Korean Journal of Schizophrenia Research (대한조현병학회지)

Korean Society for Schizophrenia Research (대한조현병학회)
권호 표지
DOI QR코드

DOI QR Code

Associations of Childhood Trauma with Psychopathology and Clinical Characteristics in Patients with Schizophrenia

조현병 환자의 아동기 외상 경험에 따른 정신병리 및 임상적 특성

  • Lee, Hyun-Soo (Department of Psychiatry, Naju National Hospital) ;
  • Jeong, Yuran (Department of Psychiatry, Naju National Hospital) ;
  • Yoo, Taeyoung (Department of Psychiatry, Chonnam National University Medical School) ;
  • Lee, Ju-Yeon (Department of Psychiatry, Chonnam National University Medical School) ;
  • Lee, Soo-In (Haemalkeun psychiatric clinic) ;
  • Kim, Jae-Min (Department of Psychiatry, Chonnam National University Medical School) ;
  • Yoon, Jin-Sang (Department of Psychiatry, Chonnam National University Medical School) ;
  • Kim, Sung-Wan (Department of Psychiatry, Chonnam National University Medical School)
  • 이현수 (국립나주병원 정신건강의학과) ;
  • 정유란 (국립나주병원 정신건강의학과) ;
  • 유태영 (전남대학교 의과대학 정신건강의학교실) ;
  • 이주연 (전남대학교 의과대학 정신건강의학교실) ;
  • 이수인 (해맑은 정신건강의학과의원) ;
  • 김재민 (전남대학교 의과대학 정신건강의학교실) ;
  • 윤진상 (전남대학교 의과대학 정신건강의학교실) ;
  • 김성완 (전남대학교 의과대학 정신건강의학교실)
  • Received : 2017.02.21
  • Accepted : 2017.06.05
  • Published : 2017.10.30
⟨ Previous Next ⟩

Abstract

Objectives : This study was aimed to investigate the associations of childhood trauma with psychopathology and clinical characteristics in patients with schizophrenia. Methods : This study enrolled 66 inpatients with schizophrenia. Korean Childhood Trauma Questionnaire (K-CTQ) and Life Event Questionnaire (LEQ) were administered to assess childhood trauma. Psychopatholgy and clinical characteristics were assessed with the Positive and Negative Syndrome Scale (PANSS), Beck Depression Inventory (BDI), Korean Version of Internalized Stigma of Mental Illness (K-ISMI), Perceived Stress Scale (PSS), and visual analogue scale of EuroQoL-5 Dimension Index (EQ-5D). Results : Total scores on K-CTQ were positively associated with scores on the BDI, K-ISMI, PSS, and PANSS and negatively associated with the score on the EQ-5D. Among subscales of K-CTQ, emotional abuse was significantly associated with all measures for psychopathology and clinical characteristics. Patients with physical abuse (36.5%), emotional abuse (30.2%), or bullying (30.6%) according to the LEQ showed sighificanlty higher the ISMI score and lower EQ-5D score. Emotional abuse and bullying were also significantly associated with higher scores on BDI and/or PSS. Conclusion : Our results suggest that childhood trauma negatively influences on internalized stigma, depression, perceived stress and quality of life in patients with schizophrenia. Clinicians should carefully evalute and manage childhood traumatic experience of patients with schizophrenia.

Keywords

Acknowledgement

본 연구는 보건복지부의 정신건강기술개발사업(HM15C1140)의 지원을 받아 수행되었음.