소아기 신체 및 성학대와 정신증상과의 관계 - 해리증상을 중심으로 -

Psychiatric Symptoms in Relation to Childhood Physical and Sexual Abuse - A Focus on the Dissociative Symptoms -

This study examined whether dissociative symptoms were specific to patient with histories of childhood physical and sexual abuse. 69 female psychiatric inpatients were interviewed and completed self-report instruments that focused on childhood history of trauma, dissociative symptoms and general psychiatric symptoms. 50.72% of the subjects reported childhood physical and/or sexual abuse. The most frequent perpetrators of childhood physical abuse were familly members and those of childhood sexual abuse were not family members. 85.5% had dissociative symptom scores above the mean score of normal adults and 17.4% had scores at or above the mean score of patients with posttraumatic stress disorder. A higher proportions of subjects with high scores than of subjects with low scores had auditory hallucinations, self-destructive ideation, poor concentration and more previous hospitalizations. The scores of interpersonal sensitivity, paranoid ideology, psychoticism, global severity index of general psychiatric symptoms were significantly high in patients with childhood abuse, but the mean scores were within inpatient psychiatric norms. Finally the authors concluded that subjects with a history of childhood abuse reported higher levels of dissociative symptoms than those who did not, and dissociative experiences scale was useful screening method for major dissociative psychopathology