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21 "Trauma"
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Original Articles
Relationship between Childhood Trauma and Depression in Youths in the Transition to Independent Living: The Mediating Effect of Disconnection-Rejection Schemas Moderated by Out-of-Home Care Types
Shin Young Park, Myoung-Ho Hyun, Min Jin Jin
STRESS. 2024;32(1):9-18.   Published online March 28, 2024
DOI: https://doi.org/10.17547/kjsr.2024.32.1.9
  • 1,268 View
  • 9 Download
Abstract PDF
Background
This study explored the relationship between childhood trauma, disconnection-rejection schemas, and depression among youths in the transition to independent living. Additionally, this study examined whether the impact of childhood trauma on depression, mediated by disconnection-rejection schemas, was moderated by the type of out-of-home care (residential care centers, group homes, and foster homes).
Methods
A survey questionnaire measuring childhood trauma, disconnection-rejection schemas, and depression was administered to 201 participants.
Results
Mistrust-abuse and defectiveness-shame schemas mediated the relationship between childhood trauma and depression. In all types of out-of-home care, both the mistrust-abuse and defectiveness-shame schemas mediated the relationship between childhood trauma and depression. There were no significant differences in mediating effects based on the type of out-of-home care.
Conclusions
The findings of this study can be applied to the treatment of depression during the transition to independent living in individuals who have experienced childhood trauma.
Effect of Cognitive Processing Style on Attentional Blink during Analogue Trauma
Ye Ji Son, Yun-Kyeung Choi
STRESS. 2024;32(1):38-45.   Published online March 28, 2024
DOI: https://doi.org/10.17547/kjsr.2024.32.1.38
  • 333 View
  • 6 Download
Abstract PDF
Background
This study attempted to examine the impact of each cognitive processing style (bottom-up, top-down) on attention patterns following a traumatic experience by measuring attentional blink (AB).
Methods
Participants were 37 university students with no direct experience of traffic accidents. They were randomly assigned to either a single-task (bottom-up processing) group or a dual-task (top-down processing) group, who performed the Rapid Serial Visual Presentation (RSVP) after watching an analogue trauma video. The correct response rate to target stimuli was then compared between groups based on stimulus type and stimulus presentation interval.
Results
In the dual-task group, no significant differences were found. However, in the single-task group, a trend towards a decrease in the correct response rate to the target stimulus was observed 200 ms after the presentation of the traumatic stimulus (i.e., AB).
Conclusions
This tendency can be explained by the phenomenon of automatic attentional capture by traumatic stimuli, suggesting a relationship between bottom-up processing and attentional bias.
Efficacy of a Serious Game for Individuals with Interpersonal Trauma
Hyae Young Yoon, Sang-Hyun Cho, Yun-Kyeung Choi
STRESS. 2023;31(4):205-219.   Published online December 28, 2023
DOI: https://doi.org/10.17547/kjsr.2023.31.4.205
  • 668 View
  • 16 Download
Abstract PDF
Background
This study aimed to develop a serious game for college students with interpersonal trauma to practice adopting an alternative perspective mentoring a game character with similar experiences.
Methods
We recruited 44 college students with high levels of distress after experiencing interpersonal trauma. They were assigned to either the serious game+relaxation training (SG+RX, n=22) or the virtual reality+relaxation training condition (VR+RX, n=22). Cognitive, emotional, and self-efficacy aspects related to trauma were compared in both groups before and after treatment. In addition, interpersonal perceptions of "warmth, dominance, trust, and accessibility" for facial expressions of happiness, anger, and neutrality were compared in both groups before and after treatment.
Results
Both groups showed positive changes in relaxation, post-traumatic cognition, and post-traumatic emotion after treatment. The SG+RX group showed greater increases in behavioral competence and confidence in the future and rated accessibility to angry/happy facial expressions higher than the VR+RX group.
Conclusions
These findings suggest that an interactive serious game promoting empathy, coping skills, and an alternative perspective effects positive changes for individuals with interpersonal trauma.
The Moderating Role of Perceived Social Support in the Relation between Type D Personality and PTSD Symptoms among ICU and ER Nurses
Sohyeon Kim, Myung-Ho Hyun
STRESS. 2023;31(4):197-204.   Published online December 28, 2023
DOI: https://doi.org/10.17547/kjsr.2023.31.4.197
  • 653 View
  • 11 Download
Abstract PDF
Background
This study examined the moderating effects of four types of perceived social support on the relation between type D personality and post-traumatic stress disorder (PTSD) symptoms among ICU and ER nurses.
Methods
