아동기 외상 경험이 청소년기 외상 관련 증상에 미치는 영향 -감정표현불능증의 매개효과-
The Effect of Childhood Trauma on the Traumatic Symptoms in Adolescence -The Mediating Effects of Alexithymia-
0
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
The aim of this study was to identify the characteristics of emotional behavioral problems stemming from experiences of childhood trauma and to verify the effects of such experiences on adolescent development with a special focus on the mediating effects of Alexithymia. A self-reporting questionnaire and statistical analysis were conducted on 258 high school students nationwide. 133 adolescents who had experienced childhood trauma were compared with 125 adolescents who had not experienced trauma. Using a total of 258 pieces of data, the relationships between the variants were identified and hypotheses were tested. The study verified the existence of differences between the childhood trauma experience group and the non-experience group, confirmed correlations among all three variables in the study found evidence that Alexithymia partially mediated the relationship between frequency of childhood trauma experiences and traumatic-related symptoms of the adolescent. Based on the above results, we discuss the suggestions for the prevention and treatment of traumatic symptoms in adolescents by using Alexithymia as well as the limitations of this study.
Abstract
The aim of this study was to identify the characteristics of emotional behavioral problems stemming from experiences of childhood trauma and to verify the effects of such experiences on adolescent development with a special focus on the mediating effects of Alexithymia. A self-reporting questionnaire and statistical analysis were conducted on 258 high school students nationwide. 133 adolescents who had experienced childhood trauma were compared with 125 adolescents who had not experienced trauma. Using a total of 258 pieces of data, the relationships between the variants were identified and hypotheses were tested. The study verified the existence of differences between the childhood trauma experience group and the non-experience group, confirmed correlations among all three variables in the study found evidence that Alexithymia partially mediated the relationship between frequency of childhood trauma experiences and traumatic-related symptoms of the adolescent. Based on the above results, we discuss the suggestions for the prevention and treatment of traumatic symptoms in adolescents by using Alexithymia as well as the limitations of this study.
참고문헌 (66)
- 고유나, "아동기 정서적 외상경험이대학생의 우울 및 불안수준에 미치는영향: 자아 탄력성의 조절효과를 중심으로", 석사, pp.2015
- 권지은, "정서적 학대 및 방임과 성격장애: 감정표현불능증의 매개효과", Korean Journal of Clinical Psychology, 31(1), pp.75~91 (2012), 한국임상심리학회[DOI]
- 김성수, "청소년의 복합외상이 정신건강에 미치는 영향- 지각된 사회적 지지, 스트레스 대처능력의 매개효과 -", 한국사회복지학, 70(2), pp.171~195 (2018), 한국사회복지학회[DOI]
- 김정규, "아동기 성피해의 심리적 후유증", 한국심리학회지 : 임상, 19(4), pp.747~769 (2000)
- 김준호, "사회계층과 청소년 비행의관계에 대한 경험적 연구", 형사정책학회, 4(4), pp.197~238 (1989)
- 김해랑, "아동기 정서적 학대가 대학생의 역기능적 분노표현에 미치는 영향: 자기체계손상과 내면화된 수치심의 매개효과", 상담학연구, 18(6), pp.321~340 (2017), 한국상담학회[DOI]
- 김혜인, "아동기 정서적 학대경험과 성인기 심리적 부적응간의 관계", 한국심리학회 학술대회 자료집, 2007(1), pp.214~215 (2007)
- 박미옥, "아동·청소년의 외상경험이 학교폭력 가해경험에 미치는 영향: 공격성의 매개효과", 미래청소년학회지, 11(1), pp.23~43 (2014), 미래를 여는 청소년학회
- 박혜경, "아버지의 양육행동 및 남아의 정서조절능력과 공격성간의 관계", 석사, 가정관리학, pp.2002
- 손소영, "아동용 외상관련 증상 평가척도의 효용성 - 성폭력 피해 아동과 일반 아동의 비교 -", Journal of the Korean Academy of Child and Adolescent Psychiatry, 18(1), pp.49~57 (2007), 대한소아청소년 정신의학회
- 신민정, "아동기 학대와 방임이 우울장애 환자의 성격병리에 미치는 영향", 한국심리학회지: 건강, 20(4), pp.719~738 (2015), 한국건강심리학회[DOI]
- 신현균, "신체증상 및 관련장애" (2016), 학지사
