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중동호흡기증후군에 대한 공포감이 병원종사자와 일반인의 사회심리적 건강에 미치는 영향 : 외상 후 스트레스의 매개효과

Influence of Fear about Middle East Respiratory Syndrome Event of Hospital Worker and General Public on Socio-Psychological Health : Mediating Effect of Posttraumatic Stress

은헌정|정주리|김병조|김형욱|김태형|권혁민|김신일|최말례
대한불안의학회 (Korean Academy of Anxiety Disorders)|2019.04|대한불안의학회지 (Anxiety and Mood)|제15권 제1호|pp. 45-52|DOI 10.24986/anxmod.2019.15.1.006

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외상 후 스트레스·공포·중동호흡기증후군· 사회심리적 건강.Middle east respiratory syndrome·Fear·Socio-psychological health·Post-traumatic stress.
주제분류정신과학

초록

Objective : The objective of this study is to determine the effects of fear of Middle East respiratory syndrome (MERS) on socio-psychological health during an outbreak of MERS and the post-traumatic stress as a mediator on the relationship between stress and socio-psychological health. Methods : Visual Analog Scale, Impact of Event Scale -Revised, Psychosocial well-being index short form was implemented for 150 medical persons who worked at the hospital in which exposure to MERS cases had been confirmed and 96 ordinary people. A Pearson correlation coefficient and a hierarchical multiple regression was carried out to confirm the effect of fear of MERS and the mediating effect of post-traumatic stress between fear and socio-psychological health. Results : The higher the fear, the lower the socio-psychological health in both healthcare workers and the public (r=0.32, p＜0.01) and the higher post-traumatic stress (r=0.32, p＜0.01). But, the research results showed that only healthcare workers had a partially mediating effect of post-traumatic stress in the relationship between fear and socio-psychological health (β=0.45, t=6.33 p＜0.001), (β value : 0.39＞0.26). Conclusion : This study demonstrated that the post-traumatic stress can indirectly lead to a negative effect on the socio-psychological health of healthcare workers when under the fear of MERS and shows adverse effects on psycho-social wellbeing. This suggests that clinical intervention and psycho-social approach aiming at reducing post-traumatic stress is important to maintain mental health during crisis development. (Anxiety and Mood 2019;15(1):45-52)

Abstract

Objective : The objective of this study is to determine the effects of fear of Middle East respiratory syndrome (MERS) on socio-psychological health during an outbreak of MERS and the post-traumatic stress as a mediator on the relationship between stress and socio-psychological health. Methods : Visual Analog Scale, Impact of Event Scale -Revised, Psychosocial well-being index short form was implemented for 150 medical persons who worked at the hospital in which exposure to MERS cases had been confirmed and 96 ordinary people. A Pearson correlation coefficient and a hierarchical multiple regression was carried out to confirm the effect of fear of MERS and the mediating effect of post-traumatic stress between fear and socio-psychological health. Results : The higher the fear, the lower the socio-psychological health in both healthcare workers and the public (r=0.32, p＜0.01) and the higher post-traumatic stress (r=0.32, p＜0.01). But, the research results showed that only healthcare workers had a partially mediating effect of post-traumatic stress in the relationship between fear and socio-psychological health (β=0.45, t=6.33 p＜0.001), (β value : 0.39＞0.26). Conclusion : This study demonstrated that the post-traumatic stress can indirectly lead to a negative effect on the socio-psychological health of healthcare workers when under the fear of MERS and shows adverse effects on psycho-social wellbeing. This suggests that clinical intervention and psycho-social approach aiming at reducing post-traumatic stress is important to maintain mental health during crisis development. (Anxiety and Mood 2019;15(1):45-52)

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Associations Between General Perceptions of COVID-19 and Posttraumatic Stress Disorder in Korean Hospital Workers: Effect Modification by Previous Middle East Respiratory Syndrome Coronavirus Experience and Occupational Type김광현, 이영롱, Jung Sun Jae, Park Sungjin대한예방의학회 · 예방의학회지2021 · 제54권 제2호메르스(Middle East Respiratory Syndrome)의 유행이 의사의 정신건강에 미치는 영향 : 확진자 발생 병원 근무 여부, 메르스 진료 참여 여부에 따른 비교김장섭, 엄대현, 이소희, 이해우대한신경정신의학회 · 신경정신의학2017 · 제56권 제1호메르스(MERS) 감염에 대해 일반대중이 경험한 두려움과 정서적 디스트레스에 관한 탐색적 연구강현숙, 김지윤, 이동훈한국심리학회 · 한국심리학회지:일반2016 · 제35권 제2호2015년 한국 메르스 사태 1년 이후 생존자들의 정신과적 문제김정란, 박혜윤, 신지윤, 신형식, 이소희, 이정재, 이해우대한신경정신의학회 · 신경정신의학2019 · 제58권 제3호How Can We Deal with Psychosocial Issues in an Emerging Infectious Disease Outbreak? Lessons from a Qualitative Study for the MERS Outbreak in KoreaKim Yeonjae, Lee Hae-Woo, Lee Ji-yeon, Lee So Hee, Park Hye Yoon, Song Kyoung-Ho대한감염학회 · Infection and Chemotherapy2023 · 제55권 제3호COVID-19 격리병동 입퇴원 환자의 외상후 스트레스 장애 증상 및 관련 요인곽세현, 김민정, 김지혜, 박진영, 이덕종, 이은혜대한신경정신의학회 · 신경정신의학2024 · 제63권 제3호

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