@article{ref1,
title="Association between adverse childhood experiences with depression in adults consulting in primary care",
journal="Revista Medica de Chile",
year="2017",
author="Vitriol, Veronica and Cancino, Alfredo and Leiva-Bianchi, Marcelo and Serrano, Carlos and Ballesteros, Soledad and Potthoff, Soledad and Cáceres, Cristian and Ormazábal, Marcela and Asenjo, Andrea",
volume="145",
number="9",
pages="1145-1153",
abstract="BACKGROUND: Traumatic experiences during childhood may influence the development of mental disorders during adulthood. <br><br>AIM: To determine clinical and psychosocial variables that are associated with a higher frequency of adverse childhood experiences (ACE) in patients who consult for depression in Primary Health Care clinics in Chile. MATERIAL AND METHODS: A socio-demographic interview, the mini international neuropsychiatric interview (MINI), a screening for ACE, a questionnaire for partner violence (PV), the Life Experiences Survey (LES) and the Hamilton Rating Scale for Depression (HRDS) were applied to 394 patients with major depression (87% women). <br><br>RESULTS: Eighty two percent of patients had experienced at least one ACE and 43% of them reported three or more. Positive correlations were observed between the number of ACE and severity of depressive symptoms (r = 0.19; p < 0.01), psychiatric comorbidities (r = 0.23; p < 0.01), partner violence events (r = 0.31; p < 0.01), vital stressful events (r = 0.12; p < 0.01), number of depressive episodes (r = 0.16; p < 0.01), duration of the longer depressive episode (r = 0.12; p < 0.05) and suicidal tendency according to HDRS (r = 0.16; p < 0.01). An inverse correlation was observed between frequency of ACE and age at the first depressive episode (r = -0.12; p < 0.05). <br><br>CONCLUSIONS: These data are consistent with the hypothesis that early trauma is associated with more severe and complex depressive episodes during adulthood.<p /> <p>Language: es</p>",
language="es",
issn="0034-9887",
doi="10.4067/s0034-98872017000901145",
url="http://dx.doi.org/10.4067/s0034-98872017000901145"
}