• Title/Summary/Keyword: 집단 외상

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Effects of a Mind Subtraction Meditation-Based Healing Program on the Ruminations and Posttraumatic Stress Disorder Symptoms of Firefighters (마음빼기명상 기반 힐링프로그램이 소방공무원의 외상 후 스트레스장애 증상과 반추에 미치는 효과)

  • Kim, JaeHwan;Lee, Insoo;Yoo, Yang Gyeong
    • Fire Science and Engineering
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    • v.33 no.5
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    • pp.118-129
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    • 2019
  • Firefighters are high-risk group for posttraumatic stress disorder because they are repeatedly exposed to traumatic events. In this study, we examined the effects of a short-term, intensive, Mind subtraction meditation-based healing program on the ruminations and posttraumatic stress disorder symptoms of firefighters. In 2019, we used a survey questionnaire to assess the intrusive ruminations of 80 firefighters at a firefighting headquarters before and after implementing the Mind subtraction meditation-based healing program and personal journals over a period of two nights and three days. The results showed that there was a significant decrease in posttraumatic stress disorder symptoms, from 32.40 (± 14.67) to 30.31 (± 13.76) among the male subjects, and a significant decrease in posttraumatic stress disorder symptoms, from 32.03 (± 13.31) to 27.33 (± 10.68) and intrusive ruminations, from 5.21 (± 7.32) to 3.41 (± 6.30), among the female subjects. In conclusion, the Mind subtraction meditation-based healing program was effective in reducing the posttraumatic stress disorder symptoms and intrusive ruminations of firefighters. Therefore, the Mind subtraction meditation-based healing program could be proposed as a mental health promotion program for firefighters.

Validation of the Korean Version of the Trauma Symptom Checklist-40 among Psychiatric Outpatients (정신건강의학과 외래환자 대상 한국판 외상 증상 체크리스트(Trauma Symptom Checklist-40)의 타당도 연구)

  • Park, Jin;Kim, Daeho;Kim, Eunkyung;Kim, Seokhyun;Yun, Mirim
    • Korean Journal of Psychosomatic Medicine
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    • v.26 no.1
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    • pp.35-43
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    • 2018
  • Objectives : Effects of multiple trauma are complex and extend beyond core PTSD symptoms. However, few psychological instruments for trauma assessment address this issue of symptom complexity. The Trauma Symptom Checklist-40 (TSC-40) is a self-report scale that assesses wide range of symptoms associated with childhood or adult traumatic experience. The purpose of the present study was to evaluate the validity of the Korean Version of the TSC-40 in a sample of psychiatric outpatients. Methods : Data of 367 treatment-seeking patients with DSM-IV diagnoses were obtained from an outpatient department of psychiatric unit at a university hospital. The diagnoses were anxiety disorder, posttraumatic stress disorder, depressive disorder, adjustment disorder and others. Included in the psychometric data were the TSC-40, the Life events checklist, the Impact of Event Scale-Revised, the Zung's Self-report Depression Scale, and the Zung's Self-report Anxiety Scale. Cronbach's ${\alpha}$ for internal consistency were calculated. Convergent and concurrent validity was approached with correlation between the TSC-40 and other scales (PTSD, anxiety and depression). Results : Exploratory factor analysis of the Korean Version of TSC-40 extracted seven-factor structure accounted for 59.55% of total variance that was contextually similar to a six-factor structure and five-factor structure of the original English version. The Korean Version of TSC-40 demonstrated a high level of internal consistency. (Cronbach's ${\alpha}=0.94$) and good concurrent and convergent validity with another PTSD scale and anxiety and depression scales. Conclusions : Excellent construct validity of The Korean Version of TSC-40 was proved in this study. And subtle difference in the factor structure may reflect the cultural issues and the sample characteristics such as heterogeneous clinical population (including non-trauma related disorders) and outpatient status. Overall, this study demonstrated that the Korean version of TSC-40 is psychometrically sound and can be used for Korean clinical population.

A Study on the Difference of Psychosocial Characteristics and Quality of Life according to the Type of Functional Gastrointestinal Disorder (기능성 위장질환의 종류에 따른 정신사회적 특성 및 삶의 질의 차이에 관한 연구)

