• Title/Summary/Keyword: 집단 외상

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Problems in Psychological Debriefing and Suggestions for Best Practice (심리적 경험보고(debriefing)의 문제점들과 올바른 적용을 위한 제언)

  • Seung-yeon Lee
    • Korean Journal of Culture and Social Issue
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    • v.13 no.1
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    • pp.63-89
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    • 2007
  • This study introduces major models of psychological debriefing that has been utilized as an early psychological intervention after traumatic incidents and examines the controversy on the effects of psychological debriefing. It is difficult to make consistent conclusions regarding its effects based on the previous research data. Therefore, this study examines the major issues related to psychological debriefing and suggests the important points for best practice in crisis situations.

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Specific Relationships Between Anxiety Symptom Dimensions and Types of Childhood Trauma and Mediating Effects of Resilience in a Sample of College Students (대학생 집단에서의 불안증상 차원과 아동기 외상 종류의 특이 관련성 및 회복탄력성의 매개효과)

  • Park, Kwang Ho;Myung, Woojae;Ha, Tae Hyon
    • Anxiety and mood
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    • v.18 no.2
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    • pp.48-55
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    • 2022
  • Objective : Childhood trauma is a risk factor for and resilience is a protective factor against later affective symptoms. The current study aimed to explore the relation between childhood trauma and anxiety symptoms and the mediating effect of resilience in a sample of college students. Methods : Data from 238 subjects who completed the Beck Anxiety Inventory (BAI), the Childhood Trauma Questionnaire (CTQ) and the Connor-Davidson Resilience Scale (CD-RISC) were analyzed. Predictors for BAI score and factor analyzed anxiety symptom dimensions were examined using regression models. Path analytic models were applied to test the mediating effect of the CD-RICS score on BAI score. Results : The CTQ score was significantly associated with the BAI score and the mediating effect of CD-RISC was significant as well. The cognitive dimension of anxiety was related to emotional abuse while the somatic dimension of anxiety to physical neglect. The CD-RISC score did not mediate those relations between anxiety dimensions and individual types of childhood trauma. Conclusion : Our data suggest that childhood trauma contributes to adult anxiety symptoms. There may be specific relations between types of childhood trauma and anxiety symptoms dimensions.

A Longitudinal Validation Study of the Korean Version of PCL-5(Post-traumatic Stress Disorder Checklist for DSM-5) (PCL-5(DSM-5 기준 외상 후 스트레스 장애 체크리스트) 한국판 종단 타당화 연구)

  • Lee, DongHun;Lee, DeokHee;Kim, SungHyun;Jung, DaSong
    • Korean Journal of Culture and Social Issue
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    • v.28 no.2
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    • pp.187-217
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    • 2022
  • The aim of this study is to examine the psychometric properties of the Korean version of the Post-traumatic Stress Disorder Checklist for DSM-5(PCL-5). For this purpose, online surveys were conducted for two times with a one year interval using the data from 1,077 Korean adults at time 1, and 563 Korean adults at time 2. First, from the result of the confirmatory factor analysis, comparing the model fit of the 1, 4, 6, and 7-factor model, the 4, 6, and 7-factor model showed a acceptable fit, and the best fit was seen in the order of the 7, 6, 4-factor model. Second, the internal consistency, omega coefficient, construct validity, average variance extracted, and test-retest reliability results were all satisfactory.. Third, a correlation analysis with the K-PC-PTSD-5 and the sub-factors of BSI-18 was conducted to check the validity of the Korean Version of PCL-5. As a result, a positive correlation was seen with both K-PC-PTSD-5 and BSI-18. Fourth, a hierarchical multiple regression was performed to examine whether the Korean Version of PCL-5 predicts future PTSD, depression, anxiety, and somatization. As a result, the Korean Version of PCL-5 measured at time 1 significantly predicted PTSD, depression, anxiety, and somatization symptoms at time 2. Fifth, by analyzing the ROC curve, the discriminant power of PCL-5 for screening PTSD symptom groups was confirmed, and the best cut-off score was suggested. As a result of the longitudinal validation of Korean version of PCL-5, it was found that this scale is a reliable and valid measure for Korean adults. By looking into the predictive validity of the scale, it was found that the Korean version of PCL-5 can predict not only PTSD symptoms but also PTSD-related symptoms such as depression, anxiety, and somatization. Also, this study differs from previous validation studies measuring PTSD symptoms in that it suggested a cut-off score to help differentiate PTSD symptom groups.

