This study aims to identify factors influencing burnout in nurses during COVID-19 disaster situations.
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.
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.
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.
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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.
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.
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.
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.
Numerous studies have accumulated findings indicating that the way of coping is a critical mediator in the relation between these traumatic events and psychological outcomes. This study investigates the associations between coping strategies and post-traumatic stress symptoms (PTSS) in Korean adults.
Through an online survey, 554 non-clinical adult respondents were recruited. We assessed PTSS using the Impact of Event Scale-Revised (IES-R) scale and measured individual coping strategies using the Ways of Coping Checklist (WCCL). Based on the IES-R standard cut-off score, we categorized the respondents into 3 groups: normal (n=255), non-PTSS (n=185) and PTSS (n=144) after exposure to traumatic events.
The scores of each coping strategy in a PTSS group were generally higher than in either the normal or non-PTSS group. In the logistic regression analysis, PTSS group was 2.77 more likely to use Tension-reduction coping compared to the other two samples.
Our findings suggest that PTSS is associated with high inclination to apply emotion-focused coping such as tension-reduction contributing to psychological distress. These results point to the potential value of coping strategies in prevention of and therapeutic approach to PTSS for non-clinical adults.
The purposes of this study were to identify the relationships among post-traumatic growth, trauma experience, cognitive emotion regulation (adoptive and maladoptive) and to determine the influences on post-traumatic growth in nurses.
The participants were 105 nurses in Chung-Nam and Gyeonggi-do. Some variables related to post-traumatic growth, trauma experience, cognitive emotion regulation were measured using reliable instruments.
There showed significant positive relationships of post-traumatic growth with adoptive cognitive emotion regulation. Among predictors, adoptive cognitive emotion regulation, career and position had statistically significant influence on post-traumatic growth.
These results suggest that intervention on post-traumatic growth that targets the adoptive cognitive emotion regulation may be helpful in enhancing post-traumatic growth in nurses.
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이 연구는 현재 척수 손상시 널리 적용되는 치료적 중재에 대한 고찰 및 제한점에 대해 알아보고자 하였다. 척수 손상은 신경학적 손상과 그에 따른 심각한 근육 위축을 초래한다. 손상 초기에는 산화적 스트레스, 지질 과산화 등과 같은 이차적 손상으로 인한 추가 신경 손상을 막기 위해 약물요법이 널리 사용되고 있다. 또한 삶의 질과 관련성이 높은 보행 능력에 대한 임상 전, 임상 연구는 보행 능력의 회복에 그 촛점을 맞추고 있으며, 이에 대한 예로서, 트레드밀 훈련, 자전거 훈련, 로봇 훈련 등이 시행되고 있다. 최근에는 세포나 조직을 이식하는 이식치료가 많은 관심 속에 연구되고 있으나 안전성을 확보하기 위한 추가적인 연구가 필요하다. 척수손상은 단순히 신체손상뿐아니라 정신건강에도 부정적 영향을 주는 다면적인 손상을 초래할 수 있기때문에 단독치료 접근방법 보다는 심리인지적 치료를 포함한 다양한 치료가 결합된 형태를 고려해야 한다.
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