Volume 22 Issue 5
May  2024
Turn off MathJax
Article Contents
ZHOU Ruochen, YE Mengting, YU Fengqiong, ZHOU Xiaoqin. The effect of childhood trauma on somatization symptoms in depressed patients[J]. Chinese Journal of General Practice, 2024, 22(5): 746-749. doi: 10.16766/j.cnki.issn.1674-4152.003494
Citation: ZHOU Ruochen, YE Mengting, YU Fengqiong, ZHOU Xiaoqin. The effect of childhood trauma on somatization symptoms in depressed patients[J]. Chinese Journal of General Practice, 2024, 22(5): 746-749. doi: 10.16766/j.cnki.issn.1674-4152.003494

The effect of childhood trauma on somatization symptoms in depressed patients

doi: 10.16766/j.cnki.issn.1674-4152.003494
Funds:

 32371134

  • Received Date: 2023-11-16
    Available Online: 2024-07-20
  •   Objective  To observe the effects of childhood trauma on patients with different types of depression, and explore whether childhood trauma affects the somatic symptoms of depressed patients.  Methods  A total of 121 depressed patients who attended outpatient clinics and were hospitalized in the psychiatry department of Chaohu Hospital Affiliated with Anhui Medical University and the Psychiatry Department of the Second Affiliated Hospital of Anhui Medical University from October 2022 to December 2023 were selected to assess the short version of the childhood trauma questionnaire short form (CTQ-SF) childhood trauma inventory, the somatization subscale of the SCL90 symptom self-assessment checklist, and the 17-item Hamilton depression inventory.  Results  Depressed patients with somatization symptoms had higher CTQ-SF total scores than depressed patients without somatization symptoms[46.50(39.25, 58.25)vs.39.50(34.00, 50.00), Z=-2.662, P < 0.01];depressed patients with somatization symptoms had higher levels of somatic neglect[8.00(7.00, 10.00)vs.7.00(5.00, 9.00), Z=-2.683, P < 0.01]and emotional abuse[9.50(7.00, 15.00)vs.8.00(6.00, 11.50), Z=-2.317, P < 0.05]scores.The severity of childhood trauma was positively associated with the severity of somatization symptoms in depressed patients (P < 0.01), and this association persisted after controlling for the severity of depressive symptoms (P < 0.01);somatization symptoms were associated with all childhood traumas except sexual abuse (P < 0.01);and after controlling for the severity of depressive symptoms, somatization symptoms remained associated with somatic neglect (P < 0.01) and emotional abuse (P < 0.05) were positively associated.  Conclusion  Depressed patients with somatization symptoms experienced more severe childhood trauma, and a history of childhood trauma, including physical neglect and emotional abuse, had an impact on somatization symptoms in depressed patients.

     

  • loading
  • [1]
    陆林, 方贻儒, 江开达, 等. 沈渔邨精神病学[M]. 6版. 北京: 人民卫生出版社, 2018: 380-381.

    LU L, FANG Y R, JIANG K D, et al. Shen Yu Chun Psychiatry[M]. 6th Edition. Beijing: People's Medical Publishing House, 2018: 380-381.
    [2]
    郝伟, 陆林, 李涛, 等. 精神病学[M]. 8版. 北京: 人民卫生出版社, 2018: 105-106.

    HAO W, LU L, LI T, et al. Psychiatry[M]. 8th Edition. Beijing: People's Medical Publishing House, 2018: 105-106.
    [3]
    LOWE B, LEVENSON J, DEPPING M, et al. Somatic symptom disorder: a scoping review on the empirical evidence of a new diagnosis[J]. Psychol Med, 2022, 52(4): 632-648. doi: 10.1017/S0033291721004177
    [4]
    HUNG C I, LIU C Y, YANG C H. Persistent depressive disorder has long-term negative impacts on depression, anxiety, and somatic symptoms at 10-year follow-up among patients with major depressive disorder[J]. J Affect Disord, 2019, 243: 255-261. doi: 10.1016/j.jad.2018.09.068
    [5]
    冯娴, 姚元龙, 黄文博, 等. 全科医生对躯体症状障碍的识别与处理[J]. 中华全科医学, 2022, 20(3): 357-359. doi: 10.16766/j.cnki.issn.1674-4152.002352

