Relationship Between Depression and Subtypes of Early Life Stress in Adult Psychiatric Patients

• Published in: Frontiers in psychiatry Vol. 10; p. 19
• Main Authors: Martins-Monteverde, Camila Maria Severi, Baes, Cristiane Von Werne, Reisdorfer, Emilene, Padovan, Thalita, Tofoli, Sandra Marcia de Carvalho, Juruena, Mario Francisco
• Format: Journal Article
• Language: English
• Published: Switzerland Frontiers Media S.A 05-02-2019
• Subjects: childhood trauma; depressive disorder; early life stress; emotional abuse; neglect; Psychiatry; subtypes of early life stress; depressive disorder; childhood trauma; emotional abuse; subtypes of early life stress; early life stress; neglect
• ISSN: 1664-0640; 1664-0640
• DOI: 10.3389/fpsyt.2019.00019

Numerous studies have researched the aggravating and maintainer effect of Early Life Stress in patients adults with psychiatric disorders. This study examined the relationship between depression and subtypes of early life stress among 81 psychiatric patients treated at the inpatient Day Hospital Unit of a University General Hospital. Psychiatric diagnosis was confirmed according to the MINI International Neuropsychiatric Interview (MINI). The Childhood Trauma Questionnaire (CTQ) was used for evaluating as retrospective assessment of the presence of ELS on these patients, and we also evaluated the severity of hopelessness with the Beck Hopelessness Scale (BHS). Our results suggested that the occurrence of depression in adulthood is related to situations of emotional abuse, sexual, and physical neglect during childhood. The analysis between depression and childhood emotional abuse was significant after a multiple logistic regression analysis OR (IC 95%): 4.4 (1.7-11.2), even accounting for gender adjusted OR [AOR] 4.0; (IC 1.5-10.5); psychiatry family history AOR 3.8 (1.4-10.5); previous suicide attempted AOR 3.7; (1.4-10.5) and Hopelessness AOR 3.2 (1.11-9.4). Thus, these findings demonstrate emotional abuse as a significant risk factor to be part of the mechanism involved in the pathogenesis of depression related to early life stress.