Impact of Pre-briefing using Structured Video in the Pre-hospital Trauma Care Simulation-based Education (시뮬레이션 기반 병원 전 외상 교육 과정에서 구조화된 동영상을 적용한 사전브리핑이 몰입감, 자신감, 만족도에 미치는 영향)

  • Park, Si-Eun;Kwak, Yu-Mi
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.7
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    • pp.421-427
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    • 2020
  • The aim of this study was to examine the impacts of pre-briefing using structured video simulations in the pre-hospital trauma care simulation-based education on simulation immersion, simulation confidence, and simulation satisfaction. For both the experimental group and the control group, orientations were conducted on the simulation environment. Subsequently, the experimental group watched a video of about 8 minutes, similar to the scenario situation, in which the goal and result of the training were presented. The control group, on the other hand, conducted a classical way of orientation related to the scenario during the same time period. In addition, the experimental group and the control group underwent simulation practice in the same situation for 12 minutes, and debriefing was performed for 40 minutes by the same research assistant. Afterwards, we measured the simulation immersion, confidence, and satisfaction of the participants. Data were analyzed using χ2 and independent t-test using the SPSS 22.0 program. It was found that the experimental group that conducted the pre-briefing using video had higher immersion and confidence than the control group. On the other hand, satisfaction was not significantly different between the two groups. The results indicate that pre-briefing using structured video was an effective educational method to increase simulation immersion and simulation confidence.

Cognitive and Psychological Characteristics of Psychiatric Patients with Military Service Eligibility Issues (군 복무 적합성 판정을 위해 내원한 환자들의 인지적 및 심리적 특성)

  • Nam, Jisoo;Choi, Junho;Kim, Eunkyeong
    • Korean Journal of Psychosomatic Medicine
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    • v.27 no.2
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    • pp.119-129
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    • 2019
  • Objectives : The purpose of this study was to examine cognitive and psychological characteristics of patients who visited psychiatric outpatient clinic with military service suitability issues. Methods : Since January, 2017 to September, 2018, patients were recruited from the department of psychiatry of university hospital. Participants were diagnosed using DSM-5 criteria by board certified psychiatrists. And each of participants tested with K-WAIS-IV, K-SCL-95 by clinical psychologist. The data were analyzed using SPSS 18.0. Results : The results indicated 24.6% of the patients have significantly low level of intellectual functioning. and 10.8% of the patients have borderline level of intellectual functioning, and 26.3% of them were below average. The results of psychological characteristics showed patients have cautious and potentially dangerous level of depression, anxiety, agoraphobia, and suicidal idea. And PTSD subscale's mean score was above problematic level. Next, we divided patients into two groups based on question of whether the patient is eligible to serve in the military service or not arises from recruitment process or army training center. But two group didn't differ significantly. And for further analyses, we also divided patients into two groups based on if they got single psychiatric diagnosis or more than one psychiatric diagnosis. Conclusions : The results indicated that group which has coexisting psychiatric disorders were more depressed, had higher level of anger and aggression, and had more serious levels of suicidal ideas than single psychiatric diagnosis group. The implications and limitations were discussed along with some suggestions for the future studies.

A Comparison of the Characteristics of Maritally Violent Men in a Community Sample and Batterers in the Criminal Justice System (지역사회의 폭력남편과 가정폭력범죄 행위자들의 특성 비교)