Data were collected from 223 ICU and ER nurses in university or general hospitals located in Seoul. A questionnaire survey method was used for data collection and SPSS Windows 28.0 and PROCESS Macro Program were used for data analysis.
Results
The results showed that only the moderating effect of senior support was statistically significant, while perceived support from family, friends, and coworkers were not. Specifically, the effect of type D personality on post-traumatic stress disorder (PTSD) symptoms was weaker in ICU and ER nurses who perceived higher social support from senior nurses.
Conclusions
The study highlighted the significance of senior support in protecting the psychological health of ICU and ER nurses. Additionally, it addressed the major considerations in developing practical interventions in hospital settings.
The Moderating Effect of Perceived Psychological Support on the Relationship between Perceived Disaster Damage, Posttraumatic Stress, and Subjective Health Status among Disaster Victims
Ahram Im, Chin Kang Koh
STRESS. 2023;31(2):51-58.   Published online June 30, 2023
DOI: https://doi.org/10.17547/kjsr.2023.31.2.51
  • 703 View
  • 65 Download
Abstract PDF
Background
This study examined the relationship between perceived disaster damage, posttraumatic stress, and subjective health status after disasters and the moderating effect of perceived psychological support among disaster victims.
Methods
Data from 1,821 participants in the fourth ‘Follow-up Survey on Change of Disaster Victims’ conducted by the National Disaster Management Research Institute in 2019 were analyzed.
Results
The results showed that the perceived degree of disaster damage significantly impacted subjective health status after disasters; this effect was fully mediated by posttraumatic stress. Furthermore, perceptions of psychological support were found to moderate the mediation effect of posttraumatic stress.
Conclusions
Based on these findings, a discussion was suggested regarding future improvements in disaster-supporting policies.
A Preliminary Study on a Short-Term Counseling Program for Victims of Interpersonal Trauma in the Military
Shin Young Park, Sung Yi Cha, Myoung-Ho Hyun
STRESS. 2022;30(3):155-162.   Published online September 30, 2022
DOI: https://doi.org/10.17547/kjsr.2022.30.3.155
  • 1,330 View
  • 61 Download
Abstract PDF
Background
This preliminary study was conducted to develop a short-term counseling program for victims who experienced interpersonal trauma in the military and to verify its effectiveness.
Methods
A single group pre-post-mixed design was used for this study. Seven victims who experienced interpersonal trauma within the military participated in the program once a week for five weeks. Participants’ post-traumatic stress symptoms, degree of insomnia, depression, state anxiety, and acceptance behavior levels were assessed and compared at baseline and pre-and post-test.
Results
Participants’ post-traumatic stress symptoms, state anxiety, and depression symptoms significantly reduced and acceptance behavior significantly increased after participating in the short-term counseling program.
Conclusions
The results of this study will help explore therapeutic elements that are helpful for victims who have experienced interpersonal trauma in the military.
The Experience of Killing and Health in Late Life: Findings from Korean Vietnam War Veterans
Hyunyup Lee, Sungrok Kang
STRESS. 2022;30(2):85-91.   Published online June 30, 2022
DOI: https://doi.org/10.17547/kjsr.2022.30.2.85
  • 2,516 View
  • 31 Download
Abstract PDF
Background
The current study aimed to examine the effects of combat exposure and killing on mental and subjective physical health later in life among Korean Vietnam War veterans.
Methods
The data were collected from 342 male veterans with a mean age of 72 years (SD=2.57). Veterans were divided based on their histories into three groups: no experience (Group 1), combat exposure only (Group 2), and both killing and combat exposure (Group 3). Analyses of variance (ANOVAs) examined group differences in post-traumatic stress disorder (PTSD) symptoms, anxiety symptoms, hostility, and perceived physical health.
Results
The ANOVAs showed that PTSD, anxiety symptoms and hostility were most prevalent among the veterans in Group 3 (both killing and combat exposure). No significant differences were found between Groups 1 and 2. Perceived physical health was highest among the veterans in Group 1 (no experience). There were no differences between Groups 2 and 3. Even after controlling for the impacts of optimism and social support after homecoming, these results were similar.
Conclusions
The findings indicate that killing experience and combat exposure should be considered in designing interventions for veterans deployed into active combat zones.
The Effects of Stress Experienced in the Prolonged COVID-19 Situation on Psychological Distress: The Moderating Effect of Social Support
Sora Jeon, Hoyoung Kim
STRESS. 2021;29(4):207-219.   Published online December 31, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.4.207
  • 2,634 View
  • 134 Download
  • 3 Citations
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Citations

