• Title/Summary/Keyword: posttraumatic stress disorder

Search Result 129, Processing Time 0.023 seconds

Impact of Environmental Stressors on the Risk for Posttraumatic Stress Disorder and Quality of Life in Intensive Care Unit Survivors (중환자실 환자의 환경적 스트레스 요인이 외상후 스트레스장애 위험도와 삶의 질에 미치는 영향)

  • Cha, Hyo-Jung;Ahn, Sukhee
    • Journal of Korean Critical Care Nursing
    • /
    • v.12 no.1
    • /
    • pp.22-35
    • /
    • 2019
  • Purpose : This study was to determine the levels of environmental stressor, posttraumatic stress disorder, and quality of life in intensive care units (ICU) survivors after intensive care, and to explore the factors affecting posttraumatic stress disorder and quality of life. Methods: With a longitudinal survey design, data were collected from 116 patients who were discharged from the ICU of a university hospital. The environmental stressor, posttraumatic stress disorder, and quality of life were measured immediately following and 1 month after the ICU discharge. Results: Of all the subjects, 16.4% experienced posttraumatic stress disorder after discharge. Multiple regression analysis revealed that ICU environmental stressors, experience of ICU readmission, using psychotropic drugs and narcotic analgesics, and ICU admission after surgery or cardiac intervention accounted for 22.2% of posttraumatic stress disorder. Posttraumatic stress disorder and sedation status when entering ICU accounted for 28.3% of the quality of life 1 month after ICU discharge. Conclusion: Nursing interventions focused on ICU environmental stressors would not only reduce environmental stress but also contribute to the reduction of posttraumatic stress disorder and later improvement of quality of life.

An analysis of posttraumatic stress disorder(PTSD) of fire fighters (소방공무원의 현장충격 스트레스에 대한 분석)

  • Kim, Jee-Hee
    • 한국방재학회:학술대회논문집
    • /
    • 2008.02a
    • /
    • pp.381-384
    • /
    • 2008
  • The purpose of this study is to evaluate influence factors of secondary traumatic stress, burnout, and physical symptoms which were experienced by fire fighters. The questionnaire research was done for field service fire fighters who work in Korea. I analyzed 358 questionnaires and the questionnaires consisted of stress scale, work force, burden of physical symptoms, and self-control to stress. Through this study I will propose the solution for the posttraumatic stress disorder(PTSD) for the near future.

  • PDF

Anxiety Disorder (불안장애)

  • Jung, Han-Yong
    • The Journal of the Korean life insurance medical association
    • /
    • v.29 no.1
    • /
    • pp.7-11
    • /
    • 2010
  • Anxiety disorders Anxiety disorders are among the most prevalent mental disorders in the general population. Anxiety disorders can be viewed as a family of related but distinct mental disorders, which include following as classified in the text revision of fourth edition of Diagnostic and Statistical Manual Disorders(DSM-IV-TR): (1) panic disorder with or without agoraphobia; (2) agoraphobia with or without panic disorder; (3) specific phobia; (4) social phobia; (5) obsessive-compulsive disorder; (6) posttraumatic stress disorder; (7) acute stress disorder; (8) generalized anxiety disorder. An acute intense attack of anxiety accompanied by feeling of impending doom is known as panic disorder. The term phobia refer to an excessive fear of a specific object, circumstance, or situation. Obsessivecompulsive disorder is represented by a diverse group of symptoms that include intrusive thoughts, rituals, preoccupations, and compulsions. Posttraumatic stress disorder is a condition marked by development of symptoms after exposure to traumatic life events. Generalized anxiety disorder is defined as excessive anxiety and worry about several events or activities for most days during at least a 6-month period.

  • PDF

Pharmacologic Considerations for Youth with Posttraumatic Stress Disorder

  • Keeshin, Brooks;Strawn, Jeffrey R.
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • v.28 no.1
    • /
    • pp.14-19
    • /
    • 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.

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
    • /
    • v.33 no.5
    • /
    • pp.118-129
    • /
    • 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.

The Application of the Clinician Administered Posttraumatic Stress Disorder Scale to Identify Combat Related Posttraumatic Stress Disorder (전투 관련 외상 후 스트레스 장애 진단에 있어서 임상가를 위한 외상 후 스트레스 장애 척도의 적용)

  • Kim, Hae Jung;Kim, Tae Yong;Choi, Jin Hee;So, Hyung Seok;Chung, Moon Yong;Kim, Dong Su;Bang, Yu Jin;Chung, Hae Gyung
    • Anxiety and mood
    • /
    • v.8 no.2
    • /
    • pp.113-119
    • /
    • 2012
  • Objective : The purpose of this study is to assess the utility of clinician administered posttraumatic stress disorder scale (CAPS) to diagnose combat related posttraumatic stress disorder (PTSD) in Korean veterans of the Vietnam War. Methods : Sixty-one Korean male veterans of the Vietnam war participated in this study. We compared the diagnostic values of CAPS, Korean version of mini international neuropsychiatric interview (MINI) against the Structured Clinical Interview for DSM-IV (SCID) in diagnosing PTSD. Results : The overall internal consistency of CAPS was 0.93. Compared to the SCID, total severity 45 (TSEV45) showed the best results among 5 CAPS scoring rules. In detail, sensitivity was 71.4%, specificity was 85.1, positive predictive value was 58.8%, negative predictive value was 90.9%, and accuracy was 82.0. Conclusion : CAPS was demonstrated as a reliable tool to diagnose combat related PTSD in the elderly. The optimum CAPS scoring was TSEV45.

