Korean Journal of Psychosomatic Medicine (정신신체의학)

Korean Psychosomatic Society (한국정신신체의학회)
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Psychiatric Symptoms Among Female Adult Victims of Sexual Molestation : Comparison with Rape Victims

성인 여성 성추행 피해자들의 정신적 증상 : 강간 피해자들과의 비교

  • Kim, Yeon-Sue (Department of Psychiatry, Busan Paik Hospital, Inje University) ;
  • Kim, Sung-Jin (Department of Psychiatry, Busan Paik Hospital, Inje University) ;
  • Kong, Bo-Geum (Department of Psychiatry, Busan Paik Hospital, Inje University) ;
  • Kang, Je-Wook (Department of Psychiatry, Busan Paik Hospital, Inje University) ;
  • Moon, Jung-Joon (Department of Psychiatry, Busan Paik Hospital, Inje University) ;
  • Jeon, Dong-Wook (Department of Psychiatry, Busan Paik Hospital, Inje University) ;
  • Lee, Sang-Min (Department of Psychiatry, Busan Paik Hospital, Inje University) ;
  • Ju, Hyun-Bin (Department of Psychiatry, Busan Paik Hospital, Inje University) ;
  • Jung, Do-Un (Department of Psychiatry, Busan Paik Hospital, Inje University)
  • 김연수 (인제대학교 의과대학 부산백병원 정신건강의학교실) ;
  • 김성진 (인제대학교 의과대학 부산백병원 정신건강의학교실) ;
  • 공보금 (인제대학교 의과대학 부산백병원 정신건강의학교실) ;
  • 강제욱 (인제대학교 의과대학 부산백병원 정신건강의학교실) ;
  • 문정준 (인제대학교 의과대학 부산백병원 정신건강의학교실) ;
  • 전동욱 (인제대학교 의과대학 부산백병원 정신건강의학교실) ;
  • 이상민 (인제대학교 의과대학 부산백병원 정신건강의학교실) ;
  • 주현빈 (인제대학교 의과대학 부산백병원 정신건강의학교실) ;
  • 정도운 (인제대학교 의과대학 부산백병원 정신건강의학교실)
  • Received : 2016.10.20
  • Accepted : 2016.11.20
  • Published : 2016.12.31
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Abstract

Objectives : According to the recent Korean National Police Agency report, rape victims were 17.1%, but sexual molestation victims were more than the rape victims by 78.0%. Despite many international reports about the occurrence of severe psychiatric symptoms in sexual molestation victims, there is no domestic research. Therefore in this study, we investigated psychiatric symptoms of sexual molestation victims, and we also compared it with psychiatric symptoms in rape victims. Methods : 58 women who visited Busan Smile Center within 3months after sexual violence were the study subjects. Questionnaire about sociodemographic and sexual violence related characteristics were retrospectively investigated. Of the psychiatric symptoms, Beck Depression Inventory(BDI), Beck Anxiety Inventory(BAI) for severity of depression and anxiety, and Impact of Event Scale-Revised(IES-R) to check the presence of posttraumatic stress disorder(PTSD) symptoms were used. Results : Of 58 sexual violence victims, sexual molestation victims were 36(62.1%) and rape victims were 22(37.9%). In sexual molestation victims, 80.6% had more than moderate severity of depression, 83.3% had more than moderate severity of anxiety, and 94.4% had significant scores at PTSD screening test. Compared with rape victims' psychiatric symptoms(each 95.5%, 95.5%, 95.5%) there were no significant difference. Conclusions : The majority of sexual molestation victims were also accompanied by depression, anxiety and PTSD symptoms as rape victims. There results suggest that appropriate assessment and early treatment for psychiatric symptom must be made in the early stage of injury in sexual molestation victims.

연구목적 최근 검찰청 보고에 의하면 성폭력 피해자 중 강간 피해자는 17.1%이지만 성추행 피해자는 78.0%로 강간 피해자보다 그 수가 많았다. 이러한 성추행 피해자들에게도 심각한 정신적 증상이 다수 발생한다는 국외 보고가 있음에도 불구하고 이를 보고한 국내 연구는 없다. 따라서 본 연구는 성추행 성인 여성 피해자들의 정신적 증상을 조사하였고, 아울러 강간 피해자들의 이러한 증상들의 정도와 비교분석 하였다. 방 법 성폭력 발생 후 3개월 이내에 부산 스마일센터를 방문한 58명의 성인 여성 성폭력 피해자들이 대상자들이었다. 인구 통계학적 및 성폭력 관련 변인에 대하여 설문지를 이용하여 후향적으로 조사하였으며, 정신적 증상 중, 우울, 불안 증상의 심각도와 Posttraumatic stress disorder(PTSD) 유무는 Beck Depression Inventory (BDI), Beck Anxiety Inventory(BAI), Impact of Event Scale-Revised(IES-R) 자가보고형 척도를 이용하여 조사하였다. 결 과 총 58명 중 성추행 피해자는 36명(62.1%), 강간 피해자는 22명(37.9%)이었다. 성추행 피해자들 중 80.6%가 중등도 이상의 우울 증상, 83.3%가 중등도 이상의 불안 증상, 그리고 94.4%가 PTSD선별검사에서 유의미한 결과를 보였고, 이러한 정신적 증상에 대한 강간 피해자들에서의 비율(각각 95.5%, 95.5%, 95.5%)과 유의미한 차이가 없었다. 결 론 성추행 피해자들 또한 강간 피해자들만큼 대다수에서 우울, 불안 및 PTSD 증상이 동반되었다. 이러한 결과는 성추행 피해자들에서도 피해 초기부터 정신적 증상에 대한 적절한 평가와 조기 치료가 이루어져야 한다는 것을 시사한다.

Keywords

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