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      정신분열병 환자의 아동기 신체, 성학대와 MMPI 특성 = The MMPI Profile of Adult Schizophrenia with Childhood Physical or Sexual Abuse

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      https://www.riss.kr/link?id=A75056565

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      다국어 초록 (Multilingual Abstract)

      Objectives : The symptomatic and behavioral correlates of childhood trauma in schizophrenia are beginning to emerge in the literature. This study aimed to investigate whether the association between personality traits and schizophrenia with childhood abuse can be replicated in Koreans using the Multiphasic Minnesota Personality Inventory (MMPI).
      Methods : Eighteen schizophrenias with childhood abuse and 24 schizophrenic comparisons without abuse history were recruited at the inpatient units of two general hospitals and the subjects completed the MMPI.
      Results : Subjects with schizophrenia plus childhood history of abuse had less educational years (p<.001). After controlling the educational year as a covariate, abused schizophrenic patients had higher scores in the Schizotypal (p=.003), Dependent (p=.014), Passive-aggressive (p=.034), Borderline (p=.045) subscales. For the validity and clinical subscales, significant differences were found in the F scale (p=.036), Hypochondriasis (p=.042), Depression (p<.001), Hysteria (p=.002), Per-sonality disorder (p=.001), Paranoia (p=.024), Psychasthenia (p=.001) and Schizophrenia (p=.006) subscales.
      Conclusion : Our findings suggest that childhood abuse in schizophrenia is associated with more complex features of Per-sonality characteristics rather than specific cluster B personality traits.
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      Objectives : The symptomatic and behavioral correlates of childhood trauma in schizophrenia are beginning to emerge in the literature. This study aimed to investigate whether the association between personality traits and schizophrenia with childhood ...

      Objectives : The symptomatic and behavioral correlates of childhood trauma in schizophrenia are beginning to emerge in the literature. This study aimed to investigate whether the association between personality traits and schizophrenia with childhood abuse can be replicated in Koreans using the Multiphasic Minnesota Personality Inventory (MMPI).
      Methods : Eighteen schizophrenias with childhood abuse and 24 schizophrenic comparisons without abuse history were recruited at the inpatient units of two general hospitals and the subjects completed the MMPI.
      Results : Subjects with schizophrenia plus childhood history of abuse had less educational years (p<.001). After controlling the educational year as a covariate, abused schizophrenic patients had higher scores in the Schizotypal (p=.003), Dependent (p=.014), Passive-aggressive (p=.034), Borderline (p=.045) subscales. For the validity and clinical subscales, significant differences were found in the F scale (p=.036), Hypochondriasis (p=.042), Depression (p<.001), Hysteria (p=.002), Per-sonality disorder (p=.001), Paranoia (p=.024), Psychasthenia (p=.001) and Schizophrenia (p=.006) subscales.
      Conclusion : Our findings suggest that childhood abuse in schizophrenia is associated with more complex features of Per-sonality characteristics rather than specific cluster B personality traits.

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      참고문헌 (Reference)

      1 Herman JL, "a syndrome in survivors of prolonged and repeated trauma" 377-391, jtraumastress1992

      2 Lysaker PH, "Vocational function among persons with schizophrenia with and without history of childhood sexual trauma" 17 : 435-438, 2004

      3 Mueser KT, "Trauma, PTSD, and the course of severe mental illness: an interactive model" 53 : 123-143, 2002

      4 Read J, "The contribution of early traumatic events to schizophrenia in some patients: a traumagenic neurodevelopmental model" 319-345, 2001

      5 Park BK, "Structural analysis of the MMPI scale for personality disorders and the 16PF a preliminary validation study of scales for personality disorders" 55-75,

      6 Darves-Bornoz JM, "Sexual victimization in women with schizophrenia and bipolar disorder" 30 : 78-84, 1995

      7 Kim D, "Sexual and physical abuse among Korean female inpatients with schizophrenia" 19 : 279-289, 2006

      8 Ross CA, "Schizophrenia: Innovations in Diagnosis and Treatment" New York, NY; The Harworth Press, Inc 2004

      9 Han OS, "SCID-I (Research version)" Seoul: Hana Medical Publishing 2000

      10 Lysaker PH, "Reported history of child sexual abuse in schizophrenia: Associations with heightened symptom levels and poorer participation over four months in vocational rehabilitation" 193 : 790-795, 2005

