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E-ISSN : 2733-4538
The purpose of the study was to examine cognitive and emotional factors associated with symptoms of posttraumatic stress disorder (PTSD) among police officers in Korea. Police officers are frequently exposed to traumatic events at work, leading to higher risk for PTSD. Three hundred eighty three police officers agreed to participate in the study and completed a set of self-report questionnaires assessing PTSD symptoms, frequency of traumatic events, alexithymia, dissociation, anxiety sensitivity, and empathy. Results showed that alexithymia, dissociation, anxiety sensitivity, and empathy were significantly correlated with PTSD symptoms. As predicted, alexithymia, dissociation, and anxiety sensitivity showed positive correlations with PTSD symptoms. Among subfactors of empathic abilities, perspective taking and empathic concern were negatively correlated with PTSD symptoms whereas fantasy and personal distress were positively correlated with. Hierarchical multiple regression was conducted to examine relative contributions of predictors to PTSD symptoms after controlling for frequency of traumatic events. Results showed that alexithymia, dissociation, and anxiety sensitivity remained significant, while empathic abilities did not. Based on findings, cognitive and emotional factors associated with PTSD symptoms in police officers were discussed.
고선영 (2004). 시설수용소년범의 공감능력 차이: 범행위험성에 따른 공감능력의 차이.경기대학교 대학원 석사학위논문.
김승태, 김병로, 홍경수, 정유숙, 유범희, 김도관 (1997). 삼풍사고 생존자들에서의 급성외상후 스트레스 장애: 발생빈도, 예측인자, 증상 변화에 대한 예비적 연구. 신경정신의학, 36(3), 475-287.
김자혜 (2012). 경찰공무원의 외상사건 유형과 PTSD 증상의 관계: 스트레스 대처양식의 조절효과. 성신여자대학교 대학원 석사학 위논문.
김종길 (2012). 경찰공무원의 외상후 스트레스장애(PTSD)에 관한 연구. 한국경찰학회보,14(5), 31-54.
박유숙 (2002). 남편의 폭력이 아내의 정신병리에 미치는 영향: 자아탄력성, 대처양식, 사회적 지지를 중재변인으로. 부산대학교 대학원 석사학위논문.
박제민, 최병무, 김명정, 한홍무, 유승윤, 김서환, 주영희 (1995). 한국어판 해리경험척도의 표준화 연구 (I). 정신병리학, 4(1), 105-125.
신성원 (2007). 경찰공무원의 일상적․직업적 경험이 스트레스 수준에 미치는 영향. 원광대학교 대학원 박사학위논문.
원호택, 박현순, 권석만 (1995). 한국판 공황장애 척도 개발 연구. 한국심리학회지: 임상,14(1), 95-110.
은헌정, 이선미, 김태형 (2001). 일 도시 지역의 외상후 스트레스 장애 역학 조사. 신경정신의학, 40(4), 581-591.
이선미, 김정희 (2002). 버스사고 피해자의 심리적 특성 및 외상 후 스트레스 장애 발병 관련 변인. 한국심리학회지: 임상,21(3), 547-564.
이인숙, 하양숙, 김기정, 김정희, 권용희, 박진경, 이나윤 (2003). 일개 지역사회 재해 주민의 외상 후 스트레스 장애 정도와 관련요인 분석. 대한간호학회지, 33(6), 829-838.
이옥정 (2010). 경찰관의 외상성 사건 경험이 외상후 스트레스 장애(PTSD) 증상에 미치는영향-대처양식 및 사회적 지지의 매개․조절효과를 중심으로. 서울대학교 대학원 석사학위논문.
이옥정, 지영환 (2010). 경찰의 직무스트레스해소 프로그램 적용을 위한 외근 경찰관의 외상후 스트레스 장애(PTSD) 증상분석.한국경찰학회보, 12(4), 173-203.
이희선 (2012). 경찰․소방 공무원의 외상후스트레스 장애에 대한 비교 연구. 한국위기관리논집, 8(1), 57-70.
