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Relationships among Traumatic Experiences, Posttraumatic Stress Symptoms, and Mental Health-related Characteristics in Young Adults

초기 성인기의 외상 경험과 외상 후 스트레스 증상 및 정신건강 관련 특성과의 관계

  • Lee, Kyunghyun (College of Nursing, Yonsei University) ;
  • Jo, Hyekyung (College of Nursing, Yonsei University) ;
  • Kim, Sunah (College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University)
  • 이경현 (연세대학교 간호대학) ;
  • 조혜경 (연세대학교 간호대학) ;
  • 김선아 (연세대학교 간호대학.김모임간호학연구소)
  • Received : 2018.02.15
  • Accepted : 2018.05.28
  • Published : 2018.06.30

Abstract

Purpose: The purpose of this study was to investigate the level of traumatic experiences, posttraumatic stress symptoms and mental health-related characteristics in young adults and identify relationships among the variables. Methods: In this descriptive cross-sectional study, data were collected through a Web-based survey (N=568). Structured instruments included valid measures of traumatic experiences, posttraumatic stress symptoms, depression, somatization symptoms, insomnia, and alcohol use. Collected data were analyzed using descriptive statistics, t-tests, $x^2$ tests, ANOVA, and Pearson correlation coefficient with SPSS statistics 23. Results: Among study participants, 76.8% reported traumatic experiences. The severity of trauma was associated with high levels of posttraumatic stress symptoms, depression, somatization symptoms, insomnia, and alcohol use. Women showed more severe posttraumatic stress and depressive symptoms than men. There were positive correlations for trauma experiences with posttraumatic stress symptoms, depression, somatization symptoms, and insomnia. Conclusion: Findings indicate the need to develop nursing intervention programs to relieve posttraumatic stress symptoms and improve mental health related characteristics targeting young adults, and to establish a national policy that addresses characteristics of trauma experienced in Korea.

