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DSM 진단기준과 대인 및 비대인 외상사건에 따른 성인의 PTSD 증상, 심리적 디스트레스, 정서조절곤란의 차이

PTSD symptoms, Psychological Distress, and Emotion Regulation Difficulties based on DSM Criterion and Trauma

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초록

본 연구에서는 DSM-Ⅳ-TR의 진단기준과 대인 및 비대인외상사건 여부에 따른 심리적 증상의 차이를 파악하고자 하였다. 이를 위해 전국에 거주하는 성인 1,000명을 대상으로 온라인 설문을 통해 사건체크리스트, 사건충격척도, 간이증상척도, 정서조절곤란척도를 사용하여 자료를 수집하였다. 이 가운데 분석이 가능한 651명의 자료를 구조방적식 모형을 통해 분석하였다. 연구결과, 진단기준사건과 비진단기준사건, 대인외상사건과 비대인외상사건 간에는 각각 심리적 증상의 차이가 없는 것으로 나타났다. 진단기준-대인외상사건, 진단기준-비대인외상사건, 비진단기준-대인외상사건, 비진단기준-비대인외상사건으로 나누어 심리적 증상의 차이가 있는지 확인한 결과, 진단기준-비대인외상사건은 비진단기준-비대인외상사건보다 PTSD 증상의 하위요인과 정서조절곤란을 더 많이 유발하는 것으로 나타났고, 진단기준-대인외상사건보다 과각성에서 더 많은 증상을 나타냈다. 비진단기준-대인외상사건은 비진단기준-비대인외상사건보다 PTSD 증상의 하위요인, 심리적 디스트레스, 정서조절곤란 모두에서 더 많은 증상을 유발하는 것으로 나타났고, 진단기준-대인외상사건보다 심리적 디스트레에서 더 많은 증상을 유발하는 것으로 확인되었다. 연구결과를 토대로 논의 및 시사점이 제시되었다.

Abstract

The aim of this study was to distinguish psychological symptoms according to both DSM criterion and the type of trauma experienced. From a sample of 1,000 adults residing in South Korea, 651 statistically relevant samples were extracted. Results did not show significant differences in symptoms between DSM criterion events and non-DSM criterion events. The DSM criterion non-interpersonal trauma group did however display more PTSD symptoms along with more emotion regulation difficulties than the non-DSM criterion non-interpersonal trauma group. Hyperarousal, a subtype of PTSD, was shown to develop more among the DSM criterion non-interpersonal trauma group than the DSM criterion-interpersonal trauma group. Further, the DSM non-criterion interpersonal trauma group displayed more PTSD symptoms, psychological distress, and emotion regulation difficulties than the DSM non-criterion non-interpersonal trauma group. In light of these results, counseling implications and suggestion for further research are discussed.

참고문헌 (125)

  1. 김보미, "대인관계 외상 경험자들의 사회적 유대감, 정서 조절과 자살 생각의 관계", Korean Journal of Clinical Psychology, 31(3), pp.731~748 (2012), 한국임상심리학회[DOI]
  2. 김희경, "북한이탈주민의 외상 유형에 따른 복합 PTSD와 PTSD 증상의 차이", 한국심리학회지:일반, 31(4), pp.1003~1022 (2012), 한국심리학회
  3. 박선정, "대인외상 경험 청소년이 지각한 사회적 지지가 외상 후 성장에 미치는 영항: 적극적 대처의 매개효과", 미래청소년학회지, 12(1), pp.25~47 (2015), 미래를 여는 청소년학회
  4. 박지은, "외상후 부정적 인지와 외상후 성장의 관계에서 용서의 조절효과: 대인관계 외상 경험자를 중심으로", 인간이해, 37(2), pp.167~185 (2016), 학생생활상담연구소
  5. 서영석, "한국인이 경험한 외상사건: 종류 및 발생률", 한국심리학회지: 상담 및 심리치료, 24(3), pp.671~701 (2012), 한국상담심리학회[DOI]
  6. "144초마다 교통사고 1건 하루 12명, 삶을 빼앗기다" (2017), 서울신문[URL]
  7. 신선영, "삶의 의미와 사회적 지지가 외상 후 성장에 미치는 영향: 성장적 반추를 매개 변인으로", 인간이해, 33(2), pp.217~235 (2012), 학생생활상담연구소
  8. 송승훈, "한국판 외상 후 성장 척도(K-PTGI)의 신뢰도와 타당도", 석사, 응용심리학, pp.2007
  9. "성인 4명 중 1명은 평생 한 번 이상 정신질환 앓아" (2017)[URL]
  10. 윤명숙, "청소년의 대인외상경험과 외상 후 성장의 관계에서 스트레스대처능력의 조절효과 검증", 청소년복지연구, 17(3), pp.239~261 (2015), 한국청소년복지학회
  11. 은헌정, "한국판 사건충격척도 수정판의 신뢰도 및 타당도 연구", 신경정신의학, 44(3), pp.303~310 (2005), 대한신경정신의학회
  12. 이미연, "외상유형, 자아 탄력성 및 외상 후 부정적 인지가 외상 후 성장에 미치는 영향", 한국심리학회학술대회 자료집, 2012(1), pp.241~241 (2012)
  13. 한국사회의 사회 심리적 불안의 원인분석과 대응방안, "이상영", 한국보건사회연구원, ~ (2015)
  14. 이수림, "외상 유형이 외상후성장 및 지혜에 미치는 영향: 사회적 지지와 대처의 매개효과", 한국심리학회지: 문화 및 사회문제, 19(3), pp.319~341 (2013), 한국문화및사회문제심리학회
  15. 이수림, "외상 경험 및 인지적 정서조절전략이 외상후스트레스장애와 외상후성장에 미치는 영향", 인문학논총, 39, pp.93~124 (2015), 인문과학연구소
  16. 이순묵, "구조방정식 모형의 일반화 또는 집단차 연구를 위한 다집단 분석의 관행과 문제점", 사회과학, 43(1), pp.63~112 (2011)
  17. 이예종, "연령대별 성인의 정신건강이 삶의 질에 미치는 영향 -제5기(2010)국민건강영양조사를 중심으로", 디지털융복합연구, 11(1), pp.321~327 (2013), 한국디지털정책학회
