• Title/Summary/Keyword: PTSD

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A Study on the Traffic Accident Offenders' PTSD Occurrence and Analysis of the Changing Mechanism of Driving Attitudes (교통사고 야기자의 외상 후 스트레스 장애 발생과 운전태도 변화 메커니즘 분석)

  • Jang, Seok-Yong;Jeong, Heon-Yeong;Go, Sang-Seon
    • Journal of Korean Society of Transportation
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    • v.29 no.1
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    • pp.57-67
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    • 2011
  • This study has been conducted to provide the basic materials about the occurrence structures, causes and choice of treatments of the traffic accident offenders' PTSD(Posttraumatic Stress Disorder). The results of this study can be summarized as follows. First, accident offenders', not victims', PTSD conditions, which has been only estimated until now, are measured by nationwide questioning survey. Second, accident offenders' changes of driving attitude after accidents could be typed by factors analysis in the 20 driving situations closely connected to the occurrence of traffic accidents. Third, by the t-test, the difference of driving attitudes in primary driving situations according to existence of PTSD is distinguished. Six driving situations, which are found significant by t-test, are applied to structural equation. So the variables related to PTSD and the models which analyze the attitude changes of driving are constructed. This study provides the basic materials to help the reduction and prevention of the occurrence of PTSD.

Attitude and knowledge on PTSD of nursing and paramedic students in Korea (간호학과생과 응급구조학과생의 PTSD에 대한 태도와 지식)

  • Hong, Sun-Woo;Bang, Kyung-Sook;Bang, Hwal Lan;Lim, Jihee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.26 no.4
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    • pp.393-401
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    • 2020
  • Purpose: This study aimed to identify attitude and knowledge level on post-traumatic stress disorder (PTSD) among nursing and paramedic students. Methods: A questionnaire survey was conducted from December 1st to 20th in 2019. A total of 210 students participated from two universities in Korea. Data were analyzed using descriptive statistics, t-tests and one-way analysis of variance. Results: Students were positive about the government's spending on PTSD treatment (91.4%), and professional training (92.4%). PTSD patients were considered to be more dangerous (68.1%) and violent (42.4%) than the general population. There were no significant differences in attitude and general knowledge on PTSD between nursing and paramedic students. However, general knowledge on PTSD differed according to education experience on PTSD (t=2.04, p=.043). Knowledge scores for PTSD treatment differed significantly according to the academic major (t=2.02, p=.044), and education experience on PTSD (t=2.87, p=.005). Conclusions: The results of this study indicate nursing and paramedic students lack knowledge on PTSD. Therefore, developing curriculum regarding PTSD-related contents in undergraduate and continuing education in both departments is needed to provide better quality health care to people with PTSD.

The Effects of Life Changes on Post-Traumatic Stress Disorder after Disasters (재난 후 생활변화가 외상 후 스트레스 장애에 미치는 영향)

  • Lim, Hye Sun;Sim, Kyungok
    • Stress
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    • v.26 no.4
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    • pp.319-326
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    • 2018
  • Background: This study investigated whether pre- and peri-disaster experiences influence on PostTraumatic Stress Disorder (PTSD) and whether post-disaster stress by life changes have impact on PTSD after controlling pre- and peri-disaster factors. Methods: Data came from a sample of 1,182 respondents who experienced natural disasters (flood and typhoon) in South Korea from 2012 to 2015. The SPSS Win 22.0 program was used for descriptive analysis, t-test, Chi-square test, Pearson's correlation and logistic regression analysis. Results: The results indicated that 24.3% of the disaster victims were in PTSD risk group. Compared with non-PTSD, PTSD risk group showed lower interpersonal trust and satisfaction, higher depression and anxiety, and lower subjective well-being. The results of hierarchical logistc regression revealed that all pre-, peri-, and post-disaster factors increased the probability of developing PTSD, except for relocation of residence. Moreover, a primary post-disaster predictor of PTSD was economic distress after controlling for pre- and peri-disaster. Conclusions: This study tested relative contributions of post-disaster factors on PTSD.