  • Chang, Hee-Suk
    • Korean Journal of Social Welfare
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    • v.58 no.4
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    • pp.141-168
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    • 2006
  • The present study explored and compared the risk factors of two subtypes of maritally violent men with those of a nonviolent comparison group. One type of batterers consisted of a community sample, and the other was sought from the criminal justice system. The identities of the male community batterers were not exposed to the society since their victims did not contact any of the social service agents related to domestic violence. To identify the different characteristics associated with two subtypes of woman abusers, a total of 152 nonviolent men, 82 male community batterers, and 336 offenders in a criminal justice system were considered. The results of the descriptive analysis showed that the level of physical violence of the community batterers was two times lower than that of the batterers who received legal punishments. The results of the multinominal logistic regression were as follows: (1) The variables that distinguished the male community batterers from the nonviolent men were the use of physical violence towards children, marital decision power, and income. (2) Four factors had been found to distinguish batterers in the criminal justice system from nonbatterers, namely: attitudes towards woman battering, education, violence towards children, and level of jealousy. (3) The community batterers showed a higher level of education and of stress as well as a longer period of marital relationship compared to the batterers in the criminal justice system. On the other hand, the batterers who received legal punishments had more severe alcohol problems and had an accepting attitude towards the use of violence. This study also investigated psychopathology among batterers using MCMI-III, based on 333 subjects. In terms of the mean scores, there were no subscales associated with personality pathology in all the male groups. Based on the logit model, the community batterers showed a stronger tendency towards having a passive-aggressive personality than did their counterparts, and they recorded a higher level of narcissism compared to the court-referred battering men. Post-traumatic stress was the only symptom that distinguished the batterers who received legal punishments from the other groups. The theoretical and practical implications of these results were pointed out and discussed in the paper.

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Association between Myofascial Pain Syndrome and the Assessment of Pain and the related Function tests in female telephone directory assistance operators using VDT (VDT 사용 여성 전화교환원들의 근막동통증후군과 동통 및 기능평가 검사와의 관련성)

  • Roh, Sang-Chul;Lee, Soo-Jin;Song, Jae-Cheol;Park, Hung-Bae
    • Journal of Preventive Medicine and Public Health
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    • v.30 no.4 s.59
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    • pp.779-790
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    • 1997
  • The Association between myofascial pain syndrome and some tests was assessed in a cross-sectional study of 904 female telephone operators using video display terminals(VDTs). 105 cases were diagnosed as Myofascial pain syndrome with symptom questionnaire, laboratory examination and physician's physical examination and 550 controls were defined to show only musculoskeletal symptoms using NIOSH symptom criteria. Data on demographics, musculoskeletal symptom and visual analogue scale(VAS) were obtained by questionnaire. Anthropometric measurements, pressure pain threshold, Grip & Pinch strength and laboratory test were conducted. No significant difference between case and control at comparing of demographics, occupational history and body measurements were observed. But, Grip strength, pressure pain threshold and VAS showed the statistical difference between case and controt. Age, pressure pain threshold of Rt. Upper trapezius and VAS were associated with myofascial pain syndrome in multivariate logistic regression analysis. This results suggest that, to diagnose of myofascial pain syndrome, the consideration of the objective aspects among patients' subjective symptom complaints through the VAS and pressure pain threshold is required.

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Relationship of Emotional intelligence, Self-leadership and Professional Quality of Life on Nurses (간호사의 감성지능, 셀프리더십, 전문직 삶의 질과의 관계)

  • Kim, Yo-Na
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.8
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    • pp.531-538
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    • 2019
  • The Purpose of This Study was to Identify The Relation of Emotional Intelligence, Self-leadership, Professional Quality of Life among Clinical Nurses. Participants were 197 Nurses Drawn from a General Hospital in Busan, Ulsan, & Gyungnam. Mean, Standard Deviation, Independent t-test, One way ANOVA and Correlation with SPSS/Win 23.0 Program were Used for Data Analysis. The Mean score Emotional Intelligence was 4.68/7, Self-leadership was 3.35/5. Professional Quality of Life was 2.98/5. Professional Quality of life is Consisted of 3 Subcategories as Compassion Satisfaction, Secondary Traumatic Stress and Burn out. 19.8% of The Participants Reported a High ProQOL (Compassion Satisfaction more than 75%, Burn out less than 25% & Secondary Traumatic Stress less than 25%). Compassion Satisfaction was Positively Correlated Emotional Intelligence and Self-leadership. Burn out was Negatively Correlated Emotional Intelligence and Self-leadership. Emotional Intelligence was Positively Correlated Self-leadership. On the Basis of Result, Program Development are Required to Improve Compassion Satisfaction, Emotional Intelligence and Self-leadership on Clinical Nurses.

