아동기 학대와 방임이 우울장애 환자의 성격병리에 미치는 영향 = The Effect of Childhood Abuse and Neglect on Pathological Personality in Depressive Patients

다국어 초록 (Multilingual Abstract)

The purpose of this study was to investigate the relationship between childhood trauma and adulthood pathological personality in depressive patients. In particular, this study was an examination of how the subtypes of childhood trauma (abuse and neglect) affect pathological personality. Childhood abuse and neglect were evaluated using the Childhood Trauma Questionnaire (CTQ), and pathological personality was evaluated using the PSY-5 dimensional scale. A total of 269 depressive patients completed the questionnaires. Childhood abuse was significantly correlated with all five pathological personality traits, while childhood neglect was significantly correlated with psychoticism, disconstraint, negative emotionality/neuroticism, and introversion/low positive emotion. After controlling for demographic variables (gender and age) and depressive symptoms, the results of a hierarchical multiple regression analysis showed that both childhood abuse and childhood neglect significantly predicted a pathological personality in adulthood. In detail, childhood abuse affected psychoticism, whereas childhood neglect affected introversion/low positive emotion. The clinical implications and limitations of our findings were also discussed.

국문 초록 (Abstract)

본 연구는 우울장애 환자군에서 아동기의 외상적 경험이 성인기에서의 성격병리를 예측하는지를탐색하였다. 구체적으로 아동기 외상의 하위 유형인 학대와 방임이 개인의 성격병리에 어떻게 다른 영향을 미치는지 확인하고자 하였다. 이를 위해 우울장애로 진단 받은 환자 269명을 대상으로아동기의 외상경험을 학대와 방임으로 구분해 두 하위 유형의 영향을 비교하였으며, 성격병리 5 요인을 사용해 병리적인 성격특성을 탐색하였다. 연구 결과, 아동기 학대 경험과 다섯 가지 성격병리(공격성, 정신증, 통제결여, 부정적 정서/신경증, 내향성/낮은 긍정적 정서)가 모두 유의한 상관을 보였고, 아동기 방임 경험은 공격성을 제외한 나머지 네 가지 성격병리와 모두 유의한 상관을 나타냈다. 또한 위계적 중다회귀분석을 통해 성과 연령, 우울 증상을 통제한 후 병리적인 성격특성에 대한 학대 및 방임의 예측력을 살펴본 결과, 학대의 경험은 정신증을, 방임의 경험은 내향성/낮은 긍정적 정서를 각각 유의하게 예측하여, 외상의 하위유형에 따라 성격병리에 서로 다른영향을 미치는 것으로 나타났다. 이 같은 결과를 바탕으로 본 연구의 함의와 한계점에 대해 논의하였다.

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