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KMID : 1159120200270040021
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Korean Journal of Rehabilitation Psychology
2020 Volume.27 No. 4 p.21 ~ p.42
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The Relationship Between Posttraumatic Stress Response and The Internalization of Problems in Disaster Victims: A Yearlong Follow-up Based on The Diathesis-stress Model and Resilience Theory
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Kim Do-Hee
Kim Hyeon-Jin
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Abstract
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The aim of this study was to identify the risk factors and protective factors that impact stress response and resilience, and to examine the longitudinal relationship between stress response, the internalization of problems, and resilience in disaster victims on the basis of the diathesis-stress model and resilience theory. A total of 217 adult men and 247 adult women aged 20 years or older who responded to the 2017 and 2018 disaster victim panel surveys participated in this study. The data was analyzed using structural equation modeling on SPSS and AMOS software. The results obtained showed that pre-disaster psychiatric history, injury history, extent of property damage, and change of residence significantly predicted posttraumatic stress response, and sex, health status, and social support significantly predicted resilience. Furthermore, stress response and depression/anxiety were found to be closely related and the path from stress response to depression/anxiety was found to be significant. It was also suggested that this relationship is moderated by resilience, however this moderation was not observed in the second year. The results of this study suggest that it is effective to focus on promoting resilience in the disaster preparation and initial response phases, but in the recovery phase, evaluation and treatment interventions considering stress response and internalization issues may be effective. Possible measures for screening and intervention among high-risk groups with considerations for disaster-prone areas and cultural backgrounds in Korea were discussed.
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KEYWORD
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Disaster, Post-traumatic Stress Disorder, Depression/Anxiety, Resilience
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