정신신체의학 (Korean Journal of Psychosomatic Medicine)

한국정신신체의학회 (Korean Psychosomatic Society)
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화상 환자의 방어기제와 외상후 스트레스 장애와의 관련성

The Correlation Between Defense Mechanism and Posttraumatic Stress Disorder in Burn Patients

  • 이도원 (국립정신건강센터 성인정신과) ;
  • 최양환 (화사의원) ;
  • 김종대 (대전화병원 외과) ;
  • 손경락 (동국대학교 일산병원 정신건강의학과) ;
  • 임우영 (건양대학교병원 정신건강의학과) ;
  • 전진용 (국립정신건강센터 정신건강사업)
  • Lee, Dowon (Department of Adult Psychiatry, National Center for Mental Health) ;
  • Choi, Yanghwan (Hwasa Burn Clinic) ;
  • Kim, Jong Dae (Department of Surgery, Daejeon Hwa Hospital) ;
  • Son, Kyung-Lak (Department of Psychiatry, Dongguk University Ilsan Hospital) ;
  • Im, Woo Young (Department of Psychiatry, College of Medicne, Konyang University) ;
  • Jun, Jin Yong (Department of Mental Health Service, National Center for Mental Health)
  • 투고 : 2021.11.12
  • 심사 : 2021.12.24
  • 발행 : 2021.12.31
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초록

연구목적 화상 환자의 방어 기제에 따른 외상 후 스트레스 증상의 정도를 알아보고자 이 연구를 수행하였다. 방 법 화상을 진단받은 환자 40명을 대상으로 사회 인구학적 특성, 화상 관련 특성, 한국판 사건충격척도 개정판(Impact of Event Scale-Revised, IES-R), 한국판 역학조사 우울증 척도(Center for epidemiologic studies depression scale, CES-D), 이화방어기제(Ewha Defense Mechanisms Test, EDMT)를 측정한 후 다중회귀분석을 실시하였다. 결 과 자아 확대적 방식으로 구성된 EDMT의 요인 2의 점수가 IES-R 점수와 통계학적으로 유의한 상관관계가 있었으며(β=-0.318, p=0.018), EDMT의 요인 2중에서는 통제(β=-0.299, p<0.05), 이타주의(β=-0.276, p<0.05)가 IES-R점수와 통계학적으로 유의한 상관관계가 있었다. 결 론 이 연구에서 화상 환자의 외상 후 스트레스장애는 통제, 이타주의 방어 기제와 상관성이 있었으며 화상 환자의 치료에 있어 방어 기제를 평가하는 것은 추후 외상 후 스트레스 장애의 심각도 판단에 도움을 줄 것으로 생각된다.

Objectives : This study was designed to investigate the correlation between defense mechanism and posttraumatic stress disorder in burn patients. Methods : We recruit 40 burn patients and we evaluate sociodemographic characteristics, characteristics related to burn, korean version of Impact of Event Scale-Revised (IES-R), Korean Version of Center for epidemiologic studies depression scale (CES-D) and Ewha Defense Mechanisms Test (EDMT). Multiple regression analysis was performed to evaluate the correlation between EDMT score and IES-R score. Results : Factor 2 of EDMT which consists of Ego-expansion subjects was significantly correlate with IER-S score. In factor 2, Controlling (β=-0.299, p<0.05), Sublimation (β=-0.276, p<0.05) is significantly correlate with IER-S score. Conclusions : Some subjects of defense mechanism was significantly correlate with IES-R score. it might be helpful to understand defense mechanism for the posttraumatic stress disorder in burn patients.

키워드

과제정보

이 연구는 2017년도 국립정신건강센터 임상연구사업(연구과제: 2017-21)의 지원을 받아 수행된 연구임.

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