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Childhood trauma and dimensions of depression: a specific association with the cognitive domain.
- Source :
-
Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) [Braz J Psychiatry] 2015 Nov 24; Vol. 38 (2), pp. 127-34. - Publication Year :
- 2015
-
Abstract
- Objective: To investigate associations between a history of childhood trauma and dimensions of depression in a sample of clinically depressed patients.<br />Methods: A sample of 217 patients from a mood-disorder outpatient unit was investigated with the Beck Depression Inventory, the Hamilton Depression Rating Scale, the CORE Assessment of Psychomotor Change, and the Childhood Trauma Questionnaire. A previous latent model identifying six depressive dimensions was used for analysis. Path analysis and Multiple Indicators Multiple Causes (MIMIC) models were used to investigate associations between general childhood trauma and childhood maltreatment modalities (emotional, sexual, and physical abuse; emotional and physical neglect) with dimensions of depression (sexual, cognition, insomnia, appetite, non-interactiveness/retardation, and agitation).<br />Results: The overall childhood trauma index was uniquely associated with cognitive aspects of depression, but not with any other depressive dimension. An investigation of childhood maltreatment modalities revealed that emotional abuse was consistently associated with depression severity in the cognitive dimension.<br />Conclusion: Childhood trauma, and specifically emotional abuse, could be significant risk factors for the subsequent development of cognitive symptoms of major depression. These influences might be specific to this depressive dimension and not found in any other dimension, which might have conceptual and therapeutic implications for clinicians and researchers alike.
- Subjects :
- Adult
Child
Child Abuse diagnosis
Depressive Disorder, Major diagnosis
Female
Humans
Male
Middle Aged
Personality Inventory
Psychiatric Status Rating Scales
Risk Factors
Surveys and Questionnaires
Trauma and Stressor Related Disorders diagnosis
Child Abuse psychology
Depression psychology
Depressive Disorder, Major psychology
Trauma and Stressor Related Disorders complications
Trauma and Stressor Related Disorders psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1809-452X
- Volume :
- 38
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)
- Publication Type :
- Academic Journal
- Accession number :
- 26603131
- Full Text :
- https://doi.org/10.1590/1516-4446-2015-1764