• Title/Summary/Keyword: traumatic event

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The Effects of Traumatic Event Type on Posttraumatic Growth and Wisdom: the Mediating effects of Social Support and Coping (외상 유형이 외상후성장 및 지혜에 미치는 영향: 사회적 지지와 대처의 매개효과)

  • Lee Sulim
    • Korean Journal of Culture and Social Issue
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    • v.19 no.3
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    • pp.319-341
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    • 2013
  • This study investigated the mediating effects of social support and coping on the relation between traumatic event type, posttraumatic growth and wisdom by the data from 247 adults by using path analysis. Besides, the difference of the level of posttraumatic growth and related variables between traumatic event type groups. At first, The results of the MANCOVA, person-related traumatic event group were higher than the non-personal traumatic event group in negative coping and trauma stress level, and lower in social support, positive coping, posttraumatic growth and wisdom. The path analysis results shows that traumatic event type was related to wisdom by mediate factors. Traumatic event type affected wisdom through social support, positive coping, posttraumatic growth. The significant mediators were social support, positive coping, posttraumatic growth. Negative coping was not a significant mediator between event type and posttraumatic growth. The results show that non-personal traumatic event group are tends to have high level of social support, positive coping, posttraumatic growth, and wisdom. In the end, we described that the implication and the limitation of this study and suggestions for following studies.

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The moderating effect of resilience in the relationship between traumatic event experience and turnover intention of nurses in intensive care units (중환자실 간호사의 외상성 사건 경험과 이직 의도의 관계에서 회복탄력성의 조절 효과)

  • Jeong, Da Woon;Kim, Soukyoung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.27 no.4
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    • pp.447-455
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    • 2021
  • Purpose: The present study utilizes a descriptive research design to investigate the moderating effect of resilience on the relationship between the experience of traumatic events and turnover intention among intensive care unit (ICU) nurses. Methods: The participants were 161 hospital nurses who voluntarily agreed to participate in this study. Traumatic event experience, turnover intention, and resilience were assessed. The data were analyzed with hierarchical multiple regression using the SPSS 26.0 software program. Results: The experience of traumatic events had a statistically significant positive correlation with turnover intention (r=.17, p=.037), whereas it had a statistically significant negative correlation with turnover intention and resilience (r=-.37, p<.001). Resilience had a moderating effect on the relationship between the experience of traumatic events and turnover intention (𝛽=-.20, p=.007). Conclusion: The results of this study found that the experience of traumatic events among ICU nurses was a significant factor in turnover intention and that resilience moderated the strength of the relationship between such experiences and turnover intention. Therefore, to prevent ICU nurses' experience of a traumatic event from leading to their leaving nursing, it is necessary to formulate preventive measures and interventions for traumatic events, while enhancing resilience among ICU nurses.

The Active Way of Trauma: Receiving the Return of the Past (도래하는 과거를 수용하는 트라우마의 능동적인 방편)

  • Seoh, Gil-Wan
    • Cross-Cultural Studies
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    • v.41
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    • pp.33-56
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    • 2015
  • Trauma studies have provided useful models for dealing with the catastrophic and disastrous events that an individual and collective group experience. Most important of all, the perspective of post-structuralist trauma study, including Cathy Caruth, became a paradigmatic model and it has been applied to almost all contexts of life. The perspective of this study model, which is called an "event-based model of trauma," focuses on the literal registration of the traumatic event and the accurate and immediate recall of the past. The person directly involved in the event becomes the passive bearer transmitting the truth of a traumatic event. From this perspective, the traumatic subject only undergoes and endures the event and cannot play an active role in constructing trauma and dealing with it. Eventually, the truth of trauma has to be obtained at the cost of the traumatic subject's autonomy and the possibility of his/her agency. The problem here is that the truth, which is reencountered through the literal return of the past, obtained at the cost of the subject's autonomy, strikes a rather fatal blow to the person, than gives help for resolving many of matters surrounding traumatic experience and curing trauma. This suggests that the active way of dealing with trauma on the part of the traumatic subject, rather than the traumatic event itself, is demanded. Furthermore, because more recently, images of disastrous events were viewed "live" by audiences and an immediacy to the event is replicated in public discourse about them, the event becomes more immediately traumatic and there is a more strong presumption that people regard themselves as traumatic victims than before. This is the reason that we must explore an active way dealing with trauma on more human position at this time. This essay aims to examine the limits of the paradigmatic model of trauma study, an "event-based model of trauma," critically through a literary, theoretical text in which it reveals how the literal return of the traumatic past have a fatal effect on the victim; and hopes to suggest "the narrative memory" as a way to deal with trauma from a more humanistic perspective.

