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공성숙 ( Kong Seong-Sook ) - 순천향대학교 간호학과
이정현 ( Lee Jung-Hyun ) - 마음과마음 식이장애 클리닉
신미연 ( Shin Mi-Yeon ) - 마음과마음 식이장애 클리닉
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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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KeyWords
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섭식장애, 아동기 외상, 부모 간 갈등, 자해행동
Eating disorders, Childhood trauma, Self-harm, Parental conflict
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원문 및 링크아웃 정보
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등재저널 정보
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