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    누적된 생애 트라우마 경험이 건강에 미치는 영향 = Effects of cumulative trauma on health

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    https://www.riss.kr/link?id=A108418602

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    Objectives: This study aims to identify the negative effects of cumulative traumatic events on both mental and physical health. Methods: Trauma was defined based on DSM-5 (Diagnostic and Statistical Manual of Mental Disorders Fifth Edition), SAMHSA (Substance Abuse and Mental Health Services Administration) recommendation, and previous studies. A cross-sectional study using an online survey questionnaire was used to gather sociodemographics, trauma, and health information. Data were analyzed with SAS version 9.4 software using Chi-Square tests and binary logistic regression analysis. Results: The results of the survey indicated that 89.9% of the people surveyed had experienced traumas during their lifetime and 66.3% during childhood. Respondents who experienced more than 7 traumas were 7.9 times more likely to have potential risk of PTSD (OR: 7.877; 95% CI: 5.314-11.677), 2.3 times more likely to have depression (OR: 2.333; 95% CI: 1.446-3.763), and 3.5 times more likely to have a complex chronic disease (OR: 3.522; 95% CI: 2.261-5.485). A similar trend was found among respondents who experienced trauma in childhood (potential risk of PTSD OR=7.627; depression OR=3.508; complex chronic disease OR=2.979).
    Conclusion: These findings suggest that cumulative trauma is associated with both negative mental and physical health. Individuals may be exposed to various types of traumas during their lifetime. Interventions are necessary to promote resilience so that cumulative trauma does not threaten an individual’s health and life.
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    Objectives: This study aims to identify the negative effects of cumulative traumatic events on both mental and physical health. Methods: Trauma was defined based on DSM-5 (Diagnostic and Statistical Manual of Mental Disorders Fifth Edition), SAMHSA (S...

    Objectives: This study aims to identify the negative effects of cumulative traumatic events on both mental and physical health. Methods: Trauma was defined based on DSM-5 (Diagnostic and Statistical Manual of Mental Disorders Fifth Edition), SAMHSA (Substance Abuse and Mental Health Services Administration) recommendation, and previous studies. A cross-sectional study using an online survey questionnaire was used to gather sociodemographics, trauma, and health information. Data were analyzed with SAS version 9.4 software using Chi-Square tests and binary logistic regression analysis. Results: The results of the survey indicated that 89.9% of the people surveyed had experienced traumas during their lifetime and 66.3% during childhood. Respondents who experienced more than 7 traumas were 7.9 times more likely to have potential risk of PTSD (OR: 7.877; 95% CI: 5.314-11.677), 2.3 times more likely to have depression (OR: 2.333; 95% CI: 1.446-3.763), and 3.5 times more likely to have a complex chronic disease (OR: 3.522; 95% CI: 2.261-5.485). A similar trend was found among respondents who experienced trauma in childhood (potential risk of PTSD OR=7.627; depression OR=3.508; complex chronic disease OR=2.979).
    Conclusion: These findings suggest that cumulative trauma is associated with both negative mental and physical health. Individuals may be exposed to various types of traumas during their lifetime. Interventions are necessary to promote resilience so that cumulative trauma does not threaten an individual’s health and life.

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    참고문헌 (Reference)

    1 박승진 ; 최혜라 ; 최지혜 ; 김건우 ; 홍진표, "한글판 우울증 선별도구(Patient Health Questionnaire-9, PHQ-9)의 신뢰도와 타당도" 대한불안의학회 6 (6): 119-124, 2010

    2 송승훈 ; 김교헌 ; 이홍석 ; 박준호, "한국판 외상후 성장 척도의 타당도 및 신뢰도 연구" 한국건강심리학회 14 (14): 193-214, 2009

    3 서영석 ; 조화진 ; 안하얀 ; 이정선, "한국인이 경험한 외상사건: 종류 및 발생률" 한국상담심리학회 24 (24): 671-701, 2012