Citations to this article as recorded by  
  • Factors Affecting Well-Being in Korean Young Adults Facing Material Deprivation: Testing the Reserve Capacity Model
    Hye Seung Choi, Hyunjoo Na
    Journal of Psychosocial Nursing and Mental Health Services.2024; 62(3): 29.     CrossRef
  • The Korean Version of Pandemic Stress Questionnaire: Validation in Korean Population
    Sori Park, Sang-Cheol Choi, Chan-Mo Yang, Seung-Ho Jang, Sang-Yeol Lee
    Clinical Psychopharmacology and Neuroscience.2023; 21(2): 377.     CrossRef
  • A Structural Equation Model for Posttraumatic Growth among Cured Patients with COVID-19
    Soo Young An, Heejung Choi
    Journal of Korean Academy of Nursing.2023; 53(3): 309.     CrossRef
The Influencing Factors of Burnout in Nurses in the COVID-19 Pandemic Disaster
Jeong Yee Bae, Eun-kyung Lee, Bi-Joo Kim, Eun Ju Lee
STRESS. 2021;29(2):80-86.   Published online June 30, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.2.80
  • 5,170 View
  • 433 Download
  • 14 Citations
Abstract PDF
Background

This study aims to identify factors influencing burnout in nurses during COVID-19 disaster situations.

Methods

The research subjects were 131 nurses who had the experience of nursing patients during the COVID-19 pandemic, and were selected through convenience sampling. The collected data were subjected to percentage, mean and standard deviation, t-test, ANOVA, Pearson’s correlation coefficient, and multiple regression analysis using the SPSS version 24.0 program.

Results

Burnout in nurses showed a statistically significant correlation with anxiety, PTSD, and depression. It was also confirmed that nurses’ depression and shift work were important factors that had significant effects on burnout.

Conclusions

In preparation for new infectious diseases that are expected to become more frequent in the future, a policy to supply nursing manpower and prevent burnout is necessary. In addition, it is necessary to introduce various work systems and develop and disseminate intervention programs for depression and burnout.

