인천 화재사건 청소년 생존자를 대상으로 한 PTSD 하위유형간 증상, 기능 및 기질성격 특성 비교연구
Symptom severity, Functional Impairment, and Personality Profiles between Partial and Full Post-traumatic Stress Disorder Patients among the Adolescent Survivors from the Incheon Fire Disaster
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objectives : The aim of this study was to investigate Post Traumatic Stress Disorder (PTSD)-related symptom severity, level of functional impairment and personality profiles between full-blown PTSD, partial PTSD and non-PTSD groups among 59 adolescent survivals from the Incheon fire disaster. Method : Using Short Screening Scale for DSM-IV PTSD, victims of the disaster were assigned to a full-blown PTSD group (n=18), a partial PTSD (n=22), or a non-PTSD group (n=19). Assessments included the Beck Depression Inventory (BDI), the State-Trait Anxiety Inventory (STAI), the Impact of Event Scales (IES), the McBride’s Degree of General Labor Loss, and the Korean Version of Temperament and Character Inventory (K-TCI). Results : Significantly severe PTSD symptoms (F=4.832, df=2, p＜.05) and functional impairment (F= 12.144, df=2, p＜.01) were demonstrated by PTSD groups as compared to the non-PTSD group. Interestingly, full and partial PTSD did not differ in these comparisons. Similarly, the subtypes of PTSD did not differ with respect to personality profiles using the K-TCI ; however, personality profiles were sharply differentiated between the PTSD and non-PTSD group. Conclusion : Although high subject homogeneity and small sample size may limit the results of this study, the present results highlight the possibility of the underestimation as well as the insufficient, treatment and compensation of partial vs full PTSD. (Anxiety and Mood 2011;7(2):92-100)
Abstract
Objectives : The aim of this study was to investigate Post Traumatic Stress Disorder (PTSD)-related symptom severity, level of functional impairment and personality profiles between full-blown PTSD, partial PTSD and non-PTSD groups among 59 adolescent survivals from the Incheon fire disaster. Method : Using Short Screening Scale for DSM-IV PTSD, victims of the disaster were assigned to a full-blown PTSD group (n=18), a partial PTSD (n=22), or a non-PTSD group (n=19). Assessments included the Beck Depression Inventory (BDI), the State-Trait Anxiety Inventory (STAI), the Impact of Event Scales (IES), the McBride’s Degree of General Labor Loss, and the Korean Version of Temperament and Character Inventory (K-TCI). Results : Significantly severe PTSD symptoms (F=4.832, df=2, p＜.05) and functional impairment (F= 12.144, df=2, p＜.01) were demonstrated by PTSD groups as compared to the non-PTSD group. Interestingly, full and partial PTSD did not differ in these comparisons. Similarly, the subtypes of PTSD did not differ with respect to personality profiles using the K-TCI ; however, personality profiles were sharply differentiated between the PTSD and non-PTSD group. Conclusion : Although high subject homogeneity and small sample size may limit the results of this study, the present results highlight the possibility of the underestimation as well as the insufficient, treatment and compensation of partial vs full PTSD. (Anxiety and Mood 2011;7(2):92-100)
참고문헌 (34)
- Kilpatrick DG, "Posttraumatic stress disorder associated with exposure to criminal victimization in clinical and community populations, In Posttraumatic stress disorder. DSM-VI and Beyond", pp.113~143 (1993), American Psychiatric Press
- "Z Klin Psychol Psychother", 1997, 258~268
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorder. 4th ed" (1994), American Psychiatric Press
- Davidson JRT, "Epilogue, In Posttraumatic stress disorder. DSM-VI and Beyond", pp.229~235 (1993), American Psychiatric Press
- Green BL, "Disasters and posttraumatic stress disorder, In DSM-VI and Beyond", pp.75~93 (1993), American Psychiatric Press
