• 제목/요약/키워드: post-traumatic

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사이버 명예훼손 피해자의 외상 후 스트레스가 대처행동에 미치는 영향 : 합리적 행동 이론을 중심으로 (Effects of Cyber Defamation Victims' Post-Traumatic Stress on Coping behaviour : Focusing on the Theory of Reasoned Action)

  • 김영수;변상해
    • 디지털산업정보학회논문지
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    • 제15권1호
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    • pp.29-41
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    • 2019
  • The purpose of this study examined how post-traumatic stress, caused when internet users in web portal or social media are defamed in cyberspace, influence on coping behaviour, through the Theory of Reasoned Action's two major factors: Attitude on behaviour and subjective norm. In so doing, it aims to provide a technical and political solution that would fundamentally prevent future victims in cyberspace. In an effort to examine its research theory, a survey was conducted on people who have had the experience of being defamed in cyberspace. The results showed, first, hypersensual has no significant influence over attitude on behaviour and subjective norm. Second, intrusion has no significant influence over attitude on behaviour and subjective norm. Third, avoidance showed significant influence over attitude on behaviour and subjective norm. Fourth, attitude on behaviour and subjective norm showed significant influence on behaviour. This study has both theoretical and practical significance; Unlike previous studies on cyber defamation with qualitative research method, this study employed quantitative method through theory-based approach. In other words, the researcher did not arbitrarily set variables, but utilized the Theory of Reasoned Action for examination.

산재근로자의 외상후 스트레스 경험 (Experiences of Post-traumatic Stress among Industrially Injured Workers)

  • 한정원
    • 한국산업보건학회지
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    • 제31권4호
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    • pp.484-493
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    • 2021
  • Objectives: The purpose of this study is to understand and explain the meaning and nature of post-traumatic stress among industrially injured workers. Methods: In this study, Colaizzi's phenomenological research method and an in-depth interview were used, and data were collected from 8 industrially injured workers among adult men and women over the age of 20, those who are able to express their opinions, have experienced injuries due to industrial accidents, and those who have been injured for more than 6 months who had participated in the study from 1st May 2021 to 30th September. The in-depth interview with research participants took approximately 30 minutes to 90 minutes on average. Results: The research results were classified into five categories, eleven thematic collections, and 27 themes. The Five categories were 'maze with no exit', 'erased existence', 'impenetrable barrier', 'tightly closed iron gate', and 'overcoming reality hurdles'. Conclusions: This study can help understand and describe the experiences of post-traumatic stress among workers who have experienced industrial accidents by taking a phenomenological approach. It suggests the need for program intervention and institutional improvement for psychosocial rehabilitation as well as an institutional approach toward these targets.

COVID-19 완치자의 외상 후 성장 예측모형 (A Structural Equation Model for Posttraumatic Growth among Cured Patients with COVID-19)

  • 안수영;최희정
    • 대한간호학회지
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    • 제53권3호
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    • pp.309-323
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    • 2023
  • Purpose: This study aimed to develop and test a model for posttraumatic growth among cured patients with COVID-19. This model was based on Calhoun and Tedeschi's Posttraumatic Growth model and a literature review. Methods: The participants comprised 223 patients cured from COVID-19 who were ≥ 19 years of age. The data were collected through an online questionnaire from March 21 to 24, 2022. The assessment tools included the Impact of Event Scale: Revised Korean version, the Connor-Davidson Resilience Scale, the Distress Disclosure Index, the Multidimensional Scale of Perceived Social Support, the Korean version of the Event-related Rumination Inventory, and the Korean version of the Post-traumatic Growth Inventory. Data were analyzed using the IBM SPSS version 24.0 and IBM AMOS 26.0. Results: The modified model showed appropriate goodness of fit (χ2 = 369.90, χ2 /degree of freedom = 2.09, SRMR = .09, RMESA = .07, CFI = .94, TLI = .93). The post-traumatic growth of cured patients with COVID-19 was explained through distress perception, self-disclosure, and deliberate rumination, with the explanatory power being 70.0%. Conclusion: This study suggests preparing a disaster psychology program involving experts who can activate deliberate rumination is necessary. Further, this study may serve as basic data for developing a program to enhance the post-traumatic growth of patients cured from COVID-19.

