Childhood Trauma and Treatment Implications in Major Depressive Disorder in South Korea: Comparison with Medical Outpatients and Two-Year Follow-Up
- Title
- Childhood Trauma and Treatment Implications in Major Depressive Disorder in South Korea: Comparison with Medical Outpatients and Two-Year Follow-Up
- Author
- 김대호
- Keywords
- Major depressive disorder; Child abuse; Child neglect; Treatment adherence and compliance; Patient dropouts
- Issue Date
- 2019-11
- Publisher
- Korean Society for Affective Disorders
- Citation
- Mood and Emotion, v. 17, no. 3, Page. 89-98
- Abstract
- Background: Little is known about the specific types of childhood trauma and their relationship to treatment-related issues in major depressive disorder (MDD). This study examined trauma experiences and treatment-related variables in outpatients with MDD at a psychiatric department of a university hospital in Korea.
Methods: First, 75 outpatients with MDD were compared to medical outpatients without MDD matched by age, sex, income, and educational qualifications. Both groups completed the Life Stressor Checklist-Revised, which assesses comprehensive life events. Second, treatment-related variables and medication compliance measured by the Compliance Rating Scale were investigated for the two-year period after the initial assessment.
Results: The MDD group had experienced a significantly higher number of lifetime traumas than the control group (p=0.003), including more frequent witnessing of family violence (p<0.001), adulthood physical assault by a family member (p<0.001), and childhood emotional abuse (CEA) (p<0.001). CEA was associated with early onset of the first depressive episode and premature termination of pharmacotherapy; childhood physical neglect was associated with premature termination and less time in therapy.
Conclusion: Our findings support the important influence of childhood emotional trauma and its relationship to treatment retention.
- URI
- http://www.moodandemotion.org/journal/view.html?doi=10.35986/me.2019.17.3.89https://repository.hanyang.ac.kr/handle/20.500.11754/155510
- ISSN
- 1738-0960; 2671-4655
- DOI
- 10.35986/me.2019.17.3.89
- Appears in Collections:
- COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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