Citations

Citations to this article as recorded by  
  • The relationship between secondary traumatic stress and burnout in critical care nurses: The mediating effect of resilience
    Yun Jeong Jeong, Sujin Shin
    Intensive and Critical Care Nursing.2023; 74: 103327.     CrossRef
  • Stress, COVID‐19 related knowledge, attitude, and infection control performance of nurses at long‐term care hospitals
    Ji Ae Shim, Sun Young Jeong
    Nursing & Health Sciences.2023; 25(2): 247.     CrossRef
  • The effect of grit on the work engagement of nurses: The mediating effects of positive psychological capital and burnout
    Mi Kyung Park, Won Hwa Kim
    The Journal of Korean Academic Society of Nursing Education.2023; 29(2): 161.     CrossRef
  • The impact of Long COVID, work stress related to infectious diseases, fatigue, and coping on burnout among care providers in nursing home: A cross-sectional correlation study
    Hyunju Lee, Youngja Seo, Jihye Kim, Hye Young Song, Jinhee Park, Youngran Yang
    Journal of Korean Gerontological Nursing.2023; 25(3): 271.     CrossRef
  • Burnout and Its Associated Factors Among COVID-19 Frontline Healthcare Workers
    Hyeonseok Oh, Euihyun Kwak, So Yeon Hyun, Songeun Lee, Suk-Hyun Lee, In Mok Oh, Minyoung Sim
    Journal of Korean Neuropsychiatric Association.2023; 62(4): 199.     CrossRef
  • Factors influencing burnout among Korean nurses caring for patients with COVID-19: a cross-sectional study
    Seon Yeong Lee, Mi-Ae You, Jeong Ah Ahn, Eun Ji Seo
    Journal of Korean Biological Nursing Science.2023; 25(4): 276.     CrossRef
  • The Influence of Infection Control Knowledge, Emergency Nursing Competency, and Infection Prevention Environment on Burnout among Psychiatric Nurses Caring for Patients with COVID-19
    Hyeran Cho, Suyon Baek
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(4): 482.     CrossRef
  • Factors Influencing Burnout of Nurses Working in a Hospital Nationally Designated for COVID-19 Patients
    Hwasoon Kim, Doa Kim, Minsook Kim, Yiseul Kim, Soojin Bang, Gine Lee, Miso Won, Dajung Joo
    Korean Journal of Adult Nursing.2022; 34(1): 74.     CrossRef
  • Correlation between Stress and Anxiety to Viral Epidemics (SAVE) and Burnout among Korean Dental Hygienists during the COVID-19 Pandemic: A Cross-Sectional Study
    Seul-Ah Lee, Jung-Eun Park, Jong-Hwa Jang
    International Journal of Environmental Research and Public Health.2022; 19(6): 3668.     CrossRef
  • Factors Affecting the Quality of Work Life of Nurses at Tertiary General Hospitals in the Context of the COVID-19 Pandemic
    Eunhee Hwang
    International Journal of Environmental Research and Public Health.2022; 19(8): 4718.     CrossRef
  • The Mediating Effects of Health Concern and Depression in the Relation between Self-quarantined People’s COVID-19 Stress and Fatigue
    Sun Hwa Shin, Eun Hye Lee
    Journal of Korean Academy of Community Health Nursing.2022; 33(1): 43.     CrossRef
  • Mediating effect of resilience between post-traumatic stress and emotional exhaustion in nurses during the COVID-19 pandemic
    Juhee Jeong, Yeoungsuk Song
    The Journal of Korean Academic Society of Nursing Education.2022; 28(2): 193.     CrossRef
  • Correlation between COVID-19 and Nurses’ Job Stress and Burnout
    Seyoung Yun, Song Vogue Ahn
    Health Insurance Review & Assessment Service Research.2022; 2(2): 202.     CrossRef
  • Mediating Effects of Psychological States on Work Performance of Visiting Nurses According to COVID-19 Workplace Quarantine Measures: A Multi-Group Path Analysis Study
    Jee-Hyun Hwang
    International Journal of Environmental Research and Public Health.2021; 19(1): 444.     CrossRef
The Role of Trauma in Addiction and Recovery: A Qualitative Meta-Synthesis
Jandi Kim, Misook Kim, Youjin Shin, Byunghee Kim, Sungjae Kim
STRESS. 2021;29(1):45-59.   Published online March 31, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.1.45
  • 2,775 View
  • 118 Download
  • 1 Citations
Abstract PDF
Background

Trauma is a physically or emotionally harmful or life-threatening event that negatively affects well-being. Recently, a high correlation between trauma and substance addiction has been recognized. The aim of this study is to synthesize qualitative studies to understand the effects of trauma involved in the addiction and recovery process.

Methods

By searching qualitative studies about addiction and recovery, 17 Korean studies (80 subjects) were finally included in our analysis.

Results

We recorded the traumas experienced, and their effects on addiction and recovery. Trauma reduced self-esteem and triggered psychological pain, while addiction was perceived as a countermeasure. As the trauma became accepted, participants acknowledged themselves, realized the value of their existence, and formed trusting relationships with others. Recovery progressed as the trauma healed.

Conclusions

Our study facilitates a comprehensive and systematic understanding of the role of trauma on addiction.

Citations

Citations to this article as recorded by  
  • Effects of Music Therapy on Subjective Stress Response, Salivary Cortisol, and Fatigue for Intensive Care Nurses
    Hyun Hee Ji, Hyun Sook Jo
    Korean Journal of Health Promotion.2017; 17(2): 119.     CrossRef
Relationship between Complex Trauma Experience in Childhood-Adolescence and Interpersonal Trauma in Adulthood: Mediating Effects of Dissociation Experience, Relationship Addiction, and Internalized Shame
Yumi Oh, Min Kyu Rhee
STRESS. 2021;29(1):1-10.   Published online March 31, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.1.1
  • 1,686 View
  • 103 Download
Abstract PDF
Background

The purpose of this study is to verify the mediating effects of dissociation experience, relationship addiction, and internalized shame in the relationship between complex trauma experience in childhood-adolescence and interpersonal trauma in adulthood.

