외상 및 스트레스 관련 장애 환자군에서 나타나는 난폭행동 여부에 관한 역학적 요인 및 임상적 차이 분석
Analysis of Epidemiological Factors and Clinical Variations to Determine Whether Violent Behavior Appears in Trauma- and Stressor-Related Disorder Patients
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ObjectivesZZThe purpose of this study was to identify variables and determine their correlation with violent behavior in trauma- and stressor-related disorder diagnostic patients. MethodsZZA one-year retrospective study (2012 to 2013) was performed on 91 trauma- and stressor-related disorder diagnosed patients at Hallym University Kangnam Sacred Heart Hospital. Study data were obtained from previous medical records. The subjects were divided into two groups based on the presence of violent behavior. ResultsZZOf the 91 trauma- and stressor-related disorder diagnosed patients, 33 patients exhibited violent behavior during their clinical course. Sociodemographic factors of age and marital status and their socioeconomic-environmental status were variables significantly related with the presence of violent behavior. Clinical data from Structured Clinical Interview for DSM, Post Traumatic Growth Inventory, and Social Support Scale scores were significantly associated with violence in trauma- and stressor-related disorder patients. ConclusionZZIn the clinical course of subjects with trauma- and stressor-related disorder, appearance of violent behavior should be monitored and approached in multiple ways to address socio-demographic, clinical, and psychological problems. Monitoring of significantly related variables and treatment compliance should be considered part of an appropriate therapeutic strategy for trauma- and stressor-related disorder patients.
Abstract
ObjectivesZZThe purpose of this study was to identify variables and determine their correlation with violent behavior in trauma- and stressor-related disorder diagnostic patients. MethodsZZA one-year retrospective study (2012 to 2013) was performed on 91 trauma- and stressor-related disorder diagnosed patients at Hallym University Kangnam Sacred Heart Hospital. Study data were obtained from previous medical records. The subjects were divided into two groups based on the presence of violent behavior. ResultsZZOf the 91 trauma- and stressor-related disorder diagnosed patients, 33 patients exhibited violent behavior during their clinical course. Sociodemographic factors of age and marital status and their socioeconomic-environmental status were variables significantly related with the presence of violent behavior. Clinical data from Structured Clinical Interview for DSM, Post Traumatic Growth Inventory, and Social Support Scale scores were significantly associated with violence in trauma- and stressor-related disorder patients. ConclusionZZIn the clinical course of subjects with trauma- and stressor-related disorder, appearance of violent behavior should be monitored and approached in multiple ways to address socio-demographic, clinical, and psychological problems. Monitoring of significantly related variables and treatment compliance should be considered part of an appropriate therapeutic strategy for trauma- and stressor-related disorder patients.
참고문헌 (31)
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders: DSM-IV", American Psychiatric Association, pp.143~147 (1994)
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders" (2013), American Psychiatric Association
- 채정호, "외상후 스트레스 장애의 진단과 병태 생리", 대한정신약물학회지, 15(1), pp.14~21 (2004), 대한정신약물학회
- "Pharmscore"[URL]
- "The Epidemiological Survey of Mental Disorders in Korea"[URL]
- Shalev AY, "Predictors of PTSD in injured trauma survivors: a prospective study", Am J Psychiatry, 153, pp.219~225 (1996)
- Jakupcak M, "Anger, hostility, and aggression among Iraq and Afghanistan War veterans reporting PTSD and subthreshold PTSD", J Trauma Stress, 20, pp.945~954 (2007)
- Iverson KM, "Cognitive-behavioral therapy for PTSD and depression symptoms reduces risk for future intimate partner violence among interpersonal trauma survivors", J Consult Clin Psychol, 79, pp.193~202 (2011)
- Orcutt HK, "Male-perpetrated violence among Vietnam veteran couples: relationships with veteran’s early life characteristics, trauma history, and PTSD symptomatology", J Trauma Stress, 16, pp.381~390 (2003)
- Farrington DP, "Crime and justice: an annual review of research, youth violence", pp.421~475 (1998), University of Chicago Press
- Robins LN, "National Institute of Mental Health Diagnostic Interview Schedule. Its history, characteristics, and validity", Arch Gen Psychiatry, 38, pp.381~389 (1981)
- Michael B, "Structured clinical interview for the DSM (SCID)" (1996), American Psychiatric Press, Inc
- Tedeschi RG, "The Posttraumatic Growth Inventory: measuring the positive legacy of trauma", J Trauma Stress, 9, pp.455~471 (1996)
- Lin N, "Social support scales: a methodological note", Schizophr Bull, 7, pp.73~89 (1981)
- Kuhn E, "Aggressive and unsafe driving in male veterans receiving residential treatment for PTSD", J Trauma Stress, 23, pp.399~402 (2010)
- Moretti MM, "Exposure to maternal vs. paternal partner violence, PTSD, and aggression in adolescent girls and boys", Aggress Behav, 32, pp.385~395 (2006)
- Tull MT, "The role of emotional inexpressivity and experiential avoidance in the relationship between posttraumatic stress disorder symptom severity and aggressive behavior among men exposed to interpersonal violence", Anxiety Stress Coping, 20, pp.337~351 (2007)
- Shehan CL, "Spouse support and Vietnam veterans’ adjustment to posttraumatic stress disorder", Fam Relat, 36, pp.55~60 (1987)
- Mikulincer M, "Marital intimacy, family support, and secondary traumatization: a study of wives of veterans with combat stress reaction", Anxiety Stress Coping, 8, pp.203~213 (1995)
- Shalev AY, "Posttraumatic stress disorder among injured survivors of a terrorist attack. Predictive value of early intrusion and avoidance symptoms", J Nerv Ment Dis, 180, pp.505~509 (1992)
- Kotler M, "Anger, impulsivity, social support, and suicide risk in patients with posttraumatic stress disorder", J Nerv Ment Dis, 189, pp.162~167 (2001)
- Clair ME, "The relationship between critical incidents, hostility and PTSD symptoms in police officers", pp.2006
- 양귀화, "외상 후 성장 과정에 대한 분석: 정서조절곤란, 침습적 반추, 의도적 반추의 삼중매개효과와 낙관성의 조절효과", 한국심리학회지: 건강, 19(4), pp.1041~1062 (2014), 한국건강심리학회
- Snyder CR, "Forgiveness as a mediator of the relationship between PTSD and hostility in survivors of childhood abuse", Cogn Emot, 19, pp.413~431 (2005)
- Andrews B, "Gender, social support, and PTSD in victims of violent crime", J Trauma Stress, 16, pp.421~427 (2003)
- Vogel LC, "PTSD symptoms and partner abuse: low income women at risk", J Trauma Stress, 14, pp.569~584 (2001)
- Coker AL, "PTSD symptoms among men and women survivors of intimate partner violence:the role of risk and protective factors", Violence Vict, 20, pp.625~643 (2005)
- Laffaye C, "Relationships among PTSD symptoms, social support, and support source in veterans with chronic PTSD", J Trauma Stress, 21, pp.394~401 (2008)
- Jordan BK, "Problems in families of male Vietnam veterans with posttraumatic stress disorder", J Consult Clin Psychol, 60, pp.916~926 (1992)
- Einarsen S, "Bullying and emotional abuse in the workplace: international perspectives in research and practice", pp.127~144 (2003), CRC Press
- Taft CT, "Iraq War Clinician Guide", pp.70~74 (2004), Department of Veterans Affairs, National Center for PTSD