경찰공무원에서 외상후스트레스장애와 기질 및 성격 특성의 관계 = Relationship between Temperament and Character Dimensions and Post-Traumatic Stress Disorder in Police Officers

다국어 초록 (Multilingual Abstract)

Objective : Police officers are exposed to job-related traumatic events and have a high prevalence of post-traumatic stress disorder (PTSD). This study examined the relationship between PTSD symptoms and dimensions of temperament and character in police officers. Method : Thirty-six police officers participating in a psychological support program were enrolled. All subjects were asked to complete a demographic questionnaire, the Impact of Event Scale-Revised (IES-R), the Temperament and Character Inventory (TCI) and other self-reported symptoms scales. Results : Among all participants (age $40.8{\pm}10.2$, men 94.4%), the rate of 'post-traumatic stress symptoms group' was 47.2%. After controlling for confounding factors, lower self-directedness scores were significantly associated with higher PTSD symptoms (${\beta}=0.6$, p=0.03) in multiple regression analysis. Conclusion : Character traits, especially self-directedness, were associated with the severity of PTSD symptoms severity. These findings may provide useful information regarding personality factors related to PTSD in police officers.

참고문헌 (Reference)

1 은헌정, "한국판 사건충격척도 수정판의 신뢰도 및 타당도 연구" 대한신경정신의학회 44 (44): 303-310, 2005

2 성형모, "한국어판 백 우울 설문지 2판의 신뢰도 및 타당도 연구" 대한생물치료정신의학회 14 (14): 201-212, 2008

3 경찰청, "통계자료"

4 채정호, "재난상황 PTSD 대응 매뉴얼 개발 연구: 재난에 따른 심리적 위기와 PTSD 예방을 위한 응급처치 매뉴얼"

5 김종길, "경찰공무원의 외상후 스트레스장애(PTSD)에 관한 연구" 한국경찰학회 14 (14): 31-54, 2012

6 신성원, "경찰공무원의 외상후 스트레스 장애에 관한 연구" 한국치안행정학회 8 (8): 237-260, 2012

7 Buckley P, "Violence at Work, Findings from the 2010/11 British Crime Survey" Health and Safety Executive 2012

8 Slottje P, "Use of health care and drugs by police officers 8.5 years after the air disaster in Amsterdam" 18 : 92-94, 2008

9 Kunst MJ, "Type D personality and posttraumatic stress disorder in victims of violence : a cross-sectional exploration" 18 : 13-22, 2011

10 Martin M, "Traumatic events in the workplace : impact on psychopathology and healthcare use of police officers" 11 : 165-176, 2009

11 Rodriguez-Cano T, "The role of temperament and character in the outcome of depressive mood in eating disorders" 55 : 1130-1136, 2014

12 Thomas-Riddle R, "The relationship between life stress, work stress, and traumatic stress and burnout and cynicism in police officers: United States International University, College of Arts and Sciences" San Diego Campus 1999

13 McNally VJ, "The impact of posttraumatic sress on Iraqi police" 8 : 275-281, 2006

14 Cloninger CR, "The genetics and psychobiology of the seven-factor model of personality" 63 : 92-, 1998

15 Cloninger CR, "The Temperament and Character Inventory (TCI): A guide to its development and use. center for psychobiology of personality" Washington University 1994

16 Svrakic DM, "Temperament, character, and personality disorders : etiologic, diagnostic, treatment issues" 106 : 189-195, 2002

17 Mitsui N, "Temperament and character profiles of Japanese university student suicide completers" 54 : 556-561, 2013

18 Asano T, "Temperament and character as predictors of recurrence in remitted patients with major depression : a 4-year prospective follow-up study" 225 : 322-325, 2015

19 Spittlehouse JK, "Temperament and character as determinants of well-being" 55 : 1679-1687, 2014

20 Park J, "Standardization of dissociative experiences scale-Korean version" 4 : 105-125, 1995

21 Tome MB, "Serotonergic autoreceptor blockade in the reduction of antidepressant latency : personality variables and response to paroxetine and pindolol" 44 : 101-109, 1997

22 Liberman AM, "Routine occupational stress and psychological distress in police" 25 : 421-441, 2002

23 Carlier IV, "Risk factors for posttraumatic stress symptomatology in police officers : a prospective analysis" 185 : 498-506, 1997

24 Berger W, "Rescuers at risk : a systematic review and meta-regression analysis of the worldwide current prevalence and correlates of PTSD in rescue workers" 47 : 1001-1011, 2012