정운선, 임효덕, 이양현, 김상헌 (2003). TAS-20의 한국판 3종간의 신뢰도 및 타당도 비교. 정신신체의학, 11(1), 77-88.
황성훈 (2010). 해리 경향을 보이는 사람들의자기 구조 특성. 한국심리학회지: 임상,29(3), 821-837.
황인희 (2009). 경찰공무원의 직무스트레스 및외상스트레스가 소진에 미치는 영향. 가톨릭대학교 대학원 석사학위논문.
Alden, L., Regambal, M., & Laposa, J. M. (2008). The effects of direct versus witnessed threat on emergency department healthcare workers: Implications for PTSD Criterion A. Journal of Anxiety Disorders, 22, 1337-1346.
American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.
Asmundson, G. J. G., Coons, M. J., Taylor, S., & Katz, J. (2002). PTSD and the experience of pain: Research and clinical implications of shared vulnerability and mutual maintenance models. Canadian Journal of Psychiatry, 47, 930-937.
Asmundson, G. J. G., & Stapleton, J. A. (2008). Association between dimensions of anxiety sensitivity and PTSD symptom clusters in active-duty police officers. Cognitive Behaviour Therapy, 37, 66-75.
Bernstein, E. M., & Putnam, F. W. (1986). Development, reliability, and validity of a dissociation scale. Journal of Nervous and Mental Disease, 174, 727-735.
Bandura, A. S. (2003). Theoretical and empirical exploration of the similarities between emotional numbing in posttraumatic stress disorder and alexithymia. Journal of Anxiety Disorders, 17, 349-360.
Breh, D. C., & Seidler, G. H. (2007). Is peritraumtic dissociation a risk factor for PTSD. Journal of Trauma and Dissociation, 8, 53-69.
Clair, M. E. (2006). The relationship between critical incidents, hostility and PTSD symptoms in police officers. Unpublished doctoral dissertation, Drexel University, Philadelphia, PA.
Davis, M. H. (1980). A multidimensional approach to individual differences in empathy. JSAS Catalog of Selected Documents in Psychology, 10, 85.
Davis, M. H. (1983). Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of Personality and Social Psychology, 44, 113-126.
Decety, J., & Lamm, C. (2009). Empathy versus personal distress: Recent evidence from social neuroscience. In J. Decety & W. Ickes (Eds.), The Social Neuroscience of Empathy (pp.199-213). Cambridge: MIT Press.
Eisenberg, N., & Eggum, N. D. (2009). Empathic responding: Sympathy and personal distress. In J. Decety & W. Ickes (Eds.), The Social Neuroscience of Empathy (pp.71-83). Cambridge: MIT Press.
Elwood, L. S., Mott, J., Lohr, J. M., & Galovski, T. E. (2011). Secondary trauma symptoms in clinicians: A critical review of the construct, specificity, and implications for trauma-focused treatment. Clinical Psychology Review, 31, 25- 36.
Figley, C. R. (Ed.) (1995). Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized. New York: Brunner/ Mazel.
Figley, C. R. (Ed.) (2002). Treating compassion fatigue. New York: Brunner-Routledge.
Fikretoglu, D., Brunet, A., Best, S., Metzler, T., Delucchi, K., Weiss, D., ... Matmar, C. (2007). Peritraumatic fear, helplessness and horror and peritraumatic dissociation: Do physical and cognitive symptoms of panic mediate the relationship between the two? Behaviour Research and Therapy, 45, 39-47.
Foa, E. B., Cashman, L., Jaycox, L., & Perry, K. (1997). The validation of a self-report measure of posttraumatic stress disorder: The Posttraumatic Diagnostic Scale. Psychological Assessment, 9, 445-451.
Frewen, P. A., Dozois, D. J. A., Neufeld, R. W. J., & Lanius, R. A. (2008). Meta-anaylsis of alexithymia in posttraumatic stress disorder. Journal of Traumatic Stress, 21, 243-246.
