Childhood Sexual Abuse and the Development of Recurrent Major Depression in Chinese Women

BACKGROUND: Our prior study in Han Chinese women has shown that women with a history of childhood sexual abuse (CSA) are at increased risk for developing major depression (MD). Would this relationship be found in our whole data set? METHOD: Three levels of CSA (non-genital, genital, and intercourse)...

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Detalles Bibliográficos
Autores principales: Chen, Jing, Cai, Yiyun, Cong, Enzhao, Liu, Ying, Gao, Jingfang, Li, Youhui, Tao, Ming, Zhang, Kerang, Wang, Xumei, Gao, Chengge, Yang, Lijun, Li, Kan, Shi, Jianguo, Wang, Gang, Liu, Lanfen, Zhang, Jinbei, Du, Bo, Jiang, Guoqing, Shen, Jianhua, Zhang, Zhen, Liang, Wei, Sun, Jing, Hu, Jian, Liu, Tiebang, Wang, Xueyi, Miao, Guodong, Meng, Huaqing, Li, Yi, Hu, Chunmei, Huang, Guoping, Li, Gongying, Ha, Baowei, Deng, Hong, Mei, Qiyi, Zhong, Hui, Gao, Shugui, Sang, Hong, Zhang, Yutang, Fang, Xiang, Yu, Fengyu, Yang, Donglin, Liu, Tieqiao, Chen, Yunchun, Hong, Xiaohong, Wu, Wenyuan, Chen, Guibing, Cai, Min, Song, Yan, Pan, Jiyang, Dong, Jicheng, Pan, Runde, Zhang, Wei, Shen, Zhenming, Liu, Zhengrong, Gu, Danhua, Wang, Xiaoping, Liu, Xiaojuan, Zhang, Qiwen, Li, Yihan, Chen, Yiping, Kendler, Kenneth S., Shi, Shenxun, Flint, Jonathan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2014
Materias:
Research Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3906190/
https://www.ncbi.nlm.nih.gov/pubmed/24489940
http://dx.doi.org/10.1371/journal.pone.0087569
Descripción
Sumario:BACKGROUND: Our prior study in Han Chinese women has shown that women with a history of childhood sexual abuse (CSA) are at increased risk for developing major depression (MD). Would this relationship be found in our whole data set? METHOD: Three levels of CSA (non-genital, genital, and intercourse) were assessed by self-report in two groups of Han Chinese women: 6017 clinically ascertained with recurrent MD and 5983 matched controls. Diagnostic and other risk factor information was assessed at personal interview. Odds ratios (ORs) were calculated by logistic regression. RESULTS: We confirmed earlier results by replicating prior analyses in 3,950 new recurrent MD cases. There were no significant differences between the two data sets. Any form of CSA was significantly associated with recurrent MD (OR 4.06, 95% confidence interval (CI) [3.19–5.24]). This association strengthened with increasing CSA severity: non-genital (OR 2.21, 95% CI 1.58–3.15), genital (OR 5.24, 95% CI 3.52–8.15) and intercourse (OR 10.65, 95% CI 5.56–23.71). Among the depressed women, those with CSA had an earlier age of onset, longer depressive episodes. Recurrent MD patients those with CSA had an increased risk for dysthymia (OR 1.60, 95%CI 1.11–2.27) and phobia (OR 1.41, 95%CI 1.09–1.80). Any form of CSA was significantly associated with suicidal ideation or attempt (OR 1.50, 95% CI 1.20–1.89) and feelings of worthlessness or guilt (OR 1.41, 95% CI 1.02–2.02). Intercourse (OR 3.47, 95%CI 1.66–8.22), use of force and threats (OR 1.95, 95%CI 1.05–3.82) and how strongly the victims were affected at the time (OR 1.39, 95%CI 1.20–1.64) were significantly associated with recurrent MD. CONCLUSIONS: In Chinese women CSA is strongly associated with recurrent MD and this association increases with greater severity of CSA. Depressed women with CSA have some specific clinical traits. Some features of CSA were associated with greater likelihood of developing recurrent MD.

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