• Title/Summary/Keyword: traumatic event

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Relationship between Temperament and Character Dimensions and Post-Traumatic Stress Disorder in Police Officers (경찰공무원에서 외상후스트레스장애와 기질 및 성격 특성의 관계)

  • Lee, Junghyun H.;Kim, Ok Joo;Nam, Yoon-Young;Shin, Jungha;Lee, Heebong;Kim, Jiae;Sim, Minyoung
    • Anxiety and mood
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    • v.11 no.1
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    • pp.61-68
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    • 2015
  • Objective : Police officers are exposed to job-related traumatic events and have a high prevalence of post-traumatic stress disorder (PTSD). This study examined the relationship between PTSD symptoms and dimensions of temperament and character in police officers. Method : Thirty-six police officers participating in a psychological support program were enrolled. All subjects were asked to complete a demographic questionnaire, the Impact of Event Scale-Revised (IES-R), the Temperament and Character Inventory (TCI) and other self-reported symptoms scales. Results : Among all participants (age $40.8{\pm}10.2$, men 94.4%), the rate of 'post-traumatic stress symptoms group' was 47.2%. After controlling for confounding factors, lower self-directedness scores were significantly associated with higher PTSD symptoms (${\beta}=0.6$, p=0.03) in multiple regression analysis. Conclusion : Character traits, especially self-directedness, were associated with the severity of PTSD symptoms severity. These findings may provide useful information regarding personality factors related to PTSD in police officers.

Mediating Effect of Meaning of Life Moderated by Trauma Intensity on Deliberate Rumination of the Traumatic Experience and Post-traumatic Growth (외상에 대한 의도적 반추와 외상 후 성장의 관계에서 외상 강도에 의해 조절된 삶의 의미의 매개효과)

  • Ryu, Ji-Hyun;Suh, Kyung-Hyun
    • The Journal of the Korea Contents Association
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    • v.22 no.1
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    • pp.535-544
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    • 2022
  • This study identified the relationship between deliberate rumination of adults who experienced traumas and post-traumatic growth, and examined the mediating model of meaning of life moderated by trauma intensity on deliberate rumination and post-traumatic growth. Participants were 318 male and female adults who experienced traumas. The moderated mediating effect was analysed with PROCESS Macro 3.5 Model 7. Results revealed that deliberate rumination of adults who experienced traumas was positively correlated with trauma intensity, meaning of life, and post-traumatic growth, while meaning of life was positively correlated with post-traumatic growth. In a moderated mediating model for post-traumatic growth, there was significant interaction effect of deliberate rumination and trauma intensity; conditionally indirect effect of deliberate rumination was only significant for whose trauma intensity were high. These findings suggest that adults who did deliberate rumination are more likely to experience post-traumatic growth with finding meaning of life. And, the moderating effect suggests that this influence is only with higher levels of trauma intensity. In conclusion, deliberate rumination of severe traumatic event may lead to post-traumatic growth, and it can be helpful to experience the meaning of life in the process.

The Effect of Medical Exercise Therapy Program on Ankle pain, Range of Motion, Stress After Traumatic Injury, and Depression in a Stroke Patient with Inflammation on Subcutaneous Bursa of Ankle Joint: Case Study (발목관절 피하밑주머니에 문제가 있는 뇌졸중 환자에게 의학적 운동치료가 발목 통증, 관절가동범위, 외상 후 스트레스 증상, 우울증에 미치는 영향: 사례연구)

  • Yu, Chang-seon;Chai, Kyoung-ju
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.21 no.2
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    • pp.53-62
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    • 2015
  • Background: This study was to investigate the effect of 8-weeks medical exercise therapy on ankle pain, range of motion, stress symptom after traumatic injury, and depression, in a 51 years old stroke patient with right ankle joint inflammation. Method: The 8-weeks medical exercise therapy program was applied to 4 grades of Dosage 1 (1-3 weeks), Dosage 2 (4-5 weeks), Dosage 3 (6-7 weeks), and Dosage 4 (8 weeks) on right ankle joint inflammation in a female with right hemiplegia admitted to D hospital located in Gyeonggi-do. Result: The findings showed that visual analogue scale (VAS) scores improved from 8 to 0-1 scores, passive range of motion (ROM) increased to 5 degrees more than before, Korean-version impact of event scale-revised (IES-R-K) scores increased from 61 to 31 scores, and Korean-version beck depression inventory II (BDI-II-K) scores decreased from 51 to 17 scores. As such, the 8-week medical exercise therapy program may decrease the pain, increase ROM, improve stress after traumatic injury, and improve depression symptom. Conclusion: The presented evidence suggests that exercise and physical activity have beneficial effects on depression symptoms. It is possible to apply the medical exercise therapy for modulating pain experience and treating pain. Also, it may be effective methods to treat the psychological aspects of pain.

