ISSN 1302-6631
 

Original Research (Original Article) 


Childhood trauma in recurrent and first episode depression

Feridun Bülbül, Ülkü Çakır, Cuma Ülkü, İdris Üre, Onur Karabatak, Gökay Alpak.

Cited by (4)

Abstract
Objective: The aim of this study is to compare patients who have recurrent and first episode major depressive disorder and healthy controls based upon their childhood traumas. Methods: Sixty subjects with the diagnoses of primarily as Major Depressive Disorder according to DSM-IV-TR who admitted Bezm-i Alem Valide Sultan Vakıf Gureba Education and Research Hospital and 30 mentally healthy subjects were included in the study. Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), Hamilton Depression Scale, Childhood Trauma Questions List and socio-demographic form were applied to both patient and control group. Results: Emotional abuse, physical abuse, sexual abuse, emotional negligence and physical negligence scores were significantly higher in recurrent and first episode depression groups than the control group. It was found that age of onset is earlier in the recurrent group than the first episode group. Childhood trauma scores were higher in recurrent major depression group than those in the first episode major depression group. There was a significant relationship between childhood traumas and early onset of depression. Discussion: There is a relationship between major depression and childhood traumas and this may be one of the reasons that led to relapse of depression. This relationship must be taken into consideration when evaluating recurrent or treatment resistant major depressive patients.
Key words:

Key words: recurrent major depression, first episode, major depression, childhood trauma



Yineleyen ve ilk atak depresyonda çocukluk çağı ruhsal travmalarının yeri

Ozet
Amaç: Bu çalışmada; yineleyen majör depresyon, ilk atak majör depresyon hastaları ve sağlıklı kontrol grubunun çocukluk çağı ruhsal travmaları açısından birbirileriyle karşılaştırılmaları amaçlandı.
Yöntem: Bezm-i Alem Valide Sultan Vakıf Gureba Eğitim ve Araştırma Hastanesi Psikiyatri Polikliniği’ne başvuran, birincil tanı olarak DSM-IV-TR ölçütlerine göre majör depresyon tanısı konmuş 60 hasta ve 30 sağlıklı kontrol araştırmaya alındı. Hasta ve kontrol grubuna DSM-IV Eksen I Bozuklukları için Yapılandırılmış Klinik Görüşme Formu (SCID-I), Hamilton Depresyon Derecelendirme Ölçeği, Çocukluk Çağı Travmaları Soru Listesi ve Sosyodemografik Veri Formu uygulandı. Sonuçlar: Yineleyen ve ilk atak major depresyon grubunda duygusal kötüye kullanım, fiziksel kötüye kullanım, cinsel kötüye kullanım, duygusal ihmal ve fiziksel ihmal puanları kontrol grubuna göre anlamlı derecede daha yüksek bulundu. Yineleyen major depresyon grubunda ilk atak major depresyon grubuna kıyasla hastalanma yaşının daha erken olduğu saptandı. Yineleyen major depresyon grubundaki çocukluk çağı travma puanları, ilk atak major depresyon grubuna göre daha yüksek bulundu. Çocukluk çağı travmaları ile depresyonun erken yaşta başlaması arasında güçlü bir ilişki bulundu. Tartışma: Major depresyon ve çocukluk çağı travmaları arasında anlamlı bir ilişki bulunmakta ve bu durum depresyonun yinelemesine yol açan nedenlerden biri olabilmektedir. Bu ilişki yineleyici ya da tedaviye yanıt vermeyen major depresyon hastalarının değerlendirilmesinde göz önünde bulundurulmalıdır.

Anahtar Kelimeler: Yineleyen major depresyon, ilk atak major depresyon, çocukluk çağı travmaları


 
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How to Cite this Article
Pubmed Style

Bulbul F, Cakir U, Ulku C, Ure I, Karabatak O, Alpak G. [Childhood trauma in recurrent and first episode depression]. Anadolu Psikiyatri Derg. 2013; 14(2): 93-99. Turkish. doi:10.5455/apd.34484


Web Style

Bulbul F, Cakir U, Ulku C, Ure I, Karabatak O, Alpak G. [Childhood trauma in recurrent and first episode depression]. http://www.anadolupsikiyatri.net/?mno=34484 [Access: October 22, 2018]. Turkish. doi:10.5455/apd.34484


AMA (American Medical Association) Style

Bulbul F, Cakir U, Ulku C, Ure I, Karabatak O, Alpak G. [Childhood trauma in recurrent and first episode depression]. Anadolu Psikiyatri Derg. 2013; 14(2): 93-99. Turkish. doi:10.5455/apd.34484



Vancouver/ICMJE Style

Bulbul F, Cakir U, Ulku C, Ure I, Karabatak O, Alpak G. [Childhood trauma in recurrent and first episode depression]. Anadolu Psikiyatri Derg. (2013), [cited October 22, 2018]; 14(2): 93-99. Turkish. doi:10.5455/apd.34484



Harvard Style

Bulbul, F., Cakir, U., Ulku, C., Ure, I., Karabatak, O. & Alpak, G. (2013) [Childhood trauma in recurrent and first episode depression]. Anadolu Psikiyatri Derg, 14 (2), 93-99. Turkish. doi:10.5455/apd.34484



Turabian Style

Bulbul, Feridun, Ulku Cakir, Cuma Ulku, Idris Ure, Onur Karabatak, and Gokay Alpak. 2013. [Childhood trauma in recurrent and first episode depression]. Anatolian Journal of Psychiatry, 14 (2), 93-99. Turkish. doi:10.5455/apd.34484



Chicago Style

Bulbul, Feridun, Ulku Cakir, Cuma Ulku, Idris Ure, Onur Karabatak, and Gokay Alpak. "[Childhood trauma in recurrent and first episode depression]." Anatolian Journal of Psychiatry 14 (2013), 93-99. Turkish. doi:10.5455/apd.34484



MLA (The Modern Language Association) Style

Bulbul, Feridun, Ulku Cakir, Cuma Ulku, Idris Ure, Onur Karabatak, and Gokay Alpak. "[Childhood trauma in recurrent and first episode depression]." Anatolian Journal of Psychiatry 14.2 (2013), 93-99. Print.Turkish. doi:10.5455/apd.34484



APA (American Psychological Association) Style

Bulbul, F., Cakir, U., Ulku, C., Ure, I., Karabatak, O. & Alpak, G. (2013) [Childhood trauma in recurrent and first episode depression]. Anatolian Journal of Psychiatry, 14 (2), 93-99. Turkish. doi:10.5455/apd.34484





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