| Impact of Childhood Trauma on Self-Harm Behavior in Patients with Eating Disorders and the Mediating Effect of Parental Conflict |
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Seong Sook Kong1, Jung Hyun Lee2, Mi Yeon Shin3 |
1Associale Professor, Department of Nursing. Soonchunhyang University
2M.D, Director, Mind & Mind Eating Disorder Clinic
3Psychologist, Mind & Mind Eating Disorder Clinic |
| 섭식장에 환자의 아동기 외상경험이 자해행동에 미치는 영향과 부모 간 갈등의 매개효과 분석 |
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공성숙1, 이정현2, 신미연3 |
1순천향대학교 간호학과 부교수
2마음과마음 섭식장애클리닉 원장, 정신과 의사
3마음과마음 섭식장애클리닉 임상심리전문가 |
Correspondence:
Seong Sook Kong, Tel: 82-41-570-2488, Fax: 82-41-575-9347,
Email: kongsun@sch.ac.kr
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Received: 24 February 2009 • Revised: 2 March 2009 • Accepted: 8 March 2009 |
| Abstract |
Purpose
The purpose of this study was to determine whether specific forms of childhood trauma predict self-harm be havior and to investigate the mediating effects of their parental conflict between childhood trauma and self-harm behav ior in patients with eating disorders.
Methods
Patients (n=128) who visited 'M 1 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 inter ventions 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. |
| Key Words:
Eating disorders; Childhood trauma; Self-harm; Parental conflict |
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