우울 및 불안장애 환자에서 아동기 학대와 정서증상 및 리질리언스와의 관계

Relationship of Affective Symptoms and Resilience with Childhood Abuse in Patients with Depressive or Anxiety Disorders

  • 경미하 (가톨릭대학교 의과대학 정신과학교실) ;
  • 민정아 (가톨릭대학교 의과대학 정신과학교실) ;
  • 채정호 (가톨릭대학교 의과대학 정신과학교실)
  • Kyoung, Miha (Department of Psychiatry, College of Medicine, The Catholic University of Korea) ;
  • Min, Jung-Ah (Department of Psychiatry, College of Medicine, The Catholic University of Korea) ;
  • Chae, Jeong-Ho (Department of Psychiatry, College of Medicine, The Catholic University of Korea)
  • 투고 : 2013.03.06
  • 심사 : 2013.04.19
  • 발행 : 2013.04.30

초록

Objective : The aim of this study is to identify the relationship between childhood abuse and affective symptom including resilience in patients with depression or anxiety. Methods : A total 256 outpatients diagnosed with depressive disorder or anxiety disorder according to DSM IV-TR, were evaluated with Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Parent-Child Conflict Tactics Scale (PCCTS), Connor-Davidson Resilience Scale (CD-RISC). Independent t-test, Chi-square analysis and analysis of covariance (ANCOVA) were performed to identify the demographics of patients and the relationship between affective symptoms including resilience and childhood abuse. Results : Among demographic and clinical variables, patients with childhood abuse history were significantly higher rate in patients who were living alone and unemployed. In affective symptoms, patients with childhood abuse history were significant more severe in depressive symptoms, and state anxiety score than patients without history of childhood abuse. Patients with childhood abuse history had higher score for trait anxiety and lower score for resilience than patients who had no history of childhood abuse. Conclusion : These finding suggest that history of childhood abuse might be risk factor on depressive and anxiety symptoms severity. And this might be a predictable factor of poor treatment outcome.

키워드

참고문헌

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