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우울 및 불안장애 환자에서 성별 및 성경험 유형에 따른 부정적 성경험과 정신과적 증상 사이의 연관성

Relationship between Negative Sexual Experience and Psychiatric Symptoms in Patients with Depression or Anxiety Disorders by Gender and Type of Negative Sexual Experience

  • 지민아 (가톨릭대학교 의과대학 서울성모병원 정신건강의학교실) ;
  • 정보람 (가톨릭대학교 의생명 산업연구원 정서연구실) ;
  • 채정호 (가톨릭대학교 의과대학 서울성모병원 정신건강의학교실)
  • Ji, Min-A (Department of Psychiatry, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Jeong, Bo-Ram (The Catholic Emotion Research Laboratory, Catholic Biomedical Industrial Institute, The Catholic University of Korea) ;
  • Chae, Jeong-Ho (Department of Psychiatry, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • 투고 : 2019.03.05
  • 심사 : 2019.06.12
  • 발행 : 2019.10.31

초록

Objective : This study aims to investigate the relationship between negative sexual experience and psychiatric symptoms by gender and compare the effects of sexual assault and unwanted sexual experiences on psychiatric symptoms in patients with depression or anxiety disorders. Methods : A total of 204 respondents who have had negative sexual experiences of outpatients diagnosed with depression or anxiety disorders were evaluated with AUDIT, PSS, STAI, BDI, and SSI. Independent samples t-test was performed to compare the psychiatric symptom scale scores between male and female and identify the difference of the psychiatric symptom scale scores between those who have had sexual assault and those who have had only unwanted sexual experience. Results : There was no difference in psychiatric symptom scale scores except for AUDIT between male and female in 204 patients with negative sexual experience. There was also no significant difference in AUDIT, PSS, and STAI scores between those who experienced sexual assault and those who experienced only unwanted sexual experiences. BDI and SSI scores are significant higher in those who experienced sexual assault than those who experienced only unwanted sexual experiences. Conclusion : This suggests that male and female may have similar levels of psychiatric symptoms after experiencing negative sexual experiences. Psychiatric symptoms caused by sexual assault may have differences from the psychiatric symptoms caused by unwanted sexual experience. Understanding the differences in psychiatric symptoms according to the type of negative sexual experience may helpful to direct the therapeutic plans.

