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외상 외상 후 스트레스 장애 환자에서 발생한 환각 경험의 임상적 의미

Clinical Meaning of Hallucinatory Experience among PTSD Patients

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참고문헌

키워드

주제분류정신과학

초록

Abstract

Objectives : The aim of this study was to investigate clinical meaning of hallucination among patients with posttraumatic stress disorder (PTSD). Methods : PTSD patients with hallucination (n=50) were selected and matched with the PTSD patients without hallucination (n=50) by age and sex. The patients were evaluated in two different aspects, pathologic aspects which can develop after traumatic event, and positive/adaptive aspects which are concerned in positive psychology. In addition to these, temperament and character features between two groups were also evaluated using the Temperament and Character Inventory (TCI). Results : Except for the total score of DES (Dissociative Experience Scale) and the score of re-experience subscale of CAPS (Clinician Administered PTSD Scale), clinical characteristics did not show any significant difference between the two groups. Among the comparison of seven higher dimensions in TCI profiles, only Self-transcendence showed significant difference between the two groups. Conclusion : The two groups did not show significant differences in pathologic aspects except for factors that may contribute to development of hallucination. Furthermore, authors could not find any differences in positive/adaptive aspects.

참고문헌 (29)

  1. American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorder" (1980), American Psychiatric Press
  2. American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorder" (1994), American Psychiatric Press
  3. Johns LC, "Occurrence of hallucinatory experiences in a community sample and ethnic variations", Br J Psychiatry, 180, pp.174~178 (2002)
  4. Scott J, "Psychotic-like experiences in the general community: the correlates of CIDI psychosis screen items in an Australian sample", Psychol Med, 36, pp.231~238 (2006)
  5. de Leede-Smith S, "A comprehensive review of auditory verbal hallucinations: lifetime prevalence, correlates and mechanisms in healthy and clinical individuals", Front Hum Neurosci, 7, pp.1~25 (2013)
  6. Hamner MB, "Psychotic features and illness severity in combat veterans with chronic posttraumatic stress disorder", Biol Psychiatry, 45, pp.846~852 (1999)
  7. David D, "Psychotic symptoms in combat-related posttraumatic stress disorder", J Clin Psychiatry, 60, pp.29~32 (1999)
  8. Sareen J, "Co-occurrence of posttraumatic stress disorder with positive psychotic symptoms in a nationally representative sample", J Trauma Stress, 18, pp.313~322 (2005)
  9. Mueser KT, "Auditory hallucinations in combat-related chronic posttraumatic stress disorder", Am J Psychiatry, 144, pp.299~302 (1987)
  10. Braakman MH, "Posttraumatic stress disorder with secondary psychotic features: neurobiological findings", Prog Brain Res, 167, pp.299~302 (2008)
  11. Braakman MH, "Validity of ‘post-traumatic stress disorder with secondary psychotic features’: a review of the evidence", Acta Psychiatr Scand, 119, pp.15~24 (2009)
  12. Gil S, "Evaluation of premorbid personality factors and pre-event posttraumatic symptoms in the development of posttraumatic stress symptoms associated with a bus explosion in Israel", J Trauma Stress, 18, pp.563~567 (2005)
  13. Cloninger CR, "A psychobiological model of temperament and character", Arch Gen Psychiatry, 50, pp.975~990 (1993)
  14. Sung SM, "Reliability and validity of the Korean version of the Temperament and Character Inventory", Compr Psychiatry, 43, pp.235~243 (2002)
  15. 김영환, "성격평가 질문지 실시요강" (2001), 학지사
  16. Lee YH, "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)
  17. Spielberger CD, "Manual for the State-Trait Anxiety Inventory" (1970), Consulting Psychologist Press
  18. 김정택, "STAI의 한국 표준화에 대한 연구", 최신의학, 21, pp.69~75 (1978)
  19. Horowitz M, "Impact of Event Scale: a measure of subjective stress", Psychosom Med, 41, pp.209~218 (1979)
  20. Yi SM, "A study of reliability and validity on the Korean version of impact of event scale", J Korean Neuropsychiatr Assoc, 38, pp.501~512 (1999)
  21. Bernstein EM, "Development, reliability, and validity of a dissociation scale", J Nerv Ment Dis, 174, pp.727~735 (1986)
  22. Park JM, "Standardization of Dissociative Experience Scale-Korean version", Kor J Psychopathol, 4, pp.11~21 (1995)
  23. Lee BY, "A reliability and validity study of a Clinician-Administered PTSD Scale", J Korean Neuropsychiatr Assoc, 38, pp.514~522 (1999)
  24. Kim M, "Exploring source of life meaning among Koreans", J Korean Neuropsychiatr Assoc, 41, pp.912~929 (2002)
  25. Tedeschi RG, "The Posttraumatic Growth Inventory: measuring the positive legacy of trauma", J Trauma Stress, 9, pp.455~471 (1996)
  26. 송승훈, "한국판 외상후 성장 척도의 타당도 및 신뢰도 연구", 한국심리학회지: 건강, 14(1), pp.193~214 (2009), 한국건강심리학회
  27. 박지원, "사회적지지척도 개발을 위한 일 연구", pp.1985
  28. Ryff CD, "The structure of psychological well-being revisited", J Pers Soc Psychol, 69, pp.719~727 (1995)
  29. 김명소, "심리적 안녕감과 구성개념분석: 한국 성인 남녀를 대상으로", 한국심리학회지: 사회 및 성격, 15, pp.19~39 (2001)

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