Early Trauma Subtypes are Differentially Related to Anxiety Symptomatology and Suicidal Ideation in Panic Disorder
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective Early trauma significantly affects the severity of panic disorder (PD) symptoms and suicidal ideation. However, few studies have explored the specific effects of different early trauma subtypes on PD. This study analyzed how childhood trauma subtypes, including general, physical, emotional, and sexual, influence panic and phobia levels and suicidal ideation in adults with PD and healthy controls (HCs).Methods In total, 455 adults with PD and 149 HCs participated in this study. The independent variables were sociodemographic and clinical variables such as coping strategies and early trauma subtypes from the Early Trauma Inventory Self Report-Short Form. The dependent variables were the Albany Panic and Phobia Questionnaire (APPQ), the Panic Disorder Severity Scale, and the Scale for Suicide Ideation (SSI).Results Early emotional trauma significantly influenced the APPQ scores, whereas early physical trauma significantly influenced the SSI scores in patients with PD. However, in HCs, only early emotional trauma was significantly associated with the APPQ and SSI scores.Conclusion These findings highlight the influence of early trauma subtypes on the phobic symptom severity of PD and suicidal ideation among patients with PD. Early emotional trauma is associated with the severity of phobic symptoms, whereas early physical trauma is associated with suicidal ideation, suggesting distinct clinical outcomes based on the type of trauma in patients with PD.
Abstract
Objective Early trauma significantly affects the severity of panic disorder (PD) symptoms and suicidal ideation. However, few studies have explored the specific effects of different early trauma subtypes on PD. This study analyzed how childhood trauma subtypes, including general, physical, emotional, and sexual, influence panic and phobia levels and suicidal ideation in adults with PD and healthy controls (HCs).Methods In total, 455 adults with PD and 149 HCs participated in this study. The independent variables were sociodemographic and clinical variables such as coping strategies and early trauma subtypes from the Early Trauma Inventory Self Report-Short Form. The dependent variables were the Albany Panic and Phobia Questionnaire (APPQ), the Panic Disorder Severity Scale, and the Scale for Suicide Ideation (SSI).Results Early emotional trauma significantly influenced the APPQ scores, whereas early physical trauma significantly influenced the SSI scores in patients with PD. However, in HCs, only early emotional trauma was significantly associated with the APPQ and SSI scores.Conclusion These findings highlight the influence of early trauma subtypes on the phobic symptom severity of PD and suicidal ideation among patients with PD. Early emotional trauma is associated with the severity of phobic symptoms, whereas early physical trauma is associated with suicidal ideation, suggesting distinct clinical outcomes based on the type of trauma in patients with PD.
참고문헌 (65)
- De Bellis MD, "Developmental traumatology : the psychobiological development of maltreated children and its implications for research, treatment, and policy", Dev Psychopathol, 13, pp.539~564 (2001)
- De Bellis MD, "Developmental traumatology part I : biological stress systems", Biol Psychiatry, 45, pp.1259~1270 (1999)
- De Bellis MD, "Developmental traumatology part II : brain development", Biol Psychiatry, 45, pp.1271~1284 (1999)
- Scott KM, "Prospectively ascertained child maltreatment and its association with DSM-IV mental disorders in young adults", Arch Gen Psychiatry, 67, pp.712~719 (2010)
- Cougle JR, "Examining the unique relationships between anxiety disorders and childhood physical and sexual abuse in the National Comorbidity Survey-Replication", Psychiatry Res, 177, pp.150~155 (2010)
- Widom CS, "A prospective investigation of major depressive disorder and comorbidity in abused and neglected children grown up", Arch Gen Psychiatry, 64, pp.49~56 (2007)
- Green JG, "Childhood adversities and adult psychiatric disorders in the national comorbidity survey replication I : associations with first onset of DSM-IV disorders", Arch Gen Psychiatry, 67, pp.113~123 (2010)
