바로가기메뉴

본문 바로가기 주메뉴 바로가기

The Korean Journal of Health Psychology

  • KOREAN
  • P-ISSN1229-070X
  • E-ISSN2713-9581
  • KCI

Effects of Experimentally-Induced Trauma on College Students’ Externalizing and Internalizing Symptoms: Exploratory Studies

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2017, v.22 no.1, pp.177-198
https://doi.org/10.17315/kjhp.2017.22.1.010


Abstract

In this study, we examined the effects of gender roles on responses to trauma in laboratory settings to explain sex-differences in the prevalence rates and symptoms of Post-traumatic Stress Disorder (PTSD). Two studies were conducted and compared to determine the effective experimental stimulus for Korean students and to investigate the association between gender roles and externalizing and internalizing responses to trauma. A total of 101 undergraduate students participated in the study. Traumatic experience was experimentally-induced by using videos that contained materials such as violent crime and terror attack. Individuals' depression, anxiety, aggression and anger were assessed before and after watching the traumatic video. Results from hierarchical regression models revealed that, controlling for biological sex of the participant, gender roles influenced individuals' responses to trauma including both externalizing and internalizing symptoms. Theoretical and clinical implications of this study are discussed.

keywords
외상후스트레스장애, 외상반응, 실험으로 유도된 외상, 성별, 성역할, 대학생, Post-traumatic Stress Disorder, Responses to trauma, Experimentally-Induced trauma, Gender role, Sex, Undergraduate students

Reference

1.

박혜연, 장혜인 (2015). 대학생의 성역할과 외상 후 반응의 관계: 성별의 조절효과. 한국심리학회지: 여성, 20(2), 181-203.

2.

염순교, 이종화 (2014). 고등학생의 성역할 정체감과 우울. 대한보건연구, 40(1), 89-98.

3.

전겸구, 이민규 (1992). 한국판 Ces-d 개발 연구1. 한국심리학회지: 임상, 11(1), 65- 76.

4.

전겸구, 최상진, 양병창 (2001). 통합적 한국판 CES-D 개발. 한국심리학회지: 건강, 6(1), 59-76.

5.

정진경 (1990). 한국 성역할 검사 (KSRI). 한국심리학회지: 사회 및 성격, 5(1), 82-92.

6.

한덕웅, 이장호, 전겸구 (1996). Spielberger의 상태-특성 불안검사 Y 형의 개발. 한국심리학회지: 건강, 1(1), 1-14.

7.

한덕웅, 이장호, 전겸구 (1998). 한국판 상태-특성 분노표현 척도 (STAXI-K). 한국심리학회지: 건강, 3(1), 18-32.

8.

한인영, 홍선희 (2011). 여성의 성역할 인식이 우울에미치는 영향: 여성주의 관점을 중심으로. 한국심리학회지: 여성, 16(4), 477-498.

9.

American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders(5th ed). Arlington, VA: American Psychiatric Association.

10.

Bem, S. L. (1974). The measurement of psychological androgyny. Journal of Consulting and Clinical Psychology, 42, 155-162.

11.

Block, J. H. (1983). Differential premises arising from differential socialization of the sexes: Some conjectures. Child Development, 1335- 1354.

12.

Breslau, N. (2009). The epidemiology of trauma, PTSD, and other posttrauma disorders. Trauma, Violence, & Abuse, 10(3), 198-210.

13.

Breslau, N., Chilcoat, H. D., Kessler, R. C., & Davis, G. C. (1999). Previous exposure to trauma and PTSD effects of subsequent trauma: results from the Detroit Area Survey of Trauma. American journal of Psychiatry, 156(6), 902-907.

14.

Breslau, N., Chilcoat, H. D., Kessler, R. C., Peterson, E. L., & Lucia, V. C. (1999). Vulnerability to assaultive violence: further specification of the sex difference in post-traumatic stress disorder. Psychological medicine, 29(04), 813-821.

15.

Buss, A. H., & Perry, M. (1992). The aggression questionnaire. Journal of personality and social psychology, 63(3), 452.

