Abstract
Purpose
The purposes of the study were to determine whether specific forms of childhood traumatic experience predicts post traumatic stress symptoms and dissociation and to investigate the mediating effects of bullying experience on forms of childhood trauma and post traumatic stress symptoms or dissociation.
Methods
Participants were patients (n=90) from "S" clinic for psychological trauma. Data were collected from January 2012 to January 2013 through semi-structured interviews and self-reports using a modified Lifetime Incidence of Traumatic Events, Korean Version of Impact of Event Scale-Revised, and Dissociative Experience Scale.
Results
The participants showed high rates for childhood trauma and high scores on post traumatic stress symptoms and dissociation, and 38.9% of participants self-reported experiencing more than three types of trauma. Physical abuse was found to be a significant predictor of post traumatic stress symptoms and dissociation. It was also found that bullying experience partially mediated the association between physical abuse and post traumatic stress symptoms or dissociation.
Conclusion
Future interventions for patients with childhood trauma should focus on assessing the possibility of dissociation. As boys and girls who experienced physical abuse in childhood are likely to be victims of bullying, school counselors should assess their support system and refer to mental health professionals as necessary.
Figures and Tables
References
1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th text revision ed. Washington, DC: American Psychiatric Association;2000.
2. Annerbäck EM, Sahlqvist L, Svedin CG, Wingren G, Gustafsson PA. Child physical abuse and concurrence of other types of child abuse in Sweden-Associations with health and risk behaviors. Child Abuse Negl. 2012; 36:585–595.
3. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. J Pers Soc Psychol. 1986; 51:1173–1182.
4. Bernstein EM, Putnam FW. Development, reliability, and validity of a dissociation scale. J Nerv Ment Dis. 1986; 174:727–735.
5. Campbell ML, Morrison AP. The relationship between bullying, psychotic-like experiences and appraisals in 14-16-year olds. Behav Res Ther. 2007; 45:1579–1591.
6. Carlson EB, Putnam FW. An update on the Dissociative Experiences Scale. Dissociation. 1993; 6:16–27.
7. Classen C, Koopman C, Spiegel D. Trauma and dissociation. Bull Menninger Clin. 1993; 57:178–193.
8. Courtois CA. Complex trauma, complex reactions: Assessment and treatment. Psychol Trauma. 2004; 41:412–425.
9. Eun HJ, Kwon TW, Lee SM, Kim TH, Choi MR, Cho SJ. A study on reliability and validity of the Korean version of Impact of Event Scale-Revised. J Korean Neuropsychiatr Assoc. 2005; 44:303–310.
10. Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The adverse childhood experiences (ACE) study. Am J Prev Med. 1998; 14:245–258.
11. Fergusson DM, McLeod GF, Horwood LJ. Childhood sexual abuse and adult developmental outcomes: Findings from a 30-year longitudinal study in New Zealand. Child Abuse Negl. 2013; pii: S0145-2134(13)00085-9. [Epub ahead of print].
12. Greenwald R, Rubin A. Brief assessment of children's post-traumatic symptoms: Development and preliminary validation of parent and child scales. Res Soc Work Pract. 1999; 9:61–75.
13. Herman J. Trauma and recovery: The aftermath of violence-from domestic abuse to political terror. New York: Basic Books;1997.
14. Horowitz M, Wilner N, Alvarez W. Impact of Event Scale: A measure of subjective stress. Psychosom Med. 1979; 41:209–218.
15. Hwang SH. The self-structure of dissociation-prone persons. Korean J Clin Psychol. 2010; 29:821–837.
16. Idsoe T, Dyregrov A, Idsoe EC. Bullying and PTSD symptoms. J Abnorm Child Psychol. 2012; 40:901–911.
17. Jang SM, Kim JH. Family violence and the post-traumatic stress disorder: Moderating effects of positive attitude and social support. Korean J Fam Soc Work. 2012; 35:173–202.
18. Kamen C, Bergstrom J, Koopman C, Lee S, Gore-Felton C. Relationships among childhood trauma, post-traumatic stress disorder, and dissociation in men living with HIV/AIDS. J Trauma Dissociation. 2012; 13:102–114.
19. Kim BK. The mediating effects of experiential avoidance, and dissociation on the relationship between intrusive memory and traumatic symptoms, psychological distress. Seoul: Ewha Womans University;2012. Unpublished master's thesis.
20. Kong S, Bernstein K. Childhood trauma as a predictor of eating psychopathology and its mediating variables in patients with eating disorders. J Clin Nurs. 2009; 18:1897–1907.
21. Koola MM, Qualls C, Kelly DL, Skelton K, Bradley B, Amar R, et al. Prevalence of childhood physical and sexual abuse in veterans with psychiatric diagnoses. J Nerv Ment Dis. 2013; 201:348–352.
22. Lee JM. A study on the conditions of group ostracization or harrassment among middle school students in Seoul and their solutions. Seoul: Yonsei University;1999. Unpublished master thesis.
23. Lee YS, Lee JH. Trauma memory distortion of high dissociators. Korean J Clin Psychol. 2010; 29:327–335.
24. Park JM, Choe BM, Kim M, Han HM, Yoo SY, Kim SH, et al. Standardization of Dissociative Experience Scale-Korean version. Korean J Psychopathol. 1995; 4:105–125.