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Korean J Schizophr Res > Volume 20(2); 2017 > Article
Korean Journal of Schizophrenia Research 2017;20(2):37-43.
DOI: https://doi.org/10.16946/kjsr.2017.20.2.37    Published online October 31, 2017.
Associations of Childhood Trauma with Psychopathology and Clinical Characteristics in Patients with Schizophrenia.
Hyun Soo Lee, Yuran Jeong, Taeyoung Yoo, Ju Yeon Lee, Soo In Lee, Jae Min Kim, Jin Sang Yoon, Sung Wan Kim
1Department of Psychiatry, Naju National Hospital, Naju, Korea.
2Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea. swkim@chonnam.ac.kr
3Gwangju Bukgu Community Mental Health Center, Gwagnju, Korea.
4Haemalkeun psychiatric clinic, Gwangju, Korea.
This study was aimed to investigate the associations of childhood trauma with psychopathology and clinical characteristics in patients with schizophrenia.
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).
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.
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.
Key Words: Schizophrenia · Childhood trauma · Stigma · Quality of life · Stress · Depression


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