• Title/Summary/Keyword: 외상성 사건 경험

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The Mediating Effect of Stress Management Format on Influence Over Post Traumatic Stress Disorder on Traumatic Case Experience of Police Officers (경찰관의 외상성 사건 경험이 외상후 스트레스 증상에 미치는 영향에 있어 스트레스 대처양식의 매개효과)

  • Yang, Kyoung-Mi;Oh, Chang-Hong;Park, Jung-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.1
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    • pp.116-128
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    • 2015
  • The purpose of research is to investigate mediating effect of stress management on influence over post traumatic stress disorder with traumatic case experience. In order to investigate, police officers from 4 police stations in Jeju were selected as subjects, 297 police officers. Data processing analysis of the research was verified by going through Baron & Kenny's regression analysis in 4 phases and Sobel Test was done to verify significance level on mediation effect. Through the research by confirming the manifestation route of post traumatic stress disorder symptom after traumatic case experience, assisted in setting up of appropriate post traumatic stress disorder intervention program and the purpose of research is to ultimately help police officers to break free from post traumatic stress and establish positive and dynamic work environment.

CHILDHOOD TRAUMA:PSYCHIATRIC OVERVIEW (아동기 외상의 정신과적 개관)

  • Han, Sung-Hee
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.13 no.1
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    • pp.3-14
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    • 2002
  • Childhood psychic trauma appears to be a crucial factor in the development of serious disorders both in childhood and in adulthood. Traumatized children show strong tendency to revisualize or re-feel a traumatic events. Play and behavioral reenactments are frequent manifestations of both the single blow and the long-standing traumas in childhood. Those children who suffer the results of single, intense terror appear to exhibit detailed memory, retrospective reworkings and misperceptions. In long-standing or repetitive trauma, children would show psychic numbing, self-hypnosis, dissociation and rage. Child's brain is undergoing critical and sensitive periods of differentiation. During this time, developing central nervous system is exquisitely sensitive to stress. Stressor-activated neurotransmitters and hormones can play major roles in neurogenesis, migration, synaptogenesis, and neurochemical differentiation. Internal opiate system operates in some trauma and causes the victim to fail to respond, to avoid, to shut off feelings. Evidence is also accumulating in traumatology that dysfuntion of locus coeruleus and ventral tegmental neucleus system leads to catecholamine receptors hypersensitivity. This change result in hypervigilance, increased startle, affective lability, and increased autonomic nervous system hyperreactivity. Another site of action of trauma on the brain is hypothalamic-pituitary-adrenal axis. Individuals with PTSD do not have enough cortisol to halt the alarm reaction. When children are exposed to long-standing extreme events, massive attempts to protect the psyche and to preserve the self are put into gear. These developmental traumas mobilize various kinds of defense mechanisms. Massive denial, dissociation, self anesthesia, identification with aggressor and aggression turned against the self often lead to profound character changes in the youngsters.

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Latent Profile Analysis of PTSD symptoms and PTG among Adults in South Korea: the Differences in Binge Eating, Non-Suicidal Self-Injury, and Problem Drinking Behaviors (잠재프로파일분석(LPA)을 활용한 PTSD 증상과 외상 후 성장 수준의 양상: 폭식, 비자살적 자해, 문제성 음주행동에서의 차이)

  • DeokHee Lee;DongHun Lee;HayoungJung
    • Korean Journal of Culture and Social Issue
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    • v.25 no.4
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    • pp.325-351
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    • 2019
  • The present study examined patterns of co-occurrence between DSM-5 posttraumatic stress disorder(PTSD) symptoms and posttraumatic growth(PTG) among Korean populations(n= 860). Latent profile analysis was used to identify subclasses and suggested that the 3-class model fit best: (1) Low PTSD/Mild PTG group (2) Low PTSD/High PTG group; (3) High PTSD/High PTG group. Class membership was predicted by demographic variables, social isolation, and frequency of traumatic experiences. Classes also differed with respect to self-destructive behaviors(binge eating, non-suicidal self-injury, and problem drinking). These findings contribute to future research about the coexisting patterns of PTSD and PTG, and to identify high-risk individuals who suffer from trauma-related problems in clinical practice.