    4 은헌정 ; 이선미 ; 김태형, "일 도시 지역의 외상후 스트레스 장애 역학 조사" 대한신경정신의학회 40 (40): 581-591, 2001

    5 주혜선 ; 안현의, "외상후 위기 체크리스트: 개발 및 타당화 연구" 한국심리학회 27 (27): 235-257, 2008

    6 장은량 ; 유성은, "외상경험자의 탄력성과 자살행동의 관계: 탄력성이 자살행동의 보호요인이 되는가?" 한국임상심리학회 33 (33): 299-314, 2014

    7 송리라 ; 이민아, "아동기 트라우마 경험과 성인기 우울의 관계: 사회적 관계의 조절효과" 한국인구학회 39 (39): 1-24, 2016

    8 안현의, "복합외상(complex trauma)의 개념과 경험적 근거" 한국심리학회 26 (26): 105-119, 2007

    9 Ryu, J. H., "Understanding experiences of abuse and violence among children and youths-A life course perspectives" Korea Institute for Health and Social Affairs 2018

    10 Kubany, E., "Traumatic life events questionnaire and PTSD screening and diagnostic scale" Western Psychological Services 2004

    1 박승진 ; 최혜라 ; 최지혜 ; 김건우 ; 홍진표, "한글판 우울증 선별도구(Patient Health Questionnaire-9, PHQ-9)의 신뢰도와 타당도" 대한불안의학회 6 (6): 119-124, 2010

    2 송승훈 ; 김교헌 ; 이홍석 ; 박준호, "한국판 외상후 성장 척도의 타당도 및 신뢰도 연구" 한국건강심리학회 14 (14): 193-214, 2009

    3 서영석 ; 조화진 ; 안하얀 ; 이정선, "한국인이 경험한 외상사건: 종류 및 발생률" 한국상담심리학회 24 (24): 671-701, 2012

    4 은헌정 ; 이선미 ; 김태형, "일 도시 지역의 외상후 스트레스 장애 역학 조사" 대한신경정신의학회 40 (40): 581-591, 2001

    5 주혜선 ; 안현의, "외상후 위기 체크리스트: 개발 및 타당화 연구" 한국심리학회 27 (27): 235-257, 2008

    6 장은량 ; 유성은, "외상경험자의 탄력성과 자살행동의 관계: 탄력성이 자살행동의 보호요인이 되는가?" 한국임상심리학회 33 (33): 299-314, 2014

    7 송리라 ; 이민아, "아동기 트라우마 경험과 성인기 우울의 관계: 사회적 관계의 조절효과" 한국인구학회 39 (39): 1-24, 2016

    8 안현의, "복합외상(complex trauma)의 개념과 경험적 근거" 한국심리학회 26 (26): 105-119, 2007

    9 Ryu, J. H., "Understanding experiences of abuse and violence among children and youths-A life course perspectives" Korea Institute for Health and Social Affairs 2018

    10 Kubany, E., "Traumatic life events questionnaire and PTSD screening and diagnostic scale" Western Psychological Services 2004

    11 Brewin, C., "Traumatic events should meet either Criterion A1 or A2 not both" 2008

    12 "Trauma as a transdiagnostic risk factor across the lifespan" 2022

    13 Richard A. Bryant, "Trajectory of post-traumatic stress following traumatic injury: 6-year follow-up" Royal College of Psychiatrists 206 (206): 417-423, 2015

    14 Weathers, F. W, "The life events checklist for DSM-5 (LEC-5)"

    15 Theodora Stefanidou, "The identification and treatment of mental health and substance misuse problems in sexual assault services: A systematic review" Public Library of Science (PLoS) 15 (15): e0231260-, 2020

    16 Angelo A Alonzo, "The experience of chronic illness and post-traumatic stress disorder: the consequences of cumulative adversity" Elsevier BV 50 (50): 1475-1484, 2000

    17 Harris, N. B., "The deepest well healing the long-term effects of childhood trauma and adversity" Simsimbooks 2019

    18 Bessel, van D. K., "The body keeps the score : Brain, mind, and body in the healing of trauma" Eulyoo Publishing 2020

    19 A. M. O'Rand, "The Precious and the Precocious: Understanding Cumulative Disadvantage and Cumulative Advantage Over the Life Course" Oxford University Press (OUP) 36 (36): 230-238, 1996