16.

Castillo, D. T., Baca, J. C. D., Conforti, K., Qualls, C., & Fallon, S. K. (2002). Anger in PTSD: General psychiatric and gender differences on the BDHI. Journal of Loss &Trauma, 7(2), 119-128.

17.

Creamer, M., Burgess, P., & McFarlane, A. C. (2001). Post-traumatic stress disorder: findings from the Australian National Survey of Mental Health and Well-being. Psychological medicine, 31(7), 1237-1247.

18.

Erden-İmamoğlu, S. (2013). Gender role and social identifications: the two major factors to shape Turkish women. Education, 134(1), 82-93.

19.

Ghafoori, B., Barragan, B., & Palinkas, L. (2013). Gender disparities in the mental health of urban survivors of trauma. Journal of aggression, maltreatment & trauma, 22(9), 950-963.

20.

Hetzel-Riggin, M. D., & Roby, R. P. (2013). Trauma type and gender effects on PTSD, general distress, and peritraumatic dissociation. Journal of Loss and Trauma, 18(1), 41-53.

21.

Jakupcak, M., & Tull, M. T. (2005). Effects of trauma exposure on anger, aggression, and violence in a nonclinical sample of men. Violence and Victims, 20(5), 589-598.

22.

Janoff-Bulman, R. (1992). Shattered Assumptions:Towards a New Psychology of Trauma. New York: Free Press.

23.

Kessler, R. C. (2000). Posttraumatic stress disorder:the burden to the individual and to society. The Journal of clinical psychiatry, 61(5), 4-14

24.

Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of general psychiatry, 52(12), 1048-1060.

25.

Kilpatrick, D. G., Acierno, R., Resnick, H. S., Saunders, B. E., & Best, C. L. (1997). A 2-year longitudinal analysis of the relationships between violent assault and substance use in women. Journal of consulting and clinical psychology, 65(5), 834.

26.

Kinney, T. A., Smith, B. A., & Donzella, B. (2001). The influence of sex, gender, self-discrepancies, and self-awareness on anger and verbal aggressiveness among US college students. The Journal of Social Psychology, 141(2), 245-275.

27.

Kurpius, S. E. R., & Lucart, A. L. (2000). Military and civilian undergraduates: Attitudes toward women, masculinity, and authoritarianism. Sex Roles, 43(3-4), 255-265.

28.

Lefkowitz, E. S., & Zeldow, P. B. (2006). Masculinity and femininity predict optimal mental health: A belated test of the androgyny hypothesis. Journal of Personality Assessment, 87, 95–101.

29.

Lengua, L. J., & Stormshak, E. A. (2000). Gender, gender roles, and personality: Gender differences in the prediction of coping and psychological symptoms. Sex Roles, 43(11-12), 787-820.

30.

Lepore, S. J., Ragan, J. D., & Jones, S. (2000). Talking facilitates cognitive–emotional processes of adaptation to an acute stressor. Journal of Personality and Social Psychology, 78(3), 499.

31.

Luxton, D. D., Skopp, N. A., & Maguen, S. (2010). Gender differences in depression and PTSD symptoms following combat exposure. Depression and anxiety, 27(11), 1027-1033.

32.

Lilly, M. M., Pole, N., Best, S. R., Metzler, T., & Marmar, C. R. (2009). Gender and PTSD: What can we learn from female police officers?. Journal of Anxiety Disorders, 23(6), 767-774.

33.

McEwan, T. E., Davis, M. R., MacKenzie, R., & Mullen, P. E. (2009). The effects of social desirability response bias on STAXI-2 profiles in a clinical forensic sample. British Journal of Clinical Psychology, 48(4), 431-436.

34.

McLean, C. P., & Anderson, E. R. (2009). Brave men and timid women? A review of the gender differences in fear and anxiety. Clinical Psychology Review, 29(6), 496-505.

35.

McLean, C. P., & Hope, D. A. (2010). Subjective anxiety and behavioral avoidance: Gender, gender role, and perceived confirmability of self-report. Journal of Anxiety Disorders, 24(5), 494-502.