  18. 전철은, "심리적 피학대 여성의 수치심, 죄책감 및 사회적 지지가 외상후 스트레스장애(PTSD)에 미치는 영향", Korean Journal of Clinical Psychology, 22(4), pp.763~776 (2003), 한국임상심리학회
  19. 조용래, "정서조절곤란의 평가: 한국판 척도의 심리측정적 속성", Korean Journal of Clinical Psychology, 26(4), pp.1015~1038 (2007), 한국임상심리학회[DOI]
  20. 조화진, "성인애착과 심리적 디스트레스의 관계: 부적응적 완벽주의와 기본 심리적 욕구 만족의 매개효과", 한국심리학회지: 상담 및 심리치료, 23(2), pp.471~490 (2011), 한국상담심리학회
  21. 최강록, "한국판 개정판 일생 스트레스 사건 체크리스트의 신뢰도 및 타당도 : 불안 장애 및 우울장애 외래 환자 대상", 석사, pp.2015
  22. 최은영, "여대생의 아동 청소년기 대인간 외상 경험과 자기역량 손상의 관계에서 내면화된 수치심의 매개효과", 한국심리학회지:여성, 16(3), pp.285~302 (2011), 한국여성심리학회[DOI]
  23. 홍세희, "구조 방정식 모형의 적합도 지수 선정기준과 그 근거", Korean Journal of Clinical Psychology, 19(1), pp.161~177 (2000)
  24. 홍세희, "구조방정식 모형의 다양한 확장" (2017), 박영사
  25. Anders, S. L., "Variations in Criterion A and PTSD prevalence rates and symptoms", Journal of Anxiety Disorders, 25(2), pp.176~184 (2011)
  26. Anders, S. L., "Beyond criterion A1 : The effects of relational and non-relational traumatic events", Journal of Trauma & Dissociation, 13(2), pp.134~151 (2012)
  27. Allen, J., "Coping with trauma: Hope through understanding" (2005), America Psychiatric Publishing Inc
  28. Allen, J. G., "트라우마의 치유" (2010), 학지사
  29. American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" (1980), American Psychiatric Association
  30. American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" (1987), American Psychiatric Association
  31. American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" (2000), American Psychiatric Association
  32. American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" (2013), American Psychiatric Association
  33. Avina, C., "Sexual harassment and PTSD: Is sexual harassment diagnosable trauma", Journal of Traumatic Stress, 15(1), pp.69~75 (2002)
  34. Baumeister, R., "The need to belong : Desire for interpersonal attachments as a fundamental human motivation", Psychological Bulletin, 117(3), pp.497~529 (1995)
  35. Bedard-Gilligan, M., "The utility of the A1 and A2 criteria in the diagnosis of PTSD", Behaviour Research and Therapy, 46(9), pp.1062~1069 (2008)
  36. Boals, A., "PTSD symptoms in response to traumatic and nontraumatic events : The role of respondent perception and A2 criterion", Journal of Anxiety Disorders, 23(4), pp.458~462 (2009)
  37. Bodkin, J. A., "Is PTSD caused by traumatic stress?", Journal of Anxiety Disorders, 21(2), pp.176~182 (2007)
  38. Bokszczanin, A., "PTSD symptoms in children and adolescents 28 months after a flood : Age and gender differences", Journal of Traumatic Stress, 20(3), pp.347~351 (2007)
  39. Breslau, N., "Posttraumatic stress disorder : The stressor criterion", The Journal of Nervous and Mental Disease, 175(5), pp.255~264 (1987)
  40. Breslau, N., "Trauma and posttraumatic stress disorder in the community : The 1996 Detroit Area Survey of Trauma", Archives of General Psychiatry, 55(7), pp.626~632 (1998)
  41. Briere, J., "Self-awareness, affect regulation, and relatedness : Differential sequels of childhood versus adult victimization experiences", The Journal of Nervous and Mental Disease, 195(6), pp.497~503 (2007)
  42. Burnam, M. A., "Sexual assault and mental disorders in a community population", Journal of Consulting and Clinical Psychology, 56(6), pp.843~850 (1988)
  43. Calhoun, L. G., "Facilitating posttraumatic growth: A clinician's guide" (1999), Lawrence Erlbaum Associates
