• Title/Summary/Keyword: Emotional trauma

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Cognitive behavior intervention for critical incident stress management in fire fighters in Korea (소방공무원의 위기상황 스트레스 관리를 위한 인지행동 개입과 대책)

  • Lee, Eun-Jung;Kim, Jee-Hee
    • Journal of the Korea Convergence Society
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    • v.6 no.2
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    • pp.13-18
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    • 2015
  • The purpose of the study is to investigate the predisposing factors of posttraumatic stress disorder (PTSD) in fire fighters in Korea and to suggest the program development and solution to the critical incident stress management (CISM) in the future. PTSD is characterized by invasion, withdrawal, negative change of cognition and mood, and hypersensitivity. Trauma memory includes explicit memory and implicit memory. The explicit memory is conscious, cognitive, and descriptive and is controlled by hippocampus. The data of explicit memory have inhibitive and narrative language structure. The implicit memory is inconscious, emotional, and remembered by the body. The implicit memory is controlled by amygdala and has inexpressive language structure. The deletion of implicit memory is the key point to trauma treatment. Critical incident stress management (CISM) is the approach for the solution of PTSD. In conclusion, the essential goal of CISM is the psychological cessation of PTSD. This study tried to suggest the education program development of PTSD.

Stress, Depression, and Fetal Attachment in Pregnant Women having Infertility Treatments (불임 치료 임부의 스트레스, 우울 및 태아애착)

  • Kim, Miok
    • Women's Health Nursing
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    • v.20 no.2
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    • pp.163-172
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    • 2014
  • Purpose: The purpose of this study was to determine the stress, depression, and fetal attachment of pregnant women who underwent infertility treatment, and to identify factors associated with fetal attachment. Methods: As a correlation survey design, data were collected from 136 pregnant women who underwent infertility treatment. Data were analyzed using ${\chi}^2$-test, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: Stress, depression, and fetal attachment averaged $3.01{\pm}0.60$ (range of scale 1~5), $10.02{\pm}6.51$ (out of a possible 63), and $3.64{\pm}0.55$ (range of scale 1~5), respectively. Level of fetal attachment was higher when mother's age was less than 35, having other children, and having prenatal education experience. Lower score of depression and client's age less than 35 were significant factors affecting fetal attachment. Conclusion: Infertility is a life-affecting trauma for the individual, and personal and social changes due to infertility cause physical and psychological difficulties even after a successful pregnancy with infertility treatment. Therefore, prenatal management programs need to be developed giving consideration to the emotional and physical changes in order to promote physical and psychological stability in the women pregnant following infertility treatment.

Factors Influencing Turnover Intention in Clinical Nurses: Compassion Fatigue, Coping, Social Support, and Job Satisfaction

  • Yang, Young Hee;Kim, Jong Kyung
    • Journal of Korean Academy of Nursing Administration
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    • v.22 no.5
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    • pp.562-569
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    • 2016
  • Purpose: This study was done to construct and verify a model of turnover intention in clinical nurses, considering the effects of compassion fatigue, coping, social support, and job satisfaction. Methods: For this study a cross-sectional correlational design was used. Participants were 283 clinical nurses in four general hospitals. Data were collected using a questionnaire and were analyzed with descriptive statistics, Pearson correlation coefficient and path analysis. Results: The modified model of turnover intention had a good fit in this study. Turnover intention was influenced by job satisfaction, and job satisfaction was affected by workload, problem-focused coping, peer support, family-friend support and compassion fatigue. Compassion fatigue was associated with occupational trauma events, problem-focused coping and emotional-focused coping. Job satisfaction was the most important factors controlling nurse's turnover intention. Conclusion: Findings show that job satisfaction, compassion fatigue, and traumatic events are important factors influencing turnover intention. Nurse managers try to manage job satisfaction, compassion fatigue, support, and coping for nurses, it could be expected making proper nursing circumstance.