- 신현균, "한국판 감정표현 불능증 척도 개발 연구", 한국심리학학회지 : 임상, 16(2), pp.219~231 (1997)
- 안무옥, "청소년의 외상경험, 정서조절, 대처방식 및 사회적 지지가 외상 후 스트레스 장애 증상에 미치는 영향", 석사, 심리학, pp.2008
- 안현의, "청소년의 심리적 외상에 관한 탐색적 연구: 외상후 스트레스 증상과 성격 특성을 중심으로", 한국심리학회지: 상담 및 심리치료, 17(1), pp.217~231 (2005), 한국상담심리학회
- 오경자, "빈곤가정 청소년의 심리사회적 적응 : 위험요인과 보호요인의 탐색", Korean Journal of Clinical Psychology, 24(1), pp.53~72 (2005), 한국임상심리학회
- 이우경, "아동기 외상 경험이 경계선 성격특성에 미치는 영향: 애착 불안정의 매개효과", Korean Journal of Clinical Psychology, 32(2), pp.413~430 (2013), 한국임상심리학회[DOI]
- 이유경, "여대생의 아동기 외상경험이 심리적 증상과 대인관계문제에 미치는 영향 : 애착의 매개효과를 중심으로", 석사, 심리학, pp.2006
- 장원석, "아동학대가 초기 성인기 우울에 미치는 영향", 석사, pp.2017
- 정나희, "아동기 외상경험이 신체증상에 미치는 영향 : 해리경험과 감정표현불능증의 매개효과", 석사, 심리학과, pp.2013
- 정화영, "한국판 Bermond-Vorst 감정표현 불능증 척도(K-BVAQ)의 타당화 연구", 석사, 아동심리치료, pp.2010
- 2016 전국아동학대현황보고서, "중앙아동보호전문기관", 보건복지부 아동권리과, ~ (2017)
- 최은실, "정서인식 및 표현 능력 향상 프로그램의 효과연구", 박사, 발달심리학, pp.2010
- 최지경, "학대받은 아동과 일반아동의 정서지능과 정서조절의 비교 연구", 석사, 아동학, pp.2007
- 한경은, "아동의 학대경험, 자아탄력성, 외상 후 스트레스 증상 간의 관계", 놀이치료연구, 12(1), pp.89~103 (2008), 한국아동심리재활학회
- 한시언, "청소년의 아동기 학대경험과 학교폭력 가해, 피해경험 간의 관계: 초기 부적응 도식을 매개로", 한국심리학회지:학교, 14(1), pp.69~87 (2017), 한국심리학회산하학교심리학회[DOI]
- Allen, J. G., "Coping with trauma" (1995), American Psychiatric Publishing Inc
- Allen, J. G., "Coping with trauma: Hope through understanding" (2010), American Psychiatric Publishing Inc
- APA, "Diagnostic and statistical manual of mental disorders" (1994), American Psychiatric Association
- Baron, R. M., "The moderator-Mediator variable distinction in social psychological research : conceptiual, strateguc, and statistical considerations", Journal of Personality and social psychology, 51(6), pp.1173~1182 (1986)
- Bagby. R. M., "The twenty-item tronto alexithymia scale-Ⅰ. item selection and cross-validation of the factor structure", Journal of psychosomatic research, 38(1), pp.23~32 (1994)
- Bernstein, D. P., "Childhood Trauma Questionnaire Manual" (1998), The Psychological Corporation
- Briere J, "Professional manual" (1996), Psychological Association
- Bradbury, L, L., "Emotion Dysregulation Mediates the Link between Childhood Emotional Maltreatment and Young Adult Romantic Relationship Satisfaction", Journal of Aggression, Maltreatment & Trauma, 21, pp.497~515 (2012)
- Brenner, E. M., "Emotional development and emotional intelligence" (1997), Basic Books
- Burgess, "Family interaction in abusive, neglectful, and normal families", Child envelopment, 49(4), pp.1163~1173 (1978)
- Burns, E. E., "Child Maltreatment, Emotion Regulation, and Posttraumatic Stress: The Impact of Emotional Abuse", Journal of Aggression, Maltreatment & Trauma, 19(8), pp.801~819 (2010)
- Carr, C. P., "The role of early life stress in adult psychiatric disorders : a systematic review according to childhood trauma subtypes", The journal of nervous and mental disease, 201(12), pp.1007~2010 (2013)
- Cerezo M. A., "Parent-Child Conflict, Coercive Family Interaction and Physical Child Abuse", Multidisciplinary Perspectives on Family Violence(24), ~ (1997)
- Cloitre, M., "Posttraumatic stress disorder, self‐and interpersonal dysfunction among sexually retraumatized women", Journal of Traumatic Stress, 10(3), pp.437~452 (1997)
- Cohen, K., "The development of availd and reliable projective measure", Journal of Nervous and Mental Disorders, 173, pp.621~627 (1985)
- Copeland, W. E., "Traumatic events and posttraumatic stress in childhood", JAM A Psychiatry, 64(5), pp.577~661 (2007)
- The role of educators in preventing and responding to child abuse and neglect, "Crosson-Tower, C.", U. S. Department of Health and Human Services, ~ (2003)
