외상후 성장의 개념과 신경생물학

Title
외상후 성장의 개념과 신경생물학
Other Titles
Post-Traumatic Growth: The Conception and Neurobiology
Authors
최준호
Keywords
외상후 성장; 개념; 신경생물학; Post-traumatic growth; Conception; Neurobiology
Issue Date
2015-02
Publisher
대한정신약물학회
Citation
대한정신약물학회지, v. 26, NO 1, Page. 1-9
Abstract
정신적 외상에 대한 정신건강의학적인 접근은 전통적으로외상후 부정적인 후유증에 초점을 두어왔다. 최근 외상후 개인의 긍정적인 변화에 대한 연구들이 많아졌으며, 특히 ‘외상후 성장’의 개념이 관심을 받고 있다. 외상후 성장이란 외상사건과 투쟁한 결과, 개인에게 긍정적인 심리 변화가 일어나는 주관적 경험이라고 정의된다. 본 종설에서는 외상후 성장의 특성을 규정하는 세 가지 설명 모델로 대처 결과 모델, 대처 전략 모델과 통합 모델을 소개하였다. 또한 본 종설에서는 외상후 성장과 관련한 신경내분비, 신경화학, 뇌신경회로등의 신경 생물학적 관점을 고찰하였다. Stress and trauma research has traditionally focused on negative sequelae of adversity. Recently, research has begun to focus on positive outcomes, specifically post-traumatic growth (PTG) - “positive change experienced as a result of the struggle with trauma” - which emphasizes the transformative potential of one’s experiences with highly stressful events and circumstances. This article describes the concept of PTG at three different perspectives. In addition we reviewed the neurobiological factors and mechanism of PTG. It has shown that PTG is mediated by adaptive changes in several neural circuits involving numerous neurotransmitter and molecular pathways. Much more study is required to achieve a deeper understanding the biological and psychological underpinnings of PTG, as well as the interactions between these factors. After all, the clinical phenomenology of PTG is very important for mental growth after trauma. The findings of this article provide further directions for research and clinical implication of PTG.
URI
http://scholar.dkyobobook.co.kr/searchDetail.laf?barcode=4010024367302http://hdl.handle.net/20.500.11754/21984
ISSN
1017-5717; 2092-5700
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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