Media Use during the Sewol Ferry Disaster and Post Traumatic Stress Disorder (미디어 이용과 외상 후 스트레스 장애(PTSD): 세월호 사건을 중심으로)

  • Park, Nohil;Chang, Seok-Hwan;Jeong, JiYeon
    • Journal of Digital Contents Society
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    • v.19 no.4
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    • pp.673-683
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    • 2018
  • The accident of Sewol Ferry is a disaster that provoked serious mental shock to the Korean people way beyond the level of generally-perceived catastrophic aftermaths. The purpose of this study is to examine the relationship between vicarious disaster experiences through media and post-traumatic stress(PTSD) symptoms of media users related to the accident. The responses of 417 people consisted of college, middle and high school students, and adults in a metropolitan area were collected for 12 days from the April 28, 2014 right after the accident. The results showed that the level of PTSD of social media users were higher than that of traditional media (newspapers or TV news) users on the accident. Also, the amount of use of disaster news information and social media revealed positive correlations with PTSD. Implications of this study are to demonstrate possible mechanisms of psychological trauma mediated by media on a disaster and its empirical data and to facilitate further research.

The Influence of Traumatic Events on Turnover Intention among Nurses Working in Intensive Care Units: The Moderating Effect of Emotional Intelligence (중환자실 간호사의 외상성 사건 경험이 이직의도에 미치는 영향 : 감성지능의 조절효과)

  • Kim, Hyunmi;Park, Jiyoung
    • Journal of Korean Critical Care Nursing
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    • v.14 no.2
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    • pp.70-81
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    • 2021
  • Purpose : The purpose of this study was to identify the moderating effects of emotional intelligence on the relationship between traumatic events and turnover intention among nurses working in intensive care units (ICUs). Method : In this predictive correlation study, the convenience sample included 133 ICU nurses. Data were collected using an online, structured self-report survey. The collected data were analyzed by descriptive statistics, an independent t-test, an analysis of variance, Pearson's correlation coefficient, and a hierarchical multiple regression analysis using SPSS/WIN 25.0. Results : The most frequently experienced traumatic events in ICUs were "nursing patients with abnormal behavior, including shouting and delirium," "end-of-life care," and "nursing patients with a risk of disease transmission, including AIDS and tuberculosis." The moderating effect of emotional intelligence was found to be statistically significant on the relationship between traumatic events and turnover intentions (𝛽=-0.15, p =.029). Conclusion : Intervention to improve the emotional intelligence of ICU nurses can be a salient strategy to reduce turnover intention resulting from traumatic events.

North-Korean-Refugee Women's Experience of Discrimination in South Korea and Reemergence of Trauma Experience (탈북여성들의 남한사회에서의 차별 경험과 트라우마 경험의 재현에 관한 탐색적 연구)

  • Sung, Jung-Hyun
    • The Journal of the Korea Contents Association
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    • v.14 no.5
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    • pp.117-131
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    • 2014
  • This study aims to explore the reexperience of trauma caused by experience of discrimination and stigma from South Korean. For this purpose of this study, focus group interview methods are used. The participants are five women who escaped from North Korea and they were from 20s to 50s. From the outcomes of this study, I find out that they had experienced to put in prison, to let arrest to let human traffic, and sexual or physical assault. Now they have PTSD(Post Trauma Stress Symptom) of nightmare related with past trauma, avoidance of interpersonal relationships and similar situations, and retrospection and memorization of negative experiences. In that situation, they also have experienced discrimination caused by lack of understanding of their suffering in South Korea. And almost of them suffer from poor situation economically and physically. Participants regret their entry to South Korea and perceive that their hope has gone. And they have anger of Korean's discrimination and stigma and they feel suicide impulse after experiencing very difficult situation. These negative experiences affect their PTSD and make reemergence of trauma experience. In conclusion, the outcomes of this study are discussed and I proposed the practical suggestions which have affected decreasing the PTSD.

