본문 바로가기
KERD
논문KCI 등재

우울 및 불안장애 환자에서 성별 및 성경험 유형에 따른 부정적 성경험과 정신과적 증상 사이의 연관성

Relationship between Negative Sexual Experience and Psychiatric Symptoms in Patients with Depression or Anxiety Disorders by Gender and Type of Negative Sexual Experience

채정호|정보람|지민아
대한불안의학회 (Korean Academy of Anxiety Disorders)|2019.10|대한불안의학회지 (Anxiety and Mood)|제15권 제2호|pp. 77-83|DOI 10.24986/anxmod.2019.15.2.003

0

조회

0

다운로드

0

인용

0

참고문헌

키워드

성폭행·원치 않은 성경험·성별차이·정신과적증상.
주제분류정신과학

초록

Objective : This study aims to investigate the relationship between negative sexual experience and psychiatric symptoms by gender and compare the effects of sexual assault and unwanted sexual experiences on psychiatric symptoms in patients with depression or anxiety disorders. Methods : A total of 204 respondents who have had negative sexual experiences of outpatients diagnosed with depression or anxiety disorders were evaluated with AUDIT, PSS, STAI, BDI, and SSI. Independent samples t-test was performed to compare the psychiatric symptom scale scores between male and female and identify the difference of the psychiatric symptom scale scores between those who have had sexual assault and those who have had only unwanted sexual experience. Results : There was no difference in psychiatric symptom scale scores except for AUDIT between male and female in 204 patients with negative sexual experience. There was also no significant difference in AUDIT, PSS, and STAI scores between those who experienced sexual assault and those who experienced only unwanted sexual experiences. BDI and SSI scores are significant higher in those who experienced sexual assault than those who experienced only unwanted sexual experiences. Conclusion : This suggests that male and female may have similar levels of psychiatric symptoms after experiencing negative sexual experiences. Psychiatric symptoms caused by sexual assault may have differences from the psychiatric symptoms caused by unwanted sexual experience. Understanding the differences in psychiatric symptoms according to the type of negative sexual experience may helpful to direct the therapeutic plans. (Anxiety and Mood 2019;15(2):77-83)

Abstract

Objective : This study aims to investigate the relationship between negative sexual experience and psychiatric symptoms by gender and compare the effects of sexual assault and unwanted sexual experiences on psychiatric symptoms in patients with depression or anxiety disorders. Methods : A total of 204 respondents who have had negative sexual experiences of outpatients diagnosed with depression or anxiety disorders were evaluated with AUDIT, PSS, STAI, BDI, and SSI. Independent samples t-test was performed to compare the psychiatric symptom scale scores between male and female and identify the difference of the psychiatric symptom scale scores between those who have had sexual assault and those who have had only unwanted sexual experience. Results : There was no difference in psychiatric symptom scale scores except for AUDIT between male and female in 204 patients with negative sexual experience. There was also no significant difference in AUDIT, PSS, and STAI scores between those who experienced sexual assault and those who experienced only unwanted sexual experiences. BDI and SSI scores are significant higher in those who experienced sexual assault than those who experienced only unwanted sexual experiences. Conclusion : This suggests that male and female may have similar levels of psychiatric symptoms after experiencing negative sexual experiences. Psychiatric symptoms caused by sexual assault may have differences from the psychiatric symptoms caused by unwanted sexual experience. Understanding the differences in psychiatric symptoms according to the type of negative sexual experience may helpful to direct the therapeutic plans. (Anxiety and Mood 2019;15(2):77-83)

참고문헌 (33)

