There is a large consensus
indicating that childhood trauma is significantly involved in the development
of depression.
The aim of this study was to examine the prevalence of
retrospectively recalled childhood trauma in chronically depressed patients and
to investigate a more specific relationship between trauma type and depression.
We further asked for the influence of multiple experiences of childhood trauma
on the vulnerability to a chronic course of depression in adulthood. 349
chronically depressed patients of the German LAC Depression Study completed the
Childhood Trauma Questionnaire, a self-report measure of traumatic experiences
in childhood. 75.6% of the chronically depressed patients reported clinically
significant histories of childhood trauma. 37% of the chronically depressed
patients reported multiple childhood traumatization.
Experiences of multiple
trauma also led to significantly more severe depressive symptoms. Stepwise
multiple regression analysis suggested that childhood emotional abuse and
sexual abuse were significantly associated with a higher symptom severity in
chronically depressed adults. Yet, expanding the regression model for multiple
exposures showed that multiplicity was the only remaining significant predictor
for symptom severity in chronically depressed patients.
Clinical implications
suggest a precise assessment of childhood trauma in chronically depressed
patients with a focus on emotional abuse, sexual abuse, and multiple exposures
to childhood trauma. This trial is registered with registration number ISRCTN91956346.
…Overall, the prevalence of
childhood trauma was remarkably high with a magnitude of 75.6%. Moreover, CTQ
subscale means indicated childhood trauma on the thresholds from moderate to
severe exposure [56–58]. We additionally
applied higher thresholds for the specific examination of clinically relevant
childhood trauma [62]. Specific
contributions of certain types of childhood trauma to the vulnerability of
different forms of psychopathology were repeatedly reported. Our results show
that emotional abuse was reported most frequently with 61%. Additionally, 25%
of the patients reported childhood sexual abuse. Contrastingly, 15% emotional
abuse and 12.6% sexual abuse were found in a representative German survey study
on the prevalence of childhood trauma [64]. These findings show chronically depressed
patients to be highly burdened by childhood adversities and supports reports of
greater childhood adversity in chronic forms of depression compared to
nonchronic forms [46]. For example,
dysthymic patients were reported to have significantly poorer early parental
relationships and to receive less care than patients with episodic depression [65]. Also, duration
of depression was reported to be uniquely predicted by maternal abuse, maternal
indifference, and paternal overcontrol [47].
In our study, women
reported significantly more frequent childhood trauma in general and emotional
abuse and sexual abuse in particular. McGrath et al. [66] pointed to the higher risk of
victimization in women and estimated childhood abuse in women at 21.7 to 37%.
Lampe's [67] review on
childhood trauma confirmed that women suffered more frequently from sexual
abuse than men. Scher et al. [63] showed that women
were nearly twice as likely to report emotional abuse and four times as likely
to report sexual abuse. Furthermore, our results showed that when referring to
associations of trauma types and trauma groups with symptom severity, gender
did not contribute significantly. Arnow et al. [68] examined the
moderating role of gender on the association between childhood abuse, neglect,
and depression, yet they found no gender differences. However, they also
identified significantly more depressed women than men reporting histories of
emotional abuse and sexual abuse, which they interpreted as stemming from
higher rates of victimization among women (p. 179). The lack of evidence for
gender differences in the relationship of childhood adversity and depression
was also substantiated by other studies reporting that among those with a
history of childhood sexual abuse [35] with physical [69] or emotional
abuse [69, 70] men and women
were equally at risk for depression…
Full article at: http://goo.gl/NWAaCV
By: Alexa Negele, 1 , * Johannes Kaufhold, 1 Lisa Kallenbach, 1 and Marianne Leuzinger-Bohleber 1 , 2
1Sigmund-Freud-Institute, 60323 Frankfurt,
Germany
2University of Kassel, Psychoanalytical
Psychology, 34127 Kassel, Germany
*Alexa Negele: Email: ed.tutitsni-duerf-dnumgis@elegen
More at: https://twitter.com/hiv_insight
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