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아동.청소년기 복합외상경험과 성인기 대인외상의 관계: 해리경험, 관계중독, 내면화된 수치심의 매개효과

Relationship between Complex Trauma Experience in Childhood-Adolescence and Interpersonal Trauma in Adulthood: Mediating Effects of Dissociation Experience, Relationship Addiction, and Internalized Shame

스트레스연구 2021년 29권 1호 p.1 ~ 10
오유미, 이민규,
소속 상세정보
오유미 ( Oh Yu-Mi ) - Gyeongsang National University Department of Psychology
이민규 ( Lrr Min-Kyu ) - Gyeongsang National University Department of Psychology

Abstract

본 연구에서는 아동ㆍ청소년기 복합외상경험과 성인기 대인외상과의 관계에서 해리경험, 관계중독, 내면화된 수치심의 매개효과를 검증하였다. 성인 238명을 대상으로 외상경험 척도, 한국판 사건충격척도 수정판, 해리 경험 척도, 관계중독질문지, 내면화된 수치심 척도로 설문을 실시했고 자료 분석은 기술 통계분석, 상관 분석, 신뢰도 분석, 구조방정식 모델이 사용되었다. 연구 결과, 아동ㆍ청소년기 복합외상경험에서 해리경험, 관계중독, 내면화된 수치심을 매개로 하여 성인기 대인외상에 영향을 미치는 삼중 매개효과가유의한 것으로 확인되었다. 본 연구의 의의와 제한점을 논의하였고, 추후 연구에 필요한 시사점을 제안하였다.

Background: The purpose of this study is to verify the mediating effects of dissociation experience, relationship addiction, and internalized shame in the relationship between complex trauma experience in childhood-adolescence and interpersonal trauma in adulthood.

Methods: Two hundred and thirty-eight adults participated in this study. They were administered the Korean versions of the Trauma Antecedents Questionnaire, Impact of Event Scale-Revised, Dissociative Experiences Scale, Relationship Addiction Questionnaire, and Internalized Shame Scale. The data were analyzed with descriptive statistics, correlation analysis, reliability analysis, and structural equation modeling.

Results: First, dissociation and internalized shame had a double mediating effect in the relationship between complex trauma experience in childhood-adolescence and interpersonal trauma in adulthood.
Second, relationship addiction and internalized shame had a double mediating effect in the relationship between complex trauma experience in childhood-adolescence and interpersonal trauma in adulthood.
Third, dissociation, relationship addiction, and internalized shame had a triple mediating effect in the relationship between complex trauma experience in childhood-adolescence and interpersonal trauma in adulthood.

Conclusions: Therapeutic intervention for revictimization should address symptoms such as dissociation, relationship addiction, and internalized shame. In addition, people with complex trauma experiences in childhood-adolescence require preventive intervention to avoid further exposure to interpersonal trauma.

키워드

외상 후 스트레스 장애; 피해; 해리; 중독행동; 수치심
Post-traumatic stress disorders; Victimization; Dissociation; Addictive behaviors; Shame

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