제주 강정마을 주민들의 외상 후 스트레스장애 유병률과 관련 요인
Prevalence and Associated Factors of Post-traumatic Stress Disorder in Gangjeong Village Residents, Jeju-do
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Objectives Most studies on post-traumatic stress disorder (PTSD) have involved a small sample size and a specific traumatic event, with few studies reporting on subjects who have been continuously exposed to a traumatic event. Timely assessment and treatment are crucial for individuals chronically exposed to a traumatic event. Therefore, this study investigated the prevalence of PTSD and associated factors in all residents of Gangjeong village, who, recently, have been exposed to a traumatic event for a prolonged period. Methods The subjects of this study were the residents of Gangjeong village, who have been exposed to a traumatic event related to the construction of the Jeju Civilian-Military Complex Port. The survey included items related to general characteristics and PTSD symptoms, which were assessed using the Impact of Event Scale-Revised, Korean version. Results The prevalence of PTSD symptoms was 26.8% (95% confidence interval=23.54–30.04). Multivariate logistic regression analysis identified age, length of residence, and marital status as factors significantly associated with PTSD symptoms. Conclusion The prevalence of PTSD symptoms was higher among the study population than in the general population. Economically active age groups, people exposed to the traumatic event throughout their duration of residence in the village, and unmarried individuals were found to be more likely to develop PTSD symptoms. Mental, social, and financial support should be directed to the affected groups of individuals.
Abstract
Objectives Most studies on post-traumatic stress disorder (PTSD) have involved a small sample size and a specific traumatic event, with few studies reporting on subjects who have been continuously exposed to a traumatic event. Timely assessment and treatment are crucial for individuals chronically exposed to a traumatic event. Therefore, this study investigated the prevalence of PTSD and associated factors in all residents of Gangjeong village, who, recently, have been exposed to a traumatic event for a prolonged period. Methods The subjects of this study were the residents of Gangjeong village, who have been exposed to a traumatic event related to the construction of the Jeju Civilian-Military Complex Port. The survey included items related to general characteristics and PTSD symptoms, which were assessed using the Impact of Event Scale-Revised, Korean version. Results The prevalence of PTSD symptoms was 26.8% (95% confidence interval=23.54–30.04). Multivariate logistic regression analysis identified age, length of residence, and marital status as factors significantly associated with PTSD symptoms. Conclusion The prevalence of PTSD symptoms was higher among the study population than in the general population. Economically active age groups, people exposed to the traumatic event throughout their duration of residence in the village, and unmarried individuals were found to be more likely to develop PTSD symptoms. Mental, social, and financial support should be directed to the affected groups of individuals.
참고문헌 (34)
- Breslau N, "Traumatic events and posttraumatic stress disorder in an urban population of young adults", Arch Gen Psychiatry, 48, pp.216~222 (1991)
- Frazier P, "Traumatic events among undergraduate students : prevalence and associated symptoms", J Couns Psychol, 56, pp.450~460 (2009)
- Herman JL, "Trauma and recovery: the aftermath of violence from domestic abuse to political terror" (1992), Basic Books
- Taku K, "Examining posttraumatic growth among Japanese university students", Anxiety Stress Coping, 20, pp.353~367 (2007)
- American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" (1994), American Psychiatric Association
- Lee JB, "Listen to the song of Gururmbi", pp.272~279 (2011), Ohmybook
- Gangjeong village Community, "Peace grows in tears" (2012), Danbi
- "President Moon visited Gangjeong village and said, “consolation…review the amnesty and reinstatement”" (2018)[URL]
- 은헌정, "한국판 사건충격척도 수정판의 신뢰도 및 타당도 연구", 신경정신의학, 44(3), pp.303~310 (2005), 대한신경정신의학회
- "kostat.go.kr"[URL]
- Weiss DS, "Assessing Psychological Trauma and PTSD", pp.399~411 (1997), Guilford Press
- Horowitz M, "Impact of Event Scale : a measure of subjective stress", Psychosom Med, 41, pp.209~218 (1979)
- Lim HK, "Reliability and validity of the Korean version of the Impact of Event Scale-revised", Compr Psychiatry, 50, pp.385~390 (2009)
- The Survey of Mental Disorders in Korea, "Ministry of Health and Welfare", Ministry of Health and Welfare, ~ (2017)
- "Study on the status of mental disorder in Jeju special self-governing province in 2015"[URL]
- Neuner F, "Psychological trauma and evidence for enhanced vulnerability for posttraumatic stress disorder through previous trauma among West Nile refugees", BMC Psychiatry, 4, pp.34~ (2004)
- Tol WA, "Disability associated with psychiatric symptoms among torture survivors in rural Nepal", J Nerv Ment Dis, 195, pp.463~469 (2007)
- Mollica RF, "The psychosocial impact of war trauma and torture on Southeast Asian refugees", Am J Psychiatry, 144, pp.1567~1572 (1987)
- Breslau N, "Previous exposure to trauma and PTSD effects of subsequent trauma : results from the Detroit Area Survey of Trauma", Am J Psychiatry, 156, pp.902~907 (1999)
- Creamer M, "Post-traumatic stress disorder : findings from the Australian National Survey of Mental Health and Well-being", Psychol Med, 31, pp.1237~1247 (2001)
- 최경숙, "일부 산업재해 환자들에서 외상후 스트레스장애", 신경정신의학, 41(3), pp.461~471 (2002), 대한신경정신의학회
- Study on the living conditions and the aftereffect of the May 18 demovratic merits, "Oh SS", The May 18 Memorial Foundation, ~ (2006)
- Haskell SG, "Gender differences in rates of depression, PTSD, pain, obesity, and military sexual trauma among Connecticut War Veterans of Iraq and Afghanistan", J Womens Health(Larchmt), 19, pp.267~271 (2010)
- Jingchu H, "Gender Differences in Different Contexts", pp.21~42 (2017), Intech
- "Post-Traumatic Stress Disorder (PTSD)"[URL]
- Ditlevsen DN, "The combined effect of gender and age on post traumatic stress disorder : do men and women show differences in the lifespan distribution of the disorder", Ann Gen Psychiatry, 9, pp.32~ (2010)
- Sadat Z, "Prevalence of posttraumatic stress disorder and related factors among patients discharged from critical care units in Kashan, Iran", Arch Trauma Res, 4, pp.e28466~ (2015)
- Stuber ML, "Prevalence and predictors of posttraumatic stress disorder in adult survivors of childhood cancer : a report from the childhood cancer survivor study", Pediatrics, 125, pp.e1124~e1134 (2010)
- Brewin CR, "Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults", J Consult Clin Psychol, 68, pp.748~766 (2000)
- McCarroll JE, "Posttraumatic stress symptoms following forensic dental identification: Mt. Carmel, Waco, Texas", Am J Psychiatry, 153, pp.778~782 (1996)
- Kim JH, "Relations of perceived stress, cognitive set, and coping behaviors to depression : a focus on freshmen’s stress experience", Kor J Psychol, 1, pp.25~45 (1988)
- Perry S, "Predictors of posttraumatic stress disorder after burn injury", Am J Psychiatry, 149, pp.931~935 (1992)
- Ursano RJ, "Individual and community responses to trauma and disaster: the structure of human chaos", pp.3~30 (1994), Cambridge University Press