외상성 횡격막 손상 치험 11례 (Traumatic diaphragmatic injuries: Report of 11 cases)

  • 이영;장일성;김인구;배진선;손기섭
    • Journal of Chest Surgery
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    • 제9권2호
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    • pp.323-327
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    • 1976
  • Eleven cases of traumatic diaphragmatic injuries were treated at the department of Surgery from Jan. 1972 to Nov. 1976 were reviewed in this study. 1. Sex ratio of the observed patients was 10 : 1 showing definitely high incidence male patients. 2. The age distribution in this series ranged from 4 to 49 years of age, and average age was 26 years age. 3. Seven cases were received blunt injury on lower chest and upper abdomen, three cases were stabbed by knife and gunshot injury case was on case 4. Six cases were diagnosed and treated early post-traumatic stage within 24 hours, three cases were repaired within I0 days, and the last case was repaired after 5 years post-trauma. 5. The operative mortality was 10% (1/10), the cause of death was liver failure, after right lobectomy of the liver for traumatic liver rupture.

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보육교사의 외상경험이 조직몰입에 미치는 영향 (The Effect of Childcare Teachers' Traumatic Experience on Teachers' Organizational Commitment)

  • 이민희
    • 한국보육지원학회지
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    • 제18권5호
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    • pp.19-31
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    • 2022
  • Objective: The purpose of this study is to examine the difference between teachers' traumatic experience and teachers' organizational commitment while considering individual differences of the childcare teachers and to investigate the effect of childcare teachers' traumatic experience on organizational commitment. Methods: This study used an online survey and collected data from 235 respondents. Then the data were analyzed by using a one-way ANOVA test, Scheffe post-hoc analysis, and hierarchical regression analysis. Results: First, this study found that there was a statistically significant difference between the traumatic experience of childcare teachers and teachers' organizational commitment depending on the age and career stage of the childcare teachers. Second, the childcare experience of childcare teachers showed a positive correlation with experience, and the traumatic experience showed a negative correlation with the organizational commitment. Third, childcare teachers' traumatic experience had a negative effect on normative and continuous immersion, respectively. Conclusion/Implications: This study contributes to the literature by recognizing the events that occurred in the process of childcare and identified the cause of the decrease in childcare teachers' motivation to work. It also suggests the need for continuous research on traumatic events that childcare teachers' experience during work in order to protect the rights and interests of childcare teachers.

소방공무원과 구조대원에서 한국어판 Post-Traumatic Stress Disorder Checklist의 신뢰도와 타당도 (Reliability and Validity of the Korean Version of the Post-Traumatic Stress Disorder Checklist in Public Firefighters and Rescue Workers)

  • 박신원;정현석;임주연;전유진;마지영;최예라;반순현;김성은;유시영;이선호;전새롬;강일향;이보라;이수연;손지희;임재호;윤수정;김의정;김지은;류인균
    • 생물정신의학
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    • 제23권1호
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    • pp.29-36
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    • 2016
  • Objectives Firefighters and rescue workers are likely to be exposed to a variety of traumatic events; as such, they are vulnerable to the risk of post-traumatic stress disorder (PTSD). The psychometric properties of the Korean version of the PTSD Checklist (PCL), a widely used self-report screening tool for PTSD, were assessed in South Korean firefighters and rescue workers. Methods Data were collected via self-report questionnaires and semi-structured clinical interviews administered to 221 firefighters. Internal consistency, item-total correlation, one-week test-retest reliability, convergent validity, and divergent validity were examined. Content validity of the PCL was evaluated using factor analysis and receiver operating characteristic (ROC) analyses were used to estimate the optimal cutoff point and area under the curve. Results The PCL demonstrated excellent internal consistency (${\alpha}=0.97$), item-total correlation (r = 0.72-0.88), test-retest reliability (r = 0.95), and convergent and divergent validity. The total score of PCL was positively correlated with the number of traumatic events experienced (p < 0.001). Factor analysis revealed two theoretically congruent factors: re-experience/avoidance and numbing/hyperarousal. The optimal cutoff was 45 and the area under the ROC curve was 0.97. Conclusions The Korean version of the PCL may be a useful PTSD screening instrument for firefighters and rescue workers, further maximizing opportunities for accurate PTSD diagnosis and treatment.

