정신분열병 환자의 아동기 신체, 성학대와 MMPI 특성
The MMPI Prifile of Adult Schizophrenia with Childhood Physical or Sexual Abuse
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조회
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다운로드
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참고문헌
키워드
초록
본 연구는 대학병원 정신과에서 1년 반의 연속적인 수집을 통해 축적된 정신분열병 환자와 외상평가 데이터 중 후향적으로 MMPI를 실시한 42명의 환자를 대상으로 아동기 신체, 성학대 경험에 따른 인격장애 특성 차이를 조사하였다. 그 결과 다양한 인격 특성을 보이는 바를 확인하였고 정신분열병에 국한된 차이 보다는 아동기 외상 경험자가 보이는 보편적인 양상으로 판단하였다.
Abstract
Objectives: The symptomatic and behavioral correlates of childhood trauma in schizophrenia are beginning to emerge in the literature. This study aimed to investigate whether the association between personality traits and schizophrenia with childhood abuse can be replicated in Koreans using the Multiphasic Minnesota Personality Inventory (MMPI). Methods: Eighteen schizophrenics with childhood abuse and 24 schizophrenic comparisons without abuse history were recruited at the inpatient units of two general hospitals and the subjects completed the MMPI. Results: Subjects with schizophrenia plus childhood history of abuse had less educational years (p = .001). After controlling the educational year as a covariate, abused schizophrenics patients had higher scores in the Schizotypal (p = .003), Dependent (p = .014), Passive-aggressive ( p = .034), Borderline ( p =.045) subscales. For the validity and clinical subscales, significant differences were found in the F scale (p = .036), Hypochondriasis (p = .042), Depression (p < .001), Hysteria (p = .002), Personality disorder (p =. 001), Paranoia (p = .024), Psychasthenia (p = .001), and Schizophrenia (p = .006) subscales. Conclusion: Our findings suggest that childhood abuse in schizophrenia associates with more complex features of personality characteristics rather than specific cluster B personality traits.
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