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The Prevalence of Post-traumatic Stress Disorder Among Emergency Room Workers and Factors Contributing to Its Occurrence (응급실 근무자의 외상 후 스트레스장애 유병률 및 발생 기여 요인)

  • Ko, Dong-Ryul;Kim, Gun-Bae;Lee, Ji-Hwan
    • Quality Improvement in Health Care
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    • v.27 no.1
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    • pp.10-19
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    • 2021
  • Purpose: This study was designed to investigate that the prevalence of Post-traumatic stress disorder (PTSD) and occupational environmental factors that contribute to the developing of PTSD in workers who worked in emergency room in Korea. Methods: This study is a multicenter cross-sectional study that was conducted in three emergency rooms. Data was collected by self-response method through questionnaire. The Impact Event Scale-Revised was used to screen the high-risk group of PTSD. Univariate and multivariate regression analysis was used to identify the factors associated with the developing of high-risk group of PTSD. Results: Total 211 subjects responded to the questionnaire. Of these, 170 subjects experienced psychological trauma event (PTE) in the working environment. And 60 subjects classified as high risk group of PTSD, so a prevalence of high risk group for PTSD was 28.4%. Factors related to the high risk group of PTSD were the frequency of psychological trauma events experienced over the past 1 year and the high score of QIDS-SR16. Conclusion: The prevalence of high risk group for PTSD among emergency room workers in Korea is very high. This may adversely affect the safety of patients, so early screening and intervention are necessary.

Interactional Effects of Travel Experience and Traumatic Event on Subjective Well-Being (여행경험과 외상적 사건이 주관적 웰빙에 미치는 상호작용)

  • Hong, Sung-Kwon;An, Kyung-Jin;Jang, Ho-Chan
    • Journal of the Korean Institute of Landscape Architecture
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    • v.45 no.2
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    • pp.1-10
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    • 2017
  • This study used a quasi-experimental method to investigate if both travel involvement and the degree of recall of a traumatic event affect subjective well-being. For this, independent variables such as positive affect, negative affect, and life satisfaction were established. Four waves of data collection were performed with two to three weeks intervals, then the collected longitudinal data were analysed by repeated measure ANOVA. The study results indicated that travel involvement increases positive affect and life satisfaction, with the effect lasting four weeks or more, which means that travel is an effective tool to boost subjective well-being. Respondents who thought about a traumatic event more frequently had a much higher negative affect following the disaster, and such increased negative affect was maintained over seven weeks or longer. Therefore, this study finds that negative events produce larger, more consistent, or more lasting effects than positive events. As well as travel participation, visiting an urban park is a pleasurable experience. Therefore, the study also finds that urban parks could be utilized for increasing and maintaining subjective well-being in the middle and long term as well as lessening personal stress.

Posttraumatic Growth of Adolescents with Childhood Leukemia and their Parents

  • Hong, Sungsil;Park, Ho Ran;Choi, Sun Hee
    • Child Health Nursing Research
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    • v.25 no.1
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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.

Effect of Post-traumatic Stress and Ways of Stress Coping on Problem Drinking in Firefighters (남자소방공무원의 외상 후 스트레스와 대처방식이 문제음주에 미치는 영향)

  • Jeon, Kyoung-Sun;Kang, Kyung-Ah
    • Korean Journal of Occupational Health Nursing
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    • v.26 no.4
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    • pp.218-226
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    • 2017
  • Purpose: The study aimed to determine the impact of post-traumatic stress and ways of stress coping on problem drinking in firefighters. Methods: Data were collected from May 11 to June 11, 2015, in fire brigades across South Korea. Participants were 183 male firefighters who used self-report questionnaires containing questions from the Impact of Event Scale-Revised (IES-R), Ways of Coping Checklist (WCC), and Alcohol Use Disorders Identification Test (AUDIT). Data were analyzed using $x^2$ test, t-test, and logistic regression with the SPSS/WIN 21.0 program. Results: The prevalence of PTSD among firefighters was 36.7% and that of problem drinking was 39.3%. Firefighters with single (OR=0.23, 95% CI=0.038~1.321) and married status (OR=0.46, 95% CI=0.069~3.040) were less likely to have problem drinking than those who were divorced or bereavement. Those with invasion symptoms (OR=1.17, 95% CI=1.031~1.327) and hyperarousal symptoms (OR=0.85, 95% CI=0.722~0.989) were more likely to have problem drinking than those with avoidance symptoms. Conclusion: Post-traumatic stress symptom was a major risk factor that increased problem drinking, and married status reduced problem drinking. There is a need to develop post-traumatic stress symptom management program and early education content for symptom management.

