아동기 대인관계 외상, 정신 증상의 복잡성 및 해리의 매개 효과open accessThe Association Between Childhood Interpersonal Trauma and Psychiatric Symptom Complexity, and the Mediating Impact of Dissociation
- Other Titles
- The Association Between Childhood Interpersonal Trauma and Psychiatric Symptom Complexity, and the Mediating Impact of Dissociation
- Authors
- 김예슬; 김석현; 김대호; 김은경; 김지영; 최나연
- Issue Date
- Oct-2022
- Publisher
- 대한불안의학회
- Keywords
- 아동기 외상; 아동 학대; 대인관계 외상; 해리; 증상의 복잡성; 정신과 외래환자; Childhood trauma; Child abuse; Interpersonal trauma; Dissociation; Symptom complexity; Psychiatric outpatients.
- Citation
- 대한불안의학회지, v.18, no.2, pp.72 - 79
- Indexed
- KCI
- Journal Title
- 대한불안의학회지
- Volume
- 18
- Number
- 2
- Start Page
- 72
- End Page
- 79
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/185574
- DOI
- 10.24986/anxmod.2022.18.2.005
- ISSN
- 2586-0151
- Abstract
- Objective : Any traumatic event can be a risk factor, for subsequent mental disorder. However, childhood trauma, especially in interpersonal nature, is associated with later development of complex symptom pat- terns. This study examined the role of dissociation as a mediator between childhood trauma and symptom complexity.
Methods : A pooled data of 369 psychiatric outpatients at a university-affiliated hospital was analyzed for descriptive statistics, group differences, and bivariate correlation analysis to verify a structural model. The questionnaires included the Symptom Checklist-90-Revised, the Trauma History Screen, the Dissociative Experiences Scale-Taxon, the Beck Depression Inventory, the Beck Anxiety Inventory, and the Abbreviated PTSD checklist.
Results : When other trauma variables were controlled, childhood interpersonal trauma had significant correlation with symptom complexity (r=0.155, p=0.003). Among the paths analyzed, that of childhood in- terpersonal trauma and dissociation showed the greatest impact on symptom complexity (b=9.34, t=5.75, p<0.001). Based on the significance of the indirect impact, the results suggest a complete mediation impact of dissociation on symptom complexity.
Conclusion : This study validated that childhood interpersonal trauma impacts symptom complexity, through the sequential mediating impact of dissociation. Thus, clinicians should understand childhood interpersonal trauma, dissociation, and symptom patterns in a complex and interacting mode, and develop effective perti- nent treatment strategies. (Anxiety and Mood 2022;18(2):72-79)
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