    FENG X, YAO Y L, HUANG W B, et al. Identification and management of somatic symptoms disorder by general practitioners[J]. Chinese Journal of General Practice, 2022, 20(3): 357-359. doi: 10.16766/j.cnki.issn.1674-4152.002352
    [6]
    谢军, 耿峰, 董毅, 等. 抑郁症患者童年期虐待与自我病耻感水平的相关性研究[J]. 中华全科医学, 2019, 17(7): 1171-1173. doi: 10.16766/j.cnki.issn.1674-4152.000893

    XIE J, GENG F, DONG Y, et al. The correlational study between childhood trauma and self-stigma in depression[J]. Chinese Journal of General Practice, 2019, 17(7): 1171-1173. doi: 10.16766/j.cnki.issn.1674-4152.000893
    [7]
    赵丹. 童年创伤经历与青少年抑郁症的关系研究[J]. 世界最新医学信息文摘, 2018, 18(11): 163. https://www.cnki.com.cn/Article/CJFDTOTAL-WMIA201811123.htm

    ZHAO D. A study of the relationship between traumatic childhood experiences and adolescent depression[J]. World Latest Medicine Information, 2018, 18(11): 163. https://www.cnki.com.cn/Article/CJFDTOTAL-WMIA201811123.htm
    [8]
    KUZMINSKAITE E, VINKERS C H, MILANESCHI Y, et al. Childhood trauma and its impact on depressive and anxiety symptomatology in adulthood: a 6-year longitudinal study[J]. J Affect Disord, 2022, 312: 322-330. doi: 10.1016/j.jad.2022.06.057
    [9]
    丁玉深, 董芳, 侯文鹏, 等. 童年创伤对精神病临床高危个体认知功能的影响[J]. 中华行为医学与脑科学杂志, 2023, 32(8): 688-693. doi: 10.3760/cma.j.cn371468-20221125-00714

    DING Y S, DONG F, HOU W P, et al. The impact of childhood trauma on cognitive function in individuals with clinical high risk of psychosis[J]. Chinese Journal of Behavioral Medicine and Brain Science, 2023, 32(8): 688-693. doi: 10.3760/cma.j.cn371468-20221125-00714
    [10]
    XU H, SHEN Y, LUO X, et al. Emotional abuse and depressive symptoms among the adolescents: The mediation effect of social anxiety and moderation effect of physical activity[J]. Front Public Health, 2023, 11: 1138813. DOI: 10.3389/fpubh.2023.1138813.
    [11]
    PIONTEK K, WIESMANN U, APFELBACHER C, et al. The association of childhood maltreatment, somatization and health-related quality of life in adult age: results from a population-based cohort study[J]. Child Abuse Negl, 2021, 120: 105226. DOI: 10.1016/j.chiabu.2021.105226.
    [12]
    HAMILTON M. A rating scale for depression[J]. J Neurol Neurosur Ps, 1960, 23(1): 56. doi: 10.1136/jnnp.23.1.56
    [13]
    DEROGATIS L R. SCL-90-R, administration, scoring, and procedures manual-I for the R(evised) version and other instruments of the psychopathology rating scale series[J]. Clin Psychometric Res, 1973, 9(1): 13-28.
    [14]
    BERNSTEIN D P, STEIN J A, NEWCOMB M D, et al. Development and validation of a brief screening version of the childhood trauma questionnaire[J]. Child Abuse Negl, 2003, 27(2): 169-190. doi: 10.1016/S0145-2134(02)00541-0
    [15]
    赵幸福, 张亚林, 李龙飞, 等. 中文版儿童期虐待问卷的信度和效度[J]. 中国临床康复, 2005, 9(20): 105-107. https://www.cnki.com.cn/Article/CJFDTOTAL-XDKF200520049.htm