A Study on Trauma Experiences among Korean Adults based on Conditional probability of PTSD symptoms (PTSD 증상의 조건비율에 근거한 한국 성인의 트라우마 경험에 관한 연구)

  • Kim, Ji-Yun;Lee, Dong-Hun;Kim, Si-Hyeong
    • Korean Journal of Culture and Social Issue
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    • v.24 no.3
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    • pp.365-383
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    • 2018
  • In this study, to search for events that cause high levels of PTSD symptoms, traumatic events are classified into 'criterion events' that meet DSM-IV-TR criteria and 'life stresssful events', conditional probability of PTSD was confirmed. From a sample of 1,000 adults residing in South Korea, 998 statistically relevant samples were extracted. Criterion events include cases of 'sexual harassment before age 16', 'sightings of other accidents', 'rape before 16', 'domestic violence before 16', 'disaster', 'traffic accidents', 'other accidents'. Life stressful events appeared to be 'legal arrest or detention(person and family)', 'parental separation or divorce', 'failure or despair causing serious stress', 'extreme conflict with family or frequent quarrels'. Among the demographic characteristics, age, marital status, religion were found to affect PTSD symptoms. The implications and limitations of these results are discussed.

Mediating Effect of Meaning of Life Moderated by Trauma Intensity on Deliberate Rumination of the Traumatic Experience and Post-traumatic Growth (외상에 대한 의도적 반추와 외상 후 성장의 관계에서 외상 강도에 의해 조절된 삶의 의미의 매개효과)

  • Ryu, Ji-Hyun;Suh, Kyung-Hyun
    • The Journal of the Korea Contents Association
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    • v.22 no.1
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    • pp.535-544
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    • 2022
  • This study identified the relationship between deliberate rumination of adults who experienced traumas and post-traumatic growth, and examined the mediating model of meaning of life moderated by trauma intensity on deliberate rumination and post-traumatic growth. Participants were 318 male and female adults who experienced traumas. The moderated mediating effect was analysed with PROCESS Macro 3.5 Model 7. Results revealed that deliberate rumination of adults who experienced traumas was positively correlated with trauma intensity, meaning of life, and post-traumatic growth, while meaning of life was positively correlated with post-traumatic growth. In a moderated mediating model for post-traumatic growth, there was significant interaction effect of deliberate rumination and trauma intensity; conditionally indirect effect of deliberate rumination was only significant for whose trauma intensity were high. These findings suggest that adults who did deliberate rumination are more likely to experience post-traumatic growth with finding meaning of life. And, the moderating effect suggests that this influence is only with higher levels of trauma intensity. In conclusion, deliberate rumination of severe traumatic event may lead to post-traumatic growth, and it can be helpful to experience the meaning of life in the process.

The moderating effect of resilience in the relationship between traumatic event experience and turnover intention of nurses in intensive care units (중환자실 간호사의 외상성 사건 경험과 이직 의도의 관계에서 회복탄력성의 조절 효과)

  • Jeong, Da Woon;Kim, Soukyoung
    • 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.

The Development and Effect of Posttraumatic Growth Program for Adolescents with Traumatic Experiences (외상경험 청소년의 외상 후 성장 프로그램 개발 및 효과)

  • Cha, Ji-young;Ham, Kyong-ae;Cheon, Seong-moon
    • Korean Journal of School Psychology
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    • v.16 no.2
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    • pp.129-157
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    • 2019
  • The purpose of this study is to develop a group counseling program for adolescents with traumatic experiences and to verify the effect of the program. For this purpose, the posttraumatic growth program was developed in accordance with the group counseling program that based on the needs of field experts and the needs of the subjects. This program consisted of 10 sessions. To verify the effectiveness of the developed program, 20 characterization high school students were divided into experimental group and control group, and a total of 10 sessions were performed twice a week. After the program was conducted on the experimental group, quantitative analysis was conducted for comparison according to the lapse of time: before, after, and follow-up. independent sample t-analysis was used to examine homogeneity between two groups beforehand. Mixed ANOVA was also used to verify a hypothesis. In conclusion, the posttraumatic growth program has significant effects on posttraumatic growth and intentional rumination level with experienced adolescents. Findings and implications of this study were discussed.