28 1. 연구대상 연구대상및방법 2. 연구절차 연구도구 1) BDI 2002;71:27-33

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1 KISEP Original Articles J Korean Assoc Soc Psychiatry Vol 7, No 1 산업재해환자의정신과적문제 옥금희 * 최경숙 * 서민영 * 최재욱 ** 김재영 ** 강성규 *** 최용성 * Psychiatric Problems in Industrial Injury Patients Keum-Hee Ok, M.D., * Kyeong-Sook Choi, M.D., * Min-Young Seo, M.D., * Jae-Wook Choi, M.D., ** Jae-Young Kim, M.D., ** Seong-Kyu Kang, M.D., *** Yong-Seoung Choi, M.D. * 국문초록 연구목적 방법 결과 결론 중심단어 서 St. Andrew s Neuropsychiatric Hospital, Icheon Department of Preventive Medicine, Korea University, College of Medicine, Seoul Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency, Incheon Corresponding author 론 27

2 28 1. 연구대상 연구대상및방법 2. 연구절차 연구도구 1) BDI 2002;71:27-33

3 2) STAI-I, STAI-II 3) SCL-90-R 4) IES 4. 자료분석 연구결과 1. 일반적인특성비교 Table 1. Differentiation of general characteristics between industrial injury patients and comparison group Industrial injury patients n, %n=134 Comparison group n, %n=62 p-value Ageyears Educationyears Marital status Married Unmarried Widowed Divorced p-value for Chi-square test Table 2. Comparisons of BDI, STAI-I, STAI-II, and IES between industrial injury patients and comparison group Patientsn=134 Comparison groupn=62 p-value BDI STAI-I STAI-II IES MeanSD, p-value for t-test Table 3. Comparisons of SCL-90-R between industrial injury patients and comparison group Symptom dimension Patients Comparison group p-value SOM O-C I-S DEP ANX HOS PHOB PAR PSY MeanSD, p-value for t-test SOMSomatization, O-CObsessive-compulsive, I-SInterpersonal sensitivity, DEPDepression, ANX, Anxiety, HOSHostility, PHOBPhobic anxiety, PARParanoid ideation, PSY Psychoticism 2. BDI, STAI-I, STAI-II, IES, SCL-90-R의비교 29

4 3. SCL-90-R의우울, 불안항목과 BDI, STAI-I, STAI-II 와의상관관계 4. 치료기간과척도들사이의관계 30 Table 4. Pearson correlation of the SCL-90-RDEP, ANX to BDI, STAI-I, and STAI-II SCL-90-RDEP SCL-90-RANX BDI 0.76* 0.70* STAI-I 0.20* 0.24* STAI-II 0.53* 0.53* p-value0.05 고찰 2002;71:27-33

5 참고문헌 1) 전영순, 김경희, 오정희 (1990): 산업재해환자의재활현황에관한연구. 대한재활의학회지 14(1): ) 노동부 (2000): 산업재해분석 3) 근로복지공단 (1997): 산재장해자생활실태조사결과 4) 노동건강연대 / 산업재해노동자협의회 (2001) : 산재노동자의재활요구도조사결과및정부정책의문제점과대안 31