  1. Craine LS, "Prevalence of a history of sexual abuse among female psychiatric patients in a state hospital system", Hosp Community Psychiatry, 39, pp.300~304 (1988)
  2. Cheasty M, "Relation between sexual abuse in childhood and adult depression: case-control study", BMJ, 316, pp.198~201 (1998)
  3. Dinwiddie S, "Early sexual abuse and lifetime psychopathology: a co-twin-control study", Psychol Med, 30, pp.41~52 (2000)
  4. Nelson EC, "Association between self-reported childhood sexual abuse and adverse psychosocial outcomes: results from a twin study", Arch Gen Psychiatry, 59, pp.139~145 (2002)
  5. Burnam MA, "Sexual assault and mental disorders in a community population", J Consult Clin Psychol, 56, pp.843~850 (1988)
  6. Campbell R, "An ecological model of the impact of sexual assault on women’s mental health", Trauma Violence Abuse, 10, pp.225~246 (2009)
  7. Kendler KS, "Clarifying the causal relationship in women between childhood sexual abuse and lifetime major depression", Psychol Med, 44, pp.1213~1221 (2014)
  8. 김정현, "성폭력 피해자에서 MMPI 특성", 대한불안의학회지, 11(1), pp.12~18 (2015), 대한불안의학회
  9. Supreme Public Prosecutor’s, "Analytical statistics on Crime", ~ (2017)
  10. Operational and Business Results Report, "Seoul sunflower center serving victims of sexual violence", ~ (2017)
  11. Struckman-Johnson C, "Men pressured and forced into sexual experience", Arch Sex Behav, 23, pp.93~114 (1994)
  12. Mason F, "Psychological consequences of sexual assault", Best Pract Res Clin Obstet Gynaecol, 27, pp.27~37 (2013)
  13. Larimer ME, "Male and female recipients of unwanted sexual contact in a college student sample: Prevalence rates, alcohol use, and depression symptoms", Sex Roles, 40, pp.295~308 (1999)
  14. American Psychiatric Association, "Diagnostic and statistical manual of mental disorder; 4th ed (DSM-IV)" (1994), American Psychiatric Press
  15. Hwallip Bae, "Psychometric Properties of the Life Events Checklist-Korean Version", PSYCHIATRY INVESTIGATION, 5(3), pp.163~167 (2008), 대한신경정신의학회
  16. Daeppen JB, "Reliability and validity of the Alcohol Use Disorders Identification Test (AUDIT) imbedded within a general health risk screening questionnaire: results of a survey in 332 primary care patients", Alcohol Clin Exp Res, 24, pp.659~665 (2000)
  17. 이보혜, "한국형 중독 치료지침서 (I) : 알코올사용장애 치료지침 개발", 신경정신의학, 52(4), pp.263~271 (2013), 대한신경정신의학회
  18. Cohen S, "A global measure of perceived stress", J Health Soc Behav, 24, pp.385~396 (1983)
  19. 이은현, "Review of the Psychometric Evidence of the Perceived Stress Scale", Asian Nursing Research, 6(4), pp.121~127 (2012), 한국간호과학회
  20. Yu BK, "A Standardization study of beck depression inventory 2 Korean Version (KBDI)", Korean J Psychopathol, 1995, pp.96~104 (1995)
  21. Hahn DW, "Korean adaptation of Spielberger’s STAI (L-STAI)", Korean J Health Psychology, 1996, pp.1~14 (1996)
  22. Beck AT, "Assessment of suicidal intention: the Scale for Suicide Ideation", J Consult Clin Psychol, 47, pp.343~352 (1979)
  23. Beck AT, "Scale for Suicide Ideation: psychometric properties of a self-report version", J Clin Psychol, 44, pp.499~505 (1988)
  24. Wilsnack RW, "Gender differences in alcohol consumption and adverse drinking consequences: cross-cultural patterns", Addiction, 95, pp.251~265 (2000)
  25. Sorenson SB, "Gender, ethnicity and sexual assault: Findings from a Los Angeles study", Journal of Social Issues, 48, pp.93~104 (1992)
  26. Struckman-Johnson C, "Forced sex on dates: It happens to men, too", J Sex Res, 24, pp.234~241 (1988)
  27. 이상민, "다면적 인성검사 II를 이용한 성폭행과 성추행 피해자의 심리적 특성 비교", 정신신체의학, 25(2), pp.101~110 (2017), 한국정신신체의학회
  28. Senn TE, "Childhood and adolescent sexual abuse and subsequent sexual risk behavior: evidence from controlled studies, methodological critique, and suggestions for research", Clin Psychol Rev, 28, pp.711~735 (2008)
  29. Sayetta RB, "Basic data on depressive symptomatology. United States, 1974-75", Vital Health Stat, 11, pp.1~37 (1980)
  30. Mushtaq M, "The Trauma of Sexual Harassment and its Mental Health Consequences Among Nurses", J Coll Physicians Surg Pak, 25, pp.675~679 (2015)
  31. Murdoch M, "The association between in-service sexual harassment and post-traumatic stress disorder among Department of Veterans Affairs disability applicants", Mil Med, 171, pp.166~173 (2006)
  32. Abbey A, "Acquaintance rape and alcohol consumption on college campuses: how are they linked", J Am Coll Health, 39, pp.165~169 (1991)
  33. Abbey A, "Review of survey and experimental research that examines the relationship between alcohol consumption and men’s sexual aggression perpetration", Trauma Violence Abuse, 15, pp.265~282 (2014)

