@article{ref1,
title="Childhood trauma and psychiatric comorbidities in patients with depressive disorder in primary care in Chile",
journal="Journal of trauma and dissociation",
year="2016",
author="Vitriol, Veronica and Cancino, Alfredo and Leiva-Bianchi, Marcelo and Serrano, Carlos and Ballesteros, Soledad and Asenjo, Andrea and Cáceres, Cristian and Potthoff, Soledad and Salgado, Carolina and Orellana, Francisca and Ormazábal, Marcela",
volume="18",
number="2",
pages="189-205",
abstract="Childhood trauma is associated with different psychiatric disorders during adulthood. These disorders are often presented in comorbidity with depression. <br><br>OBJECTIVE: To establish the relationship between psychiatric comorbidities and childhood traumatic events in patients with depression in Chile. <br><br>METHODS: Three hundred and ninety-four patients with major depression were assessed using the MINI International Neuropsychiatric Interview and a screening for childhood trauma. <br><br>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). <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="1529-9732",
doi="10.1080/15299732.2016.1212449",
url="http://dx.doi.org/10.1080/15299732.2016.1212449"
}