The Effect of Sports Elastic Compression Stockings on Lower Extremity Edema by High Intensity Exercise (스포츠용 탄력압박스타킹이 최대 운동 시 하지의 부종에 미치는 영향)

  • Jung, hye-won
    • Proceedings of the Korea Contents Association Conference
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    • 2013.05a
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    • pp.383-384
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    • 2013
  • 본 연구는 스포츠용 탄력 압박 스타킹(Essential compression calf sleeve, SKINS, Australia)을 착용하고 최대 운동을 하였을 때, 하지 부종에 어떠한 효과가 있는지를 알아보고자 한다. 실험 대상자는 젊은 성인 남녀 30명으로(남자 15명, 여자15명) 근 골격계 및 심혈관계에 특이 병력이나 사고에 의한 외상 등이 없었으며, 규칙적으로 운동을 하는 자는 제외하였다. 대상자들의 신체적 특성을 파악하기 위해서 자동 신장계(BSM330, Biospace, Korea)를 사용하였다. 부종정도를 알기위해서 줄자로 운동 전후의 장딴지 근(종아리)의 둘레와 체성분 분석기(InBody 720, Biospace, Korea)를 사용하여 하지의 부종 수치를 측정하였다. 최대의 운동은 호흡가스 분석기와 연결된 트레이드밀(CPEX-1, IRS, Japan)을 사용하여 변형된 BRUCE Protocol TR-3에 따라 호흡 교환율(R) 값이 1.15이상 되거나 all-out 될 때까지 하였다. 실험 대상자들은 동일 집단으로 전이효과를 방지하기 위하여 일주일의 간격을 두고 스포츠 탄력 압박 스타킹 착용 유무에 따른 동일한 실험을 두 번 하였다. 측정은 최대 운동 전후의 장딴지 근(종아리)의 둘레와 부종 수치를 하였다. 스포츠용 탄력 압박 스타킹 착용 유무와 운동 전후를 비교하기 위하여 MANOVA(다변량 분산분석)를 사용하였고 유의수준은 .05로 설정하였다. 탄력 압박 스타킹을 착용한 상태에서 최대 운동 전후의 부종 정도를 측정한 결과 스타킹을 착용하지 않았을 때 운동 전후의 둘레가 유의하게 증가하였고(p<0.05), 스타킹을 착용 하였을 때 운동 전후의 둘레가 유의하게 증가하지 않았다(p>0.05). 부종 수치(세포외액/전체체액)는 탄력 압박 스타킹을 착용하였을 때 오른쪽 다리는 유의하지 않게 감소하였고(p>0.05), 왼쪽 다리는 유의하게 감소하였다(p>0.05). 탄력 압박 스타킹을 착용하고 운동할 경우 하지의 부종 경감에 어느 정도 효과가 있다고 사료된다.

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The Experiences of Sexually Abused Women with Intellectual Disability in the Ecosystems Perspective: Focused on Disabled Women Living in Residential Care Facilities (생태체계 관점에서 본 성폭력 피해 지적장애여성의 성폭력 이후의 경험에 대한 연구: 시설거주 장애인을 중심으로)

  • Kim, Ji-Hye;Kim, HeeJoo
    • The Journal of the Korea Contents Association
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    • v.17 no.6
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    • pp.382-395
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    • 2017
  • This study attempted to examine how sexually abused women with intellectual disability living in residential care facilities interact with their environment, such as personal life, family and communities, and to identify contextual characteristics and needs of these women. Qualitative case study method was adopted, and data was collected through individual and intake interviews, participant observation and a survey with 11 participants residing in a residential care facility for sexually abused women with intellectual disability. The results showed that participants struggled with stresses and emotional instability affected by traumatic experiences of sexual abuse. Family was a system that sexual abused took place, while the systems of residential facilities protected them from potential dangers and violence. Work and school systems also provided them opportunities of learning and having dreams in the future. However, the community system which participants would live after discharging from the facility, had risk factors vulnerable to sexual violence against participants. In conclusion, this study suggested diverse services and programs, such as professional psychotherapy programs, integrated support programs for victim and their families and provision of professional care facilities.