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KMID : 0385620220260020025
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Korean Journal of Psychopathology
2022 Volume.26 No. 2 p.25 ~ p.35
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Childhood Trauma and Symptom Complexity among Outpatients with Depressive and Anxiety Disorder
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Lee Jin-Bok
Kim Dae-Ho
Kim Eun-Kyung
Kim Yae-Seul
Sohn Su-Jin
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Abstract
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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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KEYWORD
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psychological trauma, childhood trauma, depressive disorders, anxiety disorders
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