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정신분열병의 해리증상, 아동기 학대 및 임상증상의 관계

Dissociation, Childhood Abuse, and Clinical Symptomatology in Schizophrenia

김대호|박준성|이경우|배활립|김양석
대한생물치료정신의학회 (Korean Society Of Biological Therapies In Psychiatry)|2008.06|생물치료정신의학 (Journal of the Korean Society of Biological Therapies in Psychiatry)|제14권 제1호|pp. 94-100

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참고문헌

키워드

아동학대외상양성증상Schizophrenia해리정신분열병Child abuseTraumaDissociationPositive symptoms
주제분류정신과학

초록

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.

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.

참고문헌 (34)

  1. Berstein EM, "Development, reliability, and validity of a dissociation scale", J Nerv Ment Dis, 174, pp.727~735 (1986)
  2. 최병무, "해리의 정의와 개념의 변천", 정신병리학, 4, pp.3~8 (1995)
  3. American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders. 4th ed" (1994), APA
  4. Chu JA, "Dissociative symptoms in relation to childhood physical and sexual abuse", Am J Psychiatry, 147, pp.887~892 (1990)
  5. Lipschitz DS, "Childhood abuse, adult assault, and dissociation", Compr Psychiatry, 37, pp.261~266 (1996)
  6. Merckelbach H, "The causal link between self-reported trauma and dissociation: a critical review", Behav Res Ther, 39, pp.245~254 (2001)
  7. Gershuny BS, "Relations among psychological trauma, dissociative phenomena, and trauma-related distress: a review and integration", Clin Psychol Rev, 19, pp.631~657 (1999)
  8. Ross CA, "Childhood abuse and the positive symptoms of schizophrenia", Hosp Community Psychiatry, 45, pp.489~491 (1994)
  9. Spitzer C, "Dissociative symptoms in schizophrenic patients with positive and negative symptoms", Psychopathology, 30, pp.67~75 (1997)
  10. Holowka DW, "Childhood abuse and dissociative symptoms in adult schizophrenia", Schizophr Res, 60, pp.87~90 (2003)
  11. Vogel M, "The role of trauma and PTSD-related symptoms for dissociation and psychopathological distress in inpatients with schizophrenia", Psychopathology, 39, pp.236~242 (2006)
  12. Schafer I, "Childhood trauma and dissociation in female patients with schizophrenia spectrum disorders : an exploratory study", J Nerv Ment Dis, 194, pp.135~138 (2006)
  13. Bob P, "Neural complexity, dissociation, and schizophrenia", Med Sci Monit, 13, pp.HY1~HY5 (2007)
  14. Bliss EL, "Multiple personalities. A report of 14 cases with implications for Schizophrenia and hysteria", Arch Gen Psychiatry, 37, pp.1388~1397 (1980)
  15. Ross CA, "Schneiderian symptoms in multiple personality disorder and schizophrenia", Compr Psychiatry, 31, pp.111~118 (1990)
  16. Allen JG, "Dissociation and vulnerability to psychotic experience: the dissociative experiences scale and the MMPI-2", J Nerv Ment Dis, 183, pp.615~622 (1995)
  17. Allen JG, "Dissociation contributes to anxiety and psychoticism on the Brief Symptom Inventory", J Nerv Ment Dis, 184, pp.639~641 (1996)
  18. 강범모, "Schneider 1급 증상을 가진 정신분열병 환자의 해리증상", 정신병리학, 6, pp.239~249 (1997)
  19. Kim D, "Sexual and physical abuse among Korean female inpatients with schizophrenia", J Trauma Stress, 19, pp.279~89 (2006)
  20. 정기립, "정신분열병 환자의 해리 경향성이 급성기 증상의 정도와 치료 경과에 미치는 영향", 정신병리학, 13, pp.24~31 (2004)
  21. First MB, "Structured Clinical Interview for DSM-IV Axis I Disorders, research version" (1996), Biometric Research
  22. 한오수, "SCID-I(연구용판)" (2000), 하나의 학사
  23. 김대호, "정신분열병 입원 환자의 외상적 사건 및 외상 후 스트레스 장애 유병률", 신경정신의학, 45(3), pp.214~221 (2006), 대한신경정신의학회
  24. Kay SR, "The Positive and Negative Syndrome Scale(PANSS) for schizophrenia", Schizophr Bull, 13, pp.261~276 (1987)
  25. 이중서, "한국판 양성 및 음성증후군 척도(Positive and Negative Syndrome Scale)의 신뢰도와 타당도", 신경정신의학, 40(6), pp.1090~1105 (2001), 대한신경정신의학회
  26. Bernstein EM, "Development, reliability, and validity of a dissociative scale", J Nerv Mental Dis, 174, pp.727~735 (1986)
  27. 박제민, "한국어판 해리경험척도의 표준화 연구(I)", 정신병리학, 4, pp.105~25 (1995)
  28. Derogatis LR, "The SCL-90 and the MMPI: A step in the validation of a new self-report scale", Br J Psychiatry, 128, pp.280~289 (1976)
  29. 김재환, "간이정신진단검사(SCL-90-R)의 한국판 표준화연구 III", 정신건강연구, 2, pp.278~311 (1984)
  30. Russell DEH, "The Secret Trauma", pp.97~99 (1986), Basic Books
  31. Straus MA, "Measuring interfamily conflict and violence: The Conflict Tactics(ST) Scales", J Marr & Fam, 41, pp.75~88 (1979)
  32. Mueser KT, "Trauma, PTSD, and the course of severe mental illness: an interactive model", Schizophr Res, 53, pp.123~43 (2002)
  33. Resnick SG, "Trauma and posttraumatic stress disorder in people with schizophrenia", J Abnorm Psychol, 112, pp.415~423 (2003)
  34. Mulder RT, "and mental illness in a general population sample", Am J Psychiatry, 155, pp.806~811 (1998)

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