여대생/부모 애착이 외상 후 성장에 미치는 영향 : 스트레스 대처방식을 매개로

유보희, 송현주 서울여자대학교 특수치료전문대학원 2018 심리치료: 다학제적 접근 Vol.18 No.1

The purpose of this study is to investigate whether mediating effects of active stress coping on the post-traumatic growth of female college students. The effect of parent attachment on post - traumatic growth was investigated in relation to attachment between parents. In addition, we compared the effects of parental attachment perceived by female college students and parental perceived Attachment to daughters on post - traumatic growth in the parent - daughters pairs group. the result of the stepwise regression analysis of the daughter group is as follows. Active coping, passive coping, and attachment to the father influenced post - traumatic growth of female college students. However, the mediating effects of active coping were significant in the effects of attachment to the father and attachment to the mother after trauma. On the other hand, attachment to mothers perceived by female college students had a significant effect on post - traumatic growth of children through passive coping strategies. In the parent - daughter pair group, the attachment of father to the female college students had a significant effect on post - traumatic growth through active coping. It is meaningful that This study found that Attachment to mother that daughter perceives affects the post - traumatic growth through the passive coping method. The purpose of this study is to investigate whether mediating effects of active stress coping on the post-traumatic growth of female college students. The effect of parent attachment on post - traumatic growth was investigated in relation to attachment between parents. In addition, we compared the effects of parental attachment perceived by female college students and parental perceived Attachment to daughters on post - traumatic growth in the parent - daughters pairs group. the result of the stepwise regression analysis of the daughter group is as follows. Active coping, passive coping, and attachment to the father influenced post - traumatic growth of female college students. However, the mediating effects of active coping were significant in the effects of attachment to the father and attachment to the mother after trauma. On the other hand, attachment to mothers perceived by female college students had a significant effect on post - traumatic growth of children through passive coping strategies. In the parent - daughter pair group, the attachment of father to the female college students had a significant effect on post - traumatic growth through active coping. It is meaningful that This study found that Attachment to mother that daughter perceives affects the post - traumatic growth through the passive coping method.

A Systematic Review and Meta-analysis on the Factors Related to Post-traumatic Growth of Fire Officials

김명관,한승우 한국보건정보통계학회 2020 보건정보통계학회지 Vol.45 No.4

Objectives: The present study is a meta-analysis mainly based on previous papers analyzing factors related to post-traumatic growth of fire officials. Methods: Using open source statistical software, R (3.6.0), the final 14 selected papers carried out an effect-size meta-analysis using correlation coefficient. It was conducted with 4 foreign and 4 domestic search engines. Foreign search engines are the following: EMBASE, CINAHL, PubMed, and Cochrane Library. On the other hand, Korean search engines are the following: KISS, RISS, NDSL and KMbase. Results: Research shows that, for internal-factors, the effect size between post-traumatic growth and self-elasticity was r = 0.37, with resilient elasticity was r = 0.34, and with self-esteem was r = 0.32. For external-factors, the effect size between post-traumatic growth and sense calling was r = 0.50, and with career calling was r = 0.25. For coping-mechanism, the effect size between post-traumatic growth and social support was r = 0.36, and with self-disclosure was r = 0.20. For coping-strategy, the effect size between post-traumatic growth and problem-focused coping was r = 0.49 and with intentional rumination was r = 0.54. Lastly, for traumatic-experiences, the effect size between post-traumatic growth and PTSD was r = 0.23. Conclusions: Therefore, this study would like to develop strategies promoting intentional rumination and provide the basis for the mental nursing arbitration program.

‘5·18 트라우마티즘’ 연구의 현황과 전망

박영주 전남대학교 5.18연구소 2004 민주주의와 인권 Vol.4 No.2

The purpose of this paper was to identify the current status of 5‧18 traumatism through the investigation of 5‧18 Gwangju Uprising victim’s mental agony based on the prior studies and the testimony recording of the victim’s during 1980~2004. As there have been no psychological studies on traumatism, first, the definition and characteristics of ‘traumatism’ has been examined. And also this study has examined physical and psychological effects on 5‧18 Gwangju Uprising victims through the 5‧18 traumatism and psychological mechanism. Then, the 5‧18 traumatism has been analyzed based on the previous studies on 5‧18 Gwangju Uprising victims. Furthermore, this study will makes its first effort to find how to cure 5‧18 Gwangju Uprising victims. Especially, this is to understand the character and general distinctions of individual therapy viewed from the psychoanalytical prospect through the paradigm of group therapy and open the new chapter to study on traumatism victims. It also suggested to which direction the future studies should take for the psychotherapy of 5‧18 traumatism.

