본문 바로가기
KERD
논문KCI 등재

소방공무원에서 정신 건강 증진 프로그램의 효과

The Effect of Mental Health Improvement Programs for Firefighters

2

조회

0

다운로드

7

인용

0

참고문헌

키워드

주제분류정신과학

초록

Objective : The purpose of this study was to investigate the effectiveness of the mental health improvement program in Korean firefighters. Methods : A total of 502 firefighters working at Daegu, Ulsan and Gumi participated in the mental health improvement program for an 8-week period. The program included evaluation and counseling as well as psychoeducation for mental health awareness. Subjects were divided to two groups including the PTSD high risk group and PTSD non-high risk group. Results : The program resulted in a significant decrease in mean scores of depression and insomnia for all firefighters. PTSD high risk group showed a significantly higher level of depression, anxiety, and insomnia. Multiple logistic regression analysis with PTSD high risk group as a dependent variable indicated that moderate depression was a high-risk factor for PTSD in firefighters, as compared to no depression ; in addition, subthreshold and moderate insomnia was another risk factor. Conclusion : The evaluation and management of psychopathologies including depression and insomnia associated with traumatic events can be helpful to improve the mental health of firefighters.

Abstract

Objective : The purpose of this study was to investigate the effectiveness of the mental health improvement program in Korean firefighters. Methods : A total of 502 firefighters working at Daegu, Ulsan and Gumi participated in the mental health improvement program for an 8-week period. The program included evaluation and counseling as well as psychoeducation for mental health awareness. Subjects were divided to two groups including the PTSD high risk group and PTSD non-high risk group. Results : The program resulted in a significant decrease in mean scores of depression and insomnia for all firefighters. PTSD high risk group showed a significantly higher level of depression, anxiety, and insomnia. Multiple logistic regression analysis with PTSD high risk group as a dependent variable indicated that moderate depression was a high-risk factor for PTSD in firefighters, as compared to no depression ; in addition, subthreshold and moderate insomnia was another risk factor. Conclusion : The evaluation and management of psychopathologies including depression and insomnia associated with traumatic events can be helpful to improve the mental health of firefighters.

참고문헌 (33)

