• Journal of Oriental Neuropsychiatry
• /
• v.14 no.2
• /
• pp.191-198
• /
• 2003

Dissociative amnesia is a psychiatric disorder charicterized by a sudden loss of memory, but which has no organic disease or explanation, It usually occurs after severe psychosocial stress or traumatic experience. As for medical treatment, medicine, psychotherapy and hypnosis are used. This case describes a 35-years-old woman who developed amnesia and depression following severe troublesome events. So she suited without expression and appealed against headache, dizziness, chest discomfort and weakness. Psychoanalytic psychotherapy was enforced for three days with hypnosis. She expressed the felling over the incident which she dose not like, and canceled in the past. She became reconciled with the family and left the husband by the heart. Then she recovered memory completely and body condition also improved. Recovery and growth of self were helped using supportive expression in order to prevent a recurrence. The prognosis is good with complete recovery, and there was no relapse.

• Journal of Oriental Neuropsychiatry
• /
• v.31 no.3
• /
• pp.157-168
• /
• 2020

The number of disasters caused by natural or human-made events such as earthquakes, tsunamis, floods, typhoons, industrial disasters, and the recent outbreak of COVID-19 has increased and the damage caused by such disasters is increasing every year. Disasters can cause physical destruction and also have unexpected psychological impacts, such as post-traumatic stress disorder (PTSD). Ear acupuncture is a treatment modality that can be helpful for both physical and mental health problems. Since ear acupuncture is a cost-effective, flexible, and safe treatment tool, it has the potential to provide medical assistance in disasters. The National Acupuncture Detoxification Association (NADA) auricular acupuncture protocol, originally developed for addiction treatment, has been used for mental illness and behavioral symptoms in both community health settings and in a variety of disaster, terror, and refugee settings. In this review, we introduced the NADA protocol, including its history, features, training, clinical evidence, and cases in disaster settings, suggesting that the NADA protocol could be utilized as a disaster medical support model in Korean medicine.

• Korean Journal of Occupational Health Nursing
• /
• v.23 no.2
• /
• pp.80-88
• /
• 2014

Purpose: The purpose of this study is to verify the factors that determines burnout of nurses in emergency department. Methods: The survey was given to 170 ED nurses which are located in Busan from July 1st to August 31st of 2012. The results were analyzed by descriptive statistics, t-test, ANOVA, pearson correlation coefficients and stepwise multiple regression using SAS 9.2 program. Results: There were statistically significant differences in burnout depending on gender, position, workplace satisfaction, job satisfaction. Significant positive correlation between compassion fatigue and burnout was found. Also significant negative correlation was found between self-esteem, compassion satisfaction and burnout. Factors influencing burnout were self-esteem, compassion satisfaction and compassion fatigue with $R^2$ value 58.0%. Conclusion: Considering these results, it seems that great efforts will be needed for reducing burnout by mitigating the emergency nurses' compassion fatigue and introducing programs to increase the self-esteem and compassion satisfaction.

• Anxiety and mood
• /
• v.13 no.1
• /
• pp.17-24
• /
• 2017

Objective : The purpose of this study was to investigate the effectiveness of the mental health improvement program in Korean firefighters. Methods : A total of 502 firefighters working at Daegu, Ulsan and Gumi participated in the mental health improvement program for an 8-week period. The program included evaluation and counseling as well as psychoeducation for mental health awareness. Subjects were divided to two groups including the PTSD high risk group and PTSD non-high risk group. Results : The program resulted in a significant decrease in mean scores of depression and insomnia for all firefighters. PTSD high risk group showed a significantly higher level of depression, anxiety, and insomnia. Multiple logistic regression analysis with PTSD high risk group as a dependent variable indicated that moderate depression was a high-risk factor for PTSD in firefighters, as compared to no depression ; in addition, subthreshold and moderate insomnia was another risk factor. Conclusion : The evaluation and management of psychopathologies including depression and insomnia associated with traumatic events can be helpful to improve the mental health of firefighters.

• The Journal of Internal Korean Medicine
• /
• v.40 no.3
• /
• pp.551-556
• /
• 2019

Objectives: This study aimed to introduce a clinical case of asymptomatic microhematuria due to suspicion of kidney trauma following a motor vehicle accident. Methods: A 19-year-old male was hospitalized with the chief complaint of back pain after a motor vehicle accident. He showed an elevated urine red blood cell (RBC) level in the laboratory test, although no specific traumatic lesions were present on the body. He was assessed to have asymptomatic microhematuria, and Zhu Ling Tang (polyporus decoction) was given to him to be taken three times daily. Results: After the treatment, the level of urine red blood cells returned to normal range. Adverse events were not observed. Conclusions: Zhu Ling Tang caused a short-term improvement in the urinalysis levels of a patient with asymptomatic hematuria. However, further studies are needed, as this study is only a single-case report.

• Journal of Digital Convergence
• /
• v.17 no.2
• /
• pp.303-312
• /
• 2019

The purpose of this study was to describe the semantic system and process of posttraumatic growth experience of firefighters after colleague's suicide. Grounded theory methodology based on symbolic interactionism was utilized. The subjects of this study were 7 firefighters who experienced the colleague's suicide. Data were collected by using in-depth interviews from October 1 to November 30, 2015. The results showed that "Gradually becoming more resilient" was analyzed to be the core category of firefighters' posttraumatic growth. We derived four categories and nine subcategories. Based on the results, it is necessary to develop a convergence intervention program to promote posttraumatic growth of firefighters exposed to various traumatic events.

