Childhood trauma and dimensions of depression: a specific association with the cognitive domain

Revista Brasileira de Psiquiatria

Edgar A. Vares¹  Giovanni A. Salum¹  Lucas Spanemberg¹  Marco A. Caldieraro¹  Lívia H. De Souza¹  Roberta De P. Borges¹  Marcelo P. Fleck¹ 

关键词: Depression;    dimensions;    childhood trauma;    emotional abuse;    cognition;   

DOI  :  10.1590/1516-4446-2015-1764

来源: SciELO

【 摘 要 】

Objective: To investigate associations between a history of childhood trauma and dimensions of depression in a sample of clinically depressed patients.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).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.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.

【 授权许可】

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