- De Vente, W., "Alexithymia,risk factor or consequence of work-related stress?", Psychotherapy and Psychosomatics, 75, pp.304~311 (2006)
- Dube, S. R., "Exposure to abuse, neglect, and household dysfunction among adults who witnessed intimate partner violence as children: implications for health and social services", VIOLENCE AND VICTIMS, 17(1), pp.3~17 (2002)
- Egeland, B., "Taking stock : Childhood emotional maltreatment and developmental psychopathology", Child abuse & neglect, 33(1), pp.22~26 (2009)
- Felitti, V. J., "Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study", American Journal of Preventive Medicine, 14(4), pp.245~303 (1998)
- Goldsmith, R., "Awareness for emotional abuse", Journal of Emotional Abuse, 5(1), pp.95~123 (2005)
- Hawks, E., "An examination of the relation between traumatic event exposure and panic-relevant biological challenge responding among adolescents original research article", Behavior Therapy, 42, pp.427~438 (2011)
- Heaven Patrick C. L., "The distinctiveness and utility of a brief measure of Alexithymia for adolescents", Personality and Individual Differences, 49(3), pp.222~227 (2010)
- Henry, J. D., "A new conceptualization of Alexithymia in the general adult population:implications for research involving older adults", Journal of psychosomatic research, 60(5), pp.535~543 (2006)
- Honkalampi, K., "Alexithymia and depression : a prospective study of patients with major depressive disorder", Psychosomatics, 42(3), pp.229~263 (2009)
- Johnson, J. G., "Childhood adversities, interpersonal difficulties, and risk for suicide attempts during late adolescence and early adulthood", Archives of general psychiatry, 59(8), pp.741~749 (2002)
- Kent, A., "Childhood emotional abuse and eating psychopathology", Clinical psychology review, 20(7), pp.887~903 (2000)
- Krystal, H., "Alexithymia and the effectiveness of psychoanalytic treatment", Int J Psycoanal Psychother, 9, pp.353~378 (1982)
- Krystal, H., "Integration and self-healing:affect, trauma, Alexithymia" (1988), Analytic Press
- Leitenberg, H., "A Retrospective Study of Long Term Methods of Coping with Having Been Sexually Abused during Childhood", Child Abuse & Neglect, 16, pp.399~407 (1992)
- Manninen, M., "Alexithymia Is Common Among Adolescents With Severe Disruptive Behavior", Journal of Nervous &Mental Disease, 199(7), pp.506~509 (2011)
- McCormick, C. M., "Investigations of HPA function and the enduring consequences of stressors in adolescent in animal model", Brain and Cognition, 72, pp.73~85 (2010)
- Meiser-Stedman, R., "Intrusive memorise and depression following recent non-traumatic negative life event in adolescent", Journal of Affective Disorder, 137, pp.70~78 (2012)
- Price, J. L., "Confirmatory Factor Analysis of Posttraumatic Stress Symptoms in Cambodian Refugees", Journal of Traumatic Stress, 20(2), pp.207~216 (2005)
- Sifneos, P. E., "Problems of psychotherapy of patients with alexithymic characteristics and physical disease", Psychother Psychosom, 26, pp.65~70 (1975)
- Street, A. E., "Impact of childhood traumatic events, trauma-related guilt, and avoidant copong strategies on PTSD symptoms in female survivors of domestic violence", Journal f traumatic stress, 18(3), pp.245~252 (2005)
- Teicher, M. H., "Developmental neurobiology of childhood stress and trauma", Psychiatr. Clin. North Am, 25(2), pp.397~426 (2002)
- Van der Kolk, B. A., "Childhood abuse and Neglect and loss of self-regulation", Bulletin of Menninger Clinic, 58(2), pp.145~168 (1994)
- Van der Kolk, B. A., "Developmental trauma disorder : Toward a rational diagnosis for children with complex trauma histories", Psychiatric Annals, 35(5), pp.401~409 (2005)
