Childhood Trauma and Treatment Implications in Major Depressive Disorder in South Korea: Comparison with Medical Outpatients and Two-Year Follow-Up / 우울ㆍ조울병
Mood and Emotion
;
(2): 89-98, 2019.
Artigo
em Inglês
| WPRIM
| ID: wpr-786420
ABSTRACT
BACKGROUND:
Little is known about the specific types of childhood trauma and their relationship to treatment-related issues in major depressive disorder (MDD). This study examined trauma experiences and treatment-related variables in outpatients with MDD at a psychiatric department of a university hospital in Korea.METHODS:
First, 75 outpatients with MDD were compared to medical outpatients without MDD matched by age, sex, income, and educational qualifications. Both groups completed the Life Stressor Checklist-Revised, which assesses comprehensive life events. Second, treatment-related variables and medication compliance measured by the Compliance Rating Scale were investigated for the two-year period after the initial assessment.RESULTS:
The MDD group had experienced a significantly higher number of lifetime traumas than the control group (p=0.003), including more frequent witnessing of family violence (p<0.001), adulthood physical assault by a family member (p<0.001), and childhood emotional abuse (CEA) (p<0.001). CEA was associated with early onset of the first depressive episode and premature termination of pharmacotherapy; childhood physical neglect was associated with premature termination and less time in therapy.CONCLUSION:
Our findings support the important influence of childhood emotional trauma and its relationship to treatment retention.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pacientes Ambulatoriais
/
Pacientes Desistentes do Tratamento
/
Maus-Tratos Infantis
/
Seguimentos
/
Violência Doméstica
/
Complacência (Medida de Distensibilidade)
/
Transtorno Depressivo Maior
/
Tratamento Farmacológico
/
Adesão à Medicação
/
Coreia (Geográfico)
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Criança
/
Humanos
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Mood and Emotion
Ano de publicação:
2019
Tipo de documento:
Artigo
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