E-ISSN : 2733-4538
The aims of this study were to investigate factors that predict trauma-related symptoms and mental health among women acquitted from prostitution. The subjects were 120 women who previously worked as sex workers. Women in various rehabilitation agencies in metro-regions such as Gwangju, Daegu, Daejeon, Pusan, Yeosu, Incheon, and Jeonju participated in this questionnaire study. The questionnaire was composed of scales measuring socio-demographic factors, age at the start of prostitution, time period of sexual work in brothels, degree of human rights abuses, stress level, active coping strategy, passive coping strategy, positive social support, degree of trauma-related symptoms, and the SCL-90-R. The results showed that the levels trauma-related symptoms and mental health were not affected by socio-demographic factors such as marital status, education, current job type, or current monthly income. The women acquitted from prostitution were found to have experienced forced unwanted prostitution, verbal violence, and forced prostitution during menstruation most frequently. It was shown that degrees of human rights abuses, stress level, passive coping strategy, trauma-related symptoms, and mental health were positively related. The significant predicting factors of trauma-related symptoms were the degree of human rights abuses and passive coping strategy, and the significant predicting factors for mental health were stress level and passive coping strategy. Meanwhile, passive coping strategy had a mediating effect on the relationship between degree of human rights and mental health.
권정혜 (1996). 임신 중 우울에 대한 스트레스 취약성 모델검증. 한국심리학회지: 임상, 15(1), 33-43.
김광일, 김재환, 원호택 (1984). 간이정신진단검사 실시요강. 서울. 중앙적성출판부.
김미숙 (2007). 집결지내 여성과 탈업소 여성의 탈성매매 요인에 관한 연구: 10개 성매매집결지를 중심으로. 전북대학교 석사학위 논문.
김소연 (2005). 성매매 현장에서의 경험이 탈성매매 여성의 정신건강에 미치는 영향에 관한 연구. 이화여자대학교 석사학위 논문.
김인숙 (2009). 시설거주 10대 성매매피해여성의 자활 과정. 한국아동복지학, 30, 34- 157.
김정희 (1987). 지각된 스트레스, 인지세트 및 대처방식의 우울에 대한 작용: 대학신입생의 스트레스 경험을 중심으로. 서울대학교 박사학위 논문.
김현선 (2002). 성매매의 폭력적 특성과 성매매피해여성의 외상 후 스트레스 장애. 성공회대학교 석사학위 논문.
신혜영 (2006). 성매매 피해여성들의 사회복귀를 위한 심리정서적 및 사회적 지원의 평가 연구: 성매매를 탈피한 여성들을 중심으로. 경남대학교 석사학위논문.
여성가족부 (2007). 전국 성매매 실태조사.
오수성 (2006). 5․18 민주유공자 생활실태 및 후유증실태 조사연구 보고서. 5․18 기념재단.
오수성, 신현균 (2008). 5․18 피해자들의 생활스트레스, 대처방식, 지각된 사회적 지지와 외상후 스트레스, 심리건강 간 관계. 한국심리학회지: 임상, 27(3), 595-611.
유은주 (2005). 성매매 청소년의 체험 연구. 청소년학연구: 12(3), 143-163.
은헌정, 권태완, 이선미, 김태형, 최말례 (2005). 한국판 사건충격척도 수정판의 신뢰도 및 타당도 연구. 신경정신의학, 44(3), 303- 310.
이민규 (1993). 음주행동과 관련된 심리사회적 요인. 한국심리학회지: 임상, 12(1), 165-179.
이지민, 홍창희 (2008). 성매매 여성들의 복합 외상 후 스트레스 장애. 한국심리학회지: 상담 및 심리치료, 20(2), 553-580.
전철은, 현명호 (2003). 심리적 피학대 여성의 수치심, 죄책감 및 사회적 지지가 외상후 스트레스 장애(PTSD)에 미치는 영향. 한국심리학회지: 임상, 22(4), 763-776.
최현정 (2006). 만성적 외상에 대한 해리 경험이 성매매 여성의 외상성 스트레스에 미치는 영향. 서울대학교 석사학위 논문.
최희경, 정경숙 (2009). 집결지 성매매 여성 자활지원사업의 탈 성매매 효과에 관한 실증적 연구. 사회복지정책. 36(1), 413-435.
하주영 (2001). 성매매는 범죄인가? 시대와 철학, 13(2), 325-352.
