title: Childhood trauma and psychiatric comorbidities in patients with depressive disorder in primary care in Chile.
abstract: Childhood trauma is associated with different psychiatric disorders during adulthood. These disorders are often presented in comorbidity with depression.
  
  
  OBJECTIVE
  To establish the relationship between psychiatric comorbidities and childhood traumatic events in patients with depression in Chile.
  
  
  METHODS
  Three hundred and ninety-four patients with major depression were assessed using the MINI International Neuropsychiatric Interview and a screening for childhood trauma.
  
  
  RESULTS
  Social anxiety disorder was associated with having witnessed domestic violence during childhood (OR = 2.2, CI 1.2 - 3.8), childhood physical abuse (OR = 2.7, CI 1.6 - 4.4), physical injury associated with physical abuse (OR = 2.3, CI 1.3 - 4.7) and sexual abuse by a non-relative (OR = 2.7, CI 1.3 - 4.2). Posttraumatic stress disorder was associated with physical injury associated with physical abuse (OR = 1.9, CI 1.1 - 3.6), sexual abuse by a relative (OR = 3.2, IC 1.8 - 5.9) and sexual abuse by a non-relative (OR = 2.2, CI 1.2 - 4.1). Antisocial personality disorder was associated with traumatic separation from a caregiver (OR = 3.2, CI 1.2 - 8.5), alcohol abuse by a family member (OR = 3.1, CI 1.1 - 8.1), physical abuse (OR = 2.8, CI 1.1 - 6.9) and sexual abuse by a non-relative (OR = 4.8, CI 1.2 - 11.5). Panic disorder was associated with sexual abuse by a relative (OR = 1.9, CI 1.1 - 3.1). Generalized anxiety disorder was associated with sexual abuse by a non-relative (OR = 1.9, CI 1.1- 3.3).
  
  
  CONCLUSIONS
  Further clinical recognition is required in patients seeking help for depression in primary care. This recognition must take into account the patient's current psychiatric comorbidities and adverse childhood experiences.
authors: a Medicine School , University of Talca , Talca , Chile.
authors: Verónica
authors: V
authors: Vitriol
authors: a Medicine School , University of Talca , Talca , Chile.
authors: Alfredo
authors: A
authors: Cancino
authors: b Psychology School , University of Talca , Talca , Chile.
authors: Marcelo
authors: M
authors: Leiva-Bianchi
authors: b Psychology School , University of Talca , Talca , Chile.
authors: Carlos
authors: C
authors: Serrano
authors: c Private practice , Curicó , Chile.
authors: Soledad
authors: S
authors: Ballesteros
authors: d Communal Health Department, Primary Care Service , Curicó , Chile.
authors: Andrea
authors: A
authors: Asenjo
authors: e Psychiatry Service, Talca Hospital , Talca , Chile.
authors: Cristian
authors: C
authors: Cáceres
authors: a Medicine School , University of Talca , Talca , Chile.
authors: Soledad
authors: S
authors: Potthoff
authors: a Medicine School , University of Talca , Talca , Chile.
authors: Carolina
authors: C
authors: Salgado
authors: f Communal Health Department, Primary Care Service , Talca , Chile.
authors: Francisca
authors: F
authors: Orellana
authors: g Maule Health Regional Service , Talca , Chile.
authors: Marcela
authors: M
authors: Ormazábal
mesh_terms: D000328:Adult; D054523:Adult Survivors of Child Abuse / Q000523:psychology; D000987:Antisocial Personality Disorder / Q000453:epidemiology / Q000523:psychology; D001008:Anxiety Disorders / Q000453:epidemiology / Q000523:psychology; D002677:Chile / Q000453:epidemiology; D015897:Comorbidity; D003865:Major Depressive Disorder / Q000453:epidemiology* / Q000523:psychology*; D017579:Domestic Violence / Q000523:psychology; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D008875:Middle Aged; D016584:Panic Disorder / Q000453:epidemiology / Q000523:psychology; D011320:Primary Health Care; D012307:Risk Factors; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology / Q000523:psychology
keywords: Major depression; childhood trauma; psychiatric comorbidities