• 한국직업건강간호학회지
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• 제26권3호
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• pp.142-150
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• 2017

Purpose: The purpose of this descriptive, cross-sectional study was to identify the factors affecting health-related quality of life by examining the relationships among posttraumatic stress, health-related work limitations, and family support in firefighters. Methods: The data were collected from 390 firefighters working in four fire stations located in the G district using self-report questionnaires. The collected data were analyzed using descriptive statistics, t-test, one-way ANOVA along with the $Scheff{\acute{e}}$ test, and multiple regression. Results: As per the results of multiple regression analysis, the factors affecting health-related quality of life in firefighters were posttraumatic stress, health-related work limitations, and family support. This model explained 31% of the variance in health-related quality of life (F=30.03, p<.001). Conclusion: Considering the findings of this study, there is a need to reduce posttraumatic stress and health-related work limitations and develop family support toward firefighters.

• 대한불안의학회지
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• 제8권2호
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• pp.113-119
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• 2012

Objective : The purpose of this study is to assess the utility of clinician administered posttraumatic stress disorder scale (CAPS) to diagnose combat related posttraumatic stress disorder (PTSD) in Korean veterans of the Vietnam War. Methods : Sixty-one Korean male veterans of the Vietnam war participated in this study. We compared the diagnostic values of CAPS, Korean version of mini international neuropsychiatric interview (MINI) against the Structured Clinical Interview for DSM-IV (SCID) in diagnosing PTSD. Results : The overall internal consistency of CAPS was 0.93. Compared to the SCID, total severity 45 (TSEV45) showed the best results among 5 CAPS scoring rules. In detail, sensitivity was 71.4%, specificity was 85.1, positive predictive value was 58.8%, negative predictive value was 90.9%, and accuracy was 82.0. Conclusion : CAPS was demonstrated as a reliable tool to diagnose combat related PTSD in the elderly. The optimum CAPS scoring was TSEV45.

• 대한불안의학회지
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• 제15권1호
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• pp.29-34
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• 2019

Objective : To determine predictors of posttraumatic stress disorder (PTSD) symptoms in burn injured patients and evaluate factors for identifying high risk group of PTSD. Methods : This study examined sixty one patients aged in the range of 19-65 years with burn injuries. All subjects completed self-assessment inventories about PTSD (The PTSD Check List for DSM-5. PCL-5), depression (Patient Health Questionnaire-9, PHQ-9), embitterment (Posttraumatic embitterment disorder self-rating scale, PTED scale) and meaning of life (Meaning in Life Questionnaire, MLQ). Stepwise multiple regression and ROC curve analysis were the tools used for analysis. Results : The results revealed higher depression, embitterment and lower presence of meaning in life predicted severe PTSD symptoms. ROC analysis indicated PTED scale and PHQ-9 were useful for discriminating high risk group of PTSD. Conclusion : The present study established that the need to consider embitterment, depression and meaning of life for alleviation and prevention of PTSD symptoms in burn patients.

• 중환자간호학회지
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• 제11권3호
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• pp.58-70
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• 2018

Purpose : This study examined the factors influencing posttraumatic and conflict management styles for nursing performance in intensive care units (ICUs). Methods : In this study, 250 nurses from eight general hospitals in three cities participated. Structured self-report questionnaires were used to collect data on posttraumatic, conflict management styles, and nursing performance. Finally, the data were analyzed by SAS 9.3 program. Results : The mean of total sum scores was 31.29, and the high risk of posttraumatic symptoms was 61.2%. It was noted that nursing performance is significantly correlated with collaboration, compromise, accommodation styles, and intrusion. Collaboration styles (${\beta}=0.39$, p<.001) and hyperarousal (${\beta}=-0.22$, p=.050), ICU experience below 1 year (${\beta}=-0.21$, p=.027) and that of 5-10 years (${\beta}=-0.19$, p=.049), and compromise style (${\beta}=0.16$, p=.049) were found to be the factors influencing nursing performance with 35.9% explanatory power value of regression model. Conclusions : The results of the study reveal that conflict management styles, hyperarousal, and ICU experience are factors predicting the successful performance of ICUs. These findings emphasize the need of developing interventions to reduce stress symptoms and conflicts in ICUs.

• 산업융합연구
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• 제20권10호
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• pp.61-69
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• 2022

외상 후 성장 개념은 다양한 분야에서 사용되고 있다. 연구의 목적은 네트워크 분석을 활용하여 외상 후 성장의 지식구조를 확인하기 위함이다. 1996년에서 2018년 사이에 출판된 국외논문 중 외상 후 성장 키워드를 사용한 논문을 Web of Science에서 검색하여 1,780편의 논문에 1,659개의 키워드가 6,343회 등장하는 것을 확인할 수 있었으며, 최종 분석을 위한 총 322개의 키워드를 선택하였다. 가장 많이 등장한 키워드는 '외상 후 성장', '외상 후 스트레스 장애', '암', '트라우마' 순이었다. 총 322개의 노드 중 175개의 노드로 정리하여 '암, 만성/중증 질환 및 장애에서 외상 후 성장', '외상 후 성장 관련 심리적 변수 및 심리 치료', '죽음의 맥락에서 외상 후 성장', '외상 후 성장의 인지 메커니즘' 및 '대리 외상 후 성장'의 5개 그룹으로 나눌 수 있었다. 본 연구는 정량적 네트워크 분석을 통해 외상 후 성장의 지식 구조에 대한 체계적인 개요를 제공 하였다는데 의의가 있다.

