Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
권호 표지

Assessment Instruments for Disaster Behavioral Health

재난정신건강 평가도구

  • Park, Joo Eon (Department of Psychiatry, Keyo Hospital) ;
  • Kang, Suk-Hoon (Department of Psychiatry, Korean Veteran Health Service Medical Center) ;
  • Won, Sung-Doo (Clinical Psychology, Keyo Hospital) ;
  • Roh, Daeyoung (Department of Psychiatry, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kim, Won-Hyoung (Department of Psychiatry, Inha University Hospital)
  • 박주언 (계요병원 정신건강의학과) ;
  • 강석훈 (중앙보훈병원 정신건강의학과) ;
  • 원성두 (계요병원 임상심리학과) ;
  • 노대영 (한림대학교 춘천성심병원 정신건강의학과) ;
  • 김원형 (인하대병원 정신건강의학과)
  • Received : 2015.06.01
  • Accepted : 2015.08.06
  • Published : 2015.10.30
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Abstract

Objectives : After disaster, some people develop posttraumatic stress sequelae such as posttraumatic stress disorder (PTSD), major depression, substance use disorders, and suicide. To date, numerous screening and assessment tools for behavioral health issues including mental health problems, psychosocial maladjustment and status of recovery after disaster have been developed. In this condition, one of important topics is to choose instruments that can quickly and accurately measure the issues. Methods : This article reviewed several self-reported scales in adults for disaster behavioral health, which were searched using academic search engines like PubMed, Scopus, KoreaMed and KISS from the earliest available date of indexing through January 31, 2015. Results : More than 40 eligible instruments evaluating the disaster behavioral health issues containing posttraumatic stress sequelae, psychological and social resources, non-disaster stress, and general functions were presented in terms of availability, effectiveness, and expeditiousness. Also, we introduced basic frame aiming on practical usage, which includes standard version and brief version of the instruments for disaster behavioral health. Conclusion : We suggest the accessibility and the applicability of assessment instruments for disaster behavioral health. The systemic review of this article will provide further directions for them.

재난 경험자들의 정신건강은 개인적인 측면뿐만 아니라 재난 이후의 지역사회의 회복 측면에서 매우 중요하기 때문에 개인적 수준과 사회적 수준 양쪽에서 접근해야 한다. 또한 재난 경험자들을 이해하고 돕기 위해서는 PTSD, 우울, 불안과 같은 정신 건강 분야뿐만 아니라 심리적 및 사회적 자원 분야, 물질남용 및 중독 분야, 비재난스트레스 분야, 기능상태 분야 등 다양한 방면의 평가가 필요하다. 재난정신건강 평가를 위해서 최소한 1시간 이내에 평가할 수 있는 표준 버전과 30분을 넘지 않는 단축 버전과 같은 기본적인 패키지가 필요하다. 임상 현장보다 재난 현장에서 시간 및 비용이 더 중요한 요소이고 재난 현장의 특성상 실현 가능성도 고려하여야 하기 때문에 이 모두를 고려한 구성을 해야 한다. 적극적인 재난정신건강의 다면적 평가를 통해 조기에 위험군을 선별하고 이를 적절히 관리한다면 재난 이후에 발생하는 외상후스트레스후유증을 최소화할 수 있을 것이다.

Keywords

Acknowledgement

Supported by : 한국연구재단

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