대학생의 아동기 대인 간 외상경험이 자기체계손상에 미치는 영향 : 정서지능과 다차원적 경험회피의 이중매개효과를 중심으로

신은정,김정민,윤정미 한국아동심리치료학회 2017 한국아동심리치료학회지 Vol.12 No.3

The purpose of this study were to identify the mediating effects of emotional intelligence and multidimensional experiential avoidance in the relation between childhood interpersonal traumatic experience and self-system traumatization. Participants were 450 undergraduates in Seoul, Kyeonggi, Incheon, and Chungbuk province. Data analysis was conducted through frequency analysis and Pearson correlation analysis using SPSS Statistics 21.0 and the separate and dual mediating effect analyses were conducted using SPSS Macro. The major results were as follows: Partial mediation effects of emotional intelligence and multidimensional experiential avoidance in the relation between childhood interpersonal traumatic experience and self-system traumatization were found to be statistically significant. Specifically, the simple mediation effects and the dual mediation effect of the two mediators were all significant. This study is meaningful in that it reveals evidential information regarding psychotherapeutic invention in victims with childhood interpersonal traumatic experience.

가정폭력 피해 여성의 사회적 반응 경험, 자기개방, 외상 죄책감, 외상 후 성장 간의 관계

한선미,이영순 한국상담심리학회 2023 한국심리학회지 상담 및 심리치료 Vol.35 No.1

The present study aimed to examine the mediating role of self-disclosure and trauma-related guilt in the relationship between social reaction experience and post-traumatic growth among women victims of domestic violence. Participants were 230 women who have experienced domestic violence. Data were analyzed using SPSS and SPSS macro. The results were as follows. First, there was a significant correlation between social reaction, self-disclosure, trauma-related guilt, and post-traumatic growth. Second, self-disclosure indirectly mediated the links between positive social reaction experience and post-traumatic growth. Third, traumatic-related guilt directly mediated the association between negative social reaction experience and post-traumatic growth. The results of this study highlight the importance of considering social reaction experiences that may be associated with women victims of domestic violence The significance and limitations of the study and further directions for research were discussed. 본 연구는 가정폭력 피해 여성의 사회적 반응 경험과 외상 후 성장의 관계에서 자기개방과 외상 죄책감의 매개효과를 검증하고자 하였다. 이를 위해 가정폭력 관련기관을 이용하는 가정폭력 피해 여성 230명을 대상으로 설문을 실시하였다. 수집된 자료는 SPSS와 PROCESS macro를 활용하여 분석하였다. 주요 연구 결과는 다음과 같다. 첫째, 연구변인 간 상관관계를 확인하였다. 둘째, 긍정적 사회적 반응 경험과 외상 후 성장의 관계를 자기개방이 부분 매개하는 것으로 나타났다. 셋째, 부정적 사회적 반응 경험과 외상 후 성장의 관계를 외상 죄책감이 완전 매개하는 것으로 나타났다. 이상의 결과를 바탕으로 긍정적 사회적 반응 경험이 직접적으로 외상 후 성장에 긍정적 영향을 미치기도 하고, 자기개방 수준을 높임으로써 외상 후 성장을 높일 수 있음을 확인하였다. 또한, 부정적 사회적 반응 경험은 외상 죄책감 수준을 높임으로써 외상 후 성장을 저해하는 것을 확인하였다. 이를 통해 가정폭력 피해 여성의 사회적 반응 경험이 자기개방, 외상 죄책감, 외상 후 성장에 영향을 미치는 중요한 요인임을 제시하는 것에 의의가 있다. 마지막으로 본 연구의 한계와 제언에 관해 논의하였다.

Early Diagnosis and Management of Cerebral Venous Flow Obstruction Secondary to Transsinus Fracture after Traumatic Brain Injury

Wen-hao Wang,Jun-ming Lin,Fei Luo,Lian-shui Hu,Jun Li,Wei Huang 대한신경과학회 2013 Journal of Clinical Neurology Vol.9 No.4