  44. Chard, K. M., "An evaluation of cognitive processing therapy for the treatment of posttraumatic stress disorder related to childhood sexual abuse", Journal of Consulting and Clinical Psychology, 73(5), pp.965~ (2005)
  45. Chapman, C., "Remission from post-traumatic stress disorder in the general population", Psychological Medicine, 42(8), pp.1695~1703 (2012)
  46. Charuvastra, A., "Social bonds and posttraumatic stress disorder", Annual Review of Psychology, 59, pp.301~328 (2008)
  47. Cloitre, M., "Beyond PTSD : Emotion regulation and interpersonal problems as predictors of functional impairment in survivors of childhood abuse", Behavior Therapy, 36(2), pp.119~124 (2005)
  48. Costello, E. J., "The prevalence of potentially traumatic events in childhood and adolescence", Journal of Traumatic Stress, 15(2), pp.99~112 (2002)
  49. Cougle, J. R., "Factors associated with chronicity in posttraumatic stress disorder: A prospective analysis of a national sample of women", Psychological Trauma: Theory, Research, Practice, and Policy, 5(1), pp.43~49 (2013)
  50. Davidson, J. R., "Post-traumatic stress disorder in the community : An epidemiological study", Psychological Medicine, 21(3), pp.713~721 (1991)
  51. Davis, J. L., "Intimacy dysfunction and trauma symptomatology : Long-term correlates of different types of child abuse", Journal of Traumatic Stress, 14(1), pp.63~80 (2001)
  52. De Bellis, M. D., "Developmental traumatology part II : Brain development", Biological Psychiatry, 45(10), pp.1271~1284 (1999)
  53. De, C. M. G., "Post-traumatic stress disorder in an anxiety disorder unit and in a victims support association", L'Encephale, 31(1 Pt 1), pp.76~81 (2005)
  54. Derogatis, L. R., "The Brief Symptom Inventory (BSI): Administration, scoring and procedures manual-3. 1993" (1993), National Computer Systems
  55. Derogatis, L. R., "BSI-18: Brief Symptom Inventory 18, Administration. Scoring, and Procedures Manual" (2000), National Computer Systems Pearson, INC
  56. De Vries, G. J., "The lifetime prevalence of traumatic events and posttraumatic stress disorder in the Netherlands", Journal of Traumatic Stress, 22(4), pp.259~267 (2009)
  57. Ehring, T., "Emotion regulation difficulties in trauma survivors : The role of trauma type and PTSD symptom severity", Behavior Therapy, 41(4), pp.587~598 (2010)
  58. Elhai, J. D., "Clinical presentations of posttraumatic stress disorder across trauma populations : A comparison of MMPI-2 profiles of combat veterans and adult survivors of child sexual abuse", The Journal of Nervous and Mental Disease, 188(10), pp.708~713 (2000)
  59. Ford, J. D., "A randomized clinical trial comparing affect regulation and social problem-solving psychotherapies for mothers with victimization-related PTSD", Behavior Therapy, 42(4), pp.560~578 (2011)
  60. Frazier, P., "Traumatic events among undergraduate students : Prevalence and associated symptoms", Journal of Counseling Psychology, 56(3), pp.450~460 (2009)
  61. Freyd, J. J., "Betrayal trauma : Relationship to physical health, psychological distress, and a written disclosure intervention", Journal of Trauma & Dissociation, 6(3), pp.83~04 (2005)
  62. Galea, S., "Posttraumatic stress disorder in the general population after mass terrorist incidents : Considerations about the nature of exposure", CNS Spectrums, 10(2), pp.107~115 (2005)
  63. Gersons, B. P., "Post Traumatic Stress Disorder Diagnosis, Management and Treatment", pp.25~35 (2009), CRC Press
  64. Gold, S. D., "Is life stress more traumatic than traumatic stress?", Journal of Anxiety Disorders, 19(6), pp.687~698 (2005)
