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2018, Number 3

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Gac Med Mex 2018; 154 (3)

Clinical characteristics of women with major depression who suffered sexual abuse in childhood

Rodríguez J, Prieto S, Ramírez L, Ortiz-Guzmán JA, Ibarra-Alcantar MC, Alvarado-Cruz FJ, Graciano-Morales H, Jiménez-Genchi A

Language: Spanish
References: 27
Page: 295-301
PDF size: 181.58 Kb.


ABSTRACT

Introduction: 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.


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