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소방공무원들에서 긍정심리적 특성이 외상사건 경험 이후 외상후 스트레스 증상 발생에 미치는 영향

The Effect of Positive Psychological Characteristics on Post-Traumatic Stress Symptoms after Traumatic Experiences in Firefighters

김경의|최경숙|백현숙|유제춘|박은진
대한신경정신의학회 (Korean Neuropsychiatric Association)|2010.11|신경정신의학 (JOURNAL OF THE KOREAN NEUROPSYCHIATRIC ASSOCIATION)|제49권 제6호|pp. 645-652

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참고문헌

주제분류정신과학

초록

ObjectivesZZThe purpose of this study was to examine the effects of positive psychological char-acteristics on posttraumatic stress symptoms after traumatic experiences. MethodsZZThe subjects were 97 firefighters (83 males and 14 females), who completed the Life Events Scale, the Rosenberg Self-Esteem Scale, the Connor-Davidson Resilience Scale, and the Im-pact of Event Scale-Revised Korean version. Pearson product-moment correlation coefficients were computed to examine the relationships among the variables, and Structural Equation Modeling was used to investigate the mediation process in the relationships among traumatic experiences, positive psychological characteristics, and posttraumatic stress. ResultsZZThe results showed that self-esteem had a mediating effect on the relationship between traumatic experiences and posttraumatic stress symptoms. Traumatic experiences affected posttraumatic stress symptoms not only directly, but also through self-esteem to posttraumatic stress symptoms. Therefore the lower firefighters’ self-esteem was, the more posttraumatic stress symptoms occurred. Resilience, however, apparently had no function as mediating variable in the relationship between traumatic experiences and posttraumatic stress symptoms. Traumatic experiences and resilience each seemed to affect posttraumatic stress symptoms directly. Hence, the lower firefighters’ resilience was, the more posttraumatic stress symptoms occurred. ConclusionZZThis study showed that self-esteem had a mediating effect on the relationship between traumatic experiences and posttraumatic stress symptoms. We also found that resilience affects posttraumatic stress symptoms directly, regardless of the number of traumatic experiences. Likewise, these results showed that we should be concerned in positive psychological characteristics such as self-esteem and resilience in order to prevent posttraumatic stress symptoms. 그러나 본 연구는 표집 방식의 제한과 연구참여 대상자가 적다는 점에서 연구 결과의 일반화에 어려움이 있으며, 개인의 긍정심리적 특성 중 자아존중감 및 리질리언스만을 살펴본살펴본 점이 제한적이다. 따라서 향후 보다 많은 소방공무원들을 대상으로 PTSD 발병에 영향을 미치는 개인의 긍정심리적 특성에 대한 체계적인 연구가 필요할 것으로 기대된다.

Abstract

ObjectivesZZThe purpose of this study was to examine the effects of positive psychological char-acteristics on posttraumatic stress symptoms after traumatic experiences. MethodsZZThe subjects were 97 firefighters (83 males and 14 females), who completed the Life Events Scale, the Rosenberg Self-Esteem Scale, the Connor-Davidson Resilience Scale, and the Im-pact of Event Scale-Revised Korean version. Pearson product-moment correlation coefficients were computed to examine the relationships among the variables, and Structural Equation Modeling was used to investigate the mediation process in the relationships among traumatic experiences, positive psychological characteristics, and posttraumatic stress. ResultsZZThe results showed that self-esteem had a mediating effect on the relationship between traumatic experiences and posttraumatic stress symptoms. Traumatic experiences affected posttraumatic stress symptoms not only directly, but also through self-esteem to posttraumatic stress symptoms. Therefore the lower firefighters’ self-esteem was, the more posttraumatic stress symptoms occurred. Resilience, however, apparently had no function as mediating variable in the relationship between traumatic experiences and posttraumatic stress symptoms. Traumatic experiences and resilience each seemed to affect posttraumatic stress symptoms directly. Hence, the lower firefighters’ resilience was, the more posttraumatic stress symptoms occurred. ConclusionZZThis study showed that self-esteem had a mediating effect on the relationship between traumatic experiences and posttraumatic stress symptoms. We also found that resilience affects posttraumatic stress symptoms directly, regardless of the number of traumatic experiences. Likewise, these results showed that we should be concerned in positive psychological characteristics such as self-esteem and resilience in order to prevent posttraumatic stress symptoms. 그러나 본 연구는 표집 방식의 제한과 연구참여 대상자가 적다는 점에서 연구 결과의 일반화에 어려움이 있으며, 개인의 긍정심리적 특성 중 자아존중감 및 리질리언스만을 살펴본살펴본 점이 제한적이다. 따라서 향후 보다 많은 소방공무원들을 대상으로 PTSD 발병에 영향을 미치는 개인의 긍정심리적 특성에 대한 체계적인 연구가 필요할 것으로 기대된다.

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