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자연재난피해자의 외상 후 스트레스 증상과 공존증상에 영향을 미치는 보호요인과 위험요인Protective and Risk Factors That Influence PTSS and Comorbidity of Natural Disaster Victims

Other Titles
Protective and Risk Factors That Influence PTSS and Comorbidity of Natural Disaster Victims
Authors
김지선이소연
Issue Date
Jan-2022
Publisher
한국건강심리학회
Keywords
natural disasters; post traumatic stress symptom; comorbidity; 자연재난; 외상 후 스트레스 증상; 공존증상
Citation
한국심리학회지: 건강, v.27, no.1, pp 1 - 26
Pages
26
Journal Title
한국심리학회지: 건강
Volume
27
Number
1
Start Page
1
End Page
26
URI
https://scholarworks.sookmyung.ac.kr/handle/2020.sw.sookmyung/145959
DOI
10.17315/kjhp.2022.27.1.001
ISSN
1229-070X
2713-9581
Abstract
본 연구의 목적은 자연재난을 경험한 피해자의 외상 후 스트레스 증상 및 공존증상을 예측하는 다차원적인 요인을 검증하는 것이다. 본 연구는 국립재난안전연구원의 ‘재난피해자패널조사’ 3차 년도 자료를 활용하였다. 자연재난피해자의 심리적 증상에 따라 비PTSS, PTSS 단독, PTSS+우울, PTSS+음주 집단으로 분류하여 각 집단을 예측하는 보호요인 및 위험요인을 검증하였다. 다항로지스틱회귀분석을 활용하여 검증한 결과 첫째, PTSS 단독집단을 예측하는 요인은 재난 전 신체질환, 외상심각성, 피해금액, 갈등경험, 회복탄력성, 월 수입이었다. 둘째, PTSS+우울 집단을 예측하는 요인은 외상심각성, 피해금액, 갈등경험, 회복탄력성, 공동체 탄력성, 월 수입 이었다. 셋째, PTSS+음주 집단을 예측하는 요인은 외상심각성, 피해금액, 갈등경험, 사회적지지, 성별(남성), 월 수입 이었다. 본 결과는 자연재난 당시의 외상으로 인한 충격 뿐 아니라 외상 이후 일생생활에서의 스트레스와 중앙정부 및 지역사회와 구성원들 간의 관계가 재난피해자들의 정신건강에 기여함을 시사한다.
The purpose of this study was to examine the effects of the risk and protective factors on the Non PTSS group, PTSS only group, PTSS and depression group, and the PTSS and drinking group. In this study, there were 1,691 participants experiencing natural disasters and recruited as a part of ‘Disaster Victim Panel Survey (wave 3)’ collected by the National Disaster Management Research Institute. Multinomial logistic regression was used to examine the effects of risk and protective factors on the PTSS groups using the SPSS Statistics Program 23 version. First, ‘trauma severity’, ‘property damage’, ‘physical illness’ before the disaster and ‘disaster-related conflict’ significantly increased the likelihood of belonging to the PTSS only group, compared to the Non PTSS group. Higher ‘Individual resilience’ and higher after disaster ‘monthly incomes’ significantly decreased the likelihood of belonging to the PTSS only group. Second, ‘trauma severity’, ‘property damage’ and ‘disaster-related conflict’ significantly increased the likelihood of belonging to the PTSS depression group, compared to the Non PTSS group. Higher ‘individual resilience’, higher ‘community resilience’ and higher after disaster ‘monthly incomes’ significantly decreased the likelihood of belonging to the PTSS depression group. Third, higher ‘trauma severity’, ‘property damage’, ‘disaster-related conflict’ and ‘gender(male)’ significantly increased the likelihood of belonging to the PTSS drinking group, compared to Non PTSS group. Higher ‘perceived social support’ and higher after disaster ‘monthly incomes’ significantly decreased the likelihood of belonging to the PTSS drinking group.
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생활과학대학 (아동복지학부)
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