소방공무원에서 부분 외상후 스트레스 장애의 심리적 특성 및 기능적 자기공명영상 특징과 안구운동 민감소실 및 재처리요법을 이용한 치료효과

• 영문명: The Psychological Characteristics and Functional Magnetic Resonance Imaging Findings in Firefighters with Partial Posttraumatic Stress Disorder and the Effect of Treatment by Using Eye Movement Desensitization and Reprocessing
• 발행기관: 대한신경정신의학회
• 저자명: 정용호 김남희 김대호 배재현 권준수 장준환 정위훈 김석현 김준기 오동훈 신다정 조강익
• 간행물 정보: 『신경정신의학』제53권 제2호, 122~133쪽, 전체 12쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2014.03.31

영문 초록

ObjectivesZZThis study investigated the clinical characteristics and functional magnetic resonance imaging (fMRI) findings of firefighters suffering from partial posttraumatic stress disorder (partial PTSD). They were treated by eye movement desensitization and reprocessing (EMDR) and the treatment effect was evaluated. MethodsZZA total of 116 firefighters were screened and 15 of them were diagnosed as partial PTSD. 1) We compared sociodemographic and psychological characteristics between the firefighter partial PTSD group and the firefighter control group. 2) Subjects in the firefighter partial PTSD group (n=10), firefighter control group (n=8), and general control group (n=12) underwent fMRI with traumatic, negative, positive, and neutral picture stimuli. We compared clinical characteristics and fMRI findings among these three groups. 3) Seven firefighters in the partial PTSD group were treated by EMDR and the treatment effect was evaluated according to psychological scales. ResultsZZIn fMRI analysis, there was a left middle temporal/occipital activation in the order of the general control group, firefighter control group, than the firefighter partial PTSD group for the Traumatic- Baseline contrast. For the Negative-Baseline contrast, there was an increased left middle temporal/occipital activation in the general control group versus decreased activation in the firefighter control group and the firefighter partial PTSD group. All firefighters in the partial PTSD group treated by EMDR showed significant improvement of Clinician-Administered PTSD Scale scores. ConclusionZZThese results show high incidence rate of partial PTSD in firefighters. In addition, partial PTSD firefighters exhibited distinct clinical characteristics and fMRI findings and showed significant improvement by EMDR treatment

목차

서 론

방 법

결 과

고 찰

결 론

REFERENCES

키워드

Firefighters Partial posttraumatic stress disorder Functional magnetic resonance imaging Occipital lobe Temporal lobe Eye movement desensitization and reprocessing