Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
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The Association Between Childhood Interpersonal Trauma and Psychiatric Symptom Complexity, and the Mediating Impact of Dissociation

아동기 대인관계 외상, 정신 증상의 복잡성 및 해리의 매개 효과

  • Kim, Yaeseul (Department of Psychiatry, Hanyang University College of Medicine) ;
  • Kim, Seok Hyeon (Department of Psychiatry, Hanyang University College of Medicine) ;
  • Kim, Daeho (Department of Psychiatry, Hanyang University College of Medicine) ;
  • Kim, Eun Kyoung (Department of Psychiatry, Hanyang University Guri Hospital) ;
  • Kim, Jiyeong (Biostatistical Consulting and Research Lab, Medical Research Collaborating Center, Hanyang University) ;
  • Choi, Nayeon (Biostatistical Consulting and Research Lab, Medical Research Collaborating Center, Hanyang University)
  • 김예슬 (한양대학교 의과대학 정신건강의학교실) ;
  • 김석현 (한양대학교 의과대학 정신건강의학교실) ;
  • 김대호 (한양대학교 의과대학 정신건강의학교실) ;
  • 김은경 (한양대학교 구리병원 정신건강의학과) ;
  • 김지영 (한양대학교 의학연구지원센터 의학통계지원실) ;
  • 최나연 (한양대학교 의학연구지원센터 의학통계지원실)
  • Received : 2022.09.05
  • Accepted : 2022.10.08
  • Published : 2022.10.30
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Abstract

Objective : Any traumatic event can be a risk factor, for subsequent mental disorder. However, childhood trauma, especially in interpersonal nature, is associated with later development of complex symptom patterns. This study examined the role of dissociation as a mediator between childhood trauma and symptom complexity. Methods : A pooled data of 369 psychiatric outpatients at a university-affiliated hospital was analyzed for descriptive statistics, group differences, and bivariate correlation analysis to verify a structural model. The questionnaires included the Symptom Checklist-90-Revised, the Trauma History Screen, the Dissociative Experiences Scale-Taxon, the Beck Depression Inventory, the Beck Anxiety Inventory, and the Abbreviated PTSD checklist. Results : When other trauma variables were controlled, childhood interpersonal trauma had significant correlation with symptom complexity (r=0.155, p=0.003). Among the paths analyzed, that of childhood interpersonal trauma and dissociation showed the greatest impact on symptom complexity (b=9.34, t=5.75, p<0.001). Based on the significance of the indirect impact, the results suggest a complete mediation impact of dissociation on symptom complexity. Conclusion : This study validated that childhood interpersonal trauma impacts symptom complexity, through the sequential mediating impact of dissociation. Thus, clinicians should understand childhood interpersonal trauma, dissociation, and symptom patterns in a complex and interacting mode, and develop effective pertinent treatment strategies.

Keywords

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