Childhood trauma experiences and their impact on non-suicidal self-injury in adolescents with first episode depressive disorder
10.3760/cma.j.cn113661-20200107-00004
- VernacularTitle:童年创伤对青少年抑郁症患者非自杀性自伤行为的影响
- Author:
Yi ZHONG
1
;
Yating YANG
1
;
Yelei ZHANG
1
;
Huanzhong LIU
1
Author Information
1. 安徽医科大学附属巢湖医院 安徽省精神医学中心，合肥 238000
- Publication Type:Journal Article
- Keywords:
Depressive disorder;
Adolescent;
Stress disorders, traumatic;
Self-injurious behavior
- From:
Chinese Journal of Psychiatry
2020;53(6):520-526
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study aims to investigate experience and their impact on non-suicidal self-injury (NSSI) in adolescents with first episode depressive disorder.Methods:A sample of 60 patients were divided into two groups (with ( n=24) and without ( n=36) NSSI). Childhood trauma experiences were assessed with the Childhood Trauma Questionnaire (CTQ-SF). The severity of depression, anxiety, and other mental health-related symptoms was assessed with the Self-Rating Depression Scale (SDS), the Self-Rating Anxiety Scale (SAS), and the Symptom Checklist-90 (SCL-90). Binary Logistic regression analysis was used to explore the independent risk of childhood trauma to NSSI. Pearson correlation analysis was used to analyze the relationship between NSSI and childhood trauma. Results:The prevalence of NSSI in depressed adolescents was 40.0% ( n=24), and 66.7% ( n=40) of the patients reported that they had experienced childhood trauma. Compared with patients without NSSI, patients with NSSI had significantly higher scores of emotional abuse (10.3±3.8 vs. 15.3±5.5, t=4.15, P<0.01) and emotional neglect (13.5±5.4 vs. 17.0±5.2, t=2.51, P=0.02). Logistic regression analysis showed that emotional abuse was an independent risk factor of NSSI ( OR=1.22, 95% CI 1.0%-1.5%, P=0.015). Pearson correlation analysis showed that childhood trauma in patients with NSSI was positively correlated with the severity of psychological symptoms (e.g., depression and anxiety). Conclusion:Childhood trauma experiences are reported frequently by depressed adolescents and may be considered as a potential risk of NSSI.
