This purpose of this study was to examine the effects of the psychological and social factors on Non-PTSD group, PTSD-only group, and PTSD cormorbid group. The subjects of this study were 572 participants who experienced natural disasters recruited as a part of the ‘Disaster Victim Panel Survey (wave 2)’ collected by the National Disaster Management Research Institute. Multinomial logistic regression was used to examine the effects of psychosocial factors on PTSD groups using the SPSS Statistics Program 23 version and the Non-PTSD group was set as a reference group. First, ‘physical illness before the disaster’ significantly increased the likelihood of belonging to the PTSD comorbid group and ‘psychiatric problems before the disaster’ significantly increased the likelihood of belonging to the PTSD-only and the PTSD comorbid group. Second, ‘perceived life threat during the disaster’ and ‘injury or illness experience because of the disaster’ significantly increased the likelihood of belonging to the PTSD-only and the PTSD comorbid group. ‘Witnessing injury or death of family members or friends’ significantly increased the likelihood of belonging to the PTSD comorbid group. Third, ‘perceived social support’ and ‘satisfaction with disaster aid’ significantly decreased the likelihood of belonging to the PTSD comorbid group. Last, males had significantly less likelihood of belonging to the PTSD comorbid group and higher monthly incomes significantly decreased the likelihood of belonging to the PTSD-only group. It is important that consider that the PTSD comorbid group has found that more risk and protection factors are affected than those with PTSD-only symptoms.
행정안전부 (2018). 2018년 11월 재난안전 상황분석 결과 및 중점관리대상 재난안전사고. http://www.safekorea.go.kr/idsiSFK/neo/sfk/cs/csc/bbs_conf.jsp?bbs_no=28&emgPage=Y&menuSeq=734에서2019. 1, 24 자료 얻음.
국립재난안전연구원 (2017). [국립재난안전연구원] 2017년 재난피해자 패널조사 데이터 설명자료(공유_최종) (1). http://www.ndmi.go.kr/research/migration/migration.jsp?link=7#에서 2018.11, 11. 자료얻음.
김순진, 김환 (2007). 외상후 스트레스 장애: 충격적 경험의 후유증. 서울: 학지사.
김현숙 (2019). 재한 중국인 유학생의 지각된 차별감이전문적 도움추구 태도에 미치는 영향 : 사회적 지지와 우울·불안의 매개효과. 명지대학교 사회교육대학원 석사학위 청구논문.
김환 (2016). 외상후 스트레스 장애. 서울: 학지사.
김태형, 김임, 이선미, 은헌정, 김동인, 강영수 (1998). 교통사고 후 신체 손상 환자의외상후 스트레스장애에 대한 연구. 신경정신의학, 37(4), 650-660.
민문경, 주혜선, 안현의 (2018). 912 경주 지진을 간접경험한 일반인의 정신건강 수준에 영향을 미치는심리사회적 요인: 개인 리질리언스, 사회적 지지, 사회적 자본, 공적 신뢰를 중심으로. 상담학연구, 19(5), 93-116.
박지원 (1985). 사회적 지지척도 개발을 위한 일 연구. 연세대학교 일반대학원. 박사학위논문.
안류연, 조용래 (2014). 연평도 포격 피해 주민들의 외상 후 스트레스 장애 증상 심각도와 심리사회적 위험요인들의 관계. 한국심리학회지: 임상, 33(4), 875-893.
안제용, 서은란, 임경희, 신재현, 김정범 (2013). 한국어판 우울증 선별도구(Patient Health Questionaire-9, PHQ-9)의 표준화 연구. 생물치료정신의학, 19(1), 47-56.
오수성, 신현균 (2008). 5·18 피해자들의 생활스트레스, 대처방식, 지각된 사회적 지지와 외상후 스트레스, 심리건강 간의 관계. 한국심리학회지: 임상, 27(3), 595-611.
은헌정, 권태완, 이선미, 김태형, 최말례, 조수진 (2001). 일 도시 지역의 외상 후 스트레스 장애 역학 조사. 신경정신의학, 40(4), 591-591.
