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KMID : 0607320090180010031
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Journal of Korean Academy of Psychiatric and Mental Health Nursing
2009 Volume.18 No. 1 p.31 ~ p.40
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Impact of Childhood Trauma on Self-Harm Behavior in Patients with Eating Disorders and the Mediating Effect of Parental Conflict
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Kong Seong-Sook
Lee Jung-Hyun
Shin Mi-Yeon
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Abstract
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Purpose: The purpose of this study was to determine whether specific forms of childhood trauma predict self-harm behavior and to investigate the mediating effects of their parental conflict between childhood trauma and self-harm behavior in patients with eating disorders.
Methods: Patients (n=128) who visited ’M’ clinic for eating disorders participated in the study. Data was collected from April to September 2007 using the childhood trauma questionnaire, modified conflict tactics scale and self-harm Inventory.
Results: The subjects showed high scores on childhood trauma and self-harm, and 98.4% of all participants self-reported experiencing at least one type of trauma. There were significant correlations between all types of childhood trauma, parental conflict and self-harm behavior. Emotional abuse, physical neglect, and sexual abuse were found to be significant predictors of self-harm behavior. We also found that parental conflict partially mediated the association between some forms of childhood trauma and self-harm behavior.
Conclusion: Future interventions for patients with eating disorders should focus on assessing the possibility of childhood trauma and self-harm behaviors, and on interventions for trauma such as Eye Movement Desensitization and Reprocessing (EMDR). Couple therapy for the parents might contribute to preventing self-harm and suicide in patients with eating disorders.
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KEYWORD
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Eating disorders, Childhood trauma, Self-harm, Parental conflict
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