Depresión adulta y experiencias infantiles adversas: evidencia de un subtipo depresivo complejo en consultantes de la Atención Primaria en Chile
ASSOCIATION BETWEEN ADVERSE CHILDHOOD EXPERIENCES WITH DEPRESSION IN ADULTS CONSULTING IN PRIMARY CARE
Author
Vitriol, Vero; U de Talca
Cancino, Alfredo; UNiversidad de Talca
Centro Salud Familiar Curico
Leiva-Bianchi, Marcelo
Serrano, Carlos
Ballesteros, Soledad
Potthoff, Soledad
Cáceres, Cristian
Ormazabal, Marcela
Asenjo, Andrea
Abstract
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 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