- Dube SR, "Childhood abuse, neglect, and household dysfunction and the risk of illicit drug use : the adverse childhood experiences study", Pediatrics, 111, pp.564~572 (2003)
- Kendler KS, "Childhood sexual abuse and adult psychiatric and substance use disorders in women : an epidemiological and cotwin control analysis", Arch Gen Psychiatry, 57, pp.953~959 (2000)
- Herman JL, "Childhood trauma in borderline personality disorder", Am J Psychiatry, 146, pp.490~495 (1989)
- Zanarini MC, "Reported pathological childhood experiences associated with the development of borderline personality disorder", Am J Psychiatry, 154, pp.1101~1106 (1997)
- Kuhlman KR, "Differential associations between childhood trauma subtypes and adolescent HPA-axis functioning", Psychoneuroendocrinology, 54, pp.103~114 (2015)
- Cassiers LLM, "Structural and functional brain abnormalities associated with exposure to different childhood trauma subtypes : a systematic review of neuroimaging findings", Front Psychiatry, 9, pp.329~ (2018)
- Li J, "Experience-dependent associations between distinct subtypes of childhood trauma and brain function and architecture", Quant Imaging Med Surg, 12, pp.1172~1185 (2022)
- Yu ST, "Fornix microalterations associated with early trauma in panic disorder", J Affect Disord, 220, pp.139~146 (2017)
- An I, "The interaction effect of early trauma exposure and a diagnosis of panic disorder on cortical thickness", J Affect Disord, 286, pp.259~266 (2021)
- Aas M, "Is cognitive impairment following early life stress in severe mental disorders based on specific or general cognitive functioning?", Psychiatry Res, 198, pp.495~500 (2012)
- Paquola C, "Understanding heterogeneity in grey matter research of adults with childhood maltreatment-a metaanalysis and review", Neurosci Biobehav Rev, 69, pp.299~312 (2016)
- Kim HJ, "Early sexual trauma is related with the tapetum in patients with panic disorder", J Affect Disord, 267, pp.107~113 (2020)
- Stein DJ, "Cross-national analysis of the associations between traumatic events and suicidal behavior : findings from the WHO World Mental Health Surveys", PLoS One, 5, pp.e10574~ (2010)
- Roy A, "Resilience mitigates the suicide risk associated with childhood trauma", J Affect Disord, 133, pp.591~594 (2011)
- Ystgaard M, "Is there a specific relationship between childhood sexual and physical abuse and repeated suicidal behavior?", Child Abuse Negl, 28, pp.863~875 (2004)
- Alexander PC, "Childhood trauma, attachment, and abuse by multiple partners", Psychol Trauma, 1, pp.78~ (2009)
- Schmidt SJ, "Mediators linking childhood adversities and trauma to suicidality in individuals at risk for psychosis", Front Psychiatry, 8, pp.242~ (2017)
- Gawęda Ł, "The interplay between childhood trauma, cognitive biases, psychoticlike experiences and depression and their additive impact on predicting lifetime suicidal behavior in young adults", Psychol Med, 50, pp.116~124 (2020)
- Faravelli C, "Life events preceding the onset of panic disorder", J Affect Disord, 9, pp.103~105 (1985)
- Sheikh JI, "Childhood abuse history in older women with panic disorder", Am J Geriatr Psychiatry, 2, pp.75~77 (1994)
- Friedman S, "The incidence and influence of early traumatic life events in patients with panic disorder : a comparison with other psychiatric outpatients", J Anxiety Disord, 16, pp.259~272 (2002)
- Hogg B, "Psychological trauma as a transdiagnostic risk factor for mental disorder : an umbrella meta-analysis", Eur Arch Psychiatry Clin Neurosci, 273, pp.397~410 (2023)
- Hong A, "Impact of childhood trauma on the abnormal functional connectivity of brain regions in the fear network model of panic disorder", J Affect Disord, 329, pp.500~510 (2023)
- Brown GW, "Aetiology of anxiety and depressive disorders in an inner-city population. 1. Early adversity", Psychol Med, 23, pp.143~154 (1993)
- Zhang J, "Association between panic disorder and childhood adversities : a systematic review and meta-analysis", Psychol Med, 53, pp.2585~2595 (2023)
- Kim HJ, "Early trauma is associated with suicidal ideation in patients with panic disorder", J Nerv Ment Dis, 209, pp.734~742 (2021)
- American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" (2013), American Psychiatric Association