Methods

Two hundred and thirty-eight adults participated in this study. They were administered the Korean versions of the Trauma Antecedents Questionnaire, Impact of Event Scale-Revised, Dissociative Experiences Scale, Relationship Addiction Questionnaire, and Internalized Shame Scale. The data were analyzed with descriptive statistics, correlation analysis, reliability analysis, and structural equation modeling.

Results

First, dissociation and internalized shame had a double mediating effect in the relationship between complex trauma experience in childhood-adolescence and interpersonal trauma in adulthood. Second, relationship addiction and internalized shame had a double mediating effect in the relationship between complex trauma experience in childhood-adolescence and interpersonal trauma in adulthood. Third, dissociation, relationship addiction, and internalized shame had a triple mediating effect in the relationship between complex trauma experience in childhood-adolescence and interpersonal trauma in adulthood.

Conclusions

Therapeutic intervention for revictimization should address symptoms such as dissociation, relationship addiction, and internalized shame. In addition, people with complex trauma experiences in childhood-adolescence require preventive intervention to avoid further exposure to interpersonal trauma.

Forgiveness as a Mediator of the Revictimization between Childhood Trauma and Adulthood Dating Violence Victimization
Myo-Gyeong Seo, Myoung-Ho Hyun
STRESS. 2019;27(4):431-440.   Published online December 31, 2019
DOI: https://doi.org/10.17547/kjsr.2019.27.4.431
  • 1,529 View
  • 39 Download
  • 1 Citations
Abstract PDF
Background:

Childhood trauma is frequently associated with dating violence or intimate partner violence victimization in adulthood. To investigated the role of forgiveness on revictimization in close relationship, We tested the mediating effects with the three components of dispositional forgiveness-self, other, situation on the relationship between childhood trauma and adulthood dating violence victimization.

Methods:

We measured childhood trauma experience (CTQ), dating violence victimization in adulthood (CTS-Ⅱ), and self, other, situation forgiveness (HFS), among unmarried women in their 20~30s who have been dating at least once.

Results:

The results showed that self-forgiveness partially mediated the relationship between childhood trauma and adulthood dating violence victimization. However, there was no significant mediating effect of other and situation forgiveness.

Conclusions:

These findings suggest that the experience of childhood trauma can lower the level of self-forgiveness, and then increase the risk of dating violence victimization in adulthood. So, the interventions to facilitate self-forgiveness can help overcome interpersonal trauma and prevent revictimization in close relationships. Finally, the implications and limitations were discussed with suggestions for further research.

Citations

Citations to this article as recorded by  
  • Influence of Direct and Indirect Domestic Violence on Dating Violence Victimization
    Sukkyung You, Minkyung Kwon
    Journal of Interpersonal Violence.2022; : 088626052211209.     CrossRef
Qualitative Exploration of Trauma Experience and Posttraumatic Support of Community Mental Health Professionals
Su-Young Kim, Hee-Jung Kim
STRESS. 2019;27(4):328-336.   Published online December 31, 2019
DOI: https://doi.org/10.17547/kjsr.2019.27.4.328
  • 1,554 View
  • 43 Download
  • 3 Citations
Abstract PDF
Background:

The study purpose was to describe experience of violence and trauma, needs for support of community mental health professionals (CMHP).

Methods:

This study had a qualitative descriptive design and qualitative content analysis was used. For data collection, focus group interviews were carried out with 18 CMHP in 3 groups.

Results:

Data analysis has been extracted in to 5 domains (safety, stress, coping, support, protection), 9 categories (primary trauma, secondary trauma, negative emotion, burnout, workload, ineffective response, trust and understanding, foundation for protection and empowerment) and 14 subcategories.

Conclusions:

From the findings, we could know it more clearly that the community mental health field is relatively high in the risk of violence, suicide case and death of the subjects. However, the pre- post-response measures for the protection of CMHP who has been violently traumatized were very insufficient. Therefore, it is necessary to prepare psychological emotional support system along with preventive and post-response measures for safety at the individual and institutional level. At the same time, it is important to create a supportive environment at the peer and organizational level. As a results we proposed that rapid preparation of the materialization of emotional support system for CMHP, mandatory application of two-person-one intervention principle, preparation of guidelines for emergency response, improvement of physical environment for safety, improvement of understanding on mental health work of institutional officials and also supervision ability of mental health senior staffs, strengthening education and supervision system for enhancement CMHP’s capacity are necessary.

