A Case-control Study On The Relationship Between Depression With Psychotic Symptoms And Childhood Abuse And Resilience

Objective:Depression with psychotic symptoms refers to depression when the onset of delusions or hallucinations.Childhood abuse refers to the improper treatment or neglect of children by parents,guardians or caregivers,which leads to the physical,emotional and psychological injury of children,or the risk of serious harm.Many studies have shown that mental abuse and neglect are associated with depression.Resilience is defined as the dynamic balance that an individual maintains or restores mental health after stress or trauma.Studies have shown that high levels of mental resilience can protect a person from mental illness.Some studies have found that depression with psychotic symptoms has a higher risk of suicide than depression without psychotic symptoms,poor drug treatment,and early onset.The recurrence rate is high and the positive family history of major mental illness is more unique.This means that there may be some difference between the two subtypes of depression in the causes,symptoms,treatment,and outcome.At present,there are few studies on the difference of child abuse and its correlation degree and the difference of the level of mental resilience among the two subtypes of depression with and without psychotic symptoms.The purpose of this study was to explore the correlation between childhood maltreatment and resilience and depression with psychotic symptoms,and to provide some useful data for the role of psychological factors in the pathogenesis of depression.Methods:According to the International Statistical Classification of Disease and related Health problems,10 th edition.(international classification of diseases and related health problems,tenth revision,ICD-10)included 160 outpatients and inpatients with depressive disorders including 80 patients with depression with psychiatric symptoms and 80 patients with depression without psychotic symptoms as control group.All the subjects completed general information questionnaire,mental resilience scale(the conner-davidson resilience scale,CD-RISC)and childhood abuse questionnaire(Childhood trauma questionnaire,CTQ).Results:(1)Compared with the control group,age,age of first attendance,age of first visit,parenting principles,and relationship with parents in general demographic data in the study group had statistical significance(P<0.05)(2)In childhood abuse,the scores of each dimension in the study group were higher than those in the control group,and the difference was statistically significant.(P<0.05);in psychological resilience,the scores of each dimension in the study group were lower than those in the control group,and the difference was statistically significant.(P<0.05)(3)In the study group,76 cases(60.8%)had childhood maltreatment and 4 cases(11.4%)had no childhood abuse,there were 76 cases(63.9%)with low psychological resilience and 4 cases(9.8%)with high psychological resilience,and.the difference was statistically significant(P<0.01).(4)In the low resilience group,the OR with childhood abuse was 17.862,while in the high resilience group,the OR with childhood abuse was only 0.85.Conclusion: Resilience is the protective factor in major depressive disorder with psychotic and childhood abuse is an important risk factor in major depressive disorder with psychotic.