The Evaluation and Treatment of Post-Traumatic Stress Disorder and Acute Stress Disorder After Traumatic Brain Injury (외상성 뇌손상이후 발생하는 외상후 스트레스장애와 급성스트레스 장애의 평가 및 치료)

  • Park, Ki-Chang
    • Korean Journal of Biological Psychiatry
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    • v.2 no.2
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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.

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Traumatic perinatal events and educational needs of labor and delivery room nurses in Korea: a cross-sectional survey

  • Nagyeong Lee;Gunjeong Lee
    • Women's Health Nursing
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    • v.30 no.1
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    • pp.67-78
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    • 2024
  • Purpose: The present study investigated experiences of traumatic perinatal events, the provision of related education, and educational needs of nurses working in the labor and delivery room (LDR). Methods: Nurses working in the LDRs of six institutions and two nurse portal sites were invited to participate in the survey, delivered on paper or online. The data were collected from October 1 to November 25, 2022. Data from 129 nurses were analyzed using frequency, the chi-square test, the Fisher exact test, the t-test, and analysis of variance. Results: Virtually all participants (98.6%) reported having experienced at least one traumatic perinatal event (dystocia, postpartum hemorrhage, neonatal congenital anomalies, severe maternal or neonatal injury, stillbirth, and maternal or neonatal death) while working in the LDR. The most shocking traumatic perinatal event experienced was the maternal or neonatal death (40.3%), but 24.8% of participants did not recall ever receiving education on the topic. About 63% of participants experienced traumatic perinatal events within a year of working in the LDR. The average score for education needs regarding traumatic perinatal events was 3.67±0.37 out of 4, and participants preferred simulation education as the most effective educational method. Conclusion: Since most of the participants had experienced various traumatic perinatal events in the early stages of working in the LDR and expressed a high level of need for education on traumatic perinatal events, it is necessary to provide more effective stimulation education programs in the early period of work in the LDR.

Subjective Sleep Problems of Depressed Patients with Different Types of Life-Time Traumatic Stress Events: An Explorative Study (우울증 환자에서 외상 사건 경험과 주관적 수면 문제의 특성)

  • Kim, Min Seob;Huh, Hyu Jung;Chae, Jeong-Ho
    • Anxiety and mood
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    • v.12 no.1
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    • pp.21-27
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    • 2016
  • Objective : The aim of this study was to investigate the relationship between subjective sleep problems and various types of traumatic events of patients with depressive disorder. Methods : A total of 411 patients diagnosed with depressive disorders were recruited in this study. The participants filled out Life Time Events Checklist (LEC), Pittsburgh Sleep Quality Index (PSQI), Beck Depression Inventory (BDI), and State-Trait Anxiety Inventory (STAI). We used the independent t-test and analysis of covariance to compare each component of PSQI between depressive patients with and without traumatic experiences. Results : The groups of patients who experienced a serious accident at work, home or during recreational activity, sexual assault, other unwanted or uncomfortable sexual experience, life-threatening illness or injury, and sudden, unexpected death of a near and dear one showed lower scores in a few components of PSQI. Sleep disturbance was a common problem in all five groups. Lower subjective sleep quality and longer sleep latency was observed in three groups. There were no differences in the other components of PSQI among groups. Conclusion : This study showed that various types of traumatic events may have different effects on subjective sleep quality as a consequence of the traumatic event which they had experienced.

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Resilience of Children Expressed in Films and Fictional Stories (영화와 동화에 나타난 소아의 외상적 사건과 탄력성)

  • Yoo, Hee-Jeong;Kim, Bongseog;Hwang, Jun-Won;Park, Chan Min;Hong, Minha;Bahn, Geon Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.24 no.2
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    • pp.71-77
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    • 2013
  • Psychological resilience in children preventing them from being overwhelmed by traumatic events and nurture their healthy development is universal and powerful. Movies about fairy tales provide children with the notion of the existence of the power and various manifestations. Even though the traumatic event affects the development of the child, with a good supporting system and by providing healthy internal and external factors to reconstruct the event, the traumatized child may accept the event objectively, develop the healthier part of the ego, and even sublimate the traumatic events. As the children participate in movies or plays, several protectors can be devised. The child prepares the role under a "promise" of virtual reality, performs the role recognizing that the traumatic event is not real, and returns to real life as the role or play ends. When these protectors are provided, it is considered that resilience can function properly and the role does not have a negative influence on the development of a child.

