6.25 전쟁 당시 외상을 경험한 노인의 후유증상에 관한 예비연구
Impacts of Trauma during the Korean War on Physical and Psychological Symptoms of Elderly；Pilot Study
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Objectives：This pilot study examined the physical and psychological sequela of Korean War victims. Methods：Of 255 elderly who completed the Mini International Neuropsychiatric Interview (MINI), we selected 16 subjects who suffered severe traumatic experiences during the Korean War and met more than 2 specified symptoms of PTSD in DSM-IV-TR and 16 controls. Demographic characteristics, medical history including hypertension, diabetes mellitus, hypercholesterolemia and brain infarction, Geriatric Depression Scale, State-Trait Anxiety Inventory, suicide scale in MINI, and a scale for the assessment of somatic symptoms were compared between subjects with trauma experience and controls. Results：Subjects with trauma experience were more likely to have brain infarction and diabetes mellitus compared to control group. Depressive symptoms and suicidal risk were significantly higher in subjects with trauma experience than controls. Subjects with trauma experience showed significantly higher scores in Trait Anxiety scale and more complained of pain than controls. Conclusion：This study suggests that traumatic experience probably induce physical and psychological problem even 60 years later. Further studies are needed to confirm the results of this pilot study.
Abstract
Objectives：This pilot study examined the physical and psychological sequela of Korean War victims. Methods：Of 255 elderly who completed the Mini International Neuropsychiatric Interview (MINI), we selected 16 subjects who suffered severe traumatic experiences during the Korean War and met more than 2 specified symptoms of PTSD in DSM-IV-TR and 16 controls. Demographic characteristics, medical history including hypertension, diabetes mellitus, hypercholesterolemia and brain infarction, Geriatric Depression Scale, State-Trait Anxiety Inventory, suicide scale in MINI, and a scale for the assessment of somatic symptoms were compared between subjects with trauma experience and controls. Results：Subjects with trauma experience were more likely to have brain infarction and diabetes mellitus compared to control group. Depressive symptoms and suicidal risk were significantly higher in subjects with trauma experience than controls. Subjects with trauma experience showed significantly higher scores in Trait Anxiety scale and more complained of pain than controls. Conclusion：This study suggests that traumatic experience probably induce physical and psychological problem even 60 years later. Further studies are needed to confirm the results of this pilot study.
참고문헌 (27)
- Simon RI, "Posttraumatic Stress Disorder in Litigation", pp.16~17 (1995), American Psychiatry press
- Ursano RJ, "Preface In:Norwood AE Review of psychiatry. Vol 22", pp.17~18 (2003), American Psychiatry Press
- Averill PM, "Posttraumatic stress disorder in older adults: A conceptual review", J of anxiety disorder, 14, pp.133~156 (2000)
- Pillemer K, "The prevalence of elder abuse: a random sample survey", The Gerentol, 28, pp.51~58 (1998)
- Busuttil W, "Incorporating psychological debriefing techniques within a brief group psychotherapy programme for the treatment of post-traumatic stress disorder", Br J Psychiatry, 167, pp.495~502 (1995)
- Busuttil W, "Presentations and management of Post Traumatic Stress Disorder and the elderly: a need for investigation", Int J Geriatr Psychiatry, 19, pp.429~439 (2004)
- Tennant C, "The impact of emotions on coronary heart disease risk", J Cardiovasc Risk, 8, pp.175~183 (2001)
- Smith TW, "Psychological influences on the development and course of coronary heart disease: Current status and implications for research and practice", J Consult Clin Psychol, 70, pp.548~568 (2002)
- Eren I, "Relationship between blood glucose control and psychiatric disorders in type II diabetic patients", Turk Psikiyatri Derg, 14, pp.184~191 (2003)
- Ryu SG, "Post-traumatic disorder in elderly", Anxiety and Mood, 2, pp.9~16 (2006)
- Yoo SW, "Validity of Korean version of the Mini-international Neuropsychiatric interview", anxiety and mood, 2, pp.50~55 (2006)
- Sheehan DV, "The Mini-international Neuropsychiatric interview (M.I.N.I): the development and validation og a structured diagnostic psychiatric interview of DSM-IV and ACD-10", J Clin Psychiatry, 59(20), pp.22~23 (1998)
- Kubany ES, "Development and preliminary validation of a brief broad-spectrum measure of trauma exposure: the Traumatic Life Events Questionnaire", Psychol Assess, 12, pp.210~224 (2000)
- Yesavage JA, "Development and validation of a Geriatric Depression Screening Scale: A preliminary report", Journal of Psychiatric Research, 17, pp.37~49 (1982)
- Jung IK, "Korean. A Study of Standardization of Korean Form of Geriatric Depression Scale (KGDS)", Korean Geriatric Psychiatry, 1, pp.61~72 (1997)
- Spielberger CD, "Manual for state-Trait Anxiery Inventory: STAI (form Y)" (1983), Consulting psychologists Press
- 이영자, "스트레스, 사회적 지지, 자아존중감과 우울 및 불안과 의 관계", 박사, pp.1996
- Chauverdi SK, "Somatizers in psychiatric care", Indian Journal of Psychiatry, 29, pp.337~342 (1987)
- Chaturvedi SK, "Do social and demographic factors influence the nature and localisation of somatic complaints?", Psychopathology, 26, pp.255~260 (1993)
- Wolkenstein BH, "Unmet needs of older women in a clinical population: the discovery of possible long-term sequelae of domestic violence", Prof Psychol Res Pract, 29, pp.341~348 (1998)
- Flager P, "Current PTSD and cardiovascular disease risk factors in Dutch Resistance veterans from World War II", Psychotherapy and Psychosomatics, 56, pp.164~171 (1992)
- Kahana B, "Late-life adaptation in the aftermath of extreme stress. In: Stress and health among the elderly Springer", pp.151~171 (1992)
- Pitman RK, "Pilot study of secondary prevention of posttraumatic stress disorder with propranolol", Biol Psychiatry, 51, pp.189~192 (2002)
- Bremner JD, "The neurobiology of posttraumatic stress disorder: an integration of animal and human research, in Posttraumatic Stress Disorder: A Comprehensive Text", pp.245~267 (1999), Allyn and Bacon
- Hyer L, "Posttraumatic stress disorder: Silent problem among older combat veterans", Psychotherapy, 32, pp.348~364 (1995)
- Davidson J, "Symptom and com-orbidity patterns in World War II and Vietnam veterans with post-traumatic stress disorder", Comparative Psychiatry, 31, pp.162~170 (1990)
- Herrmann N, "Delayed onset post-traumatic stress disorder in World War II veterans", Canadian Journal of Psychiatry, 39, pp.439~441 (1994)