6 -산재노동자의더나은삶을위하여- 5) Johnson RK(1993):Psychologic assessment of patients with industrial hand injuries. Occupational diseases of the hand 9(2): ) Schotenfeld R, Cullen MR(1985):Occupation-induced posttraumatic stress disorders. Am J Psychiatry 142: ) Weisaeth L(1989):The stressors and posttraumatic syndrome after an industrial disaster. Acta Psychiatr Scand Suppl 355: ) Brad K Grunert, Hani S Matloub, James R Sanger, N John Yousif, Milwaukee(1990):Treatment of posttraumatic stress disorder after work-related hand trauma. J Hand Surg 15A: ) Gordon JG Asmundson, G Ron Norton, Marilee D Allerdings, Peter J Norton, Derrick K Larsen(1998):Posttraumatic stress disorder and work-related injury. Journal of Anxiety Disorders 12(1): ) Al-Naser F, Everly GS(1999):Prevalence of posttraumatic stress disorder among Kuwaiti firefighters. Int J Emergency Mental Health 2: ) Rasmussen K, Lauritsen JM, Hansen ON, Carstensen O (1999):Post-traumatic stress after occupational accidents. Ugeskr Laeger 161(9): ) Joy D, Probert R, Bisson JI, Shepherd JP(2000):Posttraumatic stress reactions after injury. The Journal of Trauma:Injury, Infection, and Critical Care 48(3): ) 최경숙, 임채기, 최재욱, 강성규, 염용태 (2002): 일부산업재해환자들에서외상후스트레스장애. 신경정신의학 41(3): ) 김수인, 연규월, 하은희, 우행원, 김영철 (2001): 산업재해환자의삶의질, 자살사고및우울증상. 신경정신의학 40 (3): ) Grunert BK, Devine CA, Matloub HS, Sanger JR, Yousif NJ, Anderson RC, Roell SM(1992):Psychological adjustment following work-related hand injury:18-month follow-up. Annals of Plastic Surgery 29(6): ) Curran CA, Ponsford JL, Crowe S(2000):Coping strategies and emotional outcome following traumatic brain injury:a comparison with orthopedic patients. J Head Trauma Rehabil 15 (6): ) Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J (1961):An inventory for measuring depression. Arch Gen Psychiatr 4: ) 한홍무, 염태호, 신영우, 김교헌, 윤도준, 정근재 (1986): Beck Depression Inventory 의표준화연구 - 정상집단을중 심으로 (1)-. 신경정신의학 25(3): ) Spielberger CD, Gorsuch RL, Luschene RE(1970):Manual for the state-trait anxiety interview(self evaluation questionaire) Palo alto, Consulting Psychologists Press 20) 김정택, 신동균 (1978):STAI 의한국표준화에관한연구. 최신의학 21(11): ) 김광일, 김재한, 원호택 (1984): 간이정신진단검사. 서울, 중앙적성연구소 22) Horowitz MJ, Wilner N, Mendelson M, Mock J, Erbaugh J (1979):A measure of subjective distress. Psychosom Med 41: ) 이선미, 은헌정 (1999): 한국판사건충격척도의신뢰도와타당도에관한연구. 신경정신의학회지 38: ) 이민규, 이영호, 박세현, 손창호, 정영조, 홍성국, 이병관, 장필립, 윤애리 (1995): 한국판 Beck 우울척도의표준화연구 I- 신뢰도및요인분석. 정신병리학 4(1): ) 이민규, 이영호, 정한용, 최종혁, 김승현, 김용구, 이수경 (1995): 한국판 Beck 우울증척도 (K-BDI) 표준화연구 II- 타당화연구. 정신병리학 4(1): ) 차봉석, 박종구 (1986) : 산업재해요양기관이용자의정신건강에관한연구. 예방의학회지 19(2): ) Ritigstein JM(1974):The relationship of defense mechanism to trait anxiety and state anxiety in female college students(unpublished doctoral dissertation), New York Univ 28) Ray C, West J(1984):Coping with spinal cord injury, Paraplegia 22: ) Bracken MB, Shepard MJ, Webb SB(1981):Psychological response to acute spinal cord injury:an epidemiological study, Paraplegia 19: ) 한지혜, 전철환, 이귀래, 이혜리, 김찬형 (1994): 척수손상환자의정신병리와재활. 가정의학회지 15(12): ) 곽영숙 (1982): 산업재해환자의정신의학적문제. 신경정신의학 21(3): ) 정인원 (1991) : 산업재해환자의다면적인성검사비교연구. 정신의학 (The Seoul J of Psychiatry) 16(3): ) Franulic A, Gonzalez X, Trucco M, Vallejos F(1996):Emotional and psychological factors in burn patients during hospitalization. Burns 22(8): ) 홍강의, 정도언 (1982): 사회재적응평가척도제작. 신경정신의학 20: ) 백기청 (1991): 스트레스와생활사건 -방법론및정신질환과의관련성을중심으로- 정신건강연구 10: ) 심주철, 박태수, 진성태 (1992): 두부외상후의정신장애에대한임상적연구. 신경정신의학 31(1): ;71:27-33

7 J Korean Assoc Soc Psychiatry Vol 7, No 2, November, 2002 ABSTRACT J Korean Assoc Soc Psychiatry Vol 7, No 1, May, 2002 Psychiatric Problems in Industrial Injury Patients Keum-Hee Ok, M.D., Kyeong-Sook Choi, M.D., Min-Young Seo, M.D., Jae-Wook Choi, M.D., Jae-Young Kim, M.D., Seong-Kyu Kang, M.D., Yong-Seoung Choi, M.D. St. Andrew s Neuropsychiatric Hospital, Icheon Objectives:We performed this study to assess psychiatric symptoms of industrial injury patients and to promote the plan of treatment and rehabilitation of industrial injury patients not only in their physical problems but also in their psychiatric problems. Methods:Psychiatric problems were assessed using BDI, STAI-I, STAI-II, IES, and SCL-90-R in 134 industrial injury patients and 62 healthy workers. Those were compared between the two groups. Results:The scores of BDI, STAI-II, IES, and 9 subscales of SCL-90-R were significantly higher in the industrial injury patients than comparison group(p<0.05). The scores of BDI in 63 industrial injury patients(47.01%) were higher than 20. The scores of STAI-II, OC, DEP, ANX, HOS were significantly higher in the industrial injury patients treated for more than 6 months than comparison group(p<0.05). Conclusion:Industrial injury patients had more depression, anxiety, somatization, obsessive-compulsive symptoms, interpersonal sensitivity, hostility, phobic anxiety, paranoid ideation, psychoticism and experienced greater posttraumatic distress than comparison group. As a result, early psychiatric assessment and intervention are needed for psychiatric problems due to industrial injury that can be persistent. KEY WORDS:Industrial injury Psychiatric problems Depression Anxiety. 33

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