TY  - JOUR
PY  - 2017//
TI  - Childhood trauma and factors associated with depression among inpatients with cardiovascular disease
JO  - World journal of psychiatry
A1  - Barreto, Felipe José Nascimento
A1  - Garcia, Frederico Duarte
A1  - Prado, Paulo Henrique Teixeira
A1  - Rocha, Paulo Marcos Brasil
A1  - Las Casas, Nádia Souza
A1  - Vallt, Felipe Barbosa
A1  - Correa, Humberto
A1  - Neves, Maila Castro Lourenço
SP  - 106
EP  - 113
VL  - 7
IS  - 2
N2  - AIM: To identify factors associated with depressive symptoms among inpatients with cardiovascular disease (CVD). <br><br>METHODS: This is a cross-sectional study performed in a subsample of a large cross-sectional research that investigated affective disorders and suicide behaviour among inpatients hospitalized in non-surgical wards of the University Hospital of the Federal University of Minas Gerais from November 2013 to October 2015. Sociodemographic and clinical data were obtained through a structured interview and medical record review. Depression was assessed by the depression subscale of the Hospital Anxiety and Depression Scale, with scores ≥ 8 considered as positive screening for depression. We used the Fageström Test for Nicotine Dependence to characterize nicotine dependence. For assessing resilience and early-life trauma, we used the raw scores of the Wagnild and Young Resilience Scale and Childhood Trauma Questionnaire, respectively. <br><br>RESULTS: At endpoint, we included 137 subjects. Thirty-eight (27.7%) subjects presented depressive symptoms and nine (23.7%) of those were receiving antidepressant treatment during hospitalization. The female sex; a lower mean educational level; a greater prevalence of previous suicide attempts; a higher level of pain; a higher prevalence of family antecedents of mental disorders; a lower resilience score; and higher childhood trauma score were the factors significantly associated with screening positive for major depression (P < 0.05). Multivariate analysis demonstrated that the factors independently associated with the depressive symptoms were a higher childhood trauma severity (OR = 1.06; P = 0.004); moderate to severe nicotine dependence (OR = 8.58; P = 0.008); and the number of previous hospital admissions (OR = 1.11; P = 0.034). The obtained logistic model was considered valid, indicating that the three factors together distinguished between having or not depressive symptoms, and correctly classified 74.6% of individuals in the sample. <br><br>CONCLUSION: Our results demonstrate that inpatients presenting both CVD and a positive screening for depression are more prone to have antecedents of childhood trauma, nicotine dependence and a higher number of previous hospitalizations.<p />  <p>Language: en</p>
LA  - en
SN  - 2220-3206
UR  - http://dx.doi.org/10.5498/wjp.v7.i2.106
ID  - ref1
ER  -