여성알코올중독자의 외상경험과 재발위험성의 관계에서 문제중심대처, 정서중심대처, 음주기대의 매개효과 (Mediating Effects of Problem Focused and Emotion Focused Coping, Drinking Anticipation Between the Female Alcoholics Traumatic Experienced and Their Warning of Relapse)

  • 우재희
    • 한국콘텐츠학회논문지
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    • 제13권4호
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    • pp.230-238
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    • 2013
  • 본 연구는 신체적, 성적 학대의 외상경험이 있는 여성알코올중독자들의 외상경험과 외상 후 스트레스 증상에 초점을 맞추어 알코올중독 재발위험성에 영향을 미치는 매개변인을 파악하여 여성알코올중독자들을 재발에 이르게 하는 스트레스대처와 음주기대의 심리적 요인을 이해하고, 알코올중독 사회복지 실천현장의 실천적 방안을 모색하는데 그 목적을 두고자 하였다. 분석결과 첫째, 연구대상자의 신체적, 성적 외상경험관련 특성은 18세 이전 지인에 의한 신체적 성적 학대경험이 18세 이후의 경험보다 많았다. 둘째, 연구모형의 분석에서 총 10개의 직접경로 중 8개의 경로가 통계적으로 유의하였고, 셋째, 매개변수를 통한 간접영향에 대한 검증결과 외상 후 스트레스 증상, 문제 중심 대처, 정서 중심 대처, 음주기대를 매개로 하는 6개의 간접경로 중 4개의 경로가 유의하였다. 이와 같은 연구결과를 바탕으로 여성 알코올중독자의 재발을 예방하기 위한 구체적인 실천적 방안과 함의를 제시하였다.

두부외상 환자에서 전두엽 손상과 신경인지기능 변화에 따른 주관적인 증상 연구 (The Study of the Subjective Symptoms according to Frontal Lobe Damage and Change in Neurocognitive Function in Traumatic Head Injury Patients)

  • 김준원;한덕현;기백석;박두병
    • 대한불안의학회지
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    • 제8권1호
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    • pp.31-40
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    • 2012
  • Objective : The purpose of this study was to analyze the correlation between symptom severity and neurocognitive factors in traumatic head injury patients. In addition, the effect of frontal lobe damage on these parameters was examined. Methods : We selected 18 patients who had brain damage for the moderate to severe traumatic brain injury (MSTBI) group, and 17 patients who met the diagnostic criteria for post-traumatic stress disorder (PTSD) without the finding of brain damage for the comparison group. For the evaluation of neurocognitive function, K-WAIS, Rey-Kim Memory Test, K-FENT, WCST, and MMPI-2 were used. Results : The results of the comparison (using the malingering scale) revealed that the values of PDS and PK, which express the severity of symptoms, and the values of the validity scale F, F (B), and F (P) were significantly higher in the overly-expressed group. F (B) in overly-expressed group and PK, Pt, and Sc in the properly-expressed group had significant correlation with the severity of symptoms. F (B), S, and Stroop error inhibition in PTSD, and PK, Pt, Sc, and MQ in MSTBI had significant correlation with the severity of symptoms. The results of the comparison based on the finding of frontal lobe damage revealed that PDS, EIQ, and MQ ware significantly higher in the group without brain damage. Conclusions : It was revealed that each neurocognitive factor was correlated with the severity of symptoms. There was a decrease in complaints or symptoms reported by the frontal lobe injury group, and this is believed to be due to degenerative change in the personality and emotional functioning of these patients following frontal lobe damage.