36.

Mendelsohn, M., & Sewell, K. W. (2004). Social attitudes toward traumatized men and women: A vignette study. Journal of Traumatic Stress, 17(2), 103-111.

37.

Metcalfe, B., & Dick, G. (2002). Is the force still with her? gender and commitment in the police. Women in Management Review, 17(8), 392-403.

38.

Nolen-Hoeksema, S. (1994). An interactive model for the emergence of gender differences in depression in adolescence. Journal of Research on Adolescence, 4(4), 519-534.

39.

Norris, F. H. (1992). Epidemiology of trauma:Frequency and impact of different potentially traumatic events on different demographic groups. Journal of Consulting and Clinical Psychology, 60(3), 409.

40.

Norris, F. H., Perilla, J. L., Ibanez, G. E., & Murphy, A. D. (2001). Sex differences in symptoms of posttraumatic stress: Does culture play a role?. Journal of Traumatic Stress, 14(1), 7-28.

41.

Palapattu, A. G., Kingery, J. N., & Ginsburg, G. S. (2006). Gender role orientation and anxiety symptoms among african american adolescents. Journal of Abnormal Child Psychology, 34(3), 423-431.

42.

Pole, N., Best, S. R., Weiss, D. S., Metzler, T., Liberman, A. M., Fagan, J., & Marmar, C. R. (2001). Effects of gender and ethnicity on duty-related posttraumatic stress symptoms among urban police officers. The Journal of Nervous and Mental Disease, 189(7), 442-448.

43.

Radloff, L. S. (1977). The CES-D scale. A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385-401.

44.

Reidy, D. E., Sloan, C. A., & Zeichner, A. (2009). Gender role conformity and aggression: Influence of perpetrator and victim conformity on direct physical aggression in women. Personality and Individual Differences, 46(2), 231-235.

45.

Resnick, H. S., Kilpatrick, D. G., Dansky, B. S., Saunders, B. E., & Best, C. L. (1993). Prevalence of civilian trauma and posttraumatic stress disorder in a representative national sample of women. Journal of Consulting and Clinical Psychology, 61(6), 984.

46.

Rothbaum, B. O., Foa, E. B., Riggs, D. S., Murdock, T., & Walsh, W. (1992). A prospective examination of post-traumatic stress disorder in rape victims. Journal of Traumatic Stress, 5(3), 455-475.

47.

Sasson-Levy, O. (2003). Feminism and military gender practices: Israeli women soldiers in “masculine” roles. Sociological Inquiry, 73(3), 440-465.

48.

Schmaus, B. J., Laubmeier, K. K., Boquiren, V. M., Herzer, M., & Zakowski, S. G. (2008). Gender and stress: Differential psychophysiological reactivity to stress reexposure in the laboratory. International Journal of Psychophysiology, 69(2), 101-106.

49.

Sells, D. J., & Martin, R. B. (2001). Gender and modality differences in experiencing and emotional expression. Canadian Journal of Counselling, 35(2), 176-188.

50.

Spielberger, C. D. (1983). Manual for the State-Trait Anxiety Inventory (Form Y) (“Self-Evaluation Questionnaire”). Palo Alto, CA: Consulting Psychologists Press.

51.

Spielberger, C. D. (1988). State-trait anger expression inventory: Professional manual. Odessa, FL:Psychological Assessment Resources.

52.

Sutker, P. B., Davis, J. M., Uddo, M., & Ditta, S. R. (1995). War zone stress, personal resources, and PTSD in persian gulf war returnees. Journal of Abnormal Psychology, 104(3), 444.

53.

Tolin, D. F., & Foa, E. B. (2006). Sex differences in trauma and posttraumatic stress disorder: A quantitative review of 25 years of research. Psychological Bulletin, 132(6), 959.

54.

Valdez, C. E., & Lilly, M. M. (2014). Biological sex, gender role, and Criterion A2: Rethinking the “gender” gap in PTSD. Psychological Trauma:Theory, Research, Practice, and Policy, 6(1), 34.

The Korean Journal of Health Psychology