관련 논문AI추천

The Factors Affecting Longitudinal Course of Posttraumatic Stress Disorder Symptoms in Sexual Assault VictimsJae-Won Choi, Jae-Won Kim, Jaewon Lee, Jeeyoung Chun, Jiyoon Shin, Ju-Yeon Lee, Kihyun Kim, Kyoung Min Kim, Soohyun Chae, Tae-Won Park대한신경정신의학회 · PSYCHIATRY INVESTIGATION2023 · 제20권 제11호불안장애 및 주요우울장애 환자의 우울 증상의 차이김대호, 박선철, 박용천, 양현주, 장은영대한신경정신의학회 · 신경정신의학2011 · 제50권 제4호성적 가해자의 정신과적 진단 및 임상특성- 성중독∙성적과다, 우울∙불안증상을 중심으로 -김현식, 박우성, 이재우, 이준형, 임명호대한법의학회 · 대한법의학회지2013 · 제37권 제1호우울증 환자에서 외상 사건 경험과 주관적 수면 문제의 특성김민섭, 채정호, 허휴정대한불안의학회 · 대한불안의학회지2016 · 제12권 제1호불안장애 외래 환자의 대인관계 외상과 관련된 증상학적 요인김대호, 김양석, 배활립, 오대영대한신경정신의학회 · 신경정신의학2008 · 제47권 제6호외상후 스트레스장애 환자의 기질 및 성격 유형에 따른 우울 및 불안 차이김경원, 김대호, 김은경대한불안의학회 · 대한불안의학회지2019 · 제15권 제2호

이 간행물의 다른 논문 (8건)

증상의 발현부터 치료의 시작까지 : 한국인의 공황장애 인식도 변화가 치료적 접근에 미친 영향이상혁, 이승재, 양종철, 홍진표, 이경욱, 한상우, 김민숙, 임세원, 채정호, 박선철, 최용원, 김세주, 서호준pp. 61-67병역판정검사를 위해 일 대학병원 정신건강의학과에 내원한 환자들의 초기 부적응 스키마와 관련 인지 기능 특성이승재, 정연재pp. 68-76일 지역 공무원의 직무스트레스 특성과 우울의 관련성이다영, 전경선, 심민영, 이정현, 김도훈, 김지애, 유선영pp. 84-93외상후 스트레스장애 환자의 기질 및 성격 유형에 따른 우울 및 불안 차이김은경, 김경원, 김대호pp. 94-100주의력결핍-과잉행동장애 초등학생에서 불안증상이 아동의 행동 및 주의력과 가지는 관련성에 관한 연구최재원, 김도현, 이정재, 이석범, 이경규, 김경민, 신준영, 백기청pp. 101-108
원문 보기