정신분열병의 해리증상, 아동기 학대 및 임상증상의 관계Dissociation, Childhood Abuse, and Clinical Symptomatology in Schizophrenia
- Other Titles
- Dissociation, Childhood Abuse, and Clinical Symptomatology in Schizophrenia
- Authors
- 이경우; 배활립; 김양석; 박준성; 김대호
- Issue Date
- Jun-2008
- Publisher
- 대한생물치료정신의학회
- Keywords
- Schizophrenia; Dissociation; Child abuse; Trauma; Positive symptoms; 정신분열병; 해리; 아동학대; 외상; 양성증상
- Citation
- 생물치료정신의학, v.14, no.1, pp.94 - 100
- Indexed
- KCI
OTHER
- Journal Title
- 생물치료정신의학
- Volume
- 14
- Number
- 1
- Start Page
- 94
- End Page
- 100
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/178233
- ISSN
- 1225-9454
- Abstract
- Objectives:Studies consistently find high prevalence of early sexual or physical abuse among the schizophrenic population suggesting a possible linkage between psychological trauma and schizophrenia. This study sought for clin¬ical correlates of dissociative symptoms in schizophrenia concerning childhood abuse and a variety of symptoms.
Methods:Sixty-one inpatients with schizophrenia completed Dissociative Experiences Scale(DES), Symptom Checklist-90-Revised(SCL-90-R), Positive and Negative Syndrome Scale(PANSS), and a semistructured inter¬view on abuse history.
Results:The Global Severity Index(GSI) of SCL-90-R, positive symptom, chlorpromazine equivalent, and child ¬hood abuse were significantly correlated with DES scores. However, multiple regression analysis yielded GSI and positive symptom accounting 57% of variance for DES scores.
Conclusion:This finding suggests that the symptoms of dissociation in schizophrenia are rather associated with severity of general symptomatology and positive symptoms than history of childhood abuse. Some portion of schiz¬ophrenic population with high scores on DES need to be further investigated for their characteristics and patho¬physiology.
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