외상 후 스트레스 위기 소방관에 대한 단기간 음악치료의 효과 (Effects of Short-Term Music Therapy in Fire Fighters with Post-Traumatic Stress Risk)

  • 심규식;김남송;방성환
    • 한국산학기술학회논문지
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    • 제16권6호
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    • pp.4040-4047
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    • 2015
  • 본 연구는 외상 후 스트레스 장애(Post-traumatic Stress Disorder; PTSD) 발생 가능성이 높은 소방관에게 단기간 음악치료 프로그램을 적용해 외상 후 스트레스(post-traumatic stress; PTS) 수준의 변화와 음악치료 효과의 지속성을 분석하고자 하였다. 연구방법은 3개 지역의 소방관 42명을 실험군(21명)과 대조군(21명)으로 임의배정 하고 5일간 1일 2회기(120분)씩 총 10회기의 음악치료를 적용하였다. PTS 수준은 음악치료 종료 직후, 4주 후, 12주 후에 변화를 측정 하였다. 연구결과 음악치료 전 PTS 수준은 $26.52{\pm}2.32$점 이었으나 음악치료 직후 $8.90{\pm}4.55$점으로 유의하게 감소하였다(p<0.05). 사후 PTS 수준은 4주 후 $11.95{\pm}4.57$점, 12주 후 $13.76{\pm}5.62$점으로 4주 및 12주 후까지 효과가 유의하게 지속되었다(p<0.05). 이상의 결과를 통해 음악치료는 PTSD 고위험군인 소방관에게 PTS 수준을 낮추는데 효과적인 접근 방법으로 판단된다. 따라서 소방관의 정신건강 관리를 위해 음악치료가 정규적인 프로그램으로 적용된다면 현장 업무능력을 향상시키는데 기여할 수 있을 것이다.

뇌경색으로 유발된 좌측 안면부 이상감각, 턱관절 및 후경부 통증 환자에 대한 한의학 치료 1례 (A Case Report of Korean Medicine Treatment for a Patient with Left Facial Paraesthesia, Temporomandibular Joint Pain, and Post-traumatic Neck Pain induced by Cerebral Infarction)

  • 권태하;김민주;설동수;고민석;임민지;이성현;봉세영;송다운;이연후;이유진;이차영;오주희
    • 대한한방내과학회지
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    • 제44권5호
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    • pp.904-910
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    • 2023
  • Objectives: The aim of this case report is to present the effects of Korean medicine treatment in a patient with left facial paraesthesia, temporomandibular joint (TMJ) pain, and post-traumatic neck pain induced by cerebral infarction. Methods: A 26-year-old male patient was treated with Cheongpa-Jeon H, acupuncture, pharmacopuncture (Shinbaro2), and Chuna Therapy for 24 days of hospitalization. Left facial paraesthesia, TMJ pain, and post-traumatic neck pain were assessed with a Numeric Rating Scale (NRS) and EuroQoL-5 Dimension (EQ-5D). Post-traumatic neck pain was assessed using the Neck Disability Index (NDI). Results: After 24 days of treatment, the patient's left facial paraesthesia and left arm tingling sensation were relieved from NRS 6 to NRS 2. Left TMJ pain was reduced from NRS 5 to NRS 2. The EQ-5D score increased from 0.138 to 0.73. The NDI score decreased from 71.11 to 37.78. Conclusion: These results show that left facial paraesthesia, TMJ pain, and post-traumatic neck pain can be relieved with Korean medicine treatment. However, further well-designed studies are required to confirm these findings.