키워드

참고문헌

  1. Craine LS, Henson CE, Colliver JA, MacLean DG. Prevalence of a history of sexual abuse among female psychiatric patients in a state hospital system. Hosp Community Psychiatry 1988;39:300-304.
  2. Cheasty M, Clare AW, Collins C. Relation between sexual abuse in childhood and adult depression: case-control study. BMJ 1998;316:198-201. https://doi.org/10.1136/bmj.316.7126.198
  3. Dinwiddie S, Heath AC, Dunne MP, Bucholz KK, Madden PA, Slutske WS, et al. Early sexual abuse and lifetime psychopathology: a co-twin-control study. Psychol Med 2000;30:41-52. https://doi.org/10.1017/S0033291799001373
  4. Nelson EC, Heath AC, Madden PA, Cooper ML, Dinwiddie SH, Bucholz KK, et al. Association between self-reported childhood sexual abuse and adverse psychosocial outcomes: results from a twin study. Arch Gen Psychiatry 2002;59:139-145. https://doi.org/10.1001/archpsyc.59.2.139
  5. Burnam MA, Stein JA, Golding JM, Siegel JM, Sorenson SB, Forsythe AB, et al. Sexual assault and mental disorders in a community population. J Consult Clin Psychol 1988;56:843-850. https://doi.org/10.1037/0022-006X.56.6.843
  6. Campbell R, Dworkin E, Cabral G. An ecological model of the impact of sexual assault on women's mental health. Trauma Violence Abuse 2009;10:225-246. https://doi.org/10.1177/1524838009334456
  7. Kendler KS, Aggen SH. Clarifying the causal relationship in women between childhood sexual abuse and lifetime major depression. Psychol Med 2014;44:1213-1221. https://doi.org/10.1017/S0033291713001797
  8. Kim JH, Do JA, Choi IC, Lim MH. MMPI Characteristics of the Victim of the Sexual Violence. Anxiety and Mood 2015;11:12-18.
  9. Supreme Public Prosecutor's. Analytical statistics on Crime;2017.
  10. Seoul sunflower center serving victims of sexual violence. Operational and Business Results Report;2017.
  11. Struckman-Johnson C, Struckman-Johnson D. Men pressured and forced into sexual experience. Arch Sex Behav 1994;23:93-114. https://doi.org/10.1007/BF01541620
  12. Mason F, Lodrick Z. Psychological consequences of sexual assault. Best Pract Res Clin Obstet Gynaecol 2013;27:27-37. https://doi.org/10.1016/j.bpobgyn.2012.08.015
  13. Larimer ME, Lydum AR, Anderson BK, Turner AP. Male and female recipients of unwanted sexual contact in a college student sample: Prevalence rates, alcohol use, and depression symptoms. Sex Roles 1999;40:295-308. https://doi.org/10.1023/A:1018807223378
  14. American Psychiatric Association. Diagnostic and statistical manual of mental disorder; 4th ed (DSM-IV). Washington D.C.: American Psychiatric Press;1994.
  15. Bae HL, Kim DH, Koh HR, Kim YS, Park JS. Psychometric properties of the life events checklist-korean version. Psychiatry Investig 2008;5:163-167. https://doi.org/10.4306/pi.2008.5.3.163
  16. Daeppen JB, Yersin B, Landry U, Pecoud A, Decrey H. Reliability and validity of the Alcohol Use Disorders Identification Test (AUDIT) imbedded within a general health risk screening questionnaire: results of a survey in 332 primary care patients. Alcohol Clin Exp Res 2000;24:659-665. https://doi.org/10.1111/j.1530-0277.2000.tb02037.x
  17. Lee BH, Kim HS, Seo JS, Shin YC, Ki SW, Kim SG, et al. Korean Addiction Treatment Guidelines Series (I): Development of Korean Guidelines for the Treatment of Alcohol Use Disorder. J Korean Neuropsychiatr Assoc 2013;52:263-271. https://doi.org/10.4306/jknpa.2013.52.4.263
  18. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav 1983;24:385-396. https://doi.org/10.2307/2136404
  19. Lee EH. Review of the psychometric evidence of the perceived stress scale. Asian Nurs Res 2012;6:121-127. https://doi.org/10.1016/j.anr.2012.08.004
  20. Yu BK, Lee HK, Lee KS. A Standardization study of beck depression inventory 2 Korean Version (KBDI). Korean J Psychopathol 1995:96-104.
  21. Hahn DW, Lee CH, Chon KK. Korean adaptation of Spielberger's STAI (L-STAI). Korean J Health Psychology 1996:1-14.
  22. Beck AT, Kovacs M, Weissman A. Assessment of suicidal intention: the Scale for Suicide Ideation. J Consult Clin Psychol 1979;47:343-352. https://doi.org/10.1037/0022-006X.47.2.343
  23. Beck AT, Steer RA, Ranieri WF. Scale for Suicide Ideation: psychometric properties of a self-report version. J Clin Psychol 1988;44:499-505. https://doi.org/10.1002/1097-4679(198807)44:4<499::AID-JCLP2270440404>3.0.CO;2-6
  24. Wilsnack RW, Vogeltanz ND, Wilsnack SC, Harris TR, Ahlstrom S, Bondy S, et al. Gender differences in alcohol consumption and adverse drinking consequences: cross-cultural patterns. Addiction 2000;95:251-265. https://doi.org/10.1046/j.1360-0443.2000.95225112.x
  25. Sorenson SB, Siegel JM. Gender, ethnicity and sexual assault: Findings from a Los Angeles study. Journal of Social Issues 1992;48:93-104. https://doi.org/10.1111/j.1540-4560.1992.tb01159.x
  26. Struckman-Johnson C. Forced sex on dates: It happens to men, too. J Sex Res 1988;24:234-241. https://doi.org/10.1080/00224498809551418
  27. Lee SM, Jung DU, Kang JW, Moon JJ, Jeon DW, Lee YH, Kim YN. Comparison study on psychological characteristics between sexually assaulted and molested victims using Minnesota Multiphasic Personality Inventory-2. Korean J Psychosomc Med 2017;25:101-110.
  28. Senn TE, Carey MP, Vanable PA. Childhood and adolescent sexual abuse and subsequent sexual risk behavior: evidence from controlled studies, methodological critique, and suggestions for research. Clin Psychol Rev 2008;28:711-735. https://doi.org/10.1016/j.cpr.2007.10.002
  29. Sayetta RB, Johnson DP. Basic data on depressive symptomatology. United States, 1974-75. Vital Health Stat 1980;11:1-37.
  30. Mushtaq M, Sultana S, Imtiaz I. The Trauma of Sexual Harassment and its Mental Health Consequences Among Nurses. J Coll Physicians Surg Pak 2015;25:675-679.
  31. Murdoch M, Polusny MA, Hodges J, Cowper D. The association between in-service sexual harassment and post-traumatic stress disorder among Department of Veterans Affairs disability applicants. Mil Med 2006;171:166-173. https://doi.org/10.7205/MILMED.171.2.166
  32. Abbey A. Acquaintance rape and alcohol consumption on college campuses: how are they linked? J Am Coll Health 1991;39:165-169. https://doi.org/10.1080/07448481.1991.9936229
  33. Abbey A, Wegner R, Woerner J, Pegram SE, Pierce J. Review of survey and experimental research that examines the relationship between alcohol consumption and men's sexual aggression perpetration. Trauma Violence Abuse 2014;15:265-282. https://doi.org/10.1177/1524838014521031