TY - JOUR PY - 2017// TI - Association between adverse childhood experiences with depression in adults consulting in primary care JO - Revista Medica de Chile A1 - Vitriol, Veronica A1 - Cancino, Alfredo A1 - Leiva-Bianchi, Marcelo A1 - Serrano, Carlos A1 - Ballesteros, Soledad A1 - Potthoff, Soledad A1 - Cáceres, Cristian A1 - Ormazábal, Marcela A1 - Asenjo, Andrea SP - 1145 EP - 1153 VL - 145 IS - 9 N2 - BACKGROUND: Traumatic experiences during childhood may influence the development of mental disorders during adulthood.

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).

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).

CONCLUSIONS: These data are consistent with the hypothesis that early trauma is associated with more severe and complex depressive episodes during adulthood.

Language: es

LA - es SN - 0034-9887 UR - http://dx.doi.org/10.4067/s0034-98872017000901145 ID - ref1 ER -