      1 Herman JL, "a syndrome in survivors of prolonged and repeated trauma" 377-391, jtraumastress1992

      2 Lysaker PH, "Vocational function among persons with schizophrenia with and without history of childhood sexual trauma" 17 : 435-438, 2004

      3 Mueser KT, "Trauma, PTSD, and the course of severe mental illness: an interactive model" 53 : 123-143, 2002

      4 Read J, "The contribution of early traumatic events to schizophrenia in some patients: a traumagenic neurodevelopmental model" 319-345, 2001

      5 Park BK, "Structural analysis of the MMPI scale for personality disorders and the 16PF a preliminary validation study of scales for personality disorders" 55-75,

      6 Darves-Bornoz JM, "Sexual victimization in women with schizophrenia and bipolar disorder" 30 : 78-84, 1995

      7 Kim D, "Sexual and physical abuse among Korean female inpatients with schizophrenia" 19 : 279-289, 2006

      8 Ross CA, "Schizophrenia: Innovations in Diagnosis and Treatment" New York, NY; The Harworth Press, Inc 2004

      9 Han OS, "SCID-I (Research version)" Seoul: Hana Medical Publishing 2000

      10 Lysaker PH, "Reported history of child sexual abuse in schizophrenia: Associations with heightened symptom levels and poorer participation over four months in vocational rehabilitation" 193 : 790-795, 2005

      11 Hulbert CA, "Relationship between personality and course and outcome in early psychosis: a review of the literature" 16 : 707-727, 1996

      12 Yen S, "Recent developments in research of trauma and personality disorders" 3 : 52-58, 2001

      13 Kim D, "Prevalence of traumatic events and posttraumatic stress disorder among inpatients with schizophrenia" 45 : 213-221, 2006

      14 Briere J, Elliott DM, "Prevalence and psychological sequelae of self-reported childhood physical and sexual abuse in a general population sample of men and women" 27 : 1205-1222, 2003

      15 Classen CC, "Posttraumatic personality disorder: a reformulation of complex posttraumatic stress disorder and borderline personality disorder" 29 : 87-112, 2006

      16 Goodman LA, "Physical and sexual assault history in women with serious mental illness: prevalence, correlates, treatment, and future research directions" 23 : 685-696, 1997

      17 Lysaker PH, "Personality and psychopatholgy in schizophrenia: the association between personality traits and symptoms" 62 : 36-48, 1999

      18 Lysaker PH, "Neurocognitive deficits and history of child abuse in schizophrenia spectrum disorders: associations with Cluster B personality traits" 68 : 87-94, 2004

      19 Lysaker PH, "Neurocognitive and psychosocial correlates of hostility among persons in a post-acute phase of schizophrenia spectrum disorders" 43 : 319-324, 2002

      20 Engels ML, "MMPI indices of childhood trauma among 110 female outpatients" 135-147,

      21 Scheller-Gilkey G, "Increased early life stress and depressive symptoms in patients with comorbid substance abuse and schizophrenia" 28 : 223-231, 2002

      22 Kean TM, "Empirical development of an MMPI subscale for assessment of combat-related post-trauamatic stress disorder" 888-891, jconsultclinpsychol1984

      23 Hogg B, "Diagnosing personality disorders in recent-onset schizophrenia" jnervmentdis1990195-199

      24 Anthony N, "Comparison of clients’ standard" 100-103, jconsultclinpsychol1971

      25 Read J, "Childhood trauma, psychosis and schizophrenia: a literature review with theoretical and clinical implications" 112 : 330-350, 2005

      26 Lysaker PH, "Childhood sexual trauma and psychosocial functioning in adults with schizophrenia" 52 : 1485-1488, 2001

      27 Johnson JG, "Childhood maltreatment increases risk for personality disorders during early adulthood" 56 : 600-606, 1999

      28 Holowka DW, "Childhood abuse and dissociative symptoms in adult schizophrenia" 60 : 87-90, 2003

      29 Lysaker PH, "Associations of anxiety-related symptoms with reported history of childhood sexual abuse in schizophrenia spectrum disorders" 66 : 1279-1284, 2005

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