1. Childhood trauma and psychiatric comorbidities in patients with depressive disorder in primary care in Chile.
- Author
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Vitriol V, Cancino A, Leiva-Bianchi M, Serrano C, Ballesteros S, Asenjo A, Cáceres C, Potthoff S, Salgado C, Orellana F, and Ormazábal M
- Subjects
- Adult, Adult Survivors of Child Abuse psychology, Antisocial Personality Disorder epidemiology, Antisocial Personality Disorder psychology, Anxiety Disorders epidemiology, Anxiety Disorders psychology, Chile epidemiology, Comorbidity, Domestic Violence psychology, Female, Humans, Interview, Psychological, Male, Middle Aged, Panic Disorder epidemiology, Panic Disorder psychology, Risk Factors, Stress Disorders, Post-Traumatic epidemiology, Stress Disorders, Post-Traumatic psychology, Depressive Disorder, Major epidemiology, Depressive Disorder, Major psychology, Primary Health Care
- Abstract
Childhood trauma is associated with different psychiatric disorders during adulthood. These disorders are often presented in comorbidity with depression., Objective: To establish the relationship between psychiatric comorbidities and childhood traumatic events in patients with depression in Chile., Methods: Three hundred and ninety-four patients with major depression were assessed using the MINI International Neuropsychiatric Interview and a screening for childhood trauma., Results: Social anxiety disorder was associated with having witnessed domestic violence during childhood (OR = 2.2, CI 1.2 - 3.8), childhood physical abuse (OR = 2.7, CI 1.6 - 4.4), physical injury associated with physical abuse (OR = 2.3, CI 1.3 - 4.7) and sexual abuse by a non-relative (OR = 2.7, CI 1.3 - 4.2). Posttraumatic stress disorder was associated with physical injury associated with physical abuse (OR = 1.9, CI 1.1 - 3.6), sexual abuse by a relative (OR = 3.2, IC 1.8 - 5.9) and sexual abuse by a non-relative (OR = 2.2, CI 1.2 - 4.1). Antisocial personality disorder was associated with traumatic separation from a caregiver (OR = 3.2, CI 1.2 - 8.5), alcohol abuse by a family member (OR = 3.1, CI 1.1 - 8.1), physical abuse (OR = 2.8, CI 1.1 - 6.9) and sexual abuse by a non-relative (OR = 4.8, CI 1.2 - 11.5). Panic disorder was associated with sexual abuse by a relative (OR = 1.9, CI 1.1 - 3.1). Generalized anxiety disorder was associated with sexual abuse by a non-relative (OR = 1.9, CI 1.1- 3.3)., Conclusions: Further clinical recognition is required in patients seeking help for depression in primary care. This recognition must take into account the patient's current psychiatric comorbidities and adverse childhood experiences.
- Published
- 2017
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