Mindfulness-Based Interventions for Posttraumatic Stress Disorder (외상후스트레스장애를 위한 마음챙김기반 치료)

  • Hong, Hyun-Mi;Jung, Young-Eun
    • Anxiety and mood
    • /
    • v.18 no.1
    • /
    • pp.1-9
    • /
    • 2022
  • Mindfulness has been widely researched in mental, physical health, and healthy populations. The effectiveness of mindfulness-based interventions have also been demonstrated in research studies. This report reviews the research on mindfulness based interventions currently employed for the treatment of posttraumatic stress disorder (PTSD). Mindfulness-based theories postulate that symptoms of PTSD are developed and maintained by experiential avoidance and non-mindful behaviors. Recent emerging work indicates that mindfulness based interventions, such as mindfulness-based stress reduction and mindfulness-based cognitive therapy, may improve the symptoms of PTSD. Further advances are needed to gain a better understanding of the ability of mindfulness based interventions to target specific symptom dimensions of PTSD and the psychological/neurobiological mechanisms of actions underlying these interventions.

Factors Influencing Posttraumatic Stress Disorder Symptoms in Burn Injured Patients : Embitterment, Depression and Meaning in Life (화상환자의 외상후 스트레스 장애 증상에 대한 영향 요인 : 울분, 우울, 삶의 의미)

  • Hwang, Jihyun;Lee, Boung Chul;Chae, Jeong-Ho
    • Anxiety and mood
    • /
    • v.15 no.1
    • /
    • pp.29-34
    • /
    • 2019
  • Objective : To determine predictors of posttraumatic stress disorder (PTSD) symptoms in burn injured patients and evaluate factors for identifying high risk group of PTSD. Methods : This study examined sixty one patients aged in the range of 19-65 years with burn injuries. All subjects completed self-assessment inventories about PTSD (The PTSD Check List for DSM-5. PCL-5), depression (Patient Health Questionnaire-9, PHQ-9), embitterment (Posttraumatic embitterment disorder self-rating scale, PTED scale) and meaning of life (Meaning in Life Questionnaire, MLQ). Stepwise multiple regression and ROC curve analysis were the tools used for analysis. Results : The results revealed higher depression, embitterment and lower presence of meaning in life predicted severe PTSD symptoms. ROC analysis indicated PTED scale and PHQ-9 were useful for discriminating high risk group of PTSD. Conclusion : The present study established that the need to consider embitterment, depression and meaning of life for alleviation and prevention of PTSD symptoms in burn patients.

The Status of Managing Posttraumatic Stress in Life Managers for Elderly People Living Alone and Measures for its Improvement: Focusing on Employees in Seoul (독거노인생활관리사의 외상 후 스트레스 관리 실태와 개선 방안: 서울 지역 종사자를 중심으로)

  • Kim, Keun-Hong;Yang, Jae-seok;Lee, Gyeong-jin;Kim, Jeong-yeon
    • 한국노년학
    • /
    • v.37 no.2
    • /
    • pp.293-308
    • /
    • 2017
  • This study aims to examine Life Managers for Elderly People Living Alone (LMEPLAs) in Seoul regarding their traumatic experience and the status of their posttraumatic stress disorder and also how they are coping with it in order to find out ways to improve it. As a study method, we investigated LMEPLAs in Seoul through a self-administered survey regarding whether they had faced any traumatic experience, types of their traumatic experience, diagnosis on posttraumatic stress, and the status of their coping with traumatic experience. According to the study results, 186 respondents (37.57%) have been found to indicate either partial or complete posttraumatic stress symptoms, but the status of their coping with it is very poor. The followings are the results of our discussion. First, it is needed to find out life managers suffering from posttraumatic stress disorder and build up a system to manage them consistently. Second, it is necessary to vitalize education about traumatic experience and posttraumatic stress management. Third, it is urgently needed to build up a system to support life managers who have faced any traumatic experience or been diagnosed to have posttraumatic stress disorder. Fourth, it is demanded to cultivate and arrange experts equipped with specialized knowledge and technique. Fifth, it is needed for them to build a network with medical institutes to receive a prompt diagnosis and specialized treatment.

The Effects of Resilience and Posttraumatic Growth on Posttraumatic Stress Symptoms in Korean Firefighters (소방공무원의 탄력성과 외상후성장이 외상후스트레스 증상에 미치는 영향)

  • Won, Sung-Doo;Jung, Young-Eun;Chae, Jeong-Ho;Park, Joo Eon
    • Anxiety and mood
    • /
    • v.12 no.1
    • /
    • pp.28-33
    • /
    • 2016
  • Objective : One of the aims of this study was to confirm the relationship in firefighters who have a high risk of developing posttraumatic stress disorder. We also explored the mediation effects of resilience and posttraumatic growth (PTG) on the association between traumatic experiences and posttraumatic stress symptoms. Methods : A total of 677 firefighters were assessed in terms of the intensity of job-related traumatic experiences using the Visual Analogue Scale. They completed the Korean version of the Posttraumatic Growth Inventory (PTGI), the Korean version of the Impact of Event Scale-Revised (IES-R), and the Korean version of the 10-item Connor-Davidson Resilience Scale (CD-RISC-10). Results : The intensity of traumatic experiences was significantly negatively related to the CD-RISC-10 score, but it was positively related to the PTGI and the IES-R scores. The CD-RISC-10 score had a significantly positive correlation with the PTGI score, but it was negatively correlated to the IES-R score. Path analyses revealed that resilience and PTG independently mediated the association between traumatic experiences and posttraumatic stress symptoms. Conclusion : These results suggest that traumatic experiences contribute to posttraumatic stress symptoms and that these impacts may be mediated through resilience and PTG.

  • PDF