  65. Gratz, K. L., "Multidimensional assessment of emotion regulation and dysregulation : Development, factor structure, and initial validation of the difficulties in emotion regulation scale", Journal of Psychopathology and Behavioral Assessment, 26(1), pp.41~54 (2004)
  66. Green, B. L., "Outcomes of single versus multiple trauma exposure in a screening sample", Journal of Traumatic Stress, 13(2), pp.271~286 (2000)
  67. Green, B. L., "Children and disaster : Age, gender, and parental effects on PTSD symptoms", Journal of the American Academy of Child & Adolescent Psychiatry, 30(6), pp.945~951 (1991)
  68. Hedtke, K. A., "A longitudinal investigation of interpersonal violence in relation to mental health and substance use", Journal of Consulting and Clinical Psychology, 76(4), pp.633~ (2008)
  69. Horowitz, M., "Impact of Event Scale : A measure of subjective stress", Psychosomatic medicine, 41(3), pp.209~218 (1979)
  70. Hu, L. T., "Cutoff criteria for fit indexes in covariance structure analysis : Conventional criteria versus new alternatives", Structural equation modeling : a multidisciplinary journal, 6(1), pp.1~55 (1999)
  71. Joseph, S., "Life‐events and post‐traumatic stress in a sample of English adolescents", Journal of Community & Applied Social Psychology, 10(6), pp.475~482 (2000)
  72. Kaplan, D., "Structural equation modeling: Foundations and extensions (Vol. 10)" (2008), Sage Publications
  73. Kasl, S. V., "Some considerations in the study of traumatic stress", Journal of Applied Social Psychology, 20(20), pp.1655~1665 (1990)
  74. Kazantzis, N., "Predictors of chronic trauma-related symptoms in a community sample of New Zealand motor vehicle accident survivors", Culture, Medicine, and Psychiatry, 36(3), pp.442~464 (2012)
  75. Kelley, L. P., "A comparison of PTSD symptom patterns in three types of civilian trauma", Journal of Traumatic Stress, 22(3), pp.227~235 (2009)
  76. Kessler, R. C., "Posttraumatic stress disorder in the National Comorbidity Survey", Archives of General Psychiatry, 52(12), pp.1048~1060 (1995)
  77. Kilpatrick, D. G., "Risk factors for adolescent substance abuse and dependence : Data from a national sample", Journal of Consulting and Clinical Psychology, 68(1), pp.19~30 (2000)
  78. Kilpatrick, D. G., "DSM–IV sourcebook, Vol. 4", pp.803~841 (1998), American Psychiatric Press
  79. Lancaster, S. L., "An examination of the differential effects of the experience of DSM-IV defined traumatic events and life stressors", Journal of Anxiety Disorders, 23(5), pp.711~717 (2009)
  80. Lapp, L. K., "PTSD in the elderly : The interaction between trauma and aging", International Psychogeriatrics, 23(06), pp.858~868 (2011)
  81. Lincoln, K. D., "Social support, traumatic events, and depressive symptoms among African Americans", Journal of Marriage and Family, 67(3), pp.754~766 (2005)
  82. Long, M. E., "Differences in posttraumatic stress disorder diagnostic rates and symptom severity between Criterion A1 and non-Criterion A1 stressors", Journal of Anxiety Disorders, 22(7), pp.1255~1263 (2008)
  83. Matthiesen, S. B., "Psychiatric distress and symptoms of PTSD among victims of bullying at work", British Journal of Guidance & Counselling, 32(3), pp.335~356 (2004)
  84. McHugo, G. J., "The assessment of trauma history in women with co-occurring substance abuse and mental disorder and a history of interpersonal violence", The Journal of Behavioral Health Services & Research, 32(2), pp.113~127 (2005)
