CAJ | 학술논문

目的：探讨军人创伤后应激障碍患者的个体恢复力及影响因素。方法：采用Connor-Da-vidson恢复力量表（ CD-RISC）、艾森克人格问卷、社会支持量表、应对方式问卷和认知方式问卷对36例军人创伤后应激障碍患者（研究组）进行调查，并随机抽取某部32名官兵（对照组）进行测定。结果：研究组CD-RISC评分中忍受消极情感、接受变化和控制感得分低于对照组（ p﹤0.05或p﹤0.01）；相关分析显示：忍受消极情感与客观支持呈正相关（ r=0.23，p﹤0.05），接受变化与E分、主观支持和客观支持呈显著正相关（ r=0.24-0.32，p﹤0.05），控制感与P分、主观支持呈显著正相关（ r=0.26、0.30，p﹤0.05），而忍受消极情感、接受变化和控制感与消极应对、N分、认知方式和疾病严重程度呈显著负相关（r=-0.24~0.33，p﹤0.05）。结论：军人创伤后应激障碍的个体恢复力是抵抗创伤和促进恢复的积极因素，其受多种因素影响。
목적：탐토군인창상후응격장애환자적개체회복력급영향인소。방법：채용Connor-Da-vidson회복역량표（ CD-RISC）、애삼극인격문권、사회지지량표、응대방식문권화인지방식문권대36례군인창상후응격장애환자（연구조）진행조사，병수궤추취모부32명관병（대조조）진행측정。결과：연구조CD-RISC평분중인수소겁정감、접수변화화공제감득분저우대조조（ p﹤0.05혹p﹤0.01）；상관분석현시：인수소겁정감여객관지지정정상관（ r=0.23，p﹤0.05），접수변화여E분、주관지지화객관지지정현저정상관（ r=0.24-0.32，p﹤0.05），공제감여P분、주관지지정현저정상관（ r=0.26、0.30，p﹤0.05），이인수소겁정감、접수변화화공제감여소겁응대、N분、인지방식화질병엄중정도정현저부상관（r=-0.24~0.33，p﹤0.05）。결론：군인창상후응격장애적개체회복력시저항창상화촉진회복적적겁인소，기수다충인소영향。
Objective:To investigate resilience of soldiers with post-traumatic stress disorder and related influencing factors. Method:Connor-Davidson restore power meter( CD-RISC),Eysenck personality ques-tionnaire,social support scale and cognitive coping style questionnaire were adminstered to 36 soldiers with post-traumatic stress disorder( study group)and 32 matched soldiers( control group),and the results were com-pared. Results:The study group showed lower score on tolerance negative emotions,change acceptance and sense of control of CD-RISC than the control group,there was a significant difference(p﹤0. 05 or p﹤0. 01). The correlation analysis indicated that tolerance negative emotions were positively correlated with objective sup-port(r= 0. 23,p﹤0. 05);change acceptance was positively with E score,subjective support and objective sup-port(r= 0. 24~0. 32,all p﹤0. 05);sense of control was positively correlated with P score and subjective sup-port(r=0. 26,0. 30;both p﹤0. 05);there were significantly negative correlation among tolerance negative e-motions,change acceptance,sense of control and negative coping,N score,cognitive style( r= -0. 24-0. 33, p﹤0. 05). Conclusion:Individual resilience of soldiers with PTSD is a positive factor to resist trauma and promote recovery,and influenced by many factors.