Huh Hyu Jung, Kim Sun-Young, Yu Jeong Jin, Chae Jeong-Ho
Department of Psychiatry, College of Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, 222 Banpodaero, Seocho-Gu 137-701, Seoul, Republic of Korea.
Laboratory of Emotion, Catholic Institute of Medical Science and Biolife Industry, Seoul, Republic of Korea.
Ann Gen Psychiatry. 2014 Sep 16;13:26. doi: 10.1186/s12991-014-0026-y. eCollection 2014.
Although a plethora of studies have delineated the relationship between childhood trauma and onset, symptom severity, and course of depression and anxiety disorders, there has been little evidence that childhood trauma may lead to interpersonal problems among adult patients with depression and anxiety disorders. Given the lack of prior research in this area, we aimed to investigate characteristics of interpersonal problems in adult patients who had suffered various types of abuse and neglect in childhood.
A total of 325 outpatients diagnosed with depression and anxiety disorders completed questionnaires on socio-demographic variables, different forms of childhood trauma, and current interpersonal problems. The Childhood Trauma Questionnaire (CTQ) was used to measure five different forms of childhood trauma (emotional abuse, emotional neglect, physical abuse, physical neglect, and sexual abuse) and the short form of the Korean-Inventory of Interpersonal Problems Circumplex Scale (KIIP-SC) was used to assess current interpersonal problems. We dichotomized patients into two groups (abused and non-abused groups) based on CTQ score and investigated the relationship of five different types of childhood trauma and interpersonal problems in adult patients with depression and anxiety disorders using multiple regression analysis.
Different types of childhood abuse and neglect appeared to have a significant influence on distinct symptom dimensions such as depression, state-trait anxiety, and anxiety sensitivity. In the final regression model, emotional abuse, emotional neglect, and sexual abuse during childhood were significantly associated with general interpersonal distress and several specific areas of interpersonal problems in adulthood. No association was found between childhood physical neglect and current general interpersonal distress.
Childhood emotional trauma has more influence on interpersonal problems in adult patients with depression and anxiety disorders than childhood physical trauma. A history of childhood physical abuse is related to dominant interpersonal patterns rather than submissive interpersonal patterns in adulthood. These findings provide preliminary evidence that childhood trauma might substantially contribute to interpersonal problems in adulthood.
尽管大量研究已经阐明了童年创伤与抑郁症和焦虑症的发病、症状严重程度及病程之间的关系，但几乎没有证据表明童年创伤会导致成年抑郁症和焦虑症患者出现人际关系问题。鉴于该领域此前缺乏相关研究，我们旨在调查童年遭受过各种虐待和忽视的成年患者的人际关系问题特征。
共有325名被诊断为抑郁症和焦虑症的门诊患者完成了关于社会人口统计学变量、童年不同形式创伤以及当前人际关系问题的问卷调查。儿童创伤问卷（CTQ）用于测量童年五种不同形式的创伤（情感虐待、情感忽视、身体虐待、身体忽视和性虐待），韩国人际关系问题环形量表简版（KIIP-SC）用于评估当前的人际关系问题。我们根据CTQ评分将患者分为两组（受虐组和未受虐组），并使用多元回归分析研究成年抑郁症和焦虑症患者童年五种不同类型创伤与人际关系问题之间的关系。
不同类型的童年虐待和忽视似乎对抑郁、状态-特质焦虑和焦虑敏感性等不同症状维度有显著影响。在最终回归模型中，童年期的情感虐待、情感忽视和性虐待与成年后的一般人际困扰和人际关系问题的几个特定领域显著相关。未发现童年期身体忽视与当前一般人际困扰之间存在关联。
童年情感创伤对成年抑郁症和焦虑症患者人际关系问题的影响大于童年身体创伤。童年期身体虐待史与成年后的主导人际模式而非顺从人际模式有关。这些发现提供了初步证据，表明童年创伤可能在很大程度上导致成年后的人际关系问题。
