摘要
目的观察不同类型抑郁症患者在童年创伤上的差异,并探索童年创伤是否会对抑郁症患者的躯体化症状产生影响。方法选择2022年10月—2023年12月在安徽医科大学附属巢湖医院精神科及安徽医科大学第二附属医院精神科就诊的抑郁症患者共121人,评估CTQ-SF童年创伤量表简版、SCL90症状自评清单的躯体化子量表及17项汉密尔顿抑郁量表。结果有躯体化症状的抑郁症患者的CTQ-SF总分高于不伴有躯体化症状的抑郁症患者[46.50(39.25,58.25)vs.39.50(34.00,50.00),Z=-2.662,P<0.01];有躯体化症状的抑郁症患者有更高的躯体忽视[8.00(7.00,10.00)vs.7.00(5.00,9.00),Z=-2.683,P<0.01]及情感虐待[9.50(7.00,15.00)vs.8.00(6.00,11.50),Z=-2.317,P<0.05]得分。童年创伤的严重程度与抑郁症患者躯体化症状的严重程度呈正相关关系(P<0.01),控制抑郁症状严重程度后这种关联依然存在(P<0.01);躯体化症状与除性虐待外的童年创伤均相关联(P<0.01);在控制抑郁症状严重程度之后,躯体化症状仍与躯体忽视(P<0.01)及情感虐待(P<0.05)呈正相关关系。结论有躯体化症状的抑郁症患者经历了更严重的童年创伤,包括躯体忽视与情感虐待在内的童年创伤史对抑郁症患者的躯体化症状有影响。
Objective To observe the effects of childhood trauma on patients with different types of depression,and explore whether childhood trauma affects the somatic symptoms of depressed patients.Methods A total of 121 depressed patients who attended outpatient clinics and were hospitalized in the psychiatry department of Chaohu Hospital Affiliated with Anhui Medical University and the Psychiatry Department of the Second Affiliated Hospital of Anhui Medical University from October 2022 to December 2023 were selected to assess the short version of the childhood trauma questionnaire short form(CTQ-SF)childhood trauma inventory,the somatization subscale of the SCL90 symptom self-assessment checklist,and the 17-item Hamilton depression inventory.Results Depressed patients with somatization symptoms had higher CTQ-SF total scores than depressed patients without somatization symptoms[46.50(39.25,58.25)vs.39.50(34.00,50.00),Z=-2.662,P<0.01];depressed patients with somatization symptoms had higher levels of somatic neglect[8.00(7.00,10.00)vs.7.00(5.00,9.00),Z=-2.683,P<0.01]and emotional abuse[9.50(7.00,15.00)vs.8.00(6.00,11.50),Z=-2.317,P<0.05]scores.The severity of childhood trauma was positively associated with the severity of somatization symptoms in depressed patients(P<0.01),and this association persisted after controlling for the severity of depressive symptoms(P<0.01);somatization symptoms were associated with all childhood traumas except sexual abuse(P<0.01);and after controlling for the severity of depressive symptoms,somatization symptoms remained associated with somatic neglect(P<0.01)and emotional abuse(P<0.05)were positively associated.Conclusion Depressed patients with somatization symptoms experienced more severe childhood trauma,and a history of childhood trauma,including physical neglect and emotional abuse,had an impact on somatization symptoms in depressed patients.
作者
周若尘
叶孟婷
余凤琼
周晓琴
ZHOU Ruochen;YE Mengting;YU Fengqiong;ZHOU Xiaoqin(School of Mental Health and Psychological Sciences,Anhui Medical University,Hefei,Anhui 230000,China;不详)
出处
《中华全科医学》
2024年第5期746-749,共4页
Chinese Journal of General Practice
基金
国家自然科学基金项目(32371134)。
关键词
抑郁症
童年创伤
躯体化
Depression
Childhood trauma
Somatization
作者简介
通信作者:周晓琴,E-mail:zhouxqlulu@126.com。