  1. 이소희, "재난 업무 종사자의 정신 건강", 신경정신의학, 54(2), pp.135~141 (2015), 대한신경정신의학회[DOI]
  2. 백준혁, "소방 공무원에서 간접 외상이 정신 건강에 미치는 영향", 대한불안의학회지, 6(1), pp.65~70 (2010), 대한불안의학회
  3. American Psychiatric Association, "Diagnostic and statistical manual of mental disorders: DSM-5" (2013), American Psychiatric Publishing
  4. Soo J, "Trends in probable PTSD in firefighters exposed to the world trade center disaster, 2001-2010", Disaster Med Public Health Prep, 5, pp.197~203 (2011)
  5. Berger W, "Rescuers at risk: a systematic review and metaregression analysis of the worldwide current prevalence and correlates of PTSD in rescue workers", Soc Psychiatry Psychiatr Epidemiol, 47, pp.1001~1011 (2012)
  6. Kessler RC, "Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the national comorbidity survey replication", Arch Gen Psychiatry, 62, pp.617~627 (2005)
  7. Shin JH, "The relationship between somatic symptoms and the trauma-related characteristics of patients with PTSD: a korean multicenter study", Anxiety Mood, 4, pp.34~41 (2008)
  8. Bromet E, "DSM-IV post-traumatic stress disorder among world trade center responders 11-13 years after the disaster of 11 September 2001", Psychol Med, 46, pp.771~783 (2016)
  9. 박주언, "외상 후 초기중재", 대한불안의학회지, 5(2), pp.75~79 (2009), 대한불안의학회
  10. Carey MG, "Sleep problems, depression, substance use, social bonding, and quality of life in professional firefighters", J Occup Environ Med, 53, pp.928~933 (2011)
  11. Gould M, "Stigma and the military : evaluation of a PTSD psychoeducational program", J Trauma Stress, 20, pp.505~515 (2007)
  12. Forneris CA, "Interventions to prevent post-traumatic stress disorder : a systematic review", Am J Prev Med, 44, pp.635~650 (2013)
  13. 이준영, "강원지역 소방공무원에서 직무스트레스, 우울 및 자살생각 간의 관련성 : 우울의 매개효과를 중심으로", 대한불안의학회지, 10(2), pp.151~156 (2014), 대한불안의학회
  14. 원성두, "소방공무원의 탄력성과 외상후성장이 외상후스트레스 증상에 미치는 영향", 대한불안의학회지, 12(1), pp.28~33 (2016), 대한불안의학회
  15. 정용호, "소방공무원에서 부분 외상후 스트레스 장애의 심리적특성 및 기능적 자기공명영상 특징과 안구운동민감소실 및 재처리요법을 이용한 치료효과", 신경정신의학, 53(2), pp.122~133 (2014), 대한신경정신의학회
  16. 박찬석, "-재난대응공무원의 스트레스 및 PTSD 완화 교육프로그램 재설계 및 교육효과 실증분석-", 대한안전경영과학회지, 16(4), pp.147~157 (2014), 대한안전경영과학회[DOI]
  17. 심규식, "외상 후 스트레스 위기 소방관에 대한 단기간 음악치료의 효과", 한국산학기술학회논문지, 16(6), pp.4040~4047 (2015), 한국산학기술학회[DOI]
  18. 박신원, "소방공무원과 구조대원에서 한국어판 Post-Traumatic Stress Disorder Checklist의 신뢰도와 타당도", 생물정신의학, 23(1), pp.29~36 (2016), 대한생물정신의학회
  19. Yeager DE, "Performance characteristics of the posttraumatic stress disorder checklist and SPAN in veterans affairs primary care settings", Gen Hosp Psychiatry, 29, pp.294~301 (2007)
  20. Lee Y, "A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales", Korean J Clin Psychol, 10, pp.98~113 (1991)
  21. Yook S, "A clinical study on the korean version of beck anxiety inventory : comparative study of patient and non-patient", Korean J Clin Psychol, 16, pp.185~197 (1997)
  22. Shin MS, "A study of suicidal ideation among high school students: the structural relation among depression, hopelessness, and suicidal ideation", Korean J Clin Psychol, 9, pp.1~19 (1990)
  23. Bastien CH, "Validation of the insomnia severity index as an outcome measure for insomnia research", Sleep Med, 2, pp.297~307 (2001)
  24. 신덕용, "대도시 소재 남성 소방공무원의 사건충격척도로 평가한 외상후 스트레스 장애 및 관련요인", Annals of Occupational and Environmental Medicine, 24(4), pp.397~409 (2012), 대한직업환경의학회
  25. 박주언, "재난정신건강 평가도구", 대한불안의학회지, 11(2), pp.91~105 (2015), 대한불안의학회
  26. Wilkins KC, "Synthesis of the psychometric properties of the PTSD checklist (PCL) military, civilian, and specific versions", Depress Anxiety, 28, pp.596~606 (2011)
  27. Lee NY, "Post-traumatic stress experienced by firefighters and paramedics", Perspect Nurs Sci, 9, pp.83~93 (2012)
  28. Lukens EP, "Psychoeducation as evidence-based practice: considerations for practice, research, and policy", Br Treat Cris Interv, 4, pp.205~225 (2004)
  29. Pratt SI, "Evaluation of a PTSD psychoeducational program for psychiatric inpatients", J Ment Health, 14, pp.121~127 (2005)
  30. 장은영, "외상후 스트레스 장애에 대한 심리치료 효과 개관 : 재난 생존자를 중심으로", 대한불안의학회지, 12(2), pp.69~78 (2016), 대한불안의학회
  31. Chiu S, "Evaluating risk factors and possible mediation effects in posttraumatic depression and posttraumatic stress disorder comorbidity", Public Health Rep, 126, pp.201~209 (2011)
  32. Germain A., "Sleep disturbances as the hallmark of PTSD: where are we now?", Am J Psychiatry, 170, pp.372~382 (2013)
  33. Gumenyuk V, "Sleep loss, circadian mismatch, and abnormalities in reorienting of attention in night workers with shift work disorder", SLEEP, 37, pp.545~556 (2014)

관련 논문AI추천

이 간행물의 다른 논문 (6건)