Analysis of the association between threat and deprivation childhood traumas and dysfunctional attitudes in patients with major depressive episode
Journal Title: Chinese Journal of Nervous and Mental Diseases - Year 2024, Vol 50, Issue 6
Abstract
ObjectiveThis study aims to explore the associations between threat and deprivation childhood traumas and dysfunctional attitudes among patients with major depressive episode, based on the dimensional model of adversity and psychopathology (DMAP).MethodsData from 970 patients with major depressive episode were collected and categorized based on the childhood trauma questionnaire-short form (CTQ-SF) scores into no trauma (426), threat-only (86), deprivation-only (210), and mixed groups (248). Cognitive distortions were assessed using the dysfunctional attitudes scale (DAS), with scores above the upper quartile indicating significant distortions. Multifactorial logistic regression analysis was employed to examine the association between threat and deprivation and dysfunctional attitudes.ResultsThere were significant differences in the proportion of cognitive distortions among the no trauma, threat-only, deprivation-only, and mixed groups (19.25% vs. 30.23% vs. 20.00% vs. 35.89%, P<0.001), with differences across all dimensions (Pâ¤0.001). Multifactorial logistic regression revealed a positive correlation between threat and overall cognitive distortions (OR=2.031, P<0.001), and specific positive correlations with dimensions such as vulnerability (OR=1.709, P<0.001), appeal and repulsion (OR=2.088, P<0.001), perfectionism (OR=2.321, P<0.001), compulsivity (OR=1.765, P=0.001), approval seeking (OR=1.837, P<0.001), dependency (OR=1.554, P=0.006), and autonomous attitudes (OR=1.864, P<0.001). In contrast, deprivation was only positively correlated with the cognitive philosophy dimension (OR=1.495, P=0.015).ConclusionChildhood trauma is closely associated with dysfunctional attitudes in patients with major depressive episode. Threat correlates positively with cognitive distortions in all dimensions except cognitive philosophy, whereas deprivation correlates only with the cognitive philosophy dimension.
Authors and Affiliations
HOU Hao,LUO Dan,KANG Lijun,MA Simeng,LIU Zhongchun,YANG Bingxiang,
Keywords
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