25 Sung SM, "Reliability and validity of the Korean version of the Temperament and Character Inventory" 43 : 235-243, 2002

26 김대호, "Reliability and Validity of the Korean Version of the Childhood Trauma Questionnaire-Short Form for Psychiatric Outpatients" 대한신경정신의학회 8 (8): 305-311, 2011

27 Campbell-Sills L, "Relationship of resilience to personality, coping, and psychiatric symptoms in young adults" 44 : 585-599, 2006

28 Evren C, "Relationship of alexithymia and temperament and character dimensions with lifetime post-traumatic stress disorder in male alcohol-dependent inpatients" 64 : 111-119, 2010

29 Yuan C, "Protective factors for posttraumatic stress disorder symptoms in a prospective study of police officers" 188 : 45-50, 2011

30 Pitman R, "Posttraumatic stress disorder: Emotion, conditioning, and memory" 2 : 1133-1147, 2000

31 Kessler RC, "Posttraumatic stress disorder in the National Comorbidity Survey" 52 : 1048-1060, 1995

32 King DW, "Posttraumatic stress disorder in a national sample of female and male Vietnam veterans : risk factors, war-zone stressors, and resilience-recovery variables" 108 : 164-170, 1999

33 Maia DB, "Post-traumatic stress symptoms in an elite unit of Brazilian police officers: prevalence and impact on psychosocial functioning and on physical and mental health" 97 : 241-245, 2007

34 Violanti JM, "Police trauma and cardiovascular disease: association between PTSD symptoms and metabolic syndrome" 8 : 227-237, 2006

35 North CS, "Personality and posttraumatic stress disorder among directly exposed survivors of the Oklahoma City bombing" 53 : 1-8, 2012

36 du Preez E, "Personality and Mental Health : an Investigation of South African Police Trainees 1, 2" 108 : 301-316, 2011

37 Yoon SJ, "Patterns of temperament and character in patients with posttraumatic stress disorder and their association with symptom severity" 50 : 226-231, 2009

38 Hartley TA, "PTSD symptoms among police officers : associations with frequency, recency, and types of traumatic events" 15 : 241-253, 2013

39 Brewin CR, "Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults" 68 : 748-, 2000

40 West C, "Mental health outcomes in police personnel after Hurricane Katrina" 50 : 689-695, 2008

41 Beck A, "Manual for the Beck Depression Inventory-II" Psychological Corporation 1996

42 Sim M, "Increase in harm avoidance by genetic loading of schizophrenia" 53 : 372-378, 2012

43 Slottje P, "Health-related quality of life of firefighters and police officers 8.5 years after the air disaster in Amsterdam" 16 : 239-252, 2007

44 Robinson HM, "Duty-related stressors and PTSD symptoms in suburban police officers" 81 : 835-845, 1997

45 Ghazinour M, "Do parental rearing and personality characteristics have a buffering effect against psychopathological manifestations among Iranian refugees in Sweden?" 57 : 419-428, 2003

46 North CS, "Distinguishing distress and psychopathology among survivors of the Oakland/Berkeley firestorm" 71 : 35-45, 2008

47 Lee J, "Differences in temperament and character dimensions of personality between patients with Hwa-byung, an anger syndrome, and patients with major depressive disorder" 138 : 110-116, 2012

48 American Psychiatric Association, "Diagnostic and statistical manual of mental disorders (DSM-5®)" American Psychiatric Pub 2013

49 Bernstein EM, "Development, reliability, and validity of a dissociation scale" 174 : 727-735, 1986

50 Bernstein DP, "Childhood trauma questionnaire: A retrospective self-report: Manual" Psychological Corporation 1998

51 Weiss DS, "Assessing psychological trauma and PTSD" Guilford Press 399-411, 1997

52 Ghazinour M, "An investigation of mental health and personality in Swedish police trainees upon entry to the police academy" 25 : 34-42, 2010

53 Beck AT, "An inventory for measuring clinical anxiety : psychometric properties" 56 : 893-, 1988

54 Cloninger CR, "A unified biosocial theory of personality and its role in the development of anxiety states" Psychiatric developments 167-226, 1986

55 Cloninger CR, "A psychobiological model of temperament and character" 50 : 975-990, 1993

56 Yook S, "A clinical study on the Korean version of Beck Anxiety Inventory : comparative study of patient and non-patient" 16 : 185-197, 1997