청소년기의 외상 경험이 우울에 미치는 영향: 외상 후 증상의 매개 효과

Abstract

Objectives : This study was conducted to examine the effects of trauma on depression manifesting as post-traumatic stress symptoms (PTSS) among adolescents. Methods : Participants included 113 adolescent students living in Korea. For evaluation of psychiatric symptoms, participants were asked to complete self-reports; including the Children’s Depression Inventory (CDI), the Child Report of Post-traumatic Symptoms (CROPS), and Lifetime Incidence of Traumatic Events-Child (LITE-C). Self-reports were completed twice including a baseline questionnaire (T1) and again six months later (T2). Results : The direct effect of trauma on T2 depression was not significant (B = 0.028, p = 0.903). The indirect effect of trauma on T2 depression was mediated by T2 PTSS [B = 0.414, CI = [0.019, 0.956]); (LITE-C(T1)→CROPS(T1): B = 0.794, p＜0.05, LITE-C(T1)→CROPS(T2): B = 0.649, p＜0.05, CROPS(T1)→CROPS(T2): B = 679, p＜0.001, CROPS(T2) →CDI(T2): B = 0.638, p＜0.001]. Conclusion : The results of this study show that an intervention to lower prolonged PTSS is required to prevent depression among adolescents.