정신신체의학 (Korean Journal of Psychosomatic Medicine)

한국정신신체의학회 (Korean Psychosomatic Society)
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세월호 재난 1년 후 유가족의 심리적, 신체적 건강에 대한 연구

A Study on Psychological and Physical Health of Families of Victims One Year after the Sewol Ferry Disaster

  • 고정경 (고려대학교 안산병원 정신건강의학과) ;
  • 한은진 (안산정신건강트라우마센터) ;
  • 신철민 (고려대학교 안산병원 정신건강의학과) ;
  • 이승훈 (고려대학교 안산병원 정신건강의학과) ;
  • 박솔아 (고려대학교 안산병원 정신건강의학과) ;
  • 안소라 (안산정신건강트라우마센터) ;
  • 고영훈 (고려대학교 안산병원 정신건강의학과)
  • Ko, Jeong-Kyung (Department of Psychiatry, Korea University Ansan Hospital) ;
  • Han, Eunjin (Ansan Mental Health Trauma Center) ;
  • Shin, Cheolmin (Department of Psychiatry, Korea University Ansan Hospital) ;
  • Lee, Seung-Hoon (Department of Psychiatry, Korea University Ansan Hospital) ;
  • Park, Sol A (Department of Psychiatry, Korea University Ansan Hospital) ;
  • An, Sora (Ansan Mental Health Trauma Center) ;
  • Ko, Young-Hoon (Department of Psychiatry, Korea University Ansan Hospital)
  • 투고 : 2018.10.15
  • 심사 : 2018.11.29
  • 발행 : 2018.12.31
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초록

연구목적 세월호 침몰 사고 1주기에 시행한 설문조사를 통해 유가족들의 신체적 건강, 심리적 어려움, 일상 기능의 문제를 파악하고, 향후 재난 유가족들에 대한 지원 대책의 기틀을 마련하고자 하였다. 방 법 본 연구에서는 2015년 3월 22일부터 7일간 137명의 세월호 유가족들을 대상으로 실시한 자가보고식 설문조사 자료를 바탕으로 통계분석을 실시하였다. 결 과 유가족 대부분이 심리적 어려움을 호소하였고, 95.4%가 새로 진단받거나 악화된 신체질환이 있었으며, 호소하는 심리적 어려움이 많을수록 소화기계, 근골격계, 산부인과계, 비뇨생식기, 심혈관계 질환과 만성 두통이 발생하거나 악화되는 경향을 보였다. 사고 전과 비교해 71.9%가 대인관계를 회피하였으며, 63.9%가 직장생활 복귀의 어려움을 보고하는 등 일상 기능에서도 어려움을 보였다. 결 론 재난 후에는 유가족들이 겪는 심리적 외상뿐 아니라 신체질환이나 일상 기능에 대해서도 세밀한 평가와 개입이 시행되어야 한다.

Objectives : The purpose of this study was to assess physical illnesses, psychological difficulties, and daily life function of victims' family members one year after the Sewol ferry disaster, in order to establish a basis of strategies to promote their mental health and resilience. Methods : We statistically analyzed self-reported data collected from a survey conducted between March 22 and 28, 2015 with 139 family members of victims. Results : All respondents complained about one or more psychological difficulties, and 95.4% of them had newly diagnosed or exacerbated physical illnesses. An increased number of psychological difficulties was associated with a greater tendency to present physical illnesses including chronic headache, gastrointestinal, musculoskeletal, obstetrico-gynecological, genitourinary, and cardiovascular disease. In addition, the majority of respondents reported a decrease in life functioning. Specifically, 71.9% reported interpersonal avoidance and 63.9% reported difficulty in returning to work. Conclusions : Not only psychological trauma but also physical illness and daily functioning should be evaluated in detail and actively addressed in the bereaved family members after a catastrophe.

키워드

Table 1. Demographic characteristics of subjects (n=139)

JSSCBG_2018_v26n2_179_t0001.png 이미지

Table 2. Psychological diffculties in victims’ family members one year after the Sewol ferry disaster

JSSCBG_2018_v26n2_179_t0002.png 이미지

Table 3. Newly diagnosed or exacerbated physical diseases in victims’ family members one year after the sewol ferry disaster

JSSCBG_2018_v26n2_179_t0003.png 이미지

Table 4. Association between psychological diffculties and physical illness in victims’ family members one year after the Sewol ferry disaster

JSSCBG_2018_v26n2_179_t0004.png 이미지

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