은헌정, 권태완, 이선미, 김태형, 최말례, 조수진 (2005). 한국판 사건충격척도 수정판의 신뢰도 및 타당도연구. 신경정신의학, 44(3), 303-310.
이나빈, 안현의 (2016). 생태체계이론에 기반한 재난피해자들의 외상 후 스트레스 장애 관련변인 메타분석. 한국심리학회지: 일반, 35(4), 525-562.
이동훈, 이수연, 윤기원, 김시형, 최수정 (2017). 성별에따른 외상사건 경험이 PTSD 증상 및 외상 후 성장과의 관계에 미치는 영향: 반추의 매개효과. 한국심리학회지: 상담 및 심리치료, 29(1), 227-253.
이인숙, 하양숙, 김기정, 김정희, 권용희, 박진경, 이나윤 (2003). 일개 지역사회 재해 주민의 외상 후 스트레스 장애 정도와 관련요인 분석. 대한간호학회지, 33(6), 829-838.
이홍표, 최윤경, 이재호, 이홍석 (2016). 세월호 뉴스 노출을 통한 간접 외상의 심리적 영향. 한국심리학회지:문화 및 사회문제, 22(3), 411-430.
서종근 (2015). 편두통 환자에서 범불안장애 설문지의 타당성 연구. 경북대학교 대학원 박사학위 청구논문.
조용래, 양상식 (2013). 자연재난 생존자들의 장기적인심리적 증상들에 대한 예측요인으로서 외상 당시의해리, 외상 후 부정적 신념 및 사회적 지지 부족. 한국심리학회지: 임상, 32(4), 955-979.
주혜선 (2008). 외상 후 위기 체크리스트 개발(Posttrauma Risk Checklist:PRC) 개발 연구. 이화여자대학교 일반대학원 석사학위 청구논문.
지은구, 손제희, 김민주 (2015). 사회복지사가 인지하는 사회적 자본 지표 개발과 타당도 연구. 사회과학연구, 31(1), 161-192.
채구묵 (2014). 고급통계학. 경기: 양서원.
최지영, 김근향, 박은희 (2016). 다면적 인성검사 Ⅱ 재구성판 (MMPI-2-RF) 으로 살펴본 외상후스트레스장애군과 주요우울장애, 그리고 공병장애군의 임상 특성 비교. 한국심리학회지: 임상, 35(1), 1-20.
Amstadter, A. B., Nugent, N. R., & Koenen, K. C. (2009). Genetics of PTSD: fear conditioning as a model for future research. Psychiatric Annals, 39(6). 358-367.
Armstrong, T., Bilsky, S. A., Zhao, M., & Olatunji, B. O. (2013). Dwelling on potential threat cues: An eye movement marker for combat‐related PTSD. Depression and Anxiety, 30(5), 497-502.
Bernardy, N. C., & Friedman, M. J. (2015). Psychopharmacological strategies in the management of post traumatic stress disorder (PTSD):what have we learned?. Current Psychiatry Reports. 17:20. fisrt published on April 7, 2015 as https://doi.org/10.1007/s11920-015-0564-2
Brady, K. T., & Clary, C. M., (2004). Affective and anxiety comorbidity in post traumatic stress disorder treatment trials of sertraline. Comprehensive Psychiatry, 44(5), 360-369.
Breslau, N., Davis, G. C., Andreski, P., & Peterson, E. (1991). Traumatic events and post traumatic stress disorder in an urban population of young adults. Archives of General Psychiatry, 48(3), 216-222.
Brewin, C. R., Andrews, B., & Valentine, J. D. (2000). Meta-analysis of risk factors for post traumatic stress disorder in trauma-exposed adults. Journal of Consulting and Clinical Psychology, 68(5), 748-766.
Brown, L. A., Fernandez, C. A., Kohn, R., Saldivia, S., & Vicente, B. (2018). Pre-disaster PTSD as a moderator of the relationship between natural disaster and suicidal ideation over time. Journal of Affective Disorders, 230, 7-14.
