PTSD 환자의 다요인 인성 검사의 특성 - 대구 지하철 화재 사고 생존자를 대상으로 -
Characteristics of Personality Factors in Patients with Posttraumatic Stress Disorder -Survivors of Daegu Subway Fire Accident -
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Abstract
Objecives：The purpose of this study was to assess the personality factors of posttraumatic stress disorder (PTSD) patients to investigate the contribution of personality to the development of PTSD. Methods：The PTSD group and Non-PTSD group with no other sympton met DSM-IV Diagnostic Criteria for major psychiatric disorders were selected among 129 survivors of Daegu subway fire accident. Of 129 survivors of the accident, 95 survivors who had faithfully resonded to the psychiatric evaluation were assessed with Catell’s 16 Personality Factor Questionnaire (16PF) and Spielberger’s State-Trait Anxiety Inventory (STAI). Of 95 survivors, 52 survivors were diagnosed to have PTSD. The results were compared among PTSD group, non-PTSD group and normal group. Results：In 16PF measurement, the scores of Anxiety and Tender-mindedness were significantly higher in PTSD group than normal and Non-PTSD groups. And the scores of Liberalism was significantly higher in PTSD group than normal group. The scores of Warmth, Stableness, Dominance, Surgency were significantly lower in PTSD and Non-PTSD than normal group. The scores of Guilty-proness and Anxiety were significantly higher in PTSD and Non-PTSD groups than normal group. In STAI measurement, PTSD group showed higher scores than Non-PTSD and normal group. Conclusion：These results suggested that patients with PTSD group were disposed to tension, anxiety, inpatience, fatigue, dependence, concern and compassion. It indicates that development of PTSD is associated with personality factors such as Anxiety and Tender-mindedness. Further prospective studies are necessary to clarify how personality factors were involved in the development of PTSD. (J Korean Neuropsychiatr Assoc 2004;43(6):712-718)
참고문헌 (29)
- American Psychiatric Association, "Diagnostic and Statistical Manualof Mental Disorders", pp.424~427 (2000), AmericanPsychiatric Press
- Kaplan HI,, "Synopsis of Psychiatry", pp.623~632 (2003), William and Wilkins
- Kessler RC, "Posttraumaticstress disorder in the National Comorbidity Survey", 52, pp.1048~1060 (1995)
- Lindy JD, "preliminary psychological findingsfrom clinical sample of Vietnam veterans", pp.44~57 (1984), American Psychiatric Press
- Horowitz MJ, "Signs and symptoms of posttraumaticstress disorder", 37, pp.85~92 (1980)
- Helzer JE, "Postraumatic stress disorder in thegeneral population", 317, pp.1630~1634 (1987)
- Green BL, "Identifying survivors at risk:longtermimpairment following the Beverly Hills Supper Club fire", 53, pp.672~678 (1985)
- True WR, "A twin study of genetic and environmentalcontributions to liability for posttraumatic stress symptoms", 50, pp.257~264 (1993)
- Hales RE,, "Textbook of Psychiatry", pp.595~607 (2003), American Psychiatric Press Inc
- Bresalu N, "Risk factors for PTSD-related traumaticevent:a prospective analysis", 152, pp.529~535 (1995)
- Green BL, "Risk factors for PTSD and otherdiagnoses in a general sample of Vietnam veterans", 147, pp.729~733
- Rachel Y, "Personality as a risk factor for PTSD", pp.191~222 (1999), American Psychiatric Press
- Hyer L, "Relationship of NEO-PI to personality styles and severity of traumain chronic PTSD victims", 50, pp.699~707 (1994)
- Vassiliki H, "Personality and peritraumatic dissociation inthe prediction of PTSD in victims of road traffic accidents", 51, pp.687~692 (2001)
- Lawrence JW, "Personality, coping, chronic stress, socialsupport and PTSD symptoms among adult burn survivors: a pathanalysis", 24, pp.63~79 (2003)
- 김종남, "삼풍사고 생존자들의 임상양상 및 성격요인에 관한 연구", 16, pp.183~195 (1997)
- 계윤정, "외상후 스트레스 장애 환자의 MMPI 프로파일", pp.30~40
- 김중술, "다면적 인성검사: MMPI의 임상적 해석", pp.1~13 (1996), 서울대학교 출판부
- Catell RB, "Handbook for the SixteenPersonality Factor Questionnaire" (1970), Champaign
- 염태호, "16PF (다요인 인성검사)의 이해와 활용", pp.19~25 (2003), 한국 가이던스
- Catell RB, "Personality structure and the new fifth editionof the 16PF Educ", 55, pp.926~937 (1995)
- "Manual for the State-Trait Anxiety Inventory" (1970), Consulting Psychologist Press
- 김정택, "특성불안과 사회성과의 관계 Spielberger의 STAI를 중심으로" (1978), 고려대학교
- Catell HEP, "The original big five:A historical perspective", 46, pp.5~14 (1996)
- 한덕웅, "Speilberger의 상태-특성 불안검사 Y형의 개발", 1, pp.1~14 (1996)
- Ursano RJ, "Peritraumatic dissociation andposttraumatic stress disorder following motor vehicle accidents", 156, pp.1808~1810 (1999)
- Breslow N, "Posttraumatic Stress Disorder:the etiologicspecificity of wartime stressors", 149, pp.671~675 (1987)
- 김승태, "삼풍사고 생존자들에서의 급성 외상후 스트레스 장애:발생빈도,예측인자,증상변화에 대한 예비적 연구", 36, pp.475~487 (1997)
- 이민수, "삼풍 사고 생존자들에서 정신과적 증상의 심각도에 영향을 미치는 요인", 정신신체의학, 4(2), pp.215~225 (1996), 한국정신신체의학회