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국군 맞춤형 PTSD 예방 및 치료 가이드라인 개발 연구
백명재 ( Myungjae Baik ),조수철 ( Soochurl Cho ),김지혜 ( Jihye Kim ),이보미 ( Bomi Lee ) 국군의무사령부 2018 대한군진의학학술지 Vol.49 No.1
Objectives; This guideline has been developed to advise on the prevention and management of PTSD in ROK military. Our primary objective is providing useful evidence-based practice in the field and clinical setting. Methods; The guideline is based on a systematic review of various clinical guidelines of PTSD including previous PTSD guideline in ROK military and US DOD. And we supplement the guideline for Psychological First Aids(PFA) with stabilization therapy. Results; Our guideline is composed of 5 modules and each module has separate algorithm. Core module represents an overview of this guideline. Module A is for individuals experiencing acute stress reaction. Module B consists of assessment. diagnosis and treatment process of PTSD. Module C provides the best available evidence based treatment for individuals experiencing acute stress reaction or PTSD. Module D recommends basic principles for leadership. Conclusions; Developed by a panel of multidisciplinary experts, it provides a clear explanation of the logical relationships between various care options and health outcomes. Every healthcare professional in military can utilize for evaluating the appropriateness of applying them in the setting of any particular clinical situation.
전한가람 ( Hankaram Jeon ),백명재 ( Myungjae Baik ),이도형 ( Dohyeong Lee ),조수철 ( Soochurl Cho ) 국군의무사령부 2016 대한군진의학학술지 Vol.47 No.1
This research explores important aspects of the history of Korean military psychiatry, which has played a significant role in mental health enhancing of Korean soldiers. Since the onset of modern psychiatry in Korea decades ago, Korean military psychiatry has made a great contribution to the development of Korean psychiatry. Furthermore, Korean military psychiatry is playing a leading role on the treatment and management of patients with adjustment disorder and post-traumatic stress disorder in Korea recently. At this point in time, it is necessary to review the history of Korean military psychiatry, and to make a plan for the future of Korean military psychiatry.