  85. McNally, R. J., "Progress and controversy in the study of posttraumatic stress disorder", Annual Review of Psychology, 54(1), pp.229~252 (2003)
  86. Micale, M. S., "Traumatic pasts: history, psychiatry, and trauma in the modern age, 1870-1930" (2001), Cambridge University Press
  87. Mol, S. S., "Symptoms of post-traumatic stress disorder after non-traumatic events : Evidence from an open population study", The British Journal of Psychiatry, 186(6), pp.494~499 (2005)
  88. Morrison, J., "DSM-5® Made Easy: The Clinician's Guide to Diagnosis" (2014), Guilford Publications
  89. Murphy, M. C., "Stressors on the college campus : A comparison of 1985-1993", Journal of College Student Development, 37(1), pp.20~28 (1996)
  90. Neria, Y., "Post-traumatic stress disorder following disasters : A systematic review", Psychological Medicine, 38(4), pp.467~480 (2008)
  91. Norris, F. H., "Epidemiology of trauma : Frequency and impact of different potentially traumatic events on different demographic groups", Journal of consulting and clinical psychology, 60(3), pp.409~418 (1992)
  92. Norris, F. H., "60, 000 disaster victims speak : Part I. An empirical review of the empirical literature, 1981-2001", Psychiatry : Interpersonal and Biological Processes, 65(3), pp.207~239 (2002)
  93. O’Brien, L. S., "Traumatic events and mental health" (1998), Cambridge University Press
  94. Olde, E., "Posttraumatic stress following childbirth : A review", Clinical Psychology Review, 26(1), pp.1~16 (2006)
  95. Palmieri, P. A., "Confirmatory factor analysis of posttraumatic stress symptoms in sexually harassed women", Journal of Traumatic Stress, 18(6), pp.657~666 (2005)
  96. Polusny, M. A., "Long-term correlates of child sexual abuse : Theory and review of the empirical literature", Applied and preventive psychology, 4(3), pp.143~166 (1995)
  97. Rasmussen, A., "Factor structure of PTSD symptoms among west and central African refugees", Journal of Traumatic Stress, 20(3), pp.271~280 (2007)
  98. Resnick, H. S., "Prevalence of civilian trauma and posttraumatic stress disorder in are presentative national sample of women", Journal of Consulting and Clinical Psychology, 61(6), pp.984~991 (1993)
  99. Robinson, J. S., "Are traumatic events necessary to elicit symptoms of posttraumatic stress", Psychological Trauma: Theory, Research, Practice, and Policy, 2(2), pp.71~76 (2010)
  100. Rosen, G. M., "Problems with the post-traumatic stress disorder diagnosis and its future in DSM-V", The British Journal of Psychiatry, 192(1), pp.3~4 (2008)
  101. Russell, D. W., "Analyzing data from experimental studies : A latent variable structural equation modeling approach", Journal of Counseling Psychology, 45(1), pp.18~29 (1998)
  102. Schumacher, A. M., "The relationship of two types of trauma exposure to current physical and psychological symptom distress in a community sample of colombian women : Why interpersonal violence deserves more attention", Health Care for Women International, 31(10), pp.946~961 (2010)
  103. Schumm, J. A., "Cumulative interpersonal traumas and social support as risk and resiliency factors in predicting PTSD and depression among inner‐city women", Journal of Traumatic Stress : Official Publication of The International Society for Traumatic Stress Studies, 19(6), pp.825~883 (2006)
  104. Scott, M. J., "Post traumatic stress disorder without the trauma", British Journal of Clinical Psychology, 33(1), pp.71~74 (1994)
