Depresión adulta y experiencias infantiles adversas: evidencia de un subtipo depresivo complejo en consultantes de la atención primaria en Chile / Association between adverse childhood experiences with depression in adults consulting in primary care
Rev. méd. Chile
;
145(9): 1145-1153, set. 2017. tab, graf
Article
Dans Espagnol
| LILACS
| ID: biblio-902599
ABSTRACT
Background:
Traumatic experiences during childhood may influence the development of mental disorders during adulthood.Aim:
To determine clinical and psychosocial variables that are associated with a higher frequency of adverse childhood experiences (ACE) in patients who consult for depression in Primary Health Care clinics in Chile. Material andMethods:
A socio-demographic interview, the mini international neuropsychiatric interview (MINI), a screening for ACE, a questionnaire for partner violence (PV), the Life Experiences Survey (LES) and the Hamilton Rating Scale for Depression (HRDS) were applied to 394 patients with major depression (87% women).Results:
Eighty two percent of patients had experienced at least one ACE and 43% of them reported three or more. Positive correlations were observed between the number of ACE and severity of depressive symptoms (r = 0.19; p < 0.01), psychiatric comorbidities (r = 0.23; p < 0.01), partner violence events (r = 0.31; p < 0.01), vital stressful events (r = 0.12; p < 0.01), number of depressive episodes (r = 0.16; p < 0.01), duration of the longer depressive episode (r = 0.12; p < 0.05) and suicidal tendency according to HDRS (r = 0.16; p < 0.01). An inverse correlation was observed between frequency of ACE and age at the first depressive episode (r = -0.12; p < 0.05).Conclusions:
These data are consistent with the hypothesis that early trauma is associated with more severe and complex depressive episodes during adulthood.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Soins de santé primaires
/
Trouble dépressif
/
Adultes victimes d'événements traumatiques dans l'enfance
/
Événements de vie
Type d'étude:
Étude observationnelle
/
Étude de prévalence
/
Recherche qualitative
/
Facteurs de risque
Limites du sujet:
Adulte
/
Enfant
/
Femelle
/
Humains
/
Mâle
Pays comme sujet:
Amérique du Sud
/
Chili
langue:
Espagnol
Texte intégral:
Rev. méd. Chile
Thème du journal:
Médicament
Année:
2017
Type:
Article
Pays d'affiliation:
Chili
Institution/Pays d'affiliation:
Universidad de Talca/CL
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS