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소아청소년정신의학 = Journal of the Korean Academy of Child and Adolescent Psychiatry, v.27 no.4, 2016년, pp.278 - 305
이미선 (을지대학교 을지병원 정신건강의학과) , 황준원 (강원대학교 의학전문대학원 정신건강의학교실) , 이철순 (경상대학교 의학전문대학원 창원경상대학교병원 정신건강의학과) , 김지연 (좋은마음 정신건강의학과의원) , 이주현 (아이나래 정신건강의학과의원) , 김은지 (마음토닥 정신건강의학과의원) , 장형윤 (아주대학교 의학전문대학원 정신건강의학교실) , 배승민 (가천대학교 길병원 정신건강의학과) , 박장호 (울산대학교 의과대학 울산대학교병원 정신건강의학교실) , 방수영 (을지대학교 의과대학 을지병원 정신건강의학교실)
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Objective: The aim of this systematic literature review is to analyze the psychosocial interventions for children and adolescents after disasters. Methods: We conducted a review of the extant research literature from 1991 to 2015 via a comprehensive search of the MEDLINE, EMBASE, Cochrane CENTRAL, P...
| 핵심어 | 질문 | 논문에서 추출한 답변 |
|---|---|---|
| PFA의 구성은? | PFA는 재난 직후 피해자의 기본적인 의료·정신·사회적 욕구를 해결하기 위한 정보 및 실질적인 자원을 제공하고 안전과 유대감에 기반을 둔 개입이다. 일반적으로 PFA를 제공하는 것은 재난 피해 집단의 중요한 예비 접근 방식으로서, 재난 대응 시 필요한 연락처, 안전 및 편의, 안정화, 실제적 지원, 자원 대처, 정보 수집 및 서비스 연결 등의 요소들로 구성되어 있다.9) | |
| 소아청소년의 심리적 디브리핑에 필요한 것은? | 심리적 디브리핑은 재난 이후 생존자들이 자발적으로 사건에 대한 자신의 경험 및 반응을 공유하고, 사건을 재구성하며 대처 전략을 논의하는 집단 위기 개입을 의미한다.12) 이 때, 소아청소년의 경우에는 자발적 참여 및 부모의 동의가 필요하다.13) 소아청소년에서의 심리적 디브리핑은 또래자살사건,14)교통사고,13,15) 학교 인질극,16) 선박사고17,18) 와 같은 재난 유형에서 보고되고 있다. | |
| 소아청소년기의 외상은 무엇으로 이어질 수 있는가? | 1)외상 사건에 노출된 이후 소아청소년이 경험하는 정신심리학적 증상은 발달 단계에 따라 다양한 형태를 보이게 되고, 관련된 증상의 보고 역시 인지적 발달 수준에 따라 제한적일 수 있다.2)특히 소아청소년기의 외상은 외상 후 스트레스 장애(post traumatic stress disorder, PTSD), 품행 장애, 주요 우울 장애, 주의력 결핍 과잉 행동 장애, 해리 장애 및 적응 장애 등의 주요 정신 장애뿐 아니라 경계성 인격 장애, 자기애성 인격 장애와 같은 인격 장애로도 발전할 수 있으며2) 취약한 소아청소년은 증상의 악화로 인하여 지속적인 어려움을 겪을 수 있다.3) |
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