Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
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The Association among Stress Coping Strategies, Social Support, and Self-Esteem in Patients with Posttraumatic Stress Disorder

외상후스트레스장애 환자의 증상 정도와 스트레스 대처 방식, 사회적 지지, 자존감의 관련성

  • Chung, Jae-Hee (Department of Psychiatry, Jeonbuk National University Hospital) ;
  • Kwon, Joo-Han (Department of Psychiatry, Jeonbuk National University Hospital) ;
  • Park, Jong-Il (Department of Psychiatry, Jeonbuk National University Hospital) ;
  • Yang, Jong-Chul (Department of Psychiatry, Jeonbuk National University Hospital)
  • 정재희 (전북대학교병원 정신건강의학과) ;
  • 권주한 (전북대학교병원 정신건강의학과) ;
  • 박종일 (전북대학교병원 정신건강의학과) ;
  • 양종철 (전북대학교병원 정신건강의학과)
  • Received : 2021.10.05
  • Accepted : 2021.10.20
  • Published : 2021.10.30
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Abstract

Objective : The purpose of this study is to investigate the relationship among the degree of symptoms of posttraumatic stress disorder (PTSD) and social support, stress coping strategies, and self-esteem in patients with PTSD. Methods : A total of 48 patients meeting DSM-5 criteria for PTSD and 48 normal controls were recruited for participation in this study. We evaluated subjects using the Clinician-Administered PTSD Scale (CAPS), Hamilton Anxiety Scale (HAM-A), Hamilton Depression Scale (HAM-D), Rosenberg Self-Esteem Scale (RSES), Multidimensional Scale of Perceived Social Support (MSPSS) and The Ways of Stress Coping Questionnaire (SCQ). We analyzed data using an independent t-test and Pearson's correlation analysis. Results : In PTSD patients, total CAPS scores showed a significant positive correlation with HAM-A and HAM-D scores and a significant negative correlation with MSPSS scores. RSES scores showed a significant positive correlation with MSPSS and SCQ scores. MSPSS scores showed a significant negative correlation with PTSD avoidance and numbing and HAM-D scores. SCQ scores showed a significant negative correlation with PTSD avoidance and numbing. Conclusion : These results revealed that the better the stress coping strategies and social support, the lower the degree of symptoms in patients with PTSD. In addition, it was found that the higher the social support and self-esteem, the lower the degree of depression and anxiety. Therefore, in the treatment process, it seems important to identify and correct the self-esteem, social support system, and stress coping strategies of patients with PTSD.

Keywords

Acknowledgement

이 연구는 한국연구재단(NRF-2019R1F1A1059029)의 지원을 받아 수행된 연구임.

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