정신신체의학 (Korean Journal of Psychosomatic Medicine)

한국정신신체의학회 (Korean Psychosomatic Society)
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메르스 대유행 생존자들이 인식한 낙인이 대처전략 및 우울 및 외상후 스트레스 증상에 끼치는 장기적 영향

Long-Term Impact of Stigma on Coping Strategies and Depressive and Posttraumatic Stress Symptoms in MERS Survivors

  • 유용준 (서울대학교병원 정신건강의학과) ;
  • 박혜윤 (서울대학교병원 정신건강의학과) ;
  • 김정란 (충남대학교 의과대학 정신건강의학교실) ;
  • 이정재 (단국대학교 의과대학 정신건강의학교실) ;
  • 이해우 (서울의료원 정신건강의학과) ;
  • 이소희 (국립중앙의료원 정신건강의학과)
  • Yongjoon, Yoo (Department of Psychiatry, Seoul National University Hospital) ;
  • Hye Yoon, Park (Department of Psychiatry, Seoul National University Hospital) ;
  • Jeong Lan, Kim (Department of Psychiatry, Chungnam National University School of Medicine) ;
  • Jung Jae, Lee (Department of Psychiatry, Dankook University School of Medicine) ;
  • Haewoo, Lee (Department of Psychiatry, Seoul Medical Center) ;
  • So Hee, Lee (Department of Psychiatry, National Medical Center)
  • 투고 : 2022.07.20
  • 심사 : 2022.10.24
  • 발행 : 2022.12.31
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초록

연구목적 본 연구는 메르스 생존자에서 감염 당시 낙인에 대한 인식, 12개월 후 이들이 사용하는 대처전략, 24개월 후 우울 및 외상후 스트레스 증상에 끼치는 영향 간의 연관성을 확인하고자 하였다. 방 법 63명의 2015년 메르스 생존자를 대상으로 코호트 연구를 진행하여 12개월 및 24개월 후에 인구학적 정보, 메르스 감염의 심각도, 우울 및 외상후 스트레스 증상, 대처전략, 낙인에 대한 인식 등을 조사했다. 결 과 감염 당시 낙인의 인식은 12개월 후 부정적 대처전략(p=0.003), 24개월 후 우울(p=0.058) 및 외상후 스트레스 증상(p=0.011)과 연관성을 보였다. 12개월 후 부정적 대처전략과 24개월 후 우울(p=0.002) 및 외상후 스트레스 증상(p<0.001) 간에도 유의한 연관성이 있었다. 결 론 감염자에 대한 낙인은 생존자들의 장기적 정신 건강에 부정적 영향을 줄 수 있다. 향후 신종감염병 유행 시 낙인 문제를 개선하고 생존자들이 적응적 대처전략을 가지도록 도와야 한다.

Objectives : This study intends to assess the associations among perceived stigma at the time of infection, coping strategies adopted 12 months later and depressive and posttraumatic symptoms 24 months later in Middle Eastern Respiratory Syndrome (MERS) survivors. Methods : A nationwide cohort study was conducted on 63 survivors of 2015 MERS outbreak. Demographic data, illness severity of MERS, depression and posttraumatic stress symptoms, coping strategies and MERS-related stigma were collected 12 and 24 months after the MERS outbreak, respectively. Results : Higher levels of perceived stigma at the time of outbreak were associated with higher levels of dysfunctional coping strategies after 12 months (p=0.003) and more severe depressive (p=0.058) and posttraumatic stress symptoms (p=0.011) after 24 months. Moreover, higher levels of dysfunctional coping strategies after 12 months were significantly associated with more severe depressive (p=0.002) and posttraumatic stress symptoms (p<0.001) after 24 months. Conclusions : Social stigma against people who have contracted an emerging infectious disease can leave a negative impact on the mental health of the survivors in the long term. In case of novel pandemics in the future, prompt rectification of stigma and promotion of adaptive coping strategies in survivors are needed.

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과제정보

본 연구는 한국 보건복지부에서 지원하는 한국보건산업진흥원 한국보건기술 R&D 프로젝트(HI15C3227)와 보건복지부 한국정신건강기술 R&D 프로젝트(HL19C0007)의 지원을 받았음.

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