Keywords

References

  1. Suh YS, Jo HJ, Anh HY, Lee JS. Traumatic events experienced by South Koreans: types and prevalence. The Korean Journal of Counseling and Psychotherapy. 2012;24(3):671-701.
  2. Perrin M, Vandeleur CL, Castelao E, Rothen S, Glaus J, Vollenweider P, et al. Determinants of the development of posttraumatic stress disorder, in the general population. Social Psychiatry and Psychiatric Epidemiology. 2014;49(3):447-457. https://doi.org/10.1007/s00127-013-0762-3
  3. Norris FH, Friedman MJ, Watson PJ, Byrne CM, Diaz E, Kaniasty K. 60,000 disaster victims speak: part I. an empirical review of the empirical literature, 1981-2001. Psychiatry. 2002;65(3):207-239. https://doi.org/10.1521/psyc.65.3.207.20173
  4. Sohn JN. A study on PTSD, depression, anger, and suicidal ideation in victimized community residences after the Hebei Spirit oil spill. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2008;17(4):411-420.
  5. Jacobsen LK, Southwick SM, Kosten TR. Substance use disorders in patients with posttraumatic stress disorder: a review of the literature. The American Journal of Psychiatry. 2001;158(8):1184-1190. https://doi.org/10.1176/appi.ajp.158.8.1184
  6. Park JY, Ahn HN, Kim WH. Somatic symptoms after psychological trauma. Korean Journal of Psychosomatic Medicine. 2016;24(1):43-53.
  7. North CS, Nixon SJ, Shariat S, Mallonee S, McMillen JC, Spitznagel EL, et al. Psychiatric disorders among survivors of the Oklahoma City bombing. The Journal of the American Medical Association. 1999;282(8):755-762. https://doi.org/10.1001/jama.282.8.755
  8. Shalev AY, Freedman S, Peri T, Brandes D, Sahar T, Orr SP, et al. Prospective study of posttraumatic stress disorder and depression following trauma. The American Journal of Psychiatry. 1998;155(5):630-637. https://doi.org/10.1176/ajp.155.5.630
  9. Tracy M, Morgenstern H, Zivin K, Aiello AE, Galea S. Traumatic event exposure and depression severity over time: results from a prospective cohort study in an urban area. Social Psychiatry and Psychiatric Epidemiology. 2014;49(11):1769-1782. https://doi.org/10.1007/s00127-014-0884-2
  10. Hinton DE, Hinton AL, Eng K-T, Choung S. PTSD and key somatic complaints and cultural syndromes among rural Cambodians: the results of a needs assessment survey. Medical Anthropology Quarterly. 2012;26(3):383-407. https://doi.org/10.1111/j.1548-1387.2012.01224.x
  11. Belleville G, Guay S, Marchand A. Impact of sleep disturbances on PTSD symptoms and perceived health. Journal of Nervous & Mental Disease. 2009;197(2):126-132. https://doi.org/10.1097/NMD.0b013e3181961d8e
  12. Kaysen D, Simpson T, Dillworth T, Larimer ME, Gutner C, Resick PA. Alcohol problems and posttraumatic stress disorder in female crime victims. Journal of Trauma Stress. 2006;19(3):399-403. https://doi.org/10.1002/jts.20122
  13. Goodman LA, Corcoran C, Turner K, Yuan N, Green BL. Assessing traumatic event exposure: general issues and preliminary findings for the stressful life events screening questionnaire. Journal of Traumatic Stress. 1998;11(3):521-542. https://doi.org/10.1023/A:1024456713321
  14. Park NY. The relationship between traumatic events, complex posttraumatic stress disorder symptoms and personality traits in adolescents [master's thesis]. [Seoul]: Ewha Womans University; 2010. 55 p.
  15. Weiss D, Marmar C. The Impact of Event Scale-Revised. New York: Guilford Press; 1997. 98 p. (Wilson J, Keane T editors. Assessing psychological trauma and PTSD)
  16. Lim HK, Woo JM, Kim TS, Kim TH, Choi KS, Chung SK, et al. Reliability and validity of the Korean version of the impact of event scale-revised. Comprehensive Psychiatry. 2009;50(4):385-390. https://doi.org/10.1016/j.comppsych.2008.09.011
  17. Eun HJ, Kwon TW, Lee SM, Kim TH, Choi ML, Cho SJ. A study on reliability and validity of the Korean version of impact of event scale-revised. Journal of the Korean Neuropsychiatric Association. 2005;44(3):303-310.
  18. Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement. 1977;1(3):385-401. https://doi.org/10.1177/014662167700100306
  19. Jo MJ, Kim KH. Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression. Journal of the Korean Neuropsychiatric Association. 1993;32(3):381-399.
  20. Derogatis LR, Rickels K, Rock AF. The SCL-90 and the MMPI: a step in the validation of a new self-report scale. The British Journal of Psychiatry. 1976;128(3):280-289. https://doi.org/10.1192/bjp.128.3.280
  21. Kim KI, Won HT, Lee JH, Kim KY. Standardization study of symptom check list-90 in Korea I: characteristics of normal responses. Journal of Neuropsychiatric Medicine. 1978;17(4):449-458.
  22. Zomer J, Peled AH, Rubin E, Lavie P. Mini-Sleep Question naire (MSQ) for screening large populations for EDS complaints. Stuttgart: Gustav Fischer; 1985. 467 p. (Koella WP, Ruther E, Schulz H, editors. Sleep'84: proceedings of the seventh european congress on sleep research)
  23. Kim HJ. Validation of the Korean version of the mini-sleep questionnaire - insomnia in Korean college students. Asian Nursing Research. 2017;11(1):1-5. https://doi.org/10.1016/j.anr.2017.01.001
  24. Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG. AUDIT: The Alcohol Use Disorders Identification Test: guidelines for use in primary care. 2nd ed. Geneva: World Health Organization; 2001. 31 p.
  25. Lee BO, Lee CH, Lee PG, Choi MJ, Namkoong K. Development of Korean version of alcohol use disorders identification test (AUDIT-K): its reliability and validity. Journal of Korean Academy of Addiction Psychiatry. 2000;4(2):83-92.
  26. Frazier P, Anders S, Perera S, Tomich P, Tennen H, Park C, et al. Traumatic events among undergraduate students: prevalence and associated symptoms. Journal of Counseling Psychology. 2009;56(3):450-460. https://doi.org/10.1037/a0016412
  27. Lukaschek K, Kruse J, Emeny RT, Lacruz ME, von Eisenhart Rothe A, Ladwig KH. Lifetime traumatic experiences and their impact on PTSD: a general population study. Social Psychiatry and Psychiatric Epidemiology. 2013;48(4):525-532. https://doi.org/10.1007/s00127-012-0585-7
  28. Breslau N, Kessler RC, Chilcoat HD, Schultz LR, Davis GC, Andreski P. Trauma and posttraumatic stress disorder in the community: the 1996 Detroit area survey of trauma. Archives of General Psychiatry. 1998;55(7):626-632. https://doi.org/10.1001/archpsyc.55.7.626
  29. Kim HJ, Kim SA, Kong SS. Resilience mediates impact of some childhood maltreatment on post-traumatic stress symptoms in conscripted marines in the republic of Korea. Research in Nursing & Health. 2017;40(1):52-62. https://doi.org/10.1002/nur.21773
  30. Park JE, Lee BC, Jung YE, Cha JH. Early interventions after trauma. Anxiety and Mood. 2009;5(2):75-79.

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