외상후 스트레스장애 환자에서 신체손상과 정신증상의 관계

Abstract

ABSTRACT

The Relationship between the severity of physical injury and psychiatric symptoms in posttraumatic stress disorder patients

Park Woon-yeong Advisor : Prof. Lee Moon-in M.D. Ph.D Department of Medicine, Graduate School of Chosun University

Objectives This study investigated the impacts of injury severity and sociodemographic factors on depression and anxiety symptoms of PTSD patients.

Methods The subjects were total 127 inpatients and outpatients(mean age 39.33) of Chosun university hospital who met ICD-10 Diagnostic Criteria for posttraumatic stress disorder. We administered BAI, BDI to 115 patients for measuring depression and anxiety, injury severity score to 48 patients for identifying their physical injury. And the sociodemographic characteristics (economical status, age, marital status, education, religion) and psychosocial factors (psychological treatment history, comorbidity, etc).was considered.

Results The score of BAI, BDI of PTSD patients was considerably high. And there was the relevance between depressive, anxiety symptoms of the PTSD patients and their marital status. People who don't have any spouse, like single or divorced condition showed higher score on BAI, BDI. Injury severity score had a positive association with BAI score, and a negative association with BDI score, but only BAI core was statistically significant.

Conclusion These results suggested that PTSD patients reported severe anxiety and depressive symptoms. (mean BAI: 36.68, mean BDI: 32.46) And severe physical injury had lower BDI score than our expectation. We guess the reason is that they had other severe impairment like cognitive impairment, or other mental disorder.

KEY WORDS : PTSD, ISS, BAI, BDI