Características clínicas de mujeres con depresión mayor que sufrieron abuso sexual en la infancia
| Autor: | Hermelinda Graciano-Morales, Alejandro Jiménez-Genchi, María C. Ibarra-Alcantar, José A. Ortiz-Guzmán, Francisco J. Alvarado-Cruz |
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| Rok vydání: | 2018 |
| Předmět: |
Gynecology
Adult Social adaptation medicine.medical_specialty Depressive Disorder Major Adolescent business.industry Salud mental Beck Depression Inventory General Medicine Child Abuse Sexual Middle Aged Physical Maltreatment Adult women Young Adult Child sexual abuse medicine Humans Female Suicide Risk business Depressive symptoms Aged |
| Zdroj: | Gaceta medica de Mexico. 154(3) |
| ISSN: | 0016-3813 |
| Popis: | espanolIntroduccion: Aunque el abuso sexual en la infancia (ASI) es un factor de riesgo para desarrollar depresion mayor en la vida adulta de las mujeres, la informacion sobre las caracteristicas clinicas asociadas con este evento es escasa. Objetivo: Evaluar la historia de ASI y su asociacion con algunas manifestaciones clinicas en mujeres con depresion mayor. Metodo: Se seleccionaron 71 mujeres adultas con depresion mayor en un centro comunitario de salud mental. Fueron evaluadas con Mini Entrevista Neuropsiquiatrica Internacional, Inventario de Depresion de Beck, Escala de Autoevaluacion de Adaptacion Social, Indice de Maltrato Fisico e Indice de Abuso Sexual en la Infancia. Resultados: 53.5 % habia sufrido alguna forma de ASI. No hubo diferencias significativas en edad, escolaridad, sintomatologia depresiva, adaptacion social o maltrato fisico en la infancia entre las mujeres con y sin historia de ASI, solo mayor frecuencia de comorbilidad con el trastorno por ansiedad social (26 versus 6 %) y mayor proporcion de riesgo suicida (68 versus 45.4 %) distinguio a los grupos. Conclusion: Pocas caracteristicas distinguen a las mujeres con depresion mayor con historia de ASI, sin embargo, el pronostico y las implicaciones terapeuticas del mayor riesgo suicida subrayan la importancia de investigar sistematicamente la historia de ASI entre las mujeres con depresion mayor. EnglishIntroduction: Even when child sexual abuse (CSA) is a risk factor for the development of major depression in adult women, data on the clinical features associated with this traumatic event are scarce. Objective: To assess the history of CSA and its association with some clinical manifestations in women with major depression. Method: Seventy-one adult women with major depression were selected in a community-based mental health center. They were assessed with the Mini International Neuropsychiatric Interview, the Beck Depression Inventory, the Social Adaptation Self-evaluation Scale, and childhood physical maltreatment and child sexual abuse indices. Results: Some form of CSA had been suffered by 53.5%. There were no significant differences in age, level of education, depressive symptoms, social adaptation or physical maltreatment during childhood between the women with or without a history of CSA, only a higher frequency of comorbid social anxiety disorder (26% versus 6%) and a higher proportion of suicide risk (68% versus 45.4%) differentiated the groups. Conclusion: Few characteristics distinguish women with major depression with a history of CSA; however, the prognosis and therapeutic implications of a higher suicide risk underscore the importance of systematically investigating the history of CSA among women with major depression. |
| Databáze: | OpenAIRE |
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