  • Park, Seung-Kyu;Lee, Sang-Yeol;Ryu, Han-Seung;Choi, Suck-Chei;Yang, Chan-Mo;Jang, Seung-Ho;Yeom, Dong Han;Lee, Kuy-Haeng
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.1
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    • pp.58-66
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    • 2021
  • Objectives : The purpose of this study is to compare the psychosocial characteristics of patients diagnosed with functional gastrointestinal disorder (FGID) by classifying them into irritable bowel syndrome (IBS), functional dyspepsia (FD), functional constipation (FC), functional heartburn (FH) groups, and overlap group (two or more functional diseases) and to examine the factors associated with the quality of life (QoL) of patients with FGID. Methods : A total of 144 patients who were diagnosed with FGID were selected as the subjects. The demographical factors were investigated; Korean-Beck Depression Inventory-II (K-BDI-II), Korean-Beck Anxiety Inventory (K-BAI), Korean version of Childhood Trauma Questionnaire (K-CTQ), Multi-dimensional Scale of Perceived Social Support (MSPSS), Korean Version of Connor-Davidson Resilience Scale (K-CD-RISC), and World Health Organization Quality of Life Assessment Instrument Brief Form (WHOQOL-BREF) were used to evaluate the psychosocial factors. Results : TThe overlap group had a significantly higher K-BDI-II score (F=11.09, p<0.001) and K-BAI score (F=8.93, p<0.001) compared to other groups. In childhood trauma, the IBS patients had a difference in emotional neglect (F=2.54, p=0.04) than the FD patients. The QoL of FGID patients had a negative correlation with depression (r=-0.196, p<0.01), anxiety (r=-0.235, p<0.01), and childhood trauma (r=-0.222, p<0.01), and a positive correlation with social support (r=0.512, p<0.01) and resilience (r=0.581, p<0.01). Conclusions : Overlap group had a higher level of depression and anxiety, and the IBS patient group had a higher level of emotional neglect than the FD patient group in terms of childhood trauma.

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.

EMDR-IGTP on the Depression, Anxiety, Post Traumatic Stress, and Self-esteem of Graduate Nursing Students (EMDR 통합 집단치료가 간호대학원생의 우울, 불안, PTSD, 및 자아존중감에 미치는 효과)

  • Oh, Kyong-ok;Gang, Moon-hee;Kim, Sun-Hee
    • Journal of Digital Convergence
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    • v.16 no.6
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    • pp.233-240
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    • 2018
  • The study aimed to evaluate the effects of the EMDR-IGPT(Eye movement desensitization and reprocessing-integrative group treatment protocol) on the depression, anxiety, post traumatic stress, self-esteem in graduate nursing students. A quasi-experimental study employing a nonequivalent control group and pre-post design was conducted. The participants were graduate nursing students from C university (Experimental group=22, Control group=28). The experimental group participated in the 8 session-EMDR-IGPT for 8 weeks, while control group were treated by waitlist. Data were analyzed using ${\chi}^2-test$, independent t-test, with SPSS 24.0 program. There were significant differences in anxiety(t=-2.50, p<.05) and self-esteem(t=20.78, p<.01) of participants between experimental group and control group after completion of 8 session-EMDR-IGPT. The results indicate that EMDR-IGPT can be used to improve anxiety and self-esteem of graduate nursing students. Furthermore, further study needs to identify the mechanism of the effects of the program.

Executive Dysfunction and It's Relation to K-WAIS Scores in Mild Traumatic Brain Injury Patients with Normal Intelligence Quotient (정상 지능의 경도 외상성 뇌손상 환자에서 실행기능 장애 및 K-WAIS 점수들과의 관련성)

  • Lee, Dae-Bo;Yoon, In-Seon;Kim, Seon-Kyung;Rho, Seung-Ho;Park, Min-Cheol;Lee, Sang-Yeol
    • Korean Journal of Psychosomatic Medicine
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    • v.20 no.1
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    • pp.50-58
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    • 2012
  • Objectives : This study examined the selective deficits of executive function in patients with mild traumatic brain injury that in normal range of general intelligence level and aimed to analysis of the correlation between K-WAIS result and executive function. Methods : 59 subjects were included in this study, who were diagnosed as mild traumatic brain injury(MTBI) and they have visited in neuropsychiatric department of Wonkwang University Hospital during from March, 2005 to September, 2010. For measurement of general intelligence quotient, the Korean-Wechsler Adults Intelligence Scale(K-WAIS) was administered and for measurement of executive intelligence quotient(EIQ), Executive Intelligence Test(EXIT) was administered. Results : Of patients, 50.8% included at abnormal EIQ group. The patients of abnormal EIQ showed poorer full scale IQ(FIQ), performance IQ(PIQ) and in subscale that picture arrangement, digit symbol, digit span, block design, object assembly and comprehension were significantly different. In terms of relationships between K-WAIS and EIQ, FIQ and PIQ have positive correlation with EIQ. And in subscale, picture arrangement, digit symbol, digit span, block design, object assembly and comprehension show positive correlation with EIQ. Conclusion : This study suggest that MTBI patients with have normal range of general intelligence level may have deficit of executive function is common. The decline of FIQ, PIQ and some subscales of K-WAIS may suggest executive dysfunction in MTBI patients.