Citations

Citations to this article as recorded by  
  • The Experiences of Psychiatric Mental Health Nurse Practitioners with Clinical Supervision in South Korea: A Grounded Theory Approach
    Sung-Nam Lee, Hyun-Jin Kim
    International Journal of Environmental Research and Public Health.2022; 19(23): 15904.     CrossRef
  • A Path Model for Burnout in Community Mental Health Professionals
    Jin-Joo Chang, Sung-Hee Shin
    International Journal of Environmental Research and Public Health.2021; 18(18): 9763.     CrossRef
  • Mediating Effect of Resilience on the Relationship between Psychological Stress and Burnout among Workers with Violence Experiences in Community Mental Health Welfare Center
    Su Young Kim, Mi Kyung Yun, Myung Sun Hyun
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2020; 29(4): 347.     CrossRef
The Influence of Traumatic Experience and Post-Event Rumination on Social Anxiety: The Mediating Effects of Self-Compassion
Suyeon Lee, Kyung Park
STRESS. 2019;27(1):74-81.   Published online March 31, 2019
DOI: https://doi.org/10.17547/kjsr.2019.27.1.74
  • 1,861 View
  • 65 Download
  • 1 Citations
Abstract PDF
Background:

This study aims to analyze the effects of traumatic experience and post-event rumination which are known as occurrence and maintenance factors of social anxiety and verify the mediating effect of self-compassion to the relationship between traumatic experience and post-event rumination.

Methods:

This study targeted 421 university students as research tools. Social Interaction Anxiety Scale (SIAS), Speech Anxiety Scale (SAS), Traumatic Experience Scale, Post-event Rumination Questionnaire (PRQ) and Korean-version of the Self-Compassion Scale (K-SCS) were used. The study results are as follows.

Results:

The results showed that social anxiety was high and self-compassion was low when traumatic experience was more frequent and post-event rumination was more frequent. Self- Compassion showed mediating effect in traumatic experience, post-event rumination and social anxiety. It can be interpreted that self-compassion indirectly reduces social anxiety.

Conclusions:

While existing social anxiety-related studies have been mostly focused on negative cognition, this study explored self-compassion as a positive variable to reduce social anxiety. In conclusion, this study shows the importance of self-compassion promotion, traumatic experience and post-event rumination in therapeutic intervention for people who experience social anxiety. Including this, the study has discussed its limitations and made suggestions.

Citations

Citations to this article as recorded by  
  • The Effect of Self-Compassion Writing on Self-Discrepancy, Social Anxiety, and Skin-Related Quality of Life in Adults with Acne Vulgaris
    Chan Woo Lee, Myoung-Ho Hyun
    Stress.2020; 28(4): 300.     CrossRef
Exploring the Posttraumatic Growth in Korean Children and Adolescents Using the Korean Version of Posttraumatic Growth Inventory for Children-Revised
Gyurim Kang, Hyojeong Na, Jay Song, Myoung-Ho Hyun
STRESS. 2018;26(3):193-200.   Published online September 30, 2018
DOI: https://doi.org/10.17547/kjsr.2018.26.3.193
  • 1,710 View
  • 41 Download
Abstract PDF
Background:

The present study aimed to explore psychometric properties of Korean version of the Posttraumatic Growth Inventory for Children-Revised (PTGI-C-R), and related variables.

Methods:

The PTGI-C-R was translated into Korean and 716 children and adolescents in a general population sample completed a self-report battery.

Results:

361 participants reported experiencing of traumatic event and 145 among them showed clinical symptoms. In clinical group, Korean version of PTGI-C-R has exhibited good internal consistency and construct validity. Those who experienced traumatic event reported more PTG than unexperienced group. PTG was positively related with resilience, optimism, and rumination, but negatively related with depression and anxiety, also nonlinearly related with intensity of perceived stress.

Conclusions:

This study found the distinct changes of PTG from normative maturation by comparing those who experienced traumatic event and those who did not.


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