A Study on the Necessity of Treatment-Centered Reading Activities for the Elderly (노년기 치료적 독서 활동 필요성에 관한 연구)

  • Lim, Seong-Gwan
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.22 no.1
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    • pp.79-93
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    • 2011
  • This study aims to analyzed the treatment factors in the reading activities in order to examine the possibility for such factors to applied to the actual life of the old, and sought for the utilization and direction of the reading program that is presented as the treatment and prevention of the emotional problems of the old people. Considering such circumstances, involving in reading activities improves the quality of the old people's life by meeting their internal desire by themselves and giving the meaning to their life with creativity. In addition, the reading activities helps the old people to express in-depth conflicts, emotion, desire and thinking that they are routinely experiencing, thus leading to the treatment of their agony, trauma, and pain. In such sense, it is very meaningful for the elderly to be joined in any reading activities.

A Study on the Method of Treatment-Centered Reading Activity for the Middle-aged (중년기 치료적 독서 활동 방안 제시에 관한 연구)

  • Lim, Seong-Gwan
    • Journal of Korean Library and Information Science Society
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    • v.47 no.3
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    • pp.261-288
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    • 2016
  • This study aims to analyzed the treatment factors in the reading activities in order to examine the possibility for such factors to applied to the actual life of the meddle-aged, and sought for the utilization and direction of the reading program that is presented as the treatment and prevention of the emotional problems of the meddle-aged people. Considering such circumstances, involving in reading activities improves the quality of the meddle-aged people's life by meeting their internal desire by themselves and giving the meaning to their life with creativity. In addition, the reading activities helps the meddle-aged people to express in-depth conflicts, emotion, desire and thinking that they are routinely experiencing, thus leading to the treatment of their agony, trauma, and pain. In such sense, it is very meaningful for the middle-aged to be joined in any reading activities.

Handling of Harvested Broiler (육계 출하 후 관리)

  • Kim Dong-Hun;Yoo Young-Mo;Cho Soo-Hyun;Park Beom-Young;Kim Yong-Kon;Lee Jong-Moon
    • Food Science of Animal Resources
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    • v.24 no.4
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    • pp.424-432
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    • 2004
  • The handling and transport of broiler birds from farm to the processing factory is known to cause injury and dead. The preslaughter period can be compromised through thermal stress, emotional stress, starvation, dehydration, metabolic exhaustion, trauma to the skin and bone fraction resulting in bruising and dead. This paper focuses on the control points of individual post Harvest stages by reference to recent literature. In catching, the injuries and deads are caused from fracture of bone, skin damage and hipbone dislocation. It can be improved by training the catchers. The primary factor of dead during transportation is from thermal stress. It is related to stocking density, type of crate and vehicle, ventilation and transportation time. Of the factors, the ventilation is very important. The holding place should be built with consideration of protection from the hostile external environment. There were not much progresses in this area, however, many researches are conducting to focus on animal welfare in European Union. Recently, it is rapidly changed in marketing custom from whole carcass to portion cut in Korea. This means the increase of economic loss due to the mishandling at post harvest. The systematic approach is demanded for this area.

Takotsubo Cardiomyopathy Caused by Pulmonary Tuberculosis: A Case Report

  • Ha, Jick Hwan;Lee, Hyewon;Park, Young Jae;Kang, Hyeon Hui;Lee, Sang Haak;Moon, Hwa Sik
    • Tuberculosis and Respiratory Diseases
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    • v.77 no.1
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    • pp.24-27
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    • 2014
  • Takotsubo cardiomyopathy (TTC) is defined as a reversible, acute ventricular dysfunction without any evidence of coronary artery obstruction. There have been reports of TTC caused by emotional or physical stress, drug use, hormone imbalance, or medical conditions such as pulmonary disease, sepsis, and trauma, but a relationship between TTC and pulmonary tuberculosis has not previously been reported. From our knowledge, this is the first report of TTC caused by pulmonary tuberculosis.

