiary hospital from March to July 2020. The Participants who worked for more than one year and experienced violence at work completed self-reported questionnaires that measured the experiences of workplace violence and post-traumatic stress disorder, resilience, social support at work, and demographic information. The collected data were analyzed using t-test, ANOVA, Pearson's correlation coefficient, and hierarchical regression analysis. Results: The nurses experienced verbal abuse an average of 3.70±2.06 times a week, physical threat an average of 2.30±1.71 times a month, and physical assault an average of 0.76±0.82 times a year. The Experiences of workplace violence were significantly increased post-traumatic stress disorder. The result also showed that resilience moderated the relationship between the experience of verbal abuse and post-traumatic stress disorder in hospital nurses. However, there was no significant moderating effect of social support between workplace violence and post-traumatic stress disorder. Conclusion: The experiences of workplace violence influenced post-traumatic stress disorder in nurses and were moderated by resilience. Therefore, hospital administrators need to develop and provide a workplace violence prevention and resilience reinforcement program to reduce post-traumatic stress disorder in nurses. In addition, we suggest further research on the effect of social support in a workplace on the experiences of violence.

• 동의신경정신과학회지
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• 제22권3호
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• pp.75-85
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• 2011

Objectives : In this case report, we will present three patients diagnosed with acute stress disorder or post-traumatic stress disorder improved by application of oriental medical treatments. Methods : We treated three patients with acute stress disorder or post-traumatic stress disorder by oriental medical treatments. The effect of oriental medical treatments were evaluated by STAI and clinical symptoms such as anxiety, insomnia, palpitation, startle response. Results : As a result of oriental treatments, clinical symptoms such as anxiety, insomnia, palpitation, startle response were improved, and STAI scores also decreased. Conclusions : These results suggest that oriental treatments may have an effect on acute stress disorder and post-traumatic stress disorder.

• 한국콘텐츠학회논문지
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• 제12권9호
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• pp.211-216
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• 2012

이 연구에서는 경찰관의 조직적인 특성과 외상후 스트레스 장애 수준의 관계를 비교 분석하여 조직적 특성에 따른 외상후 스트레스 장애에 대한 영향을 확인하고자 하였다. 이를 위해 일원변량 분산분석(One-way ANOVA)을 실시하였다. 계급에 따른 외상후 스트레스 장애 수준에서는 유의미한 차이가 발견되지 않았는데, 경사, 순경 경장, 경위 이상 순이었다. 유의미한 수준은 아니지만 비간부 집단이 간부 집단보다 외상후 스트레스 장애 수준이 높게 나타났다. 근무관서에 따른 외상후 스트레스 장애 수준에서는 유의미한 차이가 발견되었는데, 지구대 파출소, 경찰서, 지방경찰청 순이었다. 이는 일선 경찰관서에서 근무하는 경우에 외상경험에 노출될 가능성이 높기 때문일 것이다. 근무부서에 따른 외상후 스트레스 장애 수준에서는 유의미한 차이가 발견되었는데, 생활안전, 수사 형사, 경비 교통, 내근 순이었다. 외근직이 외상경험에 노출될 가능성이 높기 때문에 내근직 보다 높게 나타났다. 근무기간에 따른 외상후 스트레스 장애 수준에서는 유의미한 차이가 발견되지 않았는데, 1년 이하, 2-10년, 11-19년, 20년 이상 순이었다. 특히 1년 이하 경찰관의 경우 외상후 스트레스 장애 수준이 상대적으로 매우 높게 나타났다. 근무하는 행정구역의 규모에 따른 외상후 스트레스 장애 수준에서는 유의미한 차이가 발견되지 않았고, 중소도시(50만 이상), 대도시(50만 이상), 광역시 이상, 군단위 이하 순으로 나타났다.

• 동의신경정신과학회지
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• 제14권1호
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• pp.175-181
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• 2003

A lot of research have been done so far in terms of traffic accident sequela, but most of them have stressed simply on physical treatments, resulting in less attention to the psychological ones. This is a case report of a patient with post-traumatic stress disorder. Although that is simply following in the wake of past therapy, we were experienced an improved case of post-traumatic stress disorder patient treated by herbal medicine, acupuncture, mental therapeutics. This case effectively describes the characteristics of the post-traumatic stress disorder, and it also suggested one approach for the treatment of the disease. This report is for the better understanding of the disease, and also the search for the advanced treatments to it hereafter.

• 대한안전경영과학회지
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• 제24권2호
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• pp.143-154
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• 2022

Korea has the highest suicide rate in the world, and firefighters have the highest suicide rate among the professional population. As a result of the study, post-traumatic stress disorder education is essential in all occupations. Post-traumatic stress disorder is the most common disease and the biggest obstacle for firefighters in Korea. Firefighters who have suffered physical and mental damage in many types of disaster sites due to their extreme occupations are rapidly increasing the suicide rate in recent years. In order to maximize the effect of job training, education on post-traumatic stress disorder from new employees to leadership training is urgently needed.

