J Korean Med Sci.
2018 Mar;33(11):e90. 10.3346/jkms.2018.33.e90.
Factors Associated with Post-traumatic Stress Symptoms in Students Who Survived 20 Months after the Sewol Ferry Disaster in Korea
- Affiliations
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- 1Department of Psychiatry, National Medical Center, Seoul, Korea.
- 2Maumtodoc Mental Health Clinic, Ansan, Korea. happymom.kim@gmail.com
- 3Department of Healthcare Management, Eulji University, Seoul, Korea.
- 4Department of Psychiatry, The Catholic University of Korea College of Medicine, Seoul St. Mary's Hospital, Seoul, Korea.
- KMID: 2405663
- DOI: http://doi.org/10.3346/jkms.2018.33.e90
Abstract
- BACKGROUND
The Sewol ferry disaster caused national shock and grief in Korea. The present study examined the prevalence and associated factors of post-traumatic stress disorder (PTSD) symptoms among the surviving students 20 months after that disaster.
METHODS
This study was conducted using a cross-sectional design and a sample of 57 students (29 boys and 28 girls) who survived the Sewol ferry disaster. Data were collected using a questionnaire, including instruments that assessed psychological status. A generalized linear model using a log link and Poisson distribution was performed to identify factors associated with PTSD symptoms.
RESULTS
The results showed that 26.3% of participants were classified in the clinical group by the Child Report of Post-traumatic Symptoms score. Based on a generalized linear model, Poisson distribution, and log link analyses, PTSD symptoms were positively correlated with the number of exposed traumatic events, peers and social support, peri-traumatic dissociation and post-traumatic negative beliefs, and emotional difficulties. On the other hand, PTSD symptoms were negatively correlated with psychological well-being, family cohesion, post-traumatic social support, receiving care at a psychiatry clinic, and female gender.
CONCLUSION
This study uncovered risk and protective factors of PTSD in disaster-exposed adolescents. The implications of these findings are considered in relation to determining assessment and interventional strategies aimed at helping survivors following similar traumatic experiences.
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