남자소방공무원의 외상 후 스트레스와 대처방식이 문제음주에 미치는 영향
Effect of Post-traumatic Stress and Ways of Stress Coping on Problem Drinking in Firefighters
0
조회
0
다운로드
9
인용
0
참고문헌
키워드
초록
Purpose: The study aimed to determine the impact of post-traumatic stress and ways of stress coping on problem drinking in firefighters. Methods: Data were collected from May 11 to June 11, 2015, in fire brigades across South Korea. Participants were 183 male firefighters who used self-report questionnaires containing questions from the Impact of Event Scale-Revised (IES-R), Ways of Coping Checklist (WCC), and Alcohol Use Disorders Identification Test (AUDIT). Data were analyzed using x2 test, t-test, and logistic regression with the SPSS/WIN 21.0 program. Results: The prevalence of PTSD among firefighters was 36.7% and that of problem drinking was 39.3%. Firefighters with single (OR=0.23, 95% CI=0.038~1.321) and married status (OR=0.46, 95% CI=0.069~3.040) were less likely to have problem drinking than those who were divorced or bereavement. Those with invasion symptoms (OR=1.17, 95% CI=1.031~1.327) and hyperarousal symptoms (OR=0.85, 95% CI=0.722~0.989) were more likely to have problem drinking than those with avoidance symptoms. Conclusion: Post-traumatic stress symptom was a major risk factor that increased problem drinking, and married status reduced problem drinking. There is a need to develop post-traumatic stress symptom management program and early education content for symptom management.
Abstract
Purpose: The study aimed to determine the impact of post-traumatic stress and ways of stress coping on problem drinking in firefighters. Methods: Data were collected from May 11 to June 11, 2015, in fire brigades across South Korea. Participants were 183 male firefighters who used self-report questionnaires containing questions from the Impact of Event Scale-Revised (IES-R), Ways of Coping Checklist (WCC), and Alcohol Use Disorders Identification Test (AUDIT). Data were analyzed using x2 test, t-test, and logistic regression with the SPSS/WIN 21.0 program. Results: The prevalence of PTSD among firefighters was 36.7% and that of problem drinking was 39.3%. Firefighters with single (OR=0.23, 95% CI=0.038~1.321) and married status (OR=0.46, 95% CI=0.069~3.040) were less likely to have problem drinking than those who were divorced or bereavement. Those with invasion symptoms (OR=1.17, 95% CI=1.031~1.327) and hyperarousal symptoms (OR=0.85, 95% CI=0.722~0.989) were more likely to have problem drinking than those with avoidance symptoms. Conclusion: Post-traumatic stress symptom was a major risk factor that increased problem drinking, and married status reduced problem drinking. There is a need to develop post-traumatic stress symptom management program and early education content for symptom management.
참고문헌 (30)
- 배점모, "소방공무원의 출동충격, 사회적 지지, 대처행태와 PTSD 증상 및 심리적 복지감 간의 관계", 한국행정학보, 44(3), pp.141~163 (2010), 한국행정학회
- 백미례, "구급대원의 외상성 스트레스 영향요인", 한국방재학회논문집, 11(1), pp.29~35 (2011), 한국방재학회
- Bober, T., "Strategies for reducing secondary or vicarious trauma : Do they work?", Brief Treatment and Crisis Intervention, 6(1), pp.1~9 (2006)
- Choi, H. K., "Effects of traumatic events on posttraumatic stress disorder, burnout, physical symptoms, and social and occupational functions in Korean fire fighters", doctor, pp.2010