• 한국응급구조학회지
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• 제23권2호
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• pp.33-42
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• 2019

Purpose: This study aimed to identify the effects of post-traumatic stress disorder intervention programs on firefighters through a meta-analysis. Methods: Seven studies were selected for meta-analysis. The overall average effect size, effect sizes for each intervention variables, and publication bias were analyzed using Comprehensive Meta-Analysis(CMA) version 2.0 (Biostat, Englewood, NJ, USA). Results: Post-traumatic stress disorder intervention programs were found to have a very low, not statistically significant effect (effect size=-.171, confidence interval=-0.361~0.019, Z=-1.768, p>.05). However, these programs was less than 50 (effect size=-.622). Conclusion: The results of this study suggest that further research on the effects of post-traumatic stress disorder intervention among firefighters is needed in order to develop more effective programs.

• 한국산학기술학회논문지
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• 제16권1호
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• pp.116-128
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• 2015

본 연구의 목적은 외상성 사건 경험이 외상 후 스트레스 장애에 미치는 영향에 있어서 스트레스 대처양식의 매개효과를 알아보고자 하는데 있다. 연구목적을 달성하기 위해 제주지역 경찰관서 4개소에서 경찰관을 대상으로 총 297명의 사례를 분석하였다. 연구가설을 검증하기 위하여 Baron & kenny의 회귀분석 4단계를 거쳐 매개 효과를 검증하였고, Sobel Test를 실시하여 매개효과에 대한 유의도를 검증하였다. 외상성 사건 경험 이후 외상 후 스트레스 장애 증상의 발현 사이의 경로를 확인함으로써 적절한 외상 후 스트레스 장애에 대한 개입 프로그램을 설정하는데 도움을 주고, 궁극적으로 제주지역 경찰관들이 외상 후 스트레스에서 벗어나 긍정적이고 역동적인 근무 환경을 조성하는데 도움을 줄 것이다.

• 동서간호학연구지
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• 제28권2호
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• pp.170-178
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• 2022

Purpose: This study aimed to identify the factors influencing post-traumatic stress disorder in intensive care unit nurses in dedicated hospitals for coronavirus disease of 2019 (COVID-19) during the peak of the outbreak. Methods: This study used a cross-sectional correlational design. A total of 100 participants completed questionnaires comprising the Impact of Event Scale-Revised (IES-R), coping strategy indicator, social support, and post-traumatic growth. Post-traumatic stress disorder was classified as normal, mild risk, and high risk. Data were analyzed using 𝛘² test, Fisher's exact test, Kruskal-Wallis test with multiple comparison analysis, Pearson correlation coefficient, and multinominal logistic regression analysis. Results: Fifty seven nurses (57.0%) had a high risk of post-traumatic stress. Higher levels of post traumatic stress were associated with higher levels of social support seeking, and higher levels of avoidance, and lower levels of social support from supervisors. Higher post traumatic growth was correlated with higher social support for seeking coping, and problem solving coping strategies, and social support from supervisors and colleagues. Post-traumatic stress risk was associated with social support seeking and supervisors' social support. In addition, a higher risk of post-traumatic stress was related to COVID-19 work duration and supervisors' social support. Conclusion: Supportive programs, including increasing social support and building coping skills, may be suggested to safeguard the mental health of critical care nurses during the pandemic.

• 여성건강간호학회지
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• 제23권2호
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• pp.145-153
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• 2017

Purpose: This study examined degrees of irrational parenthood cognition, post traumatic stress disorder (PTSD), spousal support, and quality of life and investigated factors that influence the quality of life of infertile women. Methods: Research design was a cross sectional correlational survey with a total of 113 female patients receiving treatment for infertility. Data were collected from August 1 to November 30, 2015. The collected data were analyzed using t-test, ANOVA, Pearson's correlation, and multiple regression analysis. Results: The mean score of the quality of life was $59.0{\pm}14.8$. The quality of life was significantly associated with irrational parenthood cognition (r=-.70), post traumatic stress disorder (r=-.65), and spousal support (r=.56). The factors significantly affecting the quality of life in infertile women were irrational parenthood cognition (${\beta}=-.45$), post traumatic stress disorder (${\beta}=-.34$), and spousal support (${\beta}=-.32$). The explained variance by these factors was 70.4%, and the regression model was valid (F=89.81, p<.001). Conclusion: This study may contribute to the development of nursing intervention program to improve the quality of life of infertile women.