Caldera, T., Palma, L., Penayo, U., & Kullgren, G. (2001). Psychological impact of the hurricane Mitch in Nicaragua in a one-year perspective. Social Psychiatry and Psychiatric Epidemiology, 36(3), 108-114.
Ehlers, A., & Clark, D. M. (2000). A cognitive model of post traumatic stress disorder. Behaviour Research and Therapy, 38(4), 319-345.
Engdahl, B., Dikel, T. N., Eberly, R., & Blank Jr., A. (1998). Comorbidity and course of psychiatric disorders in a community sample of former prisoners of war. American Journal of Psychiatry, 155(12), 1740-1745.
Epstein, R. S., Fullerton, C. S., & Ursano, R. J. (1998). Post traumatic stress disorder following an air disaster: a prospective study. American Journal of Psychiatry, 155(7), 934-938.
Foa, E. B., Davidson, J. R., Frances, A. E., Culpepper, L. E., Ross, R. E., & Ross, D. E. (1999). The expert consensus guideline series: treatment of post traumatic stress disorder. The Journal of Clinical Psychiatry, 60(16), 4-76.
Foa, E. B., Keane, T. M., Friedman, M. J., & Cohen, J. A. (2008). Effective treatments for PTSD:practice guidelines from the International Society for Traumatic Stress Studies. NY: Guilford Press.
Friedman, M. J., Keane, T. M., & Resick, P. A. (2007). Handbook of PTSD: Science and practice. NY: Guilford Press.
Frueh, C., Grubaugh, A., Elhai, J. D., & Ford, J. D. (2012). Assessment and treatment planning for PTSD. NJ: John Wiley & Sons.
Goenjian, A. K., Najarian, L. M., Pynoos, R. S., Steinberg, A. M., Petrosian, P., Setrakyan, S., & Fairbanks, L. A. (1994). Post traumatic stress reactions after single and double trauma. Acta Psychiatrica Scandinavica, 90(3), 214-221.
Green, B. L., Wilson, J. P., & Lindy, J. D. (1985). Conceptualizing Post-traumatic Stress Disorder:A psychosocial framework.. In Figley, R. C (Ed.), Trauma and its wake VolumeⅠ(pp. 54-67). NY: Brunner/Mazel.
Ginzburg, K. (2006). Comorbidity of PTSD and depression following myocardial infarction. Journal of Affective Disorders. 94(1-3), 135-143.
Hashemian, F., Khoshnood, K., Desai, M.M., Falahati, F., Kasl, S., Southwick, S. (2006). Anxiety, depression, and post traumatic stress in Iranian survivors of chemical warfare. The Journal of the American Medical Association, 296(5), 560–566.
Horowitz, M., Wilner, N., & Alvarez, W. (1979). Impact of Event Scale: A measure of subjective stress. Psychosomatic Medicine, 41(3), 209-218.
Jeavons, S., Greenwood, K. M., & Horne, D. L. (2000). Accident cognitions and subsequent psychological trauma. Journal of Traumatic Stress, 13(2), 359-365.
Jackson, Y., & Warren, J. S. (2000). Appraisal, social support, and life events: Predicting outcome behavior in school age children. Child Development, 71(5), 1441-1457.
Kaniasty, K. (2012). Predicting social psychological well-being following trauma: The role of post disaster social support. Psychological Trauma:Theory, Research, Practice, and Policy, 4(1), 22-33.
Kaniasty, K., & Norris, F. H. (1995). Mobilization and deterioration of social support following natural disasters. Current Directions in Psychological Science, 4(3), 94-98.
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.
Kimerling, R., Ouimette, P., & Wolfe, J. (2002). Gender and PTSD: A cognitive model. In Kimerling, R., Ouimette, P., & Wolfe, J (Eds.). Gender and PTSD (pp.76-97). NY: The Guilford Press.
Koren, D., Hemel, D., & Klein, E. (2006). Injury increases the risk for PTSD: an examination of potential neurobiological and psychological mediators. CNS Spectrums, 11(8), 616-624.