    20 Ministry of Health and Welfare, "The 2nd Mental Health Welfare Master Plan(2021~2025)" Ministry of Health and Welfare 2021

    21 Jung, H. S., "Study of social problem and social cohesion in Korea with policy recommendations" Korea Institute for Health and Social Affairs 2017

    22 Chae, S. M., "Strategies for early identification of groups at high risk of suicide" Korea Institute for Health and Social Affairs 2019

    23 Substance Abuse and Mental Health Services Administration, "SAMHSA’s concept of trauma and guidance for a trauma- informed approach" Substance Abuse and Mental Health Services Administration 2014

    24 Lauren E. Chaby, "Repeated stress exposure in mid-adolescence attenuates behavioral, noradrenergic, and epigenetic effects of trauma-like stress in early adult male rats" Springer Science and Business Media LLC 10 (10): 17935-, 2020

    25 Francesco Altamore, "Psychological symptoms and quality of life after repeated exposure to earthquake: A cohort study in Italy" Public Library of Science (PLoS) 15 (15): e0233172-, 2020

    26 Ministry of Health and Welfare, "Psychological autopsy interview result report" Korea Foundation for Suicide Prevention 2022

    27 National Center for Disaster and Trauma, "Primary care PTSD screen for DSM-5 (PC-PTSD-5)"

    28 Gerald M. Rosen, "Posttraumatic stress disorder: An empirical evaluation of core assumptions" Elsevier BV 28 (28): 837-868, 2008

    29 George A. Bonanno, "Loss, Trauma, and Human Resilience: Have We Underestimated the Human Capacity to Thrive After Extremely Aversive Events?" American Psychological Association (APA) 59 (59): 20-28, 2004

    30 Joseph, S., "Life-events and post-traumatic stress in a sample of English adolescents" 10 (10): 475-482, 2000

    31 Pooja Lalchandani, "Early Life Sexual Trauma and Later Life Genitourinary Dysfunction and Functional Disability in Women" Springer Science and Business Media LLC 35 (35): 3210-3217, 2020

    32 J. Douglas Bremner, "Development and preliminary psychometric properties of an instrument for the measurement of childhood trauma: The early trauma inventory" Hindawi Limited 12 (12): 1-12, 2000

    33 Belinda Agyapong, "Cumulative trauma from multiple natural disasters increases mental health burden on residents of Fort McMurray" Informa UK Limited 13 (13): 2059999-, 2022

    34 Sharain Suliman, "Cumulative effect of multiple trauma on symptoms of posttraumatic stress disorder, anxiety, and depression in adolescents" Elsevier BV 50 (50): 121-127, 2009

    35 Ibrahim A. Kira, "Cumulative Trauma Disorder Scale (CTD): Two Studies" Scientific Research Publishing, Inc. 03 (03): 643-656, 2012

    36 Kim, H. S., "Bullying, psychological, and physical trauma during early life increase risk of major depressive disorder in adulthood : A nationwide community sample of Korean adults" 13 : 792734-792734, 2022

    37 Dale Dannefer, "Aging as intracohort differentiation: Accentuation, the Matthew effect, and the life course" Springer Science and Business Media LLC 2 (2): 211-236, 1987

    38 David W. Brown, "Adverse Childhood Experiences and the Risk of Premature Mortality" Elsevier BV 37 (37): 389-396, 2009

    39 Ansan Mental Health Truam Center, "A treatment improvement protocol: Trauma-informed care in behaviral health services" Ansan Mental Health Truam Center 2019

    40 Melissa T. Merrick, "Vital Signs: Estimated Proportion of Adult Health Problems Attributable to Adverse Childhood Experiences and Implications for Prevention — 25 States, 2015–2017" Centers for Disease Control MMWR Office 68 (68): 999-1005, 2019

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