• Journal of Integrative Natural Science
• /
• v.11 no.4
• /
• pp.184-191
• /
• 2018

The purpose of this study was to investigate the disaster preparedness and professional quality of life among nurses in emergency departments. The participants in this study were 56 nurses in emergency departments in two cities. The data were collected by questionnaires survey from January to August 2016. All statistical analyses were performed using SPSS ver. 23.0 program. Participants' disaster preparedness was different according to position (t=-2.32, p=.004), type of working (t=-2.32, p=.004), and frequency of traumatic events (F=5.26, p=.009). There were significant differences by gender (t=2.88, p=.006), desire for continuous work in the emergency room (t=2.95, p=.005), and job satisfaction (F=10.81, p < .001) in compassion satisfaction. Burnout was different according to gender (t=-2.05, p=.045), choice of an emergency department (t=-2.37, p=.021), desire for continuous work in the emergency room (t=-2.31, p=.025), and job satisfaction (F=11.99, p < .001). Disaster preparedness and compassion satisfaction had positively significant correlations. Compassion satisfaction of nurses in emergency department was an important variable that should be considered to improve their disaster preparedness.

• Child Health Nursing Research
• /
• v.25 no.1
• /
• pp.9-16
• /
• 2019

Purpose: Childhood leukemia is a serious trauma affecting both adolescents and their parents, who experience painful process. However, adolescents with leukemia and their parents also experience positive changes, which is referred to as posttraumatic growth. We examined posttraumatic growth, core beliefs, impact of event, and event-related rumination in adolescents within 5 years of a diagnosis of childhood leukemia and their parents. Methods: The participants were 68 adolescents with childhood leukemia (aged 13~18 years) and their parents, who were recruited from C university hospital in Korea from May to September 2016. The Posttraumatic Growth Inventory, Core Belief Inventory, Impact of Event Scale-Revised, and Event-related Rumination Inventory were completed by the adolescents and their parents. The mean scores and correlations between variables were investigated for both set of participants. Results: Parents showed significantly higher levels of posttraumatic growth, disruption of core beliefs, impact of event, and invasive rumination than adolescents. Disruption of core beliefs and deliberate rumination were positively correlated with posttraumatic growth in both groups. Conclusion: Nursing intervention programs that involve modifying core beliefs and inducing a positive thought can help adolescents with leukemia and their parents grow after traumatic events.

• Korean Journal of Psychosomatic Medicine
• /
• v.16 no.2
• /
• pp.112-119
• /
• 2008

Objectives : Premenstrual syndrome(PMS) is known to occur in more than 80% of reproductive women. Since PMS is closely related to changes in sex hormones, biological factors are suspected to be associated with the syndrome, but there have been no consistent reports regarding biological causes. In that sense, it is postulated that the occurrence of PMS is much dependent on the biological aspects, but that the severity or characteristics of the syndrome is more dependent on the psychological factors. Studies focusing on psychological factors are based on the theory that symptoms of PMS and previous psychologically traumatic events are closely related. If the theory is valid, it can be further postulated that symptom severity of PMS is associated with dissociative symptoms, since traumatic events are known to be related to dissociative symptoms. In this study, we tried to find out the association of PMS symptom severity with previous abuse history and dissociative symptoms. Methods : Subjects for the study were 377 nurses working in Seoul, Kyung-gi, and Kyung-book. 183 subjects who submitted valid data entered the study. The presence and the symptom severity of PMS were rated using Daily Records of Severity of Problems(DRSP) and Shortened Premenstrual Assessment Form(SPAF). Dissociative symptoms were evaluated with Dissociation Experience Scale Korean version(DES-K). Previous physical/verbal abuse, sexual abuse, and parental spouse abuse experience were rated with correspondent abuse scales. Results : Subjects were divided into 3 groups as No PMS group, mild to moderate PMS group, and severe PMS group according to SPAF total score. There was a statistically significant difference in DES-K total score among 3 groups($x^2=14.966$, df=2, p=0.001). Physical/verbal abuse scale($x^2=14.397$, df=2, p=0.001), sexual abuse scale($x^2=8.376$, df=2, p=0.015), and parental spouse abuse scale($x^2=9.322$, df=2, p=0.009) also revealed a significant difference among 3 groups. Symptom severity of PMS using SPAF total score showed a positive correlation both with degree of dissociative experience and previous abuse experience. There was a statistically significant difference in both dissociative experience and previous abuse experience among 3 groups. Conclusion : These results show that there can be a possible association among PMS symptoms, dissociative symptoms, and previous psychologically traumatic experience.

• Korean Journal of Family Social Work
• /
• no.43
• /
• pp.87-110
• /
• 2014

This study is to understand the psychosocial experience in 'Cheonan Warship Incident Survivors'. The study question was how psychosocial experience in The Union of Family Bereaved by Cheonan Warship had been progressed. To answer this question 4 representers ofthe group and 2 reporters had been interviewed using a qualitative research method based on Phenomenology method. From this study the group's experience in had been revealed that they first crisis intervention are to identify and reinforce the strengths and coping skills of a one's family. Second, they gathered their opinion together and assigned the roles to the members, and then, requested what they want responding reasonably. The families' love, the representers' quick judgements and decisions, and the embarrassment of the military and media for the dead, who had been abandoned for long and decayed under the cold ocean, made the national support and respectful treatment possible for the dead and the family. The results of study will be applicable for individuals and groups, who need social work service as an empowerment intervention approach and crisis intervention are to identify and reinforce the strengths and coping skills of a one's family. The social worker's ability to anticipate, understand, and give therapeutic direction to the crisis reaction and the concerns of family members helps to bring around a successful crisis resolution. It is clear to us that wars, suicides, homicides in school settings, disaster and other events are providing unique challenges to social workers who are interested in learning more about the effects such events have on victims of traumatic events.