Adult mood disorders and childhood psychological trauma

Revista Brasileira de Psiquiatria

Maria Lucrécia Scherer Zavaschi²  Maria Elisa Graeff²  Marcos Tatit Menegassi²  Victor Mardini²  Denise Winkler Simões Pires²  Rafael Homem De Carvalho¹  Luis Augusto Rohde²  Cláudio Laks Eizirik¹ 

[1] ,Universidade Federal de Rio Grande do Sul Department of Psychiatry Division of Child and Adolescent PsychiatryPorto Alegre RS ,Brazil

关键词: Mood disorders;    Mental disorders;    Psychotic disorders;    Parent-child relations;    Child abuse;    Transtornos do humor;    Transtornos mentais;    Transtornos psicóticos;    Relações pais-filhos;    Maus-tratos sexuais infantis;   

DOI  :  10.1590/S1516-44462006000300008

来源: SciELO

【 摘 要 】

OBJECTIVE: To evaluate the association between adult mood disorders and childhood psychological trauma in a developing country. METHOD: Adults with and without mood disorders were assessed in a case-control study using the Mini International Neuropsychiatric Interview. Assessment of childhood trauma included physical and sexual abuse, frequent exposure to violence, and parental loss. RESULTS: In two independent multivariate analyses, after adjusting for potential confounding factors, we found a higher odds ratio for frequent exposure to violence in the community (p = .037) and for physical abuse by parents or caregivers during childhood/adolescence (p = .012) in the group with mood disorders than in the control group. In secondary analyses splitting the mood disorder group in two subgroups (manic episode, and major depressive episodes/ dysthymia), only manic patients showed significantly higher rates of frequent exposure to violence in the community (p = 0.01) and physical abuse during childhood (p = 0.02) than did patients in the control group. In addition, maniac patients had significantly higher rates of sexual abuse than did controls (p = .03). CONCLUSIONS: Our findings document an association between violence during childhood and adult mood disorders, especially for manic patients, in a developing country.

【 授权许可】

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