Childhood Trauma and Treatment Implications in Major Depressive Disorder in South Korea: Comparison with Medical Outpatients and Two-Year Follow-Upopen access
- Authors
- Kim, Chonggi; Jeong, Yuri; Kim, Eun-kyung; Park, Seon-Cheol; Jo, Hwa Yeon; Kim, Daeho
- Issue Date
- Nov-2019
- Publisher
- 대한우울∙조울병학회
- Keywords
- Major depressive disorder; Child abuse; Child neglect; Treatment adherence and compliance; Patient dropouts
- Citation
- 우울조울병, v.17, no.3, pp.89 - 98
- Indexed
- KCI
- Journal Title
- 우울조울병
- Volume
- 17
- Number
- 3
- Start Page
- 89
- End Page
- 98
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/146811
- DOI
- 10.35986/me.2019.17.3.89
- ISSN
- 1738-0960
- Abstract
- Background: Little is known about the specific types of childhood trauma and their relationship to treatment-related issues in major depressive disorder (MDD). This study examined trauma experiences and treatment-related variables in outpatients with MDD at a psychiatric department of a university hospital in Korea.
Methods: First, 75 outpatients with MDD were compared to medical outpatients without MDD matched by age, sex, income, and educational qualifications. Both groups completed the Life Stressor Checklist-Revised, which assesses comprehensive life events. Second, treatment-related variables and medication compliance measured by the Compliance Rating Scale were investigated for the two-year period after the initial assessment.
Results: The MDD group had experienced a significantly higher number of lifetime traumas than the control group (p=0.003), including more frequent witnessing of family violence (p<0.001), adulthood physical assault by a family member (p<0.001), and childhood emotional abuse (CEA) (p<0.001). CEA was associated with early onset of the first depressive episode and premature termination of pharmacotherapy; childhood physical neglect was associated with premature termination and less time in therapy.
Conclusion: Our findings support the important influence of childhood emotional trauma and its relationship to treatment retention.
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