Lecrubier, Y., & Ustün, T. B. (1998). Panic and depression:a worldwide primary care perspective. International Clinical Psychopharmacology, 13(4), S7-11.
Löwe, B., Decker, O., Müller, S., Brähler, E., Schellberg, D., Herzog, W., & Herzberg, P. Y. (2008). Validation and standardization of the Generalized Anxiety Disorder Screener (GAD-7)in the general population. Medical Care, 46(3), 266-274.
Lowe, S. R., Chan, C. S., & Rhodes, J. E. (2010). Pre-hurricane perceived social support protects against psychological distress: A longitudinal analysis of low-income mothers. Journal of Consulting and Clinical Psychology, 78(4), 551-560.
McGuire, A. P., Gauthier, J. M., Anderson, L. M., Hollingsworth, D. W., Tracy, M., Galea, S., & Coffey, S. F. (2018). Social support moderates effects of natural disaster exposure on depression and post traumatic stress disorder symptoms: effects for displaced and non displaced residents. Journal of Traumatic Stress, 31(2), 223-233.
Mollica, R.F., McInnes, K., Sarajlic, N., Lavelle, J., Sarajlic, I., & Massagli, M.P., (1999). Disability associated with psychiatric comorbidity and health status in Bosnian refugees living in Croatia. The Journal of the American Medical Association, 282(5), 433–439.
Neria, Y., Nandi, A., & Galea, S. (2008). Post-traumatic stress disorder following disasters: a systematic review. Psychological Medicine, 38(4), 467-480.
NIMH (National Institute of Mental Health). (2002). Mental health and mass violence: evidence-based early psychological interventions for victims/survivors of mass violence. A workshop to reach consensus on best practices. [NIH Publication. No. 02-5138]. Washington, DC:Government Printing Office.
Norris, F. H., Friedman, M. J., Watson, P. J., Byrne, C. M., Diaz, E., & Kaniasty, K. (2002a). 60,000disaster victims speak: Part I. An empirical review of the empirical literature, 1981–2001. Psychiatry: Interpersonal and Biological Processes, 65(3), 207-239.
Norris, F. H., & Kaniasty, K. (1996). Received and perceived social support in times of stress: A test of the social support deterioration deterrence model. Journal of Personality and Social Psychology, 71(3), 498–511.
Norris, F. H., Kaniasty, K., Conrad, M. L., Inman, G. L., & Murphy, A. D. (2002b). Placing age differences in cultural context: a comparison of the effects of age on PTSD after disasters in the United States, Mexico, and Poland. Journal of Clinical Geropsychology, 8(3), 153-173.
Norris, F. H, & Elrod, C. L. (2006). Psychosocial consequences of disaster: A Review of Past Research. IN Norris, F. H., Galea, S., Friedman, M. J., & Watson, P. J (Eds.), Methods for Disaster Mental Health Research (pp. 20-42). NY: Guilford Press.
North, C. S., Oliver, J., & Pandya, A. (2012). Examining a comprehensive model of disaster-related post traumatic stress disorder in systematically studied survivors of 10 disasters. American Journal of Public Health, 102(10), e40-e48.
Oquendo, M., Brent, D. A., Birmaher, B., Greenhill, L., Kolko, D., Stanley, B., & Mann, J. J. (2005). Post traumatic stress disorder comorbid with major depression: factors mediating the association with suicidal behavior. American Journal of Psychiatry, 162(3), 560-566.
Ozer, E. J., Best, S. R., Lipsey, T. L,., & Weiss, D. S. (2003). Predictors of Post traumatic Stress Disorder and Symptoms in Adults: A Meta-Analysis. The American Psychological Association: Psychological Bulletin, 129(1), 52-73.
Post, L. M., Zoellner, L. A., Youngstrom, E., & Feeny, N. C. (2011). Understanding the relationship between co-occurring PTSD and MDD:Symptom severity and affect. Journal of Anxiety Disorders, 25(8), 1123-1130.