The Study on the Mediating Effect of Resilience in the Relationship between Post-traumatic Stress and Mental Health of Social Worker who Experienced Traumatic Event (사회복지사의 외상사건경험에 따른 외상후스트레스와 정신건강의 영향관계에서 회복탄력성의 매개효과)

  • Kim, Pyeong-ho;Lee, Yu-Ri
    • Journal of Digital Convergence
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    • v.14 no.9
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    • pp.545-552
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    • 2016
  • The purpose of study is analyzing the mediating effect of resilience in the relationship between posttraumatic stress and mental health. To get the result, a survey was conducted, targeting social workers who work in Gwang-Ju and Jeonnam area and traumatic experience, posttraumatic stress, social support, resilience and mental health outcome measures were used in the survey. Key outcomes of the analysis are as follows. Firstly, it was showed that between posttraumatic stress, resilience and mental health have a direct relationship. Secondly, it was analyzed that resilience had a partial mediation effect in the relationship between posttraumatic stress and mental health. Based on these results, comprehensive interventions for improving the mental health and resilience of social workers were proposed.

Reliability and Validity of the Korean Version of the Perinatal Post-Traumatic Stress Disorder Questionnaire (한국판 주산기 외상 후 스트레스장애 척도의 신뢰도 및 타당도)

  • Park, Yu Kyung;Ju, Hyeon Ok;Na, Hunjoo
    • Journal of Korean Academy of Nursing
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    • v.46 no.1
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    • pp.29-38
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    • 2016
  • Purpose: The Perinatal Post-Traumatic Stress Disorder Questionnaire (PPQ) was designed to measure post-traumatic symptoms related to childbirth and symptoms during postnatal period. The purpose of this study was to develop a translated Korean version of the PPQ and to evaluate reliability and validity of the Korean PPQ. Methods: Participants were 196 mothers at one to 18 months after giving childbirth and data were collected through e-mails. The PPQ was translated into Korean using translation guideline from World Health Organization. For this study Cronbach's alpha and split-half reliability were used to evaluate the reliability of the PPQ. Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), and known-group validity were conducted to examine construct validity. Correlations of the PPQ with Impact of Event Scale (IES), Beck Depression Inventory II (BDI-II), and Beck Anxiety Inventory (BAI) were used to test a criterion validity of the PPQ. Results: Cronbach's alpha and Spearman-Brown split-half correlation coefficient were 0.91 and 0.77, respectively. EFA identified a 3-factor solution including arousal, avoidance, and intrusion factors and CFA revealed the strongest support for the 3-factor model. The correlations of the PPQ with IES, BDI-II, and BAI were .99, .60, and .72, respectively, pointing to criterion validity of a high level. Conclusion: The Korean version PPQ is a useful tool for screening and assessing mothers' experiencing emotional distress related to child birth and during the postnatal period. The PPQ also reflects Post Traumatic Stress Disorder's diagnostic standards well.

A Case Report of the Patient with Anxiety Disorder following Traumatic Brain Injury Treated with Ling-Gui-Gan-Zao-Tang (외상성 뇌손상 후 불안장애 양상이 발생한 환자 1례에 대하여 영계감조탕을 투여한 증례보고)

  • Chu, Hongmin;Kim, Cheol-hyun;Park, Chan-ran;Moon, Yeon-ju;Ryu, Ho-sun;Kim, Mi-hye;Lee, Sang-kwan;Sung, Kang-keyng
    • The Journal of Internal Korean Medicine
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    • v.39 no.6
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    • pp.1272-1280
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    • 2018
  • Introduction: The aim of this study is to report the effect of Ling-Gui-Gan-Zao-Tang (LGGZT) effectively improves anxiety disorder following traumatic brain injury (TBI). Case Presentation: 50-year-old female with traumatic brain injury after falling down from golf cart. After injury, symptoms like anxiety disorder, diarrhea, dizziness, headache were occurred. She took medications like antidepressants, antianxiety drugs and antipsychotic agent, but symptoms deteriorated consistently. After being prescribed LGGZT, patients' symptoms were significantly improved. Result of Impact Event Scale-Revised (IES-R-K) was changed from 24 to 5 and Beck Anxiety Inventory (BAI) was changed from 21 to 3. Also, side effects were not observed during the treatment period. Conclusion: LGGZT can be considered as an effective treatment for anxiety disorder following traumatic brain injury.