누적된 생애 트라우마 경험이 건강에 미치는 영향

Abstract

Objectives: This study aims to identify the negative effects of cumulative traumatic events on both mental and physical health. Methods: Trauma was defined based on DSM-5 (Diagnostic and Statistical Manual of Mental Disorders Fifth Edition), SAMHSA (Substance Abuse and Mental Health Services Administration) recommendation, and previous studies. A cross-sectional study using an online survey questionnaire was used to gather sociodemographics, trauma, and health information. Data were analyzed with SAS version 9.4 software using Chi-Square tests and binary logistic regression analysis. Results: The results of the survey indicated that 89.9% of the people surveyed had experienced traumas during their lifetime and 66.3% during childhood. Respondents who experienced more than 7 traumas were 7.9 times more likely to have potential risk of PTSD (OR: 7.877; 95% CI: 5.314-11.677), 2.3 times more likely to have depression (OR: 2.333; 95% CI: 1.446-3.763), and 3.5 times more likely to have a complex chronic disease (OR: 3.522; 95% CI: 2.261-5.485). A similar trend was found among respondents who experienced trauma in childhood (potential risk of PTSD OR=7.627; depression OR=3.508; complex chronic disease OR=2.979). Conclusion: These findings suggest that cumulative trauma is associated with both negative mental and physical health. Individuals may be exposed to various types of traumas during their lifetime. Interventions are necessary to promote resilience so that cumulative trauma does not threaten an individual’s health and life.