Roberts, A. R., & Everly Jr, G. S. (2006). A meta-analysis of 36 crisis intervention studies. Brief Treatment and Crisis Intervention, 6(1), 10-21.
Salsman, J. M., Segerstrom, S. C., Brechting, E. H., Carlson, C. R., & Andrykowski, M. A. (2009). Post traumatic growth and PTSD symptomatology among colorectal cancer survivors: a 3‐month longitudinal examination of cognitive processing. Psycho Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer, 18(1), 30-41.
Schnurr, P. P., Lunney, C. A., & Sengupta, A. (2004). Risk factors for the development versus maintenance of posttraumatic stress disorder. Journal of Traumatic Stress: Official Publication of The International Society for Traumatic Stress Studies, 17(2), 85-95.
Silove, D., Steel, Z., & Psychol, M. (2006). Understanding community psychosocial needs after disasters: implications for mental health services. Journal of Postgraduate Medicine, 52(2), 121-125.
Simeon, D., Greenberg, J., Nelson, D., Schmeidler, J., & Hollander, E. (2005). Dissociation and post traumatic stress 1 year after the World Trade Center disaster: follow-up of a longitudinal survey. The Journal of Clinical Psychiatry, 66(2), 231-237.
Skodol, A. E., Schwartz, S., Dohrenwend, B. P., Levav, I., Shrout, P. E., & Reiff, M. (1996). PTSD symptoms and comorbid mental disorders in Israeli war veterans. The British Journal of Psychiatry, 169(6), 717-725.
Spitzer, R. L., Kroenke, K., Williams, J. B., & Patient Health Questionnaire Primary Care Study Group. (1999). Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. The Journal of the American Medical Association, 282(18), 1737-1744.
Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of internal medicine, 166(10), 1092-1097.
Sundquist, K., Johansson, L. M., DeMarinis, V., Johansson, S. E., & Sundquist, J. (2005). Post traumatic stress disorder and psychiatric co-morbidity:symptoms in a random sample of female Bosnian refugees. European Psychiatry, 20(2), 158-164.
Thienkrua, W., Cardozo, B. L., Chakkraband, M. S., Guadamuz, T. E., Pengjuntr, W., Tantipiwatanaskul, P., & Tappero, J. W. (2006). Symptoms of post traumatic stress disorder and depression among children in tsunami-affected areas in southern Thailand. The Journal of the American Medical Association, 296(5), 549-559.
Turner, R. J. (1981). Social support as a contingency in psychological well-being. Journal of Health and Social Behavior, 22(4), 357-367.
United Nations International Strategy for Disaster Reduction (UNISDR). (2004). Living with Risk: A Global Review of Disaster Reduction Initiatives. UNISDR, Geneva.
Ursano, R. J., Fullerton, C. S., & Norwood, A. E. (1995). Psychiatric dimensions of disaster: Patient care, community consultation, and preventive medicine. Harvard Review of Psychiatry, 3(4), 196-209.
Voges, M. A., & Romney, D. M. (2003). Risk and resiliency factors in posttraumatic stress disorder. Annals of General Hospital Psychiatry, 2(1), 1-9.
Watanabe, C., Okumura, J., Chiu, T. Y., & Wakai, S. (2004). Social support and depressive symptoms among displaced older adults following the 1999Taiwan earthquake. Journal of Traumatic Stress, 17(1), 63-67.
Weiss, D. S., & Marmar, C. R. (1997). The Impact of Event Scale-Revised. In Wilson, J. P., Keane, T. M (Eds.), Assessing psychological trauma and PTSD (pp. 399-411). NY: Guilford Press.
Woods, S. J., & Wineman, N. M. (2004). Trauma, post traumatic stress disorder symptom clusters, and physical health symptoms in postabused women. Archives of Psychiatric Nursing, 18(1), 26-34.
Zayfert, C., Becker, C. B., Unger, D. L., & Shearer, D. K. (2002). Comorbid anxiety disorders in civilians seeking treatment for post traumatic stress disorder. Journal of Traumatic Stress, 15(1), 31–38.