Background and Purpose Cerebral venous flow obstruction (CVFO) is a fatal complication of traumatic brain injury. To compare the outcomes of patients with CVFO secondary to traumatic-brain-injury-induced transsinus fracture who were diagnosed early versus those diagnosed late in the therapeutic course. Methods In total, 403 patients with transsinus fracture were reviewed retrospectively. The patients were divided into an early-diagnosis group (n=338) and a delayed-diagnosis group (n=65).The patients submitted to 2D time-of-flight magnetic resonance venography (2D-TOF MRV) and/or CT venography (CTV), depending upon the findings of intracranial pressure monitoring, in order to identify potentially complicated CVFO. These examinations took place within 3 days of the onset of malignant intracranial hypertension symptoms in the early-diagnosis group, and after an average of 7 days in the delayed-diagnosis group. Once diagnosed, patients received intravenous thrombolytic therapy with low-dose urokinase. Patients with massive transsinus epidural hematoma, depressed fracture, or cerebral hernia were treated surgically to relieve the compression and repair any damage to the venous sinuses. Results Cerebral venous flow obstruction was much more severe in the delayed-diagnosis group than in the early-diagnosis group (p<0.001), and hence patients in the former group were given a higher dose of urokinase (p<0.001) for thrombolytic therapy. They were also significantly more likely to need surgery (48.1% vs. 20.6%, p=0.003) and had a higher mortality rate (37.0%vs. 4.1%, p<0.001). However, patients in both groups experienced a similarly favorable prognosis, not only with regard to functional outcome but also with respect to neuroradiological improvement, as evaluated by 2D-TOF MRV/CTV at the final follow-up (p=0.218). Conclusions Delayed diagnosis can result in increased risk of surgery and death in the acute phase. Thrombolytic therapy with low-dose urokinase resulted in promising improvements in both functional and neuroradiological outcomes in all of the patients in this study, regardless of the time to diagnosis. J Clin Neurol 2013;9:259-268

Trends in demographics and outcome of patients presenting with traumatic brain injury

Rachel Kadar,Daniel Rochford,Ellen Omi,Yalaunda Thomas,Kunal Patel,Erik Kulstad 대한응급의학회 2019 Clinical and Experimental Emergency Medicine Vol.6 No.2

Objective To analyze the trends in demographics and outcomes of patients presenting with traumatic brain injury by performing a retrospective database review of the Illinois Department of Public Health (IDPH) Trauma Registry. Methods We utilized the IDPH Trauma Registry to retrieve data on patients treated for traumat­ic brain injuries at our large, tertiary care hospital from 2004 to 2012, inclusive. From this data, logistic regression models were used to analyze and compare basic demographics such as age, sex, and clinical outcome. Results Three thousand and thirty-nine patients were analyzed with a mean age of 43 (standard deviation, 24) and a median age of 41 (interquartile range, 23 to 60). Over the study period, pa­tients’ age increased steadily from 32 to 49 years. The percentage of female patients increased, from 16.4% to 27.5% over the last 4 years. Overall mortality was greater for males than females (22.1% vs. 17.3%; odds ratio [OR], 1.36; 95% confidence interval [CI], 1.10 to 1.68). Mortality decreased over the period (OR, 0.88; 95% CI, 0.85 to 0.91), with a greater decrease in females (OR, 0.84; 95% CI, 0.78 to 0.90) than in males (OR, 0.90; 95% CI, 0.86 to 0.94). Conclusion Although the age of patients presenting with traumatic brain injury is increasing substantially, the data suggests that overall mortality appears to be decreasing, and this de­crease appears to be greater in females than in males. These changes in trends found in the IDPH Trauma Registry supports the importance for further analysis of other reliable public data­sets to identify areas of future study.

아동기 외상 경험이 청소년기 외상 관련 증상에 미치는 영향 -감정표현불능증의 매개효과-

문소라(Moon So-Ra),최은실(Choi Eun-Sil) 한국아동심리치료학회 2019 한국아동심리치료학회지 Vol.14 No.1

The aim of this study was to identify the characteristics of emotional behavioral problems stemming from experiences of childhood trauma and to verify the effects of such experiences on adolescent development with a special focus on the mediating effects of Alexithymia. A self-reporting questionnaire and statistical analysis were conducted on 258 high school students nationwide. 133 adolescents who had experienced childhood trauma were compared with 125 adolescents who had not experienced trauma. Using a total of 258 pieces of data, the relationships between the variants were identified and hypotheses were tested. The study verified the existence of differences between the childhood trauma experience group and the non-experience group, confirmed correlations among all three variables in the study found evidence that Alexithymia partially mediated the relationship between frequency of childhood trauma experiences and traumatic-related symptoms of the adolescent. Based on the above results, we discuss the suggestions for the prevention and treatment of traumatic symptoms in adolescents by using Alexithymia as well as the limitations of this study.

