Objective : This study was performed to analyze the relationship between posttraumatic stress, coping style, and dissociation in Korean firefighters. Methods : Subjects included 193 male and 9 female firefighters in the metropolitan city of Daejeon. Their age ranged from 25 to 57 with an average of 39.17 (SD : 7.572) years. Their posttraumatic stress or traumatic experiences were assessed with the Korean Version of the Posttraumatic Stress Diagnostic Scale. Their coping style was categorized with the Korean version of the Ways of Coping Checklist. Their dissociation was assessed with the Korean version of Dissociative Experiences Scale. The data analysis included a correlation analysis and structural equation modeling. The modeling tested the validity of the model that posttraumatic stress had a direct effect on dissociation and coping style had an mediatory effect between stress and dissociation. Results : First, firefighters' posttraumatic stress or traumatic experiences had a direct effect on dissociation, a symptom of a mental disorder. Second, the firefighters employed passive styles to cope with their stress. This is explained that they had been exposed to their traumatic events repeatedly without being able to control it themselves. Third, coping style had no effect on the mediation between posttraumatic stress and dissociation. This is explained in terms of repeated exposure to the traumatic events. Conclusion : Based on the results, it is concluded that Korean firefighters' dissociation was not relieved by their coping effort but associated directly with their traumatic experiences. To decrease their dissociation, it is necessary to reduce the exposure to their traumatic events.
Purpose: The study aimed to explore experiences of the posttraumatic growth (PTG) in firefighters with repeated exposure to traumatic events. Methods: Participants were 11 firefighters from two fire departments, who had experienced more than one critical trauma events. Data were collected through personal interviews from August to October 2020 and analyzed by Colaizzi's phenomenological methods. Results: The PTG experiences were derived into four categories: 'growth in self-perception', 'rediscovery of the meaning of life', 'deep interpersonal relationships', and 'discovery of the meaning of work'. Conclusion: These findings could be used as basic information for developing PTG program for firefighters such as logo-therapy, semantic therapy, and self-disclosure intervention using expressive writing and speaking.
This study was conducted with the purpose of helping middle-aged women who experienced insecure attachment during personal growth experience positive changes by re-illuminating their own growth process. During this study period, 14 in-depth interviews were conducted from August 2020 to September 2021, and the interview contents were based on the narrative research methodology to examine the meaning of participants' experiences regarding unstable attachment and post-traumatic growth in existential contexts. The text was described in terms of, relational context, life context, etc. As a result of the study, three participants who experienced unstable attachment and post-traumatic growth were selected and the following conclusions were drawn. First, the meaning in the existential context is the desire for recognition, perfectionism, unstable family environment, how to cope with stress, the courage to face the wounds, self-acceptance and affirmation, gratitude to the people around you, and the hope of life is the meaning in the participant experience. was interpreted as Second, the meaning in the relational context was interpreted as experiences with parents, husbands, children, interpersonal relationships, and religion. Third, the meaning in the life context is the lack of care, the reproduction of control, the responsibility as the eldest daughter, the precious family, and the meaning and value of life is the present experience in which the various experiences with the parents in the past affect the lives of the current participants. interpreted in Through the above research results, this study aims to describe the experiences of insecure attachment during childhood and the post-traumatic growth process of participants using a narrative technique, and to suggest positive alternatives to their lives.
Bulathwatta, Asanka;Witruk, Evelin;Reschke, Konrad
The Korean Journal of Food & Health Convergence
/
v.5
no.1
/
pp.21-31
/
2019
Exposure to a traumatic events gives people many post traumatic conditions resulting Post Traumatic Stress Disorder (PTSD) or Post Traumatic Growth (PTG). Some of them may come up with acute Stress Disorder and some may having with grievances. But most of people overcome their traumatic condition with using their Emotional Intelligence and Resilience capacities. This article is focused on indicating basic mechanisms and resources in which can be lead to have better social rehabilitation along with the matters that can be important in trauma coping. The later part of the article appeals the concept of social work theory highlighting the psych dynamic approach which can be impact positively on psycho social rehabilitation. Traumatic experiences are really unpredictable and it can be resulted Post Traumatic Stress Disorders, Post traumatic growth in the end. But developing skills that required to overcoming trauma is facilitated by the Emotional Intelligence, Resilience, and Coping capacities that people having with. Exposure to a traumatic experience and not having a PTSD is determined by the many other factors such as social support system and government facilitation of the wellbeing afterwards the trauma. Here in this article the basic components of Emotional Intelligence, Resilience, and coping mechanisms have been considered as the major factors.
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.
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.
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.
Journal of Korean Society of Occupational and Environmental Hygiene
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v.31
no.4
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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.
Objectives : This study investigated the influence of traumatic experience on the ego identity, self-esteem, and general psychopathology of adolescent North Korean refugees. Methods : The participants were 146 adolescents North Korean refugees who attended H High School for North Korean refugees. We divided the subjects into two groups according to the severity of their traumatic experience : the more-traumatic-experience group and the less-traumatic-experience group. Each group performed self-report assessments including an assessment to reveal demographic characteristics, the Traumatic Experiences Scale for North Korean Defectors, the Scale for Ego identity, the Scale for Self-esteem and the Symptom Check-90-Revision (SCL-90-R). Statistical analysis of t-test and multiple regression utilized SPSS 12.0 for Window for comparison between more-traumatic-experience group and less-traumatic-experience group. Results : The prevalence of posttraumatic stress disorder among adolescents North Korean refugees was 37%. The factor with the greatest influence on ego identity was length of time living in South Korea, while, for self-esteem the most influential factor was perception of health. The more-traumatic-experience group had lower self-esteem scores on some subscales of the Scale for Ego identity. They had higher scores on all SCL-90-R subscales than the less-traumatic-experience group. Conclusion : Adolescent North Korean refugees experienced high rates of posttraumatic stress disorder. The more traumatic-experience-group had lower self esteem and poorer ego identity and mental health than the less-traumatic-experience group.
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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