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

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 Uni...

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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
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Abstract 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.
AbstractList 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.
Author Reisdorfer, Emilene
Juruena, Mario Francisco
Tofoli, Sandra Marcia de Carvalho
Martins-Monteverde, Camila Maria Severi
Padovan, Thalita
Baes, Cristiane Von Werne
AuthorAffiliation 1 Stress and Affective Disorders Programme, University of São Paulo , São Paulo , Brazil
3 Centre for Affective Disorders, Department Psychological Medicine, King's College London , London , United Kingdom
2 School of Community and Health Studies, Centennial College , Toronto, ON , Canada
AuthorAffiliation_xml – name: 1 Stress and Affective Disorders Programme, University of São Paulo , São Paulo , Brazil
– name: 2 School of Community and Health Studies, Centennial College , Toronto, ON , Canada
– name: 3 Centre for Affective Disorders, Department Psychological Medicine, King's College London , London , United Kingdom
Author_xml – sequence: 1
  givenname: Camila Maria Severi
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  fullname: Martins-Monteverde, Camila Maria Severi
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– sequence: 2
  givenname: Cristiane Von Werne
  surname: Baes
  fullname: Baes, Cristiane Von Werne
  organization: Stress and Affective Disorders Programme, University of São Paulo, São Paulo, Brazil
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  givenname: Emilene
  surname: Reisdorfer
  fullname: Reisdorfer, Emilene
  organization: School of Community and Health Studies, Centennial College, Toronto, ON, Canada
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  givenname: Thalita
  surname: Padovan
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Keywords depressive disorder
childhood trauma
emotional abuse
subtypes of early life stress
early life stress
neglect
Language English
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Edited by: Diogo Telles-Correia, Universidade de Lisboa, Portugal
Reviewed by: Liang Gong, Southeast University, China; Alexandre Paim Diaz, Federal University of Santa Catarina, Brazil
This article was submitted to Psychopathology, a section of the journal Frontiers in Psychiatry
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SubjectTerms childhood trauma
depressive disorder
early life stress
emotional abuse
neglect
Psychiatry
subtypes of early life stress
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Title Relationship Between Depression and Subtypes of Early Life Stress in Adult Psychiatric Patients
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