Practical Approach and Nursing Intervention for Cancer Patients with Suicidal Idea (자살사고를 보이는 암환자에 대한 실제적 접근 및 간호 중재)

  • Kwon, Shin-Young;Cho, Seong-Jin
    • Journal of Hospice and Palliative Care
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    • v.6 no.1
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    • pp.58-64
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    • 2003
  • Cancer is a life crisis which inflicts major psychological and physical trauma upon the victim. Most of the cancer patients suffer from major depression, profound frustration, and impaired social adjustment. Therefore suicidal ideation and suicidal attempt are also becoming a serious threat to cancer patients and their families. Hospice is patient-centered, and accepts the inevitability of 'death' while simultaneously being life-affirming. Even though there is no chance of physical cure, there is much scope for psychosocial and spiritual healing. Most of cancer patients who commit suicide suffer hem many mental problems. Hospice specialists must play an important role in evaluating and managing emotional or behavioral problems associated with suicidal ideatior and are also are expected to serve as informed commentators regarding suicide. It is crucial that hospice specialists define their role and develop clinical skills to intervene in suicidal event effectively. A systematic approach to suicidal cancer patients is a essential, and there is need for specific training for all hospice professionals. In this case report, the author introduced knowledge and clinical guidelines for a desirable approach to suicidal cancer patient.

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A Grounded Theoretical Study on the Experience of Preventing Safety Accidents of Workers at Construction Sites (건설현장 근로자의 안전사고 예방 경험에 대한 근거이론적 연구)

  • Park, Young-Jun;Lim, Un-Na
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2020.11a
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    • pp.63-64
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    • 2020
  • The purpose of this study is to find out how construction sites workers experience adaptation processes in relation to the prevention of safety accidents in the workplace through the method of grounded theory. In order to understand the experience of preventing safety accidents of workers at construction sites, a grounded theory analysis method was chosen. In order to achieve the purpose of this study, the first questionnaire was sent to 17 people working in the construction site by e-mail, and the participants of the study were met one by one for in-depth interviews. As a result of this study, the paradigm model of the experience of preventing safety accidents of workers at construction sites was classified into causal conditions, contextual conditions, central phenomena, intervening conditions, action/interactions, and outcomes. The conclusions of this study are as follows. First, forming a safety culture that can improve the safety awareness of construction sites is a priority. Second, it is necessary to improve self-management capabilities so that construction workers can accurately diagnose their current state such as their own body, emotion, and cognition and provide appropriate safety education. Third, providing safety education for construction workers with negative thoughts or distorted beliefs about safety accidents needs to include psychological treatment and counseling, such as methods of emotional purification, methods of relieving and managing stress, and methods of removing trauma.

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PRELIMINARY STUDY OF MENTAL REPRESENTATIONS OF PRESCHOOL CHILDREN EXPERIENCING SINGLE, SEVERE TRAUMA (심한 정신적 외상 경험을 한 학령 전기 아동의 정신적 표상에 대한 예비연구)

  • Eon, So-Yong;Song, Won-Woung;Oh, Kyung-Ja;Choi, Eui-Gyum;Shim, Eun-Ji;Shin, Yee-Jin
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.15 no.1
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    • pp.61-74
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    • 2004
  • Objectives:This study was performed to introduce a psychoeducational family therapy model for the families of schizophrenic patient and to investigate the effect of this model on the changes in coping style and depressive symptoms of the family members, and in perception of emotional support by families and depressive symptoms of patients. Methods:Nine preschool children, 3-5 years old, experiencing physical injuries caused by attack from a psychotic patient at kindergarten, were evaluated for psychological assessments;Intelligence test, MSSB(MacArthur Story-Stem Battery), H-T-P test(House-Tree-Person test). And their parents completed rating scale, KPI-C(Korean Personality Inventory for Children about children’s psychological conditions). Results:With respects to the contents and emotional reactions of MSSB, 9 preschool children showed generally high levels of anxiety, depression, avoidance, aggression, probably related to the traumatic experiences. Even though children couldn't verbally report directly about their traumatic experiences, in both MSSB, structured play narrative assessment tool, and HPT, free drawing and association test, they demonstrated psychiatric problems through reenactment plays, regardless of clinical diagnoses. Conclusion:Present study allowed us the chance to see beyond the outer pathological behaviors of PTSD in preschool children, through deeper evaluations of their mental representation. These preliminary data suggest deep understanding of internal representation would be of help for thorough evaluations and treatment plan for preschool children, experiencing severe trauma.

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