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NTIS 바로가기Anxiety and mood = 대한불안의학회지, v.9 no.2, 2013년, pp.121 - 127
방유진 (중앙보훈병원 정신건강의학과) , 강석훈 (중앙보훈병원 정신건강의학과) , 김태용 (중앙보훈병원 정신건강의학과) , 최진희 (중앙보훈병원 정신건강의학과) , 정혜경 (중앙보훈병원 정신건강의학과) , 소형석 (중앙보훈병원 정신건강의학과) , 고창민 (중앙보훈병원 정신건강의학과)
Objective : Several studies have reported the association between posttraumatic stress disorder (PTSD) and hypertension (HTN). The aim of this study was to evaluate the impact of PTSD symptoms on blood pressure. Methods : Korean veterans of the Vietnam War with (n=62) or without PTSD (n=87) particip...
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핵심어 | 질문 | 논문에서 추출한 답변 |
---|---|---|
외상 후 스트레스 장애의 특징은? | 심리적 외상(trauma)이나 극심한 스트레스는 재경험(reexperience), 회피(avoidance) 및 반응의 마비(numbing of general responsiveness), 과각성(hyperarousal) 등의 증상을 특징으로 하는 외상 후 스트레스 장애(posttraumatic stress disorder, 이하 PTSD)를 일으킨다. 1,2 또한, 외상 경험은 심리적 손상과 더불어 면역기능 저하 등의 기전을 통해 신체건강에 위해를 주는 것으로 알려져 있으며, 따라서 PTSD는 신체질환을 흔하게 동반하는 것으로 보고된다. | |
심혈관계 질환 중 가장 대표적인 질환은? | Anxiety and Mood Vol 9, No 2 특히 반복되는 스트레스로 인한 교감신경의 과활성화로, 심혈관계는 구조 및 기능적 변화가 일어나는 대표적인 기관이다.5 심혈관계 질환 중 가장 대표적인 질환인 고혈압은, PTSD에서 그 유병률이 높은 것으로 알려져 있다. 6 PTSD와 관련하여, 고혈압 발병 및 악화기전에 대한 다양한 연구들이 보고되었다. | |
수축기 및 이완기 혈압이 얼마인 경우 고혈압 증상이 있는 것으로 정의되는가? | 혈압(blood pressure) 및 맥박(pulse rate)은 5분 이상 휴식후 앉은 자세에서 자동혈압계인 Easy X800(Jawon Medical Co, Republic of Korea)을 이용하여 수축기 및 이완기 혈압(systolic and diastolic blood pressure), 맥박 등을 측정하였다. 수축기 혈압이 140 mmHg 이상 혹은 이완기 혈압이 90 mmHg 이상인 경우 고혈압 증상이 있는 것으로 정의하였으며,21 맥박은 분당 횟수(beats/minute)를 측정하였다. 연구 대상군에게 인구학적 정보로 나이, 학력, 사회 경제적 상태(월수입으로 측정), 결혼 상태, 파병 병과와 기간 및 동반질환을 조사하였다. |
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