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KMID : 1151020230510020029
Mental Health & Social Work
2023 Volume.51 No. 2 p.29 ~ p.52
Effects of trauma level, initial symptom severity and problematic alcohol on PTSD symptoms in victims of disaster : Focusing on exposure to natural disasters causing death and injury
Kim Joon-Beom

Lim Ji-Hye
Abstract
This study hypothesized that PTSD symptom severity may be different according to the level of trauma which based on the exposure to natural disasters causing death and injury.
Thus, we focused on the exposure to natural disasters causing death and injury to divide the levels, and examined aggravating effects of initial symptom severity and problematic drinking as the risk factors exacerbating later symptoms other symptoms. We used 940 data of disaster victims who were participated in both first (w1) and second waves (w2) collected in ¡°Tracking Survey on Changes in the Life of Disaster Victims¡±, conducted by National Disaster and Safety Research Institute of Korea. The main results are as follows. First, those who experience high-risk trauma, who exposure to natural disasters causing death and injury, accounted for 5.6% of the sample. Second, the higher initial PTSD symptoms (w1) showed in those with high-risk trauma, however, no significant differences were found in the later PTSD symptoms (w2) and problematic drinking. Third, the three-way interaction term (high-risk trauma ¡¿ initial PTSD symptom severity (w1) ¡¿ problem drinking) was associated with PTSD symptoms (w2). This implies that the more severe the initial PTSD symptoms and the more problematic drinking patterns, the higher the risk of continuing PTSD symptoms those with high-risk trauma. Based on the main results, policy and practical implications were suggested regarding the importance of screening of exposure to natural disasters causing death and injury, clinical intervention strategies to alleviate PTSD in disaster victims.
KEYWORD
Trauma, Disaster victim, PTSD, Problematic drinking, Exposure to natural disasters causing death and injury, Three-way interaction
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