PTSD Symptoms in Elementary School Children After Typhoon Rusa

  • Lee, In-Sook;Ha, Yang-Sook;Kim, Yoon-A;Kwon, Yong-Hee
    • Journal of Korean Academy of Nursing
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    • v.34 no.4
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    • pp.636-645
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    • 2004
  • Purpose. A natural disaster negatively affects children's emotional and behavioral adjustment. The purpose of this paper was to examine the prevalence, symptoms, and correlates of PTSD after the occurrence of Typhoon Rusa. Method. 261 elementary school children living in Kimcheon, which was a devastated rural area in South Korea by Typhoon Rusa, were selected. Data were collected 4 months after the disaster using the PTSD Reaction Index categories recommended by Frederick, severity of PTSD. Results. 12.3% of the children had either moderate or severe PTSD symptoms; 22.7% reported mild symptoms; and the remaining 65% had sub-clinical symptoms of PTSD. The most frequent symptom was recurrenct fear(67.0%). 13% to 17.2% of children exhibited difficulty in concentration, sleep disturbance, and guilt feeling. The regression model of severity of PTSD was composed of the level of exposure to traumatic experiences, grade in school, gender, negative coping style, and social support, and explained 34.3% for PTSD symptoms. Exposure to traumatic experiences was the strongest factor of all predictors. Conclusion. Emotional support from friends and coping style were correlated with PTSD severity. School-based interventions that emphasizes coping with disaster related problems and problem-solving may prove to be useful, and may aid in building close and supportive ties with teachers, classmates, and friends.

The Organizational Characteristics and PTSD levels of Police Officers (경찰공무원의 조직적 특성과 PTSD 수준)

  • Sin, Seong-Won
    • Proceedings of the Korea Contents Association Conference
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    • 2012.05a
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    • pp.77-78
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    • 2012
  • 이 연구에서는 경찰공무원의 PTSD 수준을 파악하고 조직적인 특성과 PTSD 수준의 관계를 살펴봄으로써 조직적 특성에 따른 PTSD에 대한 영향을 확인하고자 하였다. 조직적 특성에 따른 PTSD 수준의 차이를 살펴보기 위해 일원변량 분산분석(One-way ANOVA)을 실시하였다. 그 결과 근무관서와 근무부서별 요인에서 통계적으로 유의한 수준에서 차이가 발견되었다.

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Pharmacologic Considerations for Youth with Posttraumatic Stress Disorder

  • Keeshin, Brooks;Strawn, Jeffrey R.
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.28 no.1
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    • pp.14-19
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    • 2017
  • Children exposed to potentially traumatic events are at risk of developing posttraumatic stress disorder (PTSD). However, the subsequent developmental course of posttraumatic stress symptoms appears to vary considerably. In this regard, some PTSD symptoms resolve without significant interventions, while for many children and adolescents, they persist until the patient receives appropriate treatment specifically designed to address PTSD and other trauma related symptoms. Evidence-based psychotherapies represent the standard of care for children with PTSD and, while psychopharmacologic interventions are utilized for many youth with posttraumatic stress symptoms and PTSD, there is little data available to guide the use of these medications in this population. However, given the structural challenges involved in disseminating and delivering evidence-based psychotherapies in all settings, prescribing clinicians should be aware of the medications whose use in children with pediatric PTSD has been studied. Herein, we review the PTSD assessment modalities, as well as the use of pharmacologic interventions in PTSD, including antiadrenergic agents, selective serotonin reuptake inhibitors and other medications.

An Analysis of the Prevalence and Pattern Identification of Korean Medicine for Acute Stress Disorder and Post Traumatic Stress Disorder in Patients with Traffic Injuries (교통사고 상해증후군 환자의 급성 스트레스 장애와 외상 후 스트레스 장애의 유병률과 한의변증유형 분석)

  • Lee, Yu Jin;Lee, Sung Joon;Cheong, Moon Joo;Lim, Jung Hwa;Jo, Hee Geun;Kim, Bo Min;Chung, Sun-Yong;Kwak, Hui-Yong;Park, Bo Ra;Park, Tae-Yong;Shin, Byung-Cheul;Kang, Hyung Won
    • Journal of Oriental Neuropsychiatry
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    • v.32 no.1
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    • pp.1-11
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    • 2021
  • Objectives: To investigate the prevalence of acute stress disorder (ASD) and post-traumatic stress disorder (PTSD) in patients with traffic injuries. In addition, PTSD patients was classified using 'pattern identification for jing ji and zheng chong'. Methods: Questionnaires such as the primary care PTSD screen for DSM-5(PC-PTSD-5), Korean version of PTSD checklist-5 (PCL-5-K), and the instrument of pattern identification for jing ji and zheng chong were conducted on 195 patients within 3 days to 1 year after traffic accidents. Patients were recruited from six medical institutions. Collected data were used to determine the prevalence of acute stress disorder and post-traumatic stress disorder. Results: On PC-PTSD-5, the prevalence was 39.1% for ASD and 50% for PTSD. On PCL-5-K, the prevalence was 20.4% for ASD and 29.3% for PTSD. Satisfying both PC-PTSD-5 and PCL-5-K, the prevalence was 18.2% for ASD and 25.8% for PTSD. As a result of pattern identification for jing ji and zheng chong, 'weakness of heart and gall bladder type' accounted for the highest proportions in both ASD and PTSD groups. Conclusions: In this study, the prevalence was 39.1% for ASD and 50% for PTSD by PC-PTSD-5. Satisfying both PC-PTSD-5 and PCL-5-K, the prevalence was 18.2% for ASD and 25.8% for PTSD. Further large-scale prospective studies are needed to analyze the prevalence of ASD and PTSD, the rate of progression from ASD to PTSD, and the type of pattern identification.