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The Effects of Trauma-patient Training Education Using Simulation on Knowledge, Satisfaction and Problem-solving in Emergency medical Students (시뮬레이션을 활용한 외상환자 실습교육이 응급구조학과 학생들의 지식과 만족도 및 문제해결에 미치는 효과)

  • Moon, Tae-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.4
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    • pp.710-717
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    • 2016
  • This study was progessed from March 3, 2015 to March 31 for purpose of evaluating the effects of the trauma-patient practice education using simulation on knowledge, satisfaction and problem-solving in paramedic students. To closely examine the adequacy of education for paramedic students in one university, a comparison was made by dividing 28 male and female students into two groups of experimental group with 14 students and control group with 14 students. The experimental group was carried out the practice education of the trauma-patient simulation using simulator. The control group was conducted the theoretical and practical education through a traditional instructor-led class. As a result of the research, the experimental group can be known to be significantly higher(t=2.09, p<.05) than the control group in the post-knowledge survey and satisfaction following the development in each educational method for 4 weeks. Also, in consequence of the variable-based correlation in the sub-factors of satisfaction, a correlation was shown between interest and clinical help or between interest and problem-solving ability(p<.05, p<.01). Based on the results of this study, it is considered that the simulation practice education in the emergency department is demanded and that the practice education will need to be continuously applied through developing a proper scenario.

Interactional Effects of Travel Experience and Traumatic Event on Subjective Well-Being (여행경험과 외상적 사건이 주관적 웰빙에 미치는 상호작용)

  • Hong, Sung-Kwon;An, Kyung-Jin;Jang, Ho-Chan
    • Journal of the Korean Institute of Landscape Architecture
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    • v.45 no.2
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    • pp.1-10
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    • 2017
  • This study used a quasi-experimental method to investigate if both travel involvement and the degree of recall of a traumatic event affect subjective well-being. For this, independent variables such as positive affect, negative affect, and life satisfaction were established. Four waves of data collection were performed with two to three weeks intervals, then the collected longitudinal data were analysed by repeated measure ANOVA. The study results indicated that travel involvement increases positive affect and life satisfaction, with the effect lasting four weeks or more, which means that travel is an effective tool to boost subjective well-being. Respondents who thought about a traumatic event more frequently had a much higher negative affect following the disaster, and such increased negative affect was maintained over seven weeks or longer. Therefore, this study finds that negative events produce larger, more consistent, or more lasting effects than positive events. As well as travel participation, visiting an urban park is a pleasurable experience. Therefore, the study also finds that urban parks could be utilized for increasing and maintaining subjective well-being in the middle and long term as well as lessening personal stress.

The Effect of Empathy on Anxiety and Depression in COVID-19 Disaster : through Risk Perception and Indirect Trauma (코로나19 재난 상황에서 공감이 불안과 우울에 미치는 영향 : 위험지각과 간접외상을 통하여)

  • Han, Jeong-Soo;Choi, Ju-Hee;Lee, Sang-Ok;Kim, Yoo-Ri;Kim, Sung-Soo
    • The Journal of the Korea Contents Association
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    • v.21 no.11
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    • pp.609-625
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    • 2021
  • It has now been more than a year since the start of the COVID-19 pandemic in Korea, which has claimed thousands of lives and changed every aspect of life. The corona pandemic not only caused physical damages but also psychological one which is a collective social stress phenomenon often termed as 'corona blue'. The purpose of this study is to examine how empathy affects anxiety and depression through risk perception and indirect trauma, which are psychological variables related to the corona pandemic as a disaster. The survey data from 214 people were analyzed with a structural equation modelling. The results shows that 53.3 % of the participants experienced anxiety and 35.7% suffered from depression, which were about 6 times higher than ones from the 2019 government data. Affective empathy had a significant effect on risk perception, and cognitive empathy had a significant effect on indirect trauma. Risk perception and indirect trauma both had a significant effect on anxiety, and anxiety had a significant impact on depression. Only cognitive empathy had a significant indirect effect on anxiety and depression. This study provides an important insight into understanding a social phenomenon of 'corona blue' from a empathic perspective.

A Preliminary Study on the Psychopathological protocols of the Vietnam War Agent Orange Patients and Korean Civil War Wound Soldier -Focus on Rorschach Tests- (베트남 참전 고엽제 환자와 한국전쟁 참전 상이군인의 심리적 특성에 관한 예비 연구 -로샤 반응을 중심으로-)

  • Chang, Mun-Seon;Kim, Tae-Yeol
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.9
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    • pp.2492-2500
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    • 2009
  • This study was carried to examine overall psychopathological patterns of the Vietnam Civil War Veterans(Agent Orange patients)and Korean Civil War veterans(wounded soldier) using Rorschach tests. Test protocols of were compared with those of twenty Vietnam Civil War Veterans group and twenty-one Korean Civil War veterans. Rorschach protocols were administrated, scored, analysed according to the Exner's comprehensive system. Specifically, each Rorschach variable was divided into 3 clusters(e.g., core section, response determinants, and several special indices. The results of t-tests between the Vietnam Civil War Veterans group and the Korean Civil War veterans showed that Vietnam Civil War Veterans group were characterized as 1)cognitive rigidity, 2) ineffective problem solving, 3)emotional represion, 4)hypervigilance, 5)anxiety and 6) depressive tendency. These patterns suggest that still Vietnam Civil War Veterans experience the past trauma and lasting psychological seguela. Other implications and limitations of this study were discussed.