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논문KCI 등재

우울 및 불안장애 환자에서 아동기 학대와 정서증상 및 리질리언스와의 관계

Relationship of Affective Symptoms and Resilience with Childhood Abuse in Patients with Depressive or Anxiety Disorders

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참고문헌

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주제분류정신과학

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Abstract

Objective : The aim of this study is to identify the relationship between childhood abuse and affective symptom including resilience in patients with depression or anxiety. Methods : A total 256 outpatients diagnosed with depressive disorder or anxiety disorder according to DSM IV-TR, were evaluated with Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Parent-Child Conflict Tactics Scale (PCCTS), Connor-Davidson Resilience Scale (CD-RISC). Independent t-test, Chi-square analysis and analysis of covariance (ANCOVA) were performed to identify the demographics of patients and the relationship between affective symptoms including resilience and childhood abuse. Results : Among demographic and clinical variables, patients with childhood abuse history were significantly higher rate in patients who were living alone and unemployed. In affective symptoms, patients with childhood abuse history were significant more severe in depressive symptoms, and state anxiety score than patients without history of childhood abuse. Patients with childhood abuse history had higher score for trait anxiety and lower score for resilience than patients who had no history of childhood abuse. Conclusion : These finding suggest that history of childhood abuse might be risk factor on depressive and anxiety symptoms severity. And this might be a predictable factor of poor treatment outcome.

참고문헌 (32)

  1. Arnow BA, "Childhood sexual abuse, psychological distress, and medical use among women", Psychosom Med, 61, pp.762~770 (1999)
  2. Felitti VJ, "Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study", Am J Prev Med, 14, pp.245~258 (1998)
  3. Jamieson DJ, "The association of sexual abuse with pelvic pain complaints in a primary care population", Am J Obstet Gynecol, 177, pp.1408~1412 (1997)
  4. Springs FE, "Health risk behaviors and medical sequelae of childhood sexual abuse", Mayo Clin Proc, 67, pp.527~532 (1992)
  5. Lechner ME, "Self-reported medical problems of adult female survivors of childhood sexual abuse", J Fam Pract, 36, pp.633~638 (1993)
  6. Beck AT, "Clinical, experimental, and theoretical aspects" (1967), Harper and Row
  7. Bowlby J, "Attachment and loss" (1973), Basic book
  8. Bowlby J, "Attachment and loss" (1980), Basic Book
  9. Bifulco A, "Exploring psychological abuse in childhood: II. Association with other abuse and adult clinical depression", Bull Menninger Clin, 66, pp.241~258 (2002)
  10. Kessler RC, "Childhood family violence and adult recurrent depression", J Health Soc Behav, 35, pp.13~27 (1994)
  11. Springer KW, "The long-term health outcomes of childhood abuse. An overview and a call to action", J Gen Intern Med, 18, pp.864~870 (2003)
  12. Cicchetti D, "Toward an ecological", transactional model of community violence and child maltreatment: consequences for children’s development, 1993, pp.56, 96~118
  13. Rose DT, "developmental predictors of depressive cognitive style: Research and theory" (1992), University of Rochester press
  14. van Veen T, "Are childhood and adult life adversities differentially associated with specific symptom dimensions of depression and anxiety? Testing the tripartite model", J Affect Disord, 146, pp.238~245 (2013)
  15. McCauley J, "Clinical characteristics of women with a history of childhood abuse: unhealed wounds", JAMA, 277, pp.1362~1368 (1997)
  16. American Psychiatric Association, "Diagnostic and statistical manual of mental disorder" (1994), American Psychiatric Press
  17. Alim TN, "Trauma, resilience, and recovery in a high-risk African-American population", Am J Psychiatry, 165, pp.1566~1575 (2008)
  18. Sheehan DV, "The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10", J Clin Psychiatry, 59(Suppl 20), pp.22~33 (1998)
  19. Straus MA, "Identification of child maltreatment with the Parent-Child Conflict Tactics Scales: development and psychometric data for a national sample of American parents", Child Abuse Negl, 22, pp.249~270 (1998)
  20. Rhee MK, "Standar-dization study of beck depression inventory 2 Korean Version (K-BDI)", Korean J Psychopathol, 4, pp.96~104 (1995)
  21. Hahn DW, "Korean adaptation of Spielberger’s STAI (L-STAI)", Korean J Health Psychol, pp.1~14 (1996)
  22. Hyun-Sook Baek, "Reliability and Validity of the Korean Version of the Connor-Davidson Resilience Scale", PSYCHIATRY INVESTIGATION, 7(2), pp.109~115 (2010), 대한신경정신의학회
  23. Nakazato K, "The Japanese State-Trait Anxiety Inventory: age and sex differences", Percept Mot Skills, 69, pp.611~617 (1989)
  24. Shallcross AJ, "Getting Better With Age: The Relationship Between Age, Acceptance, and Negative Affect", J Pers Soc Psychol (2012)
  25. Scott KM, "Childhood maltreatment and DSM-IV adult mental disorders: comparison of prospective and retrospective findings", Br J Psychiatry, 200, pp.469~475 (2012)
  26. Zacarias AE, "Symptoms of depression, anxiety, and somatization in female victims and perpetrators of intimate partner violence in Maputo City, Mozambique", Int J Womens Health, 4, pp.491~503 (2012)
  27. Min JA, "Low trait anxiety, high resilience, and their interaction as possible predictors for treatment response in patients with depression", J Affect Disord, 137, pp.61~69 (2012)
  28. Simon NM, "Childhood maltreatment linked to greater symptom severity and poorer quality of life and function in social anxiety disorder", Depress Anxiety, 26, pp.1027~1032 (2009)
  29. Burghy CA, "Developmental pathways to amygdala-prefrontal function and internalizing symptoms in adolescence", Nat Neurosci, 15, pp.1736~1741 (2012)
  30. Fergusson DM, "Childhood circumstances, adolescent adjustment, and suicide attempts in a New Zealand birth cohort", J Am Acad Child Adolesc Psychiatry, 34, pp.612~622 (1995)
  31. Hardt J, "Validity of adult retrospective reports of adverse childhood experiences: review of the evidence", J Child Psychol Psychiatry, 45, pp.260~273 (2004)
  32. Auerbach SM, "Trait-state anxiety and adjustment to surgery", J Consult Clin Psychol, 40, pp.264~271 (1973)

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