    ZHAO X F, ZHANG Y L, LI L F, et al. Reliability and validity of the Chinese version of the Childhood Abuse Questionnaire[J]. China Clinical Rehabilitation, 2005, 9(20): 105-107. https://www.cnki.com.cn/Article/CJFDTOTAL-XDKF200520049.htm
    [16]
    STORTENBEKER I, STOMMEL W, OLDE HARTMAN T, et al. How general practitioners raise psychosocial concerns as a potential cause of medically unexplained symptoms: a conversation analysis[J]. Health Commun, 2022, 37(6): 696-707. doi: 10.1080/10410236.2020.1864888
    [17]
    LIEB R, MEINLSHMIDT G, ARAYA R. Epidemiology of the association between somatoform disorders and anxiety and depressive disorders: an update[J]. Psychosom Med, 2007, 69(9): 860-863. doi: 10.1097/PSY.0b013e31815b0103
    [18]
    BOHMAN H, LAFTMAN S B, CELAND N, et al. Somatic symptoms in adolescence as a predictor of severe mental illness in adulthood: a long-term community-based follow-up study[J]. Child Adolesc Psychiatry Ment Health, 2018, 12: 42. DOI: 10.1186/s13034-018-0245-0.
    [19]
    CAY M, GONZALEZ-HEYDRICH J, TEICHER M H, et al. Childhood maltreatment and its role in the development of pain and psychopathology[J]. Lancet Child Adolesc Health, 2022, 6(3): 195-206. doi: 10.1016/S2352-4642(21)00339-4
    [20]
    GLAUS J, MOSER D A, RUSCONI SERPA S, et al. Families with violence exposure and the intergenerational transmission of somatization[J]. Front Psychiatry, 2022, 13: 820652. DOI: 10.3389/fpsyt.2022.820652.
    [21]
    PIONTEK K, WIESMANN U, APFELBACHER C, et al. The association of childhood maltreatment, somatization and health-related quality of life in adult age: results from a population-based cohort study[J]. Child Abuse Negl, 2021, 120: 105226. DOI: 10.1016/j.chiabu.2021.105226.
    [22]
    KEALY D, RICE S M, OGRODNICZUK J S, et al. Childhood trauma and somatic symptoms among psychiatric outpatients: investigating the role of shame and guilt[J]. Psychiatry Res, 2018, 268: 169-174. doi: 10.1016/j.psychres.2018.06.072
    [23]
    BELLIS M A, HUGHES K, FORD K, et al. Life course health consequences and associated annual costs of adverse childhood experiences across Europe and North America: a systematic review and meta-analysis[J]. Lancet Public Health, 2019, 4(10): e517-e528. doi: 10.1016/S2468-2667(19)30145-8
    [24]
    张凯. 抑郁障碍患者依恋关系在童年创伤与躯体疼痛症状之间的调节作用[D]. 济南: 山东大学, 2022.

    ZHANG K. The moderating role of attachment between childhood trauma and somatic painsymptoms in patients with the depressive disorders[D]. Jinan: Shandong University, 2022.
    [25]
    SLADE A, HOLMES J. Attachment and psychotherapy[J]. Curr Opin Psychol, 2019, 25: 152-156. doi: 10.1016/j.copsyc.2018.06.008
    [26]
    GREENMAN P S, RENZI A, MONACO S, et al. How does trauma make you sick? The role of attachment in explaining somatic symptoms of survivors of childhood trauma[J]. Healthcare(Basel), 2024, 12(2): 203. DOI: 10.3390/healthcare12020203.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Article Metrics

    Article views (84) PDF downloads(6) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return