우울 및 불안장애 외래 환자의 아동기 외상과 증상의 복합성

초록

Objective: Childhood trauma predicts later development of diverse adult psychiatric disorders and a complex pattern of symptomatology. This complex features were highlighted by recent addition of complex posttraumatic stress disorder (PTSD) to ICD-11. Our study aimed to examine association between lifetime traumatic experiences,both interpersonal and non-interpersonal nature and diversity of symptoms in depressive and anxiety disorders. Methods: We analyzed a psychometric data of 219 psychiatric outpatients with DSM-IV depressive or anxiety disorders at a university affiliated hospital. The questionnaires included the Symptom Checklist – 90 –Revised (SCL-90-R), the Trauma History Screen, the Beck Depression Inventory, the Beck Anxiety Inventory, and the Abbreviated PTSD checklist. The symptomcomplexity was measured with Positive Symptom Total subscale of the SCL-90-R. Results: Childhood interpersonal trauma, adult interpersonal trauma, and adult non-interpersonal trauma were associated with symptom complexity. However, when interrelation between trauma experiences were controlled, childhood interpersonal and adult non-interpersonal trauma remained statistically significant. Conclusion: Thisstudy showed close associations of childhood interpersonal and adult non-interpersonal trauma with diverse self-reported symptomatology in adult patients with depressive and anxiety disorders. Clinicians working with depressive or anxiety disorders need to evaluate past trauma when encountered with diverse and complex symptom patterns.

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