해병대 병사들의 아동기의 심리적 외상경험과 사회적 지지가 해리증상에 미치는 영향

Abstract

Purpose: The purposes of the study were to investigate childhood traumatic experiences and social support thatmight influence dissociative symptoms in Marine soldiers. Methods: A cross-sectional study design was used withparticipants who were soldiers (n=122) assigned to one Marine corps in Ganghwa Island in the study. Data werecollected on September 2015 through self-report using the Childhood Trauma Questionnaire, Social ProvisionsScale (SPS), and Dissociative Experience Scale. Descriptive analysis, t-test, ANOVA, Pearson's correlation coefficientsand stepwise multiple regression were performed. Results: A total of 11.5% self-reported experiencingover three types of trauma; emotional neglect 34.4%, physical neglect 32.8%, emotional abuse 11.5%, physicalabuse 11.5%, and sexual abuse 9.8%. For all subscales of the SPS, means of item were as high as three out offour points. A total of 9.0% were likely to be dissociative disorder. Sexual abuse, attachment, and opportunity fornurturance were found to be significant factors influencing dissociative symptoms. Conclusion: Future military enlistmentin Marines should include assessment of childhood trauma and dissociation to identify maladaptive soldiers. Because soldiers who experienced childhood sexual abuse are likely to show dissociative symptoms, military nursesshould assess their social support and try to enhance attachment in order to prevent dissociative symptoms.