Goubert, L., Craig, K. D., & Buysse, A. (2009). Perceiving others in pain: Experimental and clinical evidence on the role of empathy. In J. Decety & W. Ickes (Eds.), The Social Neuroscience of Empathy (pp.153-165). Cambridge, MA: MIT Press.
Hyer, L., Woods, M. G., Summers, M. N., Boudewyns, P., & Harrison, W. R. (1990). Alexithymia among Vietnam veterans with posttraumatic stress disorder. Journal of Clinical Psychiatry, 51, 243-247.
Inslicht, S., McCaslin, S. E., Metzler, T., Henn-Haase, C., Hart, S., Maguen, S., ... Marmar, C. (2010). Family psychiatric history, peritraumatic reactivity, and posttraumatic stress symptoms: A prospective study of police. Journal of Psychiatric Research, 44, 22- 31.
Lensvelt-Mulders, G., van der Hart, O., van Ochten, J. M., van Son, M. J. M., Steele, K., & Breeman, L. (2008). Relations among peritraumatic dissociation and posttraumatic stress: A meta-analysis. Clinical Psychology Review, 28, 1138-1151.
Marmar, C., Weiss, D., Metzler, T., & Delucchi, K. (1996). Characteristics of emergency service personnel related to peritraumatic dissociation during critical incident exposure. American Journal of Psychiatry, 153, 94-102.
Marmar, C., McCaslin, S., Metzler, T., Best, S., Weiss, D., Fagan, J., ... Neylan, T. (2006). Predictors posttraumatic stress in police and other first responders. Annals of the New York Academy of Sciences, 1071, 1-18.
McCaslin, S. E., Metzler, T., Best, S. R., Lieberman, A., Weiss, D. S., Fagan, J., & Marmar, C. R. (2006). Alexithymia and PTSD symptoms in urban police officers: Crosssectional and prospective findings. Journal of Traumatic Stress, 19, 361-373.
McNally, R. J. (2002). Anxiety sensitivity and panic disorder. Biological Psychiatry, 52, 938- 946.
Nietlisbach, G., Maercker, A., Rössler, W., & Haker, H. (2010). Are empathic ability impaired in posttraumatic stress disorder? Psychological Reports, 106, 832-844.
Norris, F. H., & Slone, L. B. (2007). The epidemiology of trauma and PTSD. In M. J. Friedman, T. M. Keane, & P. A. Resick (Eds.), Handbook of PTSD: Science and Practice (pp.78-98). New York: Guilford Press.
Olff, M., Langeland, W., & Gersons, B. (2005). The psychobiology of PTSD: Coping with trauma. Psychoneuroendocrinology, 30, 974-982.
Ozer, E., Best, S., Lipsey, T., & Weiss, D. (2003). Predictors of posttraumatic stress disorder and symptoms in adults: A meta-analysis. Psychological Bulletin, 129, 52-73.
Reiss, S., Peterson, R. A., Gursky, D. M., & McNally, R. J. (1986). Anxiety sensitivity, anxiety frequency, and the prediction of fearfulness. Behaviour Research and Therapy, 24, 1-8.
Sifneos, P. E. (1973). The prevalence of alexithymic characteristics in psychosomatic patients. Psychotherapy and Psychosomatics, 22, 255-262.
Taylor, G. J., Bagby, R. M., & Parker, J. D A. (1992). The revised Toronto alexithymia scale: Some reliability, validity, and normative data. Psychotherapy and Psychosomatics, 57, 34-41.
Thomas-Riddle, R. (1999). The relationship between life stress, work stress, and traumatic stress and burnout and cynicism in police officers. Unpublished doctoral dissertation, United States International University, San Diego, California.
Yehuda, R., Steiner, A., Kahana, B., Binder- Brynes, K., Southwick, S. M., Zemelman, S., & Giller, E. L. (1997). Alexithymia in holocaust survivors with and without PTSD. Journal of Traumatic Stress, 10, 93-100.
Zeitlin, S, B., McNally, R. J., & Cassiday, K. L. (1993). Alexithymia in victims of sexual assault: An effect of repeated traumatization? American Journal of Psychiatry, 150, 661-663.