American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorder (4th eds.). Washington, DC: Author.
Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical consideration. Journal of Personality and Social Psychology, 51(6), 1173 -1182.
Buist, A. (1998). Childhood abuse, postpartum depression and parenting difficulties: a literature review of association. Australian and New Zealand Journal of Psychiatry, 32(3), 370- 378.
Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies: a theoretically based approach. Journal of Personality and Social Psychology, 56(2), 267- 283.
Cohen. L. J., & Roth, S. (1987). The psychological aftermath of rape: Long-term effects and individual differences in recovery. Journal of Social and Clinical Psychology, 5, 525-534.
Courtois, C. (2004). Complex trauma, Complex reactions: Assessment and Treatment. Psychotherapy: Theory, Research, Practice, Training, 41(4), 412-425.
Davis, L. V., & Shinivasan, M. (1995). Listening to the voices of battered woman: What helps them escape violence. Affilia, 10, 49-69.
Derogatis, L. R. (1977). SCL-90-R (revised) manual I. Clinical psychometrics research unit. Baltimore, John Hopkins University School of Medicine.
Fairbank, J. A., Schlenger, W. E., Caddell, J. M., & Woods, M. G. (1993). Post-traumatic stress disorder. In P. B. Sutker, & H. E. Adams (Eds.), Comprehensive Handbook of Psychopathology. New York: Plenum Press.
Farley, M., & Barkan, H. (1998). Prostitution, violence against women, and PTSD. Women & Health, 27(3), 37-49.
Farley, M., & Kelly, V. (2000). Prostitution: A critical review of the medical and social science literature. Woman & Criminal Justice, 11, 29-64.
Folkman, S., & Lazarus, R. S. (1985). If it changes it must be a precess: Study of emotion and coping during three stages of a college examination. Journal of Personality and Social Psychology, 48, 150-170.
Ford, J. D. (1999). Disorders of Extreme Stress Following War-Zone Military Trauma: Associated Features of Posttraumatic Stress Disorder of Comorbid but Distinct Syndromes? Journal of Consulting and Clinical Psychology, 67(1), 3-12.
Haden, S. C., Scarpa, A., Jones, R. T., & Ollendick, T. H. (2007). Posttraumatic stress disorder symptoms and injury: the moderating role of perceived social support and coping for young adults. Personality and Individual Differences, 42, 1187-1198.
Herman, J. (1992). Trauma and Recovery: The aftermath of violence-Form domestic to political terror. NJ: Basic Books.
Hunter, S. K. (1994). Prostitution is cruelty and abuse to women and children. Michigan Journal of Gender and Law, 1, 1-14.
Mitchell, R. E., & Hodson, C. A. (1983). Coping with domestic violence: Social support and psychological health among battered women. American Journal of Community Psychology, 11, 629-654.
Pelcovitz, D., van der Kolk, B. A., Roth, S., Mandel, F., Kaplan, S., & Resick, P. (1997). Development of a criteria set and a structured interview for disorder of extreme stress(SIDES). Journal of Traumatic Stress, 10(1), 3-16.
Ross, C. A, Joshi, S., & Currie, R. (1990). Dissociative experiences in the general population. American Journal of Psychiatry, 147, 1547-1552.
Roth. S., & Cohen. L. J. (1986). Approach, avoidance and coping with stress. American Psychologist, 41, 813-819.
Sigal, J. T., Di Nicola V. F., & Buonino, M. (1983). Grandchildren of survivors. Canadian Journal of Psychiatry, 33, 207-312.
Stretch, R. H. (1985). Post-traumatic stress disorder among U. S. army reserve Vietnam and Vietnam-era veterans. Journal of Consulting and Clinical Psychology. 53, 935-936.
Terr, L. (1991). Childhood Traumas; An outline and Overview. American Journal of Psychiatry, 148, 10-20.
Tsutsumi, A., Izutsu, T., Poudyal, A. K., Kato, S., & Marui, E. (2008). Mental health of female survivors of human trafficking in Nepal. Social Science & Medicine. 66, 1841-1847.
Weiss, D. S., & Marmar, C. R. (1996). The Impact of Event Scale Revised. In J. P. Wilson, & T. M. Keane (Eds.), Assessing psychological trauma and PTSD (pp.399-411). New York; The Guilford Press.
Williams, M. B., & Poijula, S. (2002). The PTSD workbook. New Harbinger Publications, Inc.