Association study between Childhood Trauma, Psychological Pain and Suicidal Behavior in Women with Depression
Depression, Early Trauma, Psychological Pain, Suicidal Behavior
This study aims to investigate in depressed women the association between a history of childhood trauma with psychological pain and suicidal behavior. This is an observational, cross-sectional study with a quantitative approach that was carried out at Hospital Escola Portugal Ramalho (HEPR), University Hospital Profº Alberto Antunes (HUPAA) and at Basic Health Units (UBS) in Girau do Ponciano. The display method used was non-probabilistic for convenience and the sample consisted of patients in outpatient care. Data collection took place from the application of the Sociodemographic Questionnaire, Mini International Neuropsychiatric Interview (MINI 7.0.2), Beck's Depression Inventory (BDI), Psychological Pain Scale (PAS) and Childhood Trauma Questionnaire (CTQ) . The general sample included 34 women, with a mean age of 42.1 years (± 11.0). About 82.3% (28) of the sample had a history of early trauma, 79.4% (27) of the women reported having suffered Emotional Abuse, 73.5% (25) reported having suffered Physical Negligence, 70.6% ( 24) reported having suffered Emotional Negligence, 58.8% (20) reported having suffered Physical Abuse and 47% (16) of the women interviewed reported having suffered Sexual Abuse. The average Suicidality score was 69.2 (± 47.8) (p 0.03) for patients who had a history of Emotional Abuse, 59.3% (16) of these patients had a Major Depressive Disorder (p 0 , 04) and 40.7% (11) presented with Bipolar Disorder (p 0.04). 96% (24) of the patients who reported Physical Negligence had Passive Ideation (p 0.02) with OR = 12.0 (95% CI 1.05 - 136.79) and 80% (20) had Active Ideation (p 0, 01) with OR = 8.0 (95% CI 1.46 - 43.68). For women who suffered Emotional Negligence the average Suicidality score was 72.9 (± 47.3) (p 0.01), the average BDI score was 31.5 (± 14.2) (p 0 , 02). 29.5% (7) of the patients presented with Bipolar Disorder Type 1 (p 0.05). Among the patients who reported a history of Physical Abuse, 50% (10) of them had Major Depressive Disorder (p 0.01) and 50% (10) had Bipolar Disorder (p 0.01) with OR = 13.0 (95% CI 1.42 - 119.07). The statistical tests used in this study showed an association between mood disorders and suicidal behavior according to the subtypes of abuse in childhood and adolescence. It was also observed that even in psychiatric follow-up, patients who have a history of early trauma have high scores for the severity of depressive symptoms and for the risk of suicide