Relationship between Traumatic Events, Stress Coping Strategies and Post-Traumatic Stress Symptoms among Social Workers in Public Sector (사회복지전담공무원의 외상사건 및 스트레스 대처방식과 외상후스트레스증상 관련성)

  • Lee, Junghyun H.;Kim, Jiae;Sim, Minyoung;Jeon, Kyoungsun;Oh, Seunga;Yang, Jungll;Lee, Yunglyul
    • Korean Journal of Biological Psychiatry
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    • v.22 no.2
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    • pp.55-62
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    • 2015
  • Objectives Social workers can suffer from occupational stress resulting from dealing with clients, which might lead to metal health problems. We aimed to investigate the association of duty-related traumatic experiences and stress coping strategies with post-traumatic stress symptoms among social workers in public sector. Methods A total of 110 social workers in public sector (men 30.9%, $36.5{\pm}7.6$ yrs) participated in this study. All subjects were evaluated the frequency and the impact of duty-related traumatic events. Additionally, they completed questionnaires including the Impact of Event Scale-Revised for post-traumatic stress symptoms, the Beck Depression Inventory-II for depressive symptoms, the Scale for Suicidal Ideation for suicide symptoms and the Ways of Coping Checklist for stress coping strategies. Results The most frequent traumatic events were "Violent or abusive language from a client" (95.0%) and "Client made a fuss" (94.5%). The most distressing traumatic event was "Seeing a dead body on duty" (7.6 out of 10), which predicted post-traumatic stress symptoms (odds ratio 4.04 ; 95% confidence interval, 1.79-9.11). Among 4 types of stress coping strategies, the emotion-focused coping was positively correlated with post-traumatic stress symptoms after controlling age and sex (${\beta}$ = 0.50, p < 0.001). Conclusions Social workers in public sector showed high level of post-traumatic stress symptoms. Duty-related traumatic events and the emotional-focused coping strategies were associated with the severity of post-traumatic stress symptoms. The modification of stress coping strategies would alleviate post-traumatic stress symptoms in social workers in public sector.

The Relationship among Traumatic Event Experience, Self Disclosure, Social Support, and Posttraumatic Growth of Intensive Care Unit Nurses (중환자실 간호사의 외상성 사건 경험, 자기노출, 사회적 지지 및 외상 후 성장과의 관계)

  • Kim, Yeong Sook;Kang, Kyung Ja
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.3
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    • pp.257-266
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    • 2021
  • Purpose: This study examined the levels of traumatic event experience, self disclosure, social support, and posttraumatic growth of intensive care unit nurses and their relationships. Methods: Participants were 142 nurses who had worked for more than 3 months in six general hospitals, J province from August 7 to September 25, 2020. Collected data were analyzed using descriptive statistics, independent t-test, ANOVA, Pearson's correlation coefficient, and multiple regression using the program SPSS version 22.0. Results: The posttraumatic growth was found to correlate significantly with self disclosure (r=.23, p=.005), individual support (r=.54, p<.001), and organizational support (r=.32, p<.001). Factors influencing the participants of the posttraumatic growth were individual support (β=.46, p<.001) and organizational support (β=.21, p=.007). These factors explained 32.0% of the variance of ICU nurses' posttraumatic growth (F=14.13, p<.001). Conclusion: Efforts to support positive changes after traumatic event experience for ICU nurses are needed. We suggest to develop individual and organizational supportive programs for posttraumatic growth for ICU nurses and to investigate the effects of the programs.

Post-traumatic stress and related factors among safety managers in Korea National Parks (국립공원 안전관리전담자들의 외상 후 스트레스 실태 및 관련요인)

  • Kim, Hyung-Wook;Han, Mi-Ah
    • The Korean Journal of Emergency Medical Services
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    • v.20 no.2
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    • pp.37-49
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    • 2016
  • Purpose: This study investigated the current status of post-traumatic stress and related factors among safety managers in Korea National Parks. Methods: The study subjects were 109 safety managers working in Korea National Parks. General characteristics, job-related characteristics, experience of traumatic events and post-traumatic stress were collected by self-reported questionnaires through the mail. The associated factors with post-traumatic stress was analyzed by t-test, ANOVA and multiple linear regression. Results: Overall score of post-traumatic stress was $10.32{\pm}11.37$ and 12.8% was the high-risk group of post-traumatic stress disorder. In simple analysis, score of post-traumatic stress was associated with drinking frequency, disease history, duration of career, delay of rescue, provided the break, rest space and the number of experiences of traumatic events. Finally, the score of post-traumatic stress was significantly higher in subjects who experienced 3 (B=9.141, SE=3.538) or more than 4 (B=11.367, SE=3.063) traumatic events compared to subjects without experience of traumatic event. Conclusion: The score of post-traumatic stress was $10.32{\pm}11.37$ and 12.8% was the high-risk group among safety managers in Korea National Parks. Post-traumatic stress was associated with the experience of traumatic events. Management of safety managers after mobilization or experience of traumatic events will be helpful to decrease of post-traumatic stress.