무슬림 여성의 외상 후 스트레스장애 수준이 건강요인, 불안 및 우울지수, 그리고 심근 자율신경계에 미치는 영향

Abstract

The purpose of this research was to investigate the effects of muslim women’s post traumatic stress disorder(PTSD) level on health, anxiety·depression index, and cardiac autonomic system. The subjects of this study were ninety seven college women(age 21.18±1.70 yrs) in Peshawar, Pakistan. Participants were assigned into four groups according to Posttraumatic stress Diagnosis Scale(PDS): high PTSD level(HP), middle PTSD level(MP), low PTSD level(LP), and no PTSD level(NP). Measurement of anxiety·depression index was conducted by Beck Anxiety Inventory(BAI) and Beck Depression Inventory-Ⅱ(BDI-Ⅱ). For the factors of health status total cholesterol(TC), triglyceride(TC), blood sugar, body fat, hypertension were also measured. The heart rate variability parameters such as low frequency(LFnu), high frequency(HFnu), and total power(TP) were also measured by Pulse-wave HRV analyzer(ubplus T1). In order to find any difference of health-related factors according to PTSD level, one way ANOVA analysis was applied and LSD post-hoc test. Futhermore, Simple regression analysis was applied for subjects in PTSD groups to evaluate the effects of PTSD level on anxiety·depression index and cardiac autonomic system. The results were shown as follows: First, there was no significant difference among four groups in health-related parameters. Second, PTSD level had a significant corelation with depression index(R²=.402, p<.001). Third, PTSD level had a significant corelation with anxiety index(R²=.244, p<.001). Finally, PTSD level had a significant but low corelation with TP index(R²=.103, p<.05). These results suggest that without direct effect of PTSD on physiological factors in young Muslim women, high level of PTSD might induce the negative psychological or emotional response such as depression and anxiety and the changed cardiac autonomic status.