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KMID : 1177320170200020037
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Korean Journal of Schizophrenia Research
2017 Volume.20 No. 2 p.37 ~ p.43
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Associations of Childhood Trauma with Psychopathology and Clinical Characteristics in Patients with Schizophrenia
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Lee Hyun-Soo
Jeong Yu-Ran
Yoo Tae-Yloung
Lee Ju-Yeon
Lee Soo-In
Kim Jae-Min
Yoon Jin-Sang
Kim Sung-Wan
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Abstract
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Objectives: This study was aimed to investigate the associations of childhood trauma with psychopathology and clinical characteristics in patients with schizophrenia.
Methods: This study enrolled 66 inpatients with schizophrenia. Korean Childhood Trauma Questionnaire (K-CTQ) and Life Event Questionnaire (LEQ) were administered to assess childhood trauma. Psychopatholgy and clinical characteristics were assessed with the Positive and Negative Syndrome Scale (PANSS), Beck Depression Inventory (BDI), Korean Version of Internalized Stigma of Mental Illness (K-ISMI), Perceived Stress Scale (PSS), and visual analogue scale of EuroQoL-5 Dimension Index (EQ-5D).
Results: Total scores on K-CTQ were positively associated with scores on the BDI, K-ISMI, PSS, and PANSS and negatively associated with the score on the EQ-5D. Among subscales of K-CTQ, emotional abuse was significantly associated with all measures for psychopathology and clinical characteristics. Patients with physical abuse (36.5%), emotional abuse (30.2%), or bullying (30.6%) according to the LEQ showed sighificanlty higher the ISMI score and lower EQ-5D score. Emotional abuse and bullying were also significantly associated with higher scores on BDI and/or PSS.
Conclusion: Our results suggest that childhood trauma negatively influences on internalized stigma, depression, perceived stress and quality of life in patients with schizophrenia. Clinicians should carefully evalute and manage childhood traumatic experience of patients with schizophrenia.
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KEYWORD
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Schizophrenia, Childhood trauma, Stigma, Quality of life, Stress, Depression
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