Factors affecting PTSD symptoms among hospital nurses during the COVID-19 pandemic in Korea (코로나19 팬데믹 상황 중 병원 간호사의 PTSD 증상에 영향을 미치는 요인)

  • Seo, EunJu;Kim, Younglee;Hong, Eunhee
    • Journal of Industrial Convergence
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    • v.20 no.6
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    • pp.83-92
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    • 2022
  • This study is to investigate the factors affecting post-traumatic stress disorder (PTSD) symptoms among hospital nurses during the COVID-19 pandemic in Korea. Cross-sectional, descriptive design is used in this study. Data collection was completed through an online self-administered survey from December 2020 to January 2021 among 180 registered nurses dealing with COVID-19 patients at hospitals. This survey includes socio-demographic questions, including a 22-item PTSD questionnaire, a 14-item type D personality questionnaire, a 25-item resilience questionnaire, and a 23-item Social Support Scale questionnaire. 56.1% of the subjects in this study were at risk of PTSD. In the high-risk group for PTSD, resilience and social support were lower than those in the low-risk group for PTSD. But there was no statistically significant difference in both variables (resilience t=0.21, p=.836, social support t=1.07, p=.287). However, education (OR = 2.23, p= .041) and type D personality (OR = 3.67, p < .001) were significant factors for PTSD symptoms. The results of the study can be utilized to recognize PTSD in nurses by identifying factors influencing PTSD during epidemics such as COVID-19, and to apply management systems such as psychological programs to help overcome them.

The Relationship between Heart Rate Variability and Symptoms in Subjects with Chronic Posttraumatic Stress Disorder (만성 외상 후 스트레스 장애 환자에서 심박변이도와 증상과의 상관관계 : 외상증상과 심박변이도 관계)

  • Park, Jinsoo;Kang, Sukhoon;Park, Joo Eon;Choi, Jin Hee;So, Hyung Seok;Kim, Kiwon;Choi, Hayun
    • Anxiety and mood
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    • v.16 no.2
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    • pp.83-90
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    • 2020
  • Objective : Heart rate variability (HRV) is known to reflect autonomic nervous system activity. Individuals with posttraumatic stress disorder (PTSD) are reported to have lower HRVs. We attempted to find HRV indices with head up tilt position that reflect the symptoms well in order to evaluate PTSD symptoms. Methods : Sixty-seven patients with PTSD and 72 patients without PTSD were assessed using the PTSD Checklist for DSM-5 (PCL-5), the Beck Depression Inventory, the Beck Anxiety Inventory and the Pittsburgh Sleep Quality Index. HRV was measured in the head-up tilt position. We collected data regarding heart rate (HR), standard deviation of the NN intervals (SDNN), the square root of the mean squared differences of successive NN intervals (RMSSD), log low-frequency (LNLF) and log high-frequency (LNHF). Results : The value of LNHF was different according to presence or absence of PTSD after head-up tilt position. In the findings of the association between PTSD symptoms and HRV indices as based on head-up tilt, LNHF had a significant correlation with the total score of PCL-5. Conclusion : The reduction of the high-frequency component of HRVs in the PTSD group might reflect more PTSD symptoms.

The Use of Music for Alleviating PTSD Symptoms Among North Korean Resettlers (외상후 스트레스 증상완화를 위한 새터민의 음악사용)

  • Kim, Ha Nee;Lee, Jin Hyung
    • Journal of Music and Human Behavior
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    • v.12 no.2
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    • pp.79-97
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    • 2015
  • The purpose of this study was to explore the use of music for alleviating PTSD symptoms among North Korean resettlers. Out of 80 initial responses from North Korean resettlers living in Seoul metropolitan area, 78 surveys were analyzed. The questionnaire focused on traumatic events encountered, PTSD symptoms experienced, and the use of music in relation to the symptoms. The analysis revealed that all participants had been exposed to traumatic events either directly or indirectly, and 32% of the responders have experienced at least one of the PTSD symptoms in the last one month. Most of the participants perceived music to be necessary in everyday life as well as for managing PTSD related symptoms. On the other hand, only 38% actually use music in everyday life whereas 75% use music for managing PTSD symptoms. They mainly listen to music but also engage in singing, utilize music from both North and South Korea, and they perceive the most important reason for using music to be for emotional comfort and transition. The analysis provides additional information that are valuable for the therapeutic use of music for North Korean resettlers living with PTSD symptoms.