Analysis of the association between threat and deprivation childhood traumas and dysfunctional attitudes in patients with major depressive episode
10.3969/j.issn.1002-0152.2024.06.006
- VernacularTitle:重性抑郁发作患者威胁型和剥夺型儿童期创伤与功能失调性态度的关联性分析
- Author:
Hao HOU
1
,
2
;
Dan LUO
;
Lijun KANG
;
Simeng MA
;
Zhongchun LIU
;
Bingxiang YANG
Author Information
1. 武汉大学人民医院 精神科(武汉 430064)
2. 武汉大学 护理学院 精神心理与智慧护理研究中心
- Keywords:
Major depressive episode;
Depression;
Childhood trauma;
Dysfunctional attitude;
Cognitive distor-tion;
Emotional abuse;
Physical abuse
- From:
Chinese Journal of Nervous and Mental Diseases
2024;50(6):349-354
- CountryChina
- Language:Chinese
-
Abstract:
Objective This study aims to explore the associations between threat and deprivation childhood traumas and dysfunctional attitudes among patients with major depressive episode,based on the dimensional model of adversity and psychopathology(DMAP).Methods Data from 970 patients with major depressive episode were collected and categorized based on the childhood trauma questionnaire-short form(CTQ-SF)scores into no trauma(426),threat-only(86),deprivation-only(210),and mixed groups(248).Cognitive distortions were assessed using the dysfunctional attitudes scale(DAS),with scores above the upper quartile indicating significant distortions.Multifactorial logistic regression analysis was employed to examine the association between threat and deprivation and dysfunctional attitudes.Results There were significant differences in the proportion of cognitive distortions among the no trauma,threat-only,deprivation-only,and mixed groups(19.25% vs.30.23% vs.20.00% vs.35.89%,P<0.001),with differences across all dimensions(P≤0.001).Multifactorial logistic regression revealed a positive correlation between threat and overall cognitive distortions(OR=2.031,P<0.001),and specific positive correlations with dimensions such as vulnerability(OR=1.709,P<0.001),appeal and repulsion(OR=2.088,P<0.001),perfectionism(OR=2.321,P<0.001),compulsivity(OR=1.765,P=0.001),approval seeking(OR=1.837,P<0.001),dependency(OR=1.554,P=0.006),and autonomous attitudes(OR=1.864,P<0.001).In contrast,deprivation was only positively correlated with the cognitive philosophy dimension(OR=1.495,P=0.015).Conclusion Childhood trauma is closely associated with dysfunctional attitudes in patients with major depressive episode.Threat correlates positively with cognitive distortions in all dimensions except cognitive philosophy,whereas deprivation correlates only with the cognitive philosophy dimension.
