Servicios Personalizados
Revista
Articulo
Indicadores
Citado por SciELO
Accesos
Links relacionados
Citado por Google
Similares en SciELO
Similares en Google
Compartir
Revista médica de Chile
versión impresa ISSN 0034-9887
Resumen
VITRIOL, Verónica et al. Association between adverse childhood experiences with depression in adults consulting in primary care. Rev. méd. Chile [online]. 2017, vol.145, n.9, pp.1145-1153. ISSN 0034-9887. http://dx.doi.org/10.4067/s0034-98872017000901145.
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 and Methods:
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.
Palabras clave : Child Abuse; Depression; Primary Health Care; Psychological; Stress.