- Bremner JD, "Psychometric properties of the early trauma inventory-self report", J Nerv Ment Dis, 195, pp.211~ (2007)
- Ju-Ri Jeon, "The Early Trauma Inventory Self Report-Short Form: Psychometric Properties of the Korean Version", PSYCHIATRY INVESTIGATION, 9(3), pp.229~235 (2012), 대한신경정신의학회
- Houck PR, "Reliability of the self-report version of the panic disorder severity scale", Depress Anxiety, 15, pp.183~185 (2002)
- Rapee RM, "Assessment instrument for panic disorder that includes fear of sensation-producing activities : the Albany Panic and Phobia Questionnaire", Anxiety, 1, pp.114~122 (1994)
- Beck AT, "Assessment of suicidal intention : the Scale for Suicide Ideation", J Consult Clin Psychol, 47, pp.343~352 (1979)
- Beck AT, "Beck depression inventory–II" (1996), Psychological Corporation
- Folkman S, "If it changes it must be a process : study of emotion and coping during three stages of a college examination", J Pers Soc Psychol, 48, pp.150~170 (1985)
- Lee EH, "Reliability and validity of the self-report version of the Panic Disorder Severity Scale in Korea", Depress Anxiety, 26, pp.E120~E123 (2009)
- 김지혜, "한국판 알마니 공황-공포 질문지 타당화 연구", 신경정신의학, 43(3), pp.329~336 (2004), 대한신경정신의학회
- Beck AT, "Suicide ideation at its worst point : a predictor of eventual suicide in psychiatric outpatients", Suicide Life Threat Behav, 29, pp.1~9 (1999)
- Brown GK, "Risk factors for suicide in psychiatric outpatients : a 20-year prospective study", J Consult Clin Psychol, 68, pp.371~377 (2000)
- 이혜선, "한국판 자살생각척도(K-BSI)의 타당화 연구", Korean Journal of Clinical Psychology, 28(4), pp.1155~1172 (2009), 한국임상심리학회[DOI]
- Jo SA, "Usefulness of Beck Depression Inventory(BDI)in the Korean elderly population", Int J Geriatr Psychiatry, 22, pp.218~223 (2007)
- Folkman S, "Appraisal, coping, health status, and psychological symptoms", J Pers Soc Psychol, 50, pp.571~579 (1986)
- Zlotnick C, "Childhood trauma, trauma in adulthood, and psychiatric diagnoses : results from a community sample", Compr Psychiatry, 49, pp.163~169 (2008)
- Bouton ME, "A modern learning theory perspective on the etiology of panic disorder", Psychol Rev, 108, pp.4~32 (2001)
- Iffland B, "The trauma of peer abuse : effects of relational peer victimization and social anxiety disorder on physiological and affective reactions to social exclusion", Front Psychiatry, 5, pp.26~ (2014)
- Hackmann A, "Recurrent images and early memories in social phobia", Behav Res Ther, 38, pp.601~610 (2000)
- Clark DM, "Social phobia: diagnosis, assessment, and treatment", pp.69~93 (1995), The Guilford Press
- Rapee RM, "A cognitive-behavioral model of anxiety in social phobia", Behav Res Ther, 35, pp.741~756 (1997)
- Leskin GA, "Lifetime trauma history and panic disorder : findings from the National Comorbidity Survey", J Anxiety Disord, 16, pp.599~603 (2002)
- Stein MB, "Childhood physical and sexual abuse in patients with anxiety disorders and in a community sample", Am J Psychiatry, 153, pp.275~277 (1996)
- Perroud N, "Interaction between BDNF Val66Met and childhood trauma on adult’s violent suicide attempt", Genes Brain Behav, 7, pp.314~322 (2008)
- Kim JS, "Influence of interactions between genes and childhood trauma on refractoriness in psychiatric disorders", Prog Neuropsychopharmacol Biol Psychiatry, 70, pp.162~169 (2016)
- Van Orden KA, "The interpersonal theory of suicide", Psychol Rev, 117, pp.575~600 (2010)
- Rosenthal RJ, "Wrist-cutting syndrome : the meaning of a gesture", Am J Psychiatry, 128, pp.1363~1368 (1972)
- Ribeiro JD, "Fearlessness about death : the psychometric properties and construct validity of the revision to the acquired capability for suicide scale", Psychol Assess, 26, pp.115~126 (2014)
- Sheikh MA, "Childhood adversities and chronic conditions : examination of mediators, recall bias and age at diagnosis", Int J Public Health, 63, pp.181~192 (2018)
- Dill DL, "The reliability of abuse history reports : a comparison of two inquiry formats", Compr Psychiatry, 32, pp.166~169 (1991)
- Maxwell SE, "Sample size and multiple regression analysis", Psychol Methods, 5, pp.434~458 (2000)
- Suresh K, "Sample size estimation and power analysis for clinical research studies", J Hum Reprod Sci, 5, pp.7~13 (2012)