- Blanchard EB, "Psychological morbidity associated with motor vehicle accidents", Behav Res Ther, 32, pp.283~290 (1994)
- Carlier IVE, "Partial posttraumatic stress disorder (PTSD): The issue of psychological scars and the occurrence of PTSD symptoms", J Nerv Ment Dis, 183, pp.107~109 (1995)
- McLeer SV, "Sexually Abused Children at High Risk for Post-traumatic Stress Disorder", J Am Acad Child Adolesc Psychiatry, 32, pp.765~1002 (1992)
- Carty J, "Delayed-onset PTSD: a prospective study of injury survivors", J Affect Disord, 90, pp.257~261 (2006)
- Daly ES, "Disaster mental health workers responding to Ground Zero: one year later", J Trauma Stress, 21, pp.227~230 (2008)
- Lai TJ, "Full and Partial PTSD among earthquake survivors in rural Taiwan", J psychiatr Res, 38, pp.313~322 (2004)
- Stenin MB, "Full and partial posttraumatic stress disorder: findings from a community survey", Am J Psychiatry, 154, pp.1114~1119 (1997)
- Basiaux P, "Temperament and Character Inventory (TCI) personality profile and sub-typing in alcoholic patients: a controlled study", Alcohol Alcohol, 36, pp.584~587 (2001)
- Díaz-Marsá M, "A study of temperament and personality in anorexia and bulimia nervosa", J Pers Disord, 14, pp.352~359 (2000)
- 윤석찬, "외상후 스트레스장애로 진단된 화상 환자의 기질 및 성격차원 특성", 생물정신의학, 12(2), pp.89~97 (2005), 대한생물정신의학회
- Ruchkin VV, "Violence exposure, posttraumatic stress, and personality in juvenile Delinquents", J Am Acad Child Adolesc Psychiatry, 41, pp.322~329 (2002)
- Yoon SJ, "Patterns of temperament and character in patients with posttraumatic stress disorder and their association with symptom severity", Compr Psychiatry, 50, pp.226~231 (2009)
- Harvey Richman, B., "Personality and PTSD II: Personality assessment of PTSD-diagnosed Vietnam veterans using the Cloninger Tridimensional Personality Questionnaire (TPQ)", Depress Anxiety, 6, pp.70~77 (1998)
- Breslau N, "Short screening scale for DSM-IV posttraumatic stress disorder", Am J Psychiatry, 156, pp.908~911 (1999)
- Cloninger CR, "A psychobiological model of temperament and character", Arch Gen Psychiatry, 50, pp.975~990 (1993)
- 박진균, "＂한국판 학령전기 기질성격검사(K-psTCI)＂의 신뢰도 및 타당도 검사", 신경정신의학, 43(4), pp.425~434 (2004), 대한신경정신의학회
- Beck AT, "Depression; Clinical, experimental, and theorectical aspect" (1967), Harper & Row
- 이영호, "BDI, SDS, MMPI- D 척도의 신뢰도 및 타당도에 대한 연구", 한국심리학회지, 10, pp.98~113 (1991)
- Spielberger CD, "STAI: Manual for the State-Trait Anxiety Inventory" (1970), Consulting Psychologists Press
- 김정택, "STAI의 한국 표준화에 대한 연구", 최신의학, 21, pp.69~75 (1978)
- Horowitz MJ, "Impact of event scale: A measure of subjective stress", Psychosom Med, 41, pp.209~218 (1979)
- 이선미, "한국판 사건 충격 척도의 신뢰도 및 타당도에 관한 연구", 신경정신의학, 38, pp.501~512 (1999)
- Blanchard EB, "After the crash. 2nd ed", pp.1374~ (2004), American Psychological Association
- Stein MB, "Full and partial Posttraumatic Stress Disorder: Findings from a community survey", Am J Psychiatry, 155, pp.1114~1119 (1997)
- Gudmundsdottir B, "Understanding the pattern of PTSD symptomatology: a comparison of between versus within-group approaches", Behav Res Ther, 42, pp.1367~1375 (2004)
- Schutzwohl M, "Effects of varying diagnostic criteria for Posttraumatic Stress Disorder are endorsing the concept of partial PTSD", J Traumatic Stress, 12, pp.155~165 (1999)
- Caspi A, "Continuities and consequences of interactional styles across the life course", J Pers, 57통권 : 3, pp.75~406 (1989)
- Bayon C, "Dimensional assessment of personality in an out-patient sample: relations of the systems of Million and Cloninger", J Psychiatr Res, 30, pp.341~352 (1996)
- Classen CC, "Posttraumatic personality disorder: a reformulation of complex posttraumatic stress disorder and borderline personality disorder", Psychiatr Clin North Am, 29, pp.87~112 (2006)