Korean Journal of Psychosomatic Medicine (정신신체의학)

Korean Psychosomatic Society (한국정신신체의학회)
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Depression as a Mediator of the Relationship Between Resilience and Posttraumatic Stress Symptoms and Dissociation in Firefighters

소방공무원에서 탄력성이 외상후스트레스 증상과 해리에 미치는 영향 : 우울의 매개 효과

  • Kwon, Tae Hoon (Department of Psychiatry and Behavioral Sciences, Ajou University School of Medicine) ;
  • Hyun, So Yeon (Department of Psychiatry and Behavioral Sciences, Ajou University School of Medicine) ;
  • Chung, Young Ki (Department of Psychiatry and Behavioral Sciences, Ajou University School of Medicine) ;
  • Lim, Ki Young (Department of Psychiatry and Behavioral Sciences, Ajou University School of Medicine) ;
  • Noh, Jae Sung (Department of Psychiatry and Behavioral Sciences, Ajou University School of Medicine) ;
  • Kang, Dae Ryong (Department of Humanities and Social Medicine, Ajou University School of Medicine) ;
  • Ha, Gwiyeom (Office of Biostatistics, Ajou University School of Medicine) ;
  • Kim, Nam Hee (Department of Psychiatry and Behavioral Sciences, Ajou University School of Medicine)
  • 권태훈 (아주대학교 의과대학 정신건강의학교실) ;
  • 현소연 (아주대학교 의과대학 정신건강의학교실) ;
  • 정영기 (아주대학교 의과대학 정신건강의학교실) ;
  • 임기영 (아주대학교 의과대학 정신건강의학교실) ;
  • 노재성 (아주대학교 의과대학 정신건강의학교실) ;
  • 강대용 (아주대학교 의과대학 인문사회의학교실) ;
  • 하귀염 (아주대학교 의과대학 의학통계실) ;
  • 김남희 (아주대학교 의과대학 정신건강의학교실)
  • Received : 2014.06.07
  • Accepted : 2016.06.19
  • Published : 2016.06.30
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Abstract

Objectives : This study aimed to investigate the effects of resilience on posttraumatic stress symptoms and dissociation and whether depression mediates the relationships between resilience and posttraumatic stress symptoms and dissociation. Methods : A total of 115 firefighters participated in the study. Data were collected via the Life Events Checklist, Impact of Event Scale-Revised, Dissociative Experience Scale, Beck Depression Inventory, and Connor-Davidson Resilience Scale. Structural equation modeling and path analysis were applied to estimate the relationships between resilience, depression, posttraumatic stress symptoms, and dissociation. Results : Greater resilience was associated with lower posttraumatic stress symptoms and dissociation, and the relationship between them was fully mediated by depression. Conclusions : Specific aspects of depression may help explain the relationships between resilience and posttraumatic stress symptoms and dissociation. Tailored prevention programs and treatments based on resilience and depression may prevent posttraumatic stress symptoms and dissociation in firefighters and improve treatments outcomes among firefighters with posttraumatic stress symptoms and/or dissociation.

연구목적 본 연구는 소방공무원에서 탄력성이 외상후스트레스 증상 및 해리에 미치는 영향과 함께, 탄력성과 각 외상후스트레스 증상 및 해리의 관계에서 우울의 매개효과에 대해서 알아보고자 하였다. 방 법 총 115명의 소방공무원을 대상으로, 생활사건 체크리스트, 사건충격척도-개정판, 해리경험척도, 벡 우울척도, 코너-데이비슨 탄력성 척도를 시행하였다. 탄력성이 외상후스트레스 증상과 해리에 미치는 영향 및 우울의 매개효과를 확인하기 위해 구조방정식모형(Structural equation modeling)과 경로분석(path analysis)을 실시하였다. 결 과 탄력성이 높을수록 낮은 외상후스트레스 증상과 낮은 해리를 보였으며, 각 탄력성과 외상후스트레스 증상 및 해리의 관계는 우울이 완전 매개를 하는 것으로 나타났다. 즉, 탄력성이 외상후스트레스 증상 및 해리에 대해 직접적인 영향이 아닌 우울을 통해 간접적으로 각 증상을 감소시킴을 보여주었다. 결 론 본 연구는 소방공무원에서 외상후스트레스 증상 및 해리의 예방과 치료에 있어 탄력성 강화와 우울 증상 감소를 목표로 한 임상적 개입이 중요함을 시사한다.

Keywords

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