@article{ref1,
title="Adverse childhood experiences among thai patients with depressive disorders: A university/tertiary care hospital experiences",
journal="Journal of the Medical Association of Thailand",
year="2021",
author="Vongsuphakphan, P. and Piyavhatkul, N. and Paholpak, S. and Chaiudomsom, K. and Piyawattanametha, S. and Jarassaeng, N.",
volume="104",
number="5",
pages="807-813",
abstract="BACKGROUND: Childhood trauma and adverse experiences are common in patients with depressive disorders, and yet, there is a lack of research in this area in Thailand. <br><br>OBJECTIVE: To determine the prevalence and types of adverse childhood experiences (ACEs) among patients with depressive disorders and the association between ACEs and some characteristics of depressive patients. <br><br>MATERIALS AND METHODS: A cross-sectional descriptive study was conducted in patients with depressive disorders at a university hospital in northeastern Thailand. The patients were interviewed using the ACEs questionnaire, investigating the 10 most common types of childhood trauma. Statistical analyses included descriptive statistics and association analyses. <br><br>RESULTS: Among the 119 patients who completed the questionnaire, 98 (82.4%) had major depressive disorder (MDD) and 21 (17.6%) had persistent depressive disorder (PDD). Most (62.2%) had at least one type of ACEs with 60.2% in MDD and 71.4% in PDD. The three most common traumatic events were emotional neglect (37.8%), verbal abuse (27.7%), and having family members with alcohol or substance abuse (21%). Only emotional neglect was related to further suicidal risk. A total score of 4 or more significantly increased the risk of admission (OR 23.42, 95% CI 5.73 to 95.78) and suicide attempts (OR 3.68, 95% CI 1.14 to 11.9). <br><br>CONCLUSION: About two-Thirds of patients with a depressive disorder had at least one type of childhood trauma, and the most common type was emotional neglect. In patients with depression, a history of ACEs should be evaluated before formulating the psychological trauma treatment plan. The authors recommend pro-Active strategies for educating and counseling parents regarding appropriate parenting to reduce the incidence of ACEs for their children. © 2021 Medical Association of Thailand. All rights reserved.<p /><p>Language: en</p>",
language="en",
issn="0125-2208",
doi="10.35755/jmedassocthai.2021.05.12147",
url="http://dx.doi.org/10.35755/jmedassocthai.2021.05.12147"
}