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자연재난 피해 노인의 외상 후 스트레스 장애(PTSD) 발생 관련 요인

Prevalence and Correlates of Symptoms of Post-Traumatic Stress Disorders in Korean Older Adults Exposed to Natural Disaster

한국보건간호학회지 2019년 33권 2호 p.214 ~ 227
조명선 ( Cho Myong-Sun ) - 이화여자대학교 이화간호과학연구소

Abstract


Purpose: This study examined the socio-demographic factors, the disaster related factors, the physical health related factors and the psychological factors of older adults exposed to natural disaster and these factors may possibly cause the occurrence of PTSD.

Methods: A cross-sectional study was designed using the secondary data from the 3rd Disaster Victims Panel Survey (2012-2017). The data from 1,397 disaster victims were analyzed using descriptive statistics and logistic regression analysis.

Results: Compared with the younger adult disaster victims, the elderly were more likely to have symptoms of PTSD (15.0% vs. 12.1%). Factors such as the number of years since being exposed to the disaster, anxiety, depression and social adjustment were significantly associated with occurrence of PTSD for both older and younger adults. Female gender was the additional risk factors for the older adults, while marital status, income, having witnessed another person’s injury or death, and having lost a home were associated with the occurrence of PTSD.

Conclusion: The elderly were more likely to develop PTSD as compared with younger adults. More targeted post-disaster mental health services to the elderly with the symptoms of depressive, anxiety and impaired social adjustments, should be provided to improve their mental health.

키워드

자연 재난; 외상 후 스트레스 장애; 우울; 불안; 사회적 적응
Natural disaster; Post-Traumatic Stress Disorder (PTSD); Depression; Anxiety; Social Adjustments
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