The Relationship among Traumatic Event Experience, Self-disclosure, Social Support, and Post-traumatic Growth of Intensive Care Unit Nurses

Yeong Sook Kim,Kyung Ja Kang 한국성인간호학회 2021 성인간호학회 학술대회 Vol.2021 No.8

Aim(s): This study was to examine the levels of traumatic event experience, self-disclosure, social support and post-traumatic growth of intensive care unit nurses and their relationships. Also it was to provide basic data for developing programs to promote post-traumatic growth of intensive care unit nurses. Method(s): Participants were 142 ICU nurses who had worked for more than 3 months in six general hospitals, J province from August to September, 2020. Collected data were analyzed by using the program SPSS version 22.0 in which descriptive statistics, independent t-test, ANOVA, Pearson’s correlation coefficient and Multiple regression. Traumatic event experience, self-disclosure with distress disclosure index, individual support, organizational support and the Post-Traumatic Growth Inventory were used to measure. Result(s): The sum score of traumatic event experience of the subjects was 28.20. The sum score of self-disclosure was 43.85. The sum score of individual support (82.85) was higher than that of organizational support (45.38). The sum score of post-traumatic growth was 47.08. The post-traumatic growth was found to correlate significantly with self-disclosure(p=.005), individual support(p<.001) and organizational support(p<.001). Factors influencing the participants of the post-traumatic growth were individual support(p<.001) and organizational support(p=.007). These factors explained 31.8% of the variance of ICU nurses’ post-traumatic growth(F=14.13, p<.001). Conclusion(s): We will need to develop prevention programs about post-traumatic growth for ICU nurses and nurses and investigate their effects on the base of these results. Studies are needed to test the relationships with various variants using additional navigation for the variants that affect post-traumatic growth.

외상 후 스트레스로서의 폭력 피해를 경험한 교사의 외상 후 성장에 영향을 미치는 요인: 자기노출과 성장적 반추의 매개효과 및 사회적 지지의 조절효과

김신영 ( Kim Sin Yeong ),오인수 ( Oh In Soo ) 부산대학교 과학교육연구소 2018 교사교육연구 Vol.57 No.3

본 연구는 학생으로부터 폭력을 경험한 교사의 스트레스와 외상 후 성장의 관계에서 자기 노출, 성장적 반추, 사회적 지지가 미치는 영향과 이를 통해 폭력을 경험한 교사의 외상 후 성장을 돕는 상담적 개입방법을 제시하고자 하였다. 수도권에 위치한 중·고등학교의 교사 404명을 대상으로 학생에게 당한 폭력 피해 경험, 사회적지지, 자기 노출, 외상 후 스트레스, 성장적 반추 그리고 외상 후 성장의 정도를 측정하여 중다회귀분석 및 위계적 회귀분석을 실시하였다. 분석 결과, 성장적 반추의 완전매개효과와 사회적 지지의 주효과를 확인할 수 있었다. 이러한 결과는 학생으로부터 폭력 피해를 경험한 교사의 경우 외상 후 스트레스를 성장적 반추를 통해 재해석 할 경우 외상 후 성장으로 변화될 수 있음을 시사하며, 피해 교사를 상담할 경우 피해 교사가 의도적·건설적으로 피해 사건을 재해석 하도록 돕는다면 외상 후 성장이 일어날 가능성이 높아진다고 볼 수 있다. 한편 사회적 지지에서 조절효과는 나타나지 않았으나 주효과를 확인할 수 있었는데, 이는 주변의 지지가 외상 후 성장에 긍정적인 영향을 미친다는 것을 의미한다. 본 연구는 최근 교권침해사례가 증가하는 상황에서 학생으로부터 폭력을 경험한 교사의 외상 후 스트레스에 대한 내적, 외적 보호요인을 확인한 점에서 의의를 지닌다. 또한 연구의 결과에 기초하여 폭력 피해 교사를 상담할 경우 피해 교사의 성장적 반추를 촉진하는 인지적 상담 기법과 사회적 지지를 촉진하는 지지체계강화의 필요성을 실증적으로 제시한 점에서 의의를 지닌다. The purpose of this study was to investigate the effects of self-disclosure, rumination and social support on the relationship between post-traumatic stress and post-traumatic growth of teachers who experienced violence from students. In addition, this study suggests a counseling intervention to facilitate post-traumatic growth of teachers who experienced violence. The subjects were 404 middle and high school teachers in the metropolitan area. The multiple regression and hierarchical regression analysis were conducted based on questionnaires measuring severity of violence, social support, self-disclosure, post-traumatic stress, rumination and post-traumatic growth. As a result of the analysis, full mediation effect of rumination and the main effect of social support were found. These results suggest that the post-traumatic stress can be sublimated into post-traumatic growth if the teacher who experienced violence damage from the student re-conceptualizes the post-traumatic stress through rumination. If teachers who experienced violence receives counseling like facilitating themselves to confront and reinterpret the traumatic incident intentionally or constructively, it would be helpful for them to experience post-traumatic growth, which means rumination occurs. This study is meaningful as not only it found which kind of internal and external factors are needed in converting post-traumatic stress to post-traumatic growth for teachers victimized by violence from student, but also it gives insight for effective counseling interventions for the teachers in terms of post-traumatic growth.