- Choi, E. M, "The relation between post-traumatic stress and depression in Korean firefighters. Unpublished master's thesis, Ajou University", master, pp.2014
- 은헌정, "한국판 사건충격척도 수정판의 신뢰도 및 타당도 연구", 신경정신의학, 44(3), pp.303~310 (2005), 대한신경정신의학회
- Faul, F., "Statistical power analyses using G*Power 3. 1 : Tests for correlation and regression analyses", Behavior Research Methods, 41(4), pp.1149~1160 (2009)
- Forbes, D., "The validity of the PTSD checklist as a measure of symptomatic change in combat-related PTSD", Behaviour research and therapy, 39(8), pp.977~986 (2001)
- The 2016 epidemiological survey of mental disorders among Korean adults, "Hong, J. P.", Ministry of Health & Welfare, Samsung Medical Center, ~ (2017)
- 현진희, "공무원의 구제역 외상 경험에 따른 음주 특성에 관한 연구", 알코올과 건강행동연구, 13(2), pp.41~53 (2012), 알코올과 건강행동학회
- Jakupcak, M., "PTSD symptom clusters in relationship to alcohol misuse among Iraq and Afghanistan war veterans seeking post-deployment VA health care", Addictive Behaviors, 35(9), pp.840~843 (2010)
- 조선덕, "소방공무원의 직무스트레스와 음주사용장애와의 관련성", 한국방재학회논문집, 12(1), pp.133~140 (2012), 한국방재학회
- Survey on post-traumatic stress in firefighters: National emergency management agency, "Jung, Y. K.", Ajou University Industry and Academy Collaboration Foundation: National Emergency Management Agency, ~ (2008)
- Kang, K. H., "The relationship between alcohol use and job stress among firemen", Korean Journal of Occupational and Environmental Medicine, 13(4), pp.401~412 (2001)
- 김봉명, "소방공무원의 외상 후 스트레스, 대처방식, 해리 경험의 관계", 대한불안의학회지, 7(1), pp.29~33 (2011), 대한불안의학회
- Lazarus, R. S., "Stress, appraisal, and coping" (1984), Springer
- 이정현, "사회복지전담공무원의 외상사건 및 스트레스 대처방식과 외상후스트레스증상 관련성", 생물정신의학, 22(2), pp.55~62 (2015), 대한생물정신의학회
- Lee, J. Y., "Consumption of alcohol, cigarettes, and drugs in patients with posttraumatic stress disorder-Korean multicenter hospital samples", Anxiety and Mood, 3(1), pp.41~45 (2007)
- 이지영, "소방대원의 정서지능, 적극적 대처양식, 사회적 지지가 PTSD 증상에 미치는 영향", 한국심리학회지: 건강, 13(2), pp.373~389 (2008), 한국건강심리학회
- 이강훈, "해양경찰공무원의 외상 후 스트레스 장애가 알코올 사용 장애에 미치는 영향에 관한 연구", 한국경찰학회보, 16(4), pp.105~130 (2014), 한국경찰학회
- 문태영, "소방공무원의 지각한 현장출동 충격경험과 외상 후 스트레스가 신체증상 및 대처방식에 미치는 영향", 한국산학기술학회논문지, 14(8), pp.3815~3823 (2013), 한국산학기술학회[DOI]
- Norman, S. B., "Do trauma history and PTSD symptoms influence addiction relapse context?", Drug and alcohol dependence, 90(1), pp.89~96 (2007)
- Oh, H. J., "The relationship between alcohol consumption and exposure to traumatic stress in male firefighters", master, pp.2011
- Survey on post-traumatic stress in firefighters, "Ryu, I. K.", Ehwa University Industry and Academy Collaboration Foundation:National Emergency Management Agency, ~ (2014)
- 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
- 신화영, "소방공무원의 외상성 사건 경험과 PTSD 증상의 관계 - D 유형 성격과 대처 방식의 조절효과 -", Crisisonomy, 11(6), pp.97~120 (2015), 위기관리 이론과 실천
- 양미현, "동일본 대지진 구조현장에 파견된 소방공무원의 외상후스트레스장애 및 관련요인(요약제목: 해외 파견된 소방공무원의 외상후스트레스장애)", Annals of Occupational and Environmental Medicine, 24(2), pp.167~179 (2012), 대한직업환경의학회
- 유승원, "여성 소방관의 문제음주 실태 및 관련 요인", Annals of Occupational and Environmental Medicine, 24(2), pp.124~132 (2012), 대한직업환경의학회
- 윤명숙, "직장인의 외상 후 스트레스 장애(PTSD)와 음주: 사회적 지지의 조절효과", 정신보건과 사회사업, 42(4), pp.115~142 (2014), 한국정신보건사회복지학회
- 유지현, "소방공무원의 PTSD 증상과 관련된 심리 사회적 변인들: 우울, 불안, 대처방식 및 사회적 지지를 중심으로", Korean Journal of Clinical Psychology, 28(3), pp.833~852 (2009), 한국임상심리학회