  105. Shakespeare-Finch, J., "Trauma type and posttrauma outcomes : Differences between survivors of motor vehicle accidents, sexual assault, and bereavement", Journal of Loss and Trauma, 15(2), pp.69~82 (2010)
  106. Smart Richman, L., "Reactions to discrimination, stigmatization, ostracism, and other forms of interpersonal rejection : a multimotive model", Psychological review, 116(2), pp.365~383 (2009)
  107. Smith, H. L., "Is worst-event trauma type related to PTSD symptom presentation and associated features?", Journal of Anxiety Disorders, 38, pp.55~61 (2016)
  108. Smith, M. Y., "Post‐traumatic stress disorder in cancer : A review", Psycho‐Oncology, 8(6), pp.521~537 (1999)
  109. Spertus, I. L., "Childhood emotional abuse and neglect as predictors of psychological and physical symptoms in women presenting to a primary care practice", Child Abuse & Neglect, 27(11), pp.1247~1258 (2003)
  110. Spitzer, C., "Posttraumatic stress disorder following high and low‐magnitude stressors in psychotherapeutic inpatients", Clinical Psychology & Psychotherapy, 7(5), pp.379~384 (2000)
  111. Stein, D. J., "Efficacy of sertraline in posttraumatic stress disorder secondary to interpersonal trauma or childhood abuse", Annals of Clinical Psychiatry, 18(4), pp.243~249 (2006)
  112. Taylor, S., "Simple versus complex PTSD : A cluster analytic investigation", Journal of Anxiety Disorders, 20(4), pp.459~472 (2006)
  113. Tedeschi, R. G., "Posttraumatic growth : Conceptual foundations and empirical evidence", Psychological Inquiry, 15(1), pp.1~18 (2004)
  114. Tolin, D. F., "Sex differences in trauma and posttraumatic stress disorder : A quantitative review of 25 years of research", Psychological Bulletin, 132(6), pp.959~ (2006)
  115. Torres, L., "Discrimination, acculturation, acculturative stress, and Latino psychological distress : A moderated mediational model", Cultural Diversity and Ethnic Minority Psychology, 18(1), pp.17~ (2012)
  116. Tull, M. T., "A preliminary investigation of the relationship between emotion regulation difficulties and posttraumatic stress symptoms", Behavior Therapy, 38(3), pp.303~313 (2007)
  117. Van der Kolk, B. A., "Disorders of extreme stress : The empirical foundation of a complex adaptation to trauma", Journal of Traumatic Stress, 18(5), pp.389~399 (2005)
  118. Van Hooff, M., "The stressor Criterion-A1 and PTSD : A matter of opinion?", Journal of Anxiety Disorders, 23(1), pp.77~86 (2009)
  119. Velezmoro, R., "Online sexual activity : Cross-national comparison between United States and Peruvian college students", Archives of Sexual Behavior, 41(4), pp.1015~1025 (2012)
  120. Verlinden, E., "What makes a life event traumatic for a child? The predictive values of DSM-Criteria A1 and A2", European Journal of Psychotraumatology, 4(1), pp.20436~ (2013)
  121. Wang, C. C. D., "Acculturation, attachment, and psychological adjustment of Chinese", Taiwanese international students, 2006, pp.53(4), 422~
  122. Weiss, D. S., "Assessing Psychological Trauma and PTSD: A Handbook for Practitioners", pp.399~411 (1997), Guilford Press
  123. West, S. G., "Structural equation modeling: Concepts, issues and applications", pp.56~75 (1995), Sage
  124. Willard, V. W., "Life stress versus traumatic stress: The impact of life events on psychological functioning in children with and without serious illness", Psychological Trauma: Theory, Research, Practice, and Policy, 8(1), pp.63~ (2016)
  125. Wolfe, J., "Assessing psychological trauma and PTSD", pp.192~238 (1997), Guilford

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