대구 지하철 화재 사고 부상자들의 외상 후 스트레스 장애 : 예측 인자에 대한 전향적 연구
Posttraumatic Stress Disorder of Survivors in Daegu Subway Fire Accident : A Prospective Study on Predictors
0
조회
0
다운로드
12
인용
0
참고문헌
키워드
초록
본 연구에서는 대구 지하철 화재 사고 후 부상자들에게 실시한 외상 초기의 측정치들 중 PTSD에 영향을 미치는 예측 인자를 살펴보고자 하였다. 연구결과 여러 변인들 중 BDI-II 총점만이 PTSD에 영향을 미치는 것으로 나타났다. 이는 초기 우울 증상이 PTSD를 예측하는 유용한 인자임을 시사하는 것이다. 따라서 외상 경험 후 부상자들이 호소하는 초기 우울 증상에 대한 신속한 조기 치료적 개입과 예방 프로그램을 통해 PTSD의 발현 및 만성화되는 것을 막는 것이 필요할 것으로 보인다.
Abstract
Objectives：The purpose of this study was to determine the predictors of PTSD in subway fire accident survivors. Methods：Subjects consisted of 129 survivors from the Daegu subway fire accident. The 129 subjects were registered at April, 2003, which was 2 months after the accident, and 49 of them were followed up from June to November 2004. Subjects were assessed at 2 months and 18 months after the accident. All participants completed BDI-II, SCL-90-R, MMPI, PCL-C, STAI-S, STAI-T and IES at the two time points, respectively. CAPS was only administered in the follow-up assessment. Statistical analysis was performed using Binary Logistic regression with SPSS 12.01. Results：Only the BDI-II total scores at 2 months significantly predicted PTSD at 18 months. Other measures did not significantly predict PTSD. Conclusions：These findings suggest that high BDI-II total scores at the initial assessment may be regarded as a major predictor of PTSD. Accordingly, early treatment intervention may serve to prevent the chronicity of PTSD among accident survivors. (J Korean Neuropsychiatr Assoc 2007;46(1):79-86)
참고문헌 (40)
- You KC, "Injury type in sam-pung collapse.", 18, pp.53~60 (1997)
- Mayou R, "Psychiatric consequences of road tra-fic accidents", pp.647~651
- Min SK, "Postraumatic stress disorder. Modern psychiatry", pp.254~ (1995), Seoul: Ilgogak
- Song CJ, "Mechanisms and treatment of posttraumatic stres disorder.", 11, pp.102~112 (2004)
- Stallard P, Salter E, Velleman R, "Postraumatic stress disorder follow-ing road traffic accidents: a second prospective study.", 13, pp.172~178 (2004)
- Attindag A, "One-year folow-up study of postrauma-tic stress disorder among earthquake survivors in Turkey.", 46, pp.328~333 (2005)
- Davis GC, "Traumatic events and posttraumatic stres disorder in an urban population of young adults", pp.216~222
- Goldberg J, "A twin study of the efects of the Vietnam War on posttraumatic stres disorder", pp.1227~1232
- Breslau N, "Risk factors for PTSD-related tr-aumatic event: A prospective analysis.", 152, pp.529~535 (1995)
- Wilson JP, "Ed by Kelley WE", mazel;1982, 102~147
- Bremner JD, "Childhood physical abuse and combat-related posttraumatic stres di-sorder in Vietnam veterans", pp.235~239
- Davidson JRT, "Traumatic experience in psychiatric out-patients", pp.459~476
- Gavranidou M, "The weaker sex? Gender and posttraumatic stress disorder.", 17, pp.130~ (2003)
- McFarlane AC, "Resilience, vulnerability and the course of postraumatic stres disorder.", pp.155~181 (1996), New York: The Gilford Press
- Pery S, "Predictors of postraumatic stress disorder after burn injury", pp.931~935
- Blanchard EB, "Who develops PTSD from motor vehicle accident.", 34, pp.1~10 (1996)
- Kim KI, "The essential problems of disorder appraisal J Korean Ne-예측인자 연구 E", pp.2007 135~148
- van der Kolk BA, "Trauma and memory.", pp.279~302 (1996), New York, The Guil-ford Pres
- Solomon Z, "The role of proximity and expectancy in frontline treatment of combat stres reaction among Israelis in the Lebanon War", pp.613~617
- Keane TM, "Empirical development of an MPI subscale for the assesment of combatrelated PTSD Journal of Consulting and Clinical Psychology 1984;62", pp.888~891
- Winstead DK, "Cognitive deficits and psychopathology among former prisoners of war and combat ver-terans of the Korean conflict", pp.67~72
- Eun HJ, "responses of posttraumatic stres disorder", pp.353~364
- Min SK, "Posttraumatic stress disorder of former comfort women for japanese army during world war II.", 43, pp.740~748 (2004)
- Feinstein A, "Predictors of posttraumatic stres disorder fo-llowing physical trauma An examination of the stresor criterion", pp.85~91
- Shalev AY, "Predictors of PTSD in in-jured trauma survivors: a prospective study.", 153, pp.219~225 (1996)
- Freedman SA, "Predictors of chronic postraumatic stres disorder: a prospective study.", 174, pp.353~359 (1999)
- Kim S Peter, "Acute PTSD in survivors of a building collapse acident in seoul: a pre-liminary study on incidence, predictors and pattern of symptom ch-anges.", 36, pp.475~487 (1997)
- American Psychiatric Asociation, "Diagnostic and Statistical Manual of Mental Disorders"
- Yi SM, "A study of chronic posttraumatic stress disorder in physically injured patients by motor vehicle accidents: a prospective study on incidence, pattern of symptom changes and predictors.", 39, pp.797~808 (2000)
- McCaughey BG, "In Individual and comunity responses to trauma and disaster The stru-cture of human chaos Ed by Ursano RJ", ursa(rj), pp.3~30, Cambrige University pres;1994
- Blake D, "National Cen-ter for Post-Traumatic Stress Disorder"
- Horowitz M, "Impact of event scale a measure of subjective stress"
- Beck AT, "An inventory for measuring depression", pp.561~571
- Hahn HM, "A standardization study of beck depression inventory", pp.487~502
- Derogatis L, "Johns Hopkins University School of Me-dicine;1977"
- Kim JT, "The relationship between trait anxiety and social tendency", Korea Univer-sity;1978
- Weathers FW, "Paper presented at the annual meeting of the International Society for Trau-matic Stress Studies 1993"
- Bleich A, "Postraumatic stress disorder and depression: An analysis of comorbidity.", 170, pp.479~482 (1997)
- North CS, "Postraumatic stress disorder in survivors of a mas shooting", pp.82~83
- Mayou R, "Unconsciousness, amnesia and psy-chiatric symptoms following road traffic accident injury.", 177, pp.540~545 (2000)