• 디지털융복합연구
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• 제14권9호
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• pp.545-552
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• 2016

본 연구는 외상후스트레스와 정신건강간의 구조적 관계에서 회복탄력성이 갖는 매개효과를 분석하는데 목적이 있다. 이를 위해 전남, 광주 사회복지사를 대상으로 외상경험, 외상후스트레스, 사회적지지, 회복탄력성, 정신건강척도를 이용하여 설문조사 하였고, 주요 분석결과는 다음과 같다. 첫째, 외상후스트레스, 회복탄력성, 정신건강 간에 직접적인 영향관계가 있는 것으로 나타났고, 둘째, 회복탄력성은 외상후스트레스와 정신건강간의 영향관계에서 부분적인 매개효과가 있는 것으로 분석되었다. 이 결과를 토대로 사회복지사의 회복탄력성과 정신건강의 증진을 위한 포괄적인 개입방법을 제안하였다.

• Child Health Nursing Research
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• 제25권1호
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• pp.9-16
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• 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.

• 대한간호학회지
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• 제33권6호
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• pp.829-838
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• 2003

Purpose: In South Korea, as growing the need of psychological support in disaster situation psychological assessment on stress after disaster is important to find out the factors affecting coping, and to plan intervention in the community. Method: The volunteers of Korea Redcross who live around K city, and the research team visited all homes at Jirye town, one of the high-impact area, 4 month after the typhoon. One of the family members who is over 18 years old, answered the self-report questionnaire composed of disaster experience, damage, exposure to traumatic event, and posttraumatic stress with IES-K (Impact of Event Scale-korea) He also, described his family members symptom related to re-experiencing, hyper-arousal, and avoidance. Six hundreds households were surveyed. Result: The prevalence of moderate to severe PTSD symptom was 36% of the subjects. The severity of PTSD was affected by gender, economic status and affected by damaged property, physical injury, worsening existing disease, getting infectious disease, amount of experienced traumatic event before disaster, warning, taking shelter, and subjects revealed differences in somatization as severity of PTSD. According to the description, community members had re-experiencing, hyper-arousal and avoidance. Conclusion: At a rural area, South Korea, community members have suffered from psychological distress after disaster. So psychological interventions are required as affecting factors and also to plan for warning and shelter in disaster situation is needed for preventing PTSD.

• 정신신체의학
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• 제30권2호
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• pp.145-154
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• 2022

연구목적 본 연구는 메르스 생존자에서 감염 당시 낙인에 대한 인식, 12개월 후 이들이 사용하는 대처전략, 24개월 후 우울 및 외상후 스트레스 증상에 끼치는 영향 간의 연관성을 확인하고자 하였다. 방 법 63명의 2015년 메르스 생존자를 대상으로 코호트 연구를 진행하여 12개월 및 24개월 후에 인구학적 정보, 메르스 감염의 심각도, 우울 및 외상후 스트레스 증상, 대처전략, 낙인에 대한 인식 등을 조사했다. 결 과 감염 당시 낙인의 인식은 12개월 후 부정적 대처전략(p=0.003), 24개월 후 우울(p=0.058) 및 외상후 스트레스 증상(p=0.011)과 연관성을 보였다. 12개월 후 부정적 대처전략과 24개월 후 우울(p=0.002) 및 외상후 스트레스 증상(p<0.001) 간에도 유의한 연관성이 있었다. 결 론 감염자에 대한 낙인은 생존자들의 장기적 정신 건강에 부정적 영향을 줄 수 있다. 향후 신종감염병 유행 시 낙인 문제를 개선하고 생존자들이 적응적 대처전략을 가지도록 도와야 한다.

• 대한불안의학회지
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• 제4권1호
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• pp.19-27
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• 2008

Objective : This study was conducted to evaluate the changes in the levels of neurotransmitters and cortisol in patients with chronic posttraumatic stress disorder (PTSD) and to evaluate their correlation with symptoms after long-term pharmacological treatment. Methods : Twenty-eight Vietnam veterans with chronic PTSD and 34 non-PTSD patients were consecutively recruited. The Combat Exposure Scale (CES), Mississippi Scale for Combat-Related Posttraumatic Stress Disorder (M-PTSD), Clinician Administered PTSD Scale (CAPS), Hamilton Rating Scale for Depression (HRSD) and Hamilton Anxiety Scale (HAS) were used to evaluate symptom severity. High performance liquid chromatography (HPLC) was used to measure the plasma levels of epinephrine, norepinephrine, and dopamine, and a radioimmunoassay (RIA) was performed to evaluate the plasma level of cortisol. Results : Plasma cortisol was significantly lower in PTSD patients than in control subjects, while there was no significant difference in plasma epinephrine, norepinephrine and dopamine between the two groups. The scores of M-PTSD, CAPS, HAMD and HAMA were signigicantly higher in PTSD patients than control group. Conclusion : After long-term treatment, the levels of neurotransmitters in PTSD patients returned to within the normal range, and the patients' symptoms showed some improvement. However, the core symptoms of PTSD continued to appear intermittently, and they are thought to be associated with hormonal systems, such as the HPA axis. It is also suggested that PTSD should be considered to be a complex disorder associated with multiple systems and that combinations of the effective medications for each system should be used to treat patients with PTSD.