快感缺乏作为女性青少年性创伤标志的初步证据。

IF 1.7 Q2 PEDIATRICS
Adolescent Health Medicine and Therapeutics Pub Date : 2021-06-14 eCollection Date: 2021-01-01 DOI:10.2147/AHMT.S300150
Ayse Irem Sonmez, Charles P Lewis, Arjun P Athreya, Julia Shekunov, Paul E Croarkin
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引用次数: 6

摘要

简介:重度抑郁障碍(MDD)是一种常见的疾病,具有异质性的表现,通常包括显性快感缺乏。先前的研究表明,童年创伤是重度抑郁症发展的一个潜在危险因素;然而,这一发现的临床意义尚不完全清楚。方法:参与者为诊断为中度至重度抑郁症的青少年(13-21岁)和健康对照。我们使用广义线性模型在横断面数据集中评估快感缺乏严重程度和创伤严重程度之间的关系。结果:对青少年样本进行临床评估和创伤评估的横断面分析表明,快感缺乏与历史创伤严重程度有关。与男性参与者相比,女性参与者的快感缺乏与性虐待之间的关联更大。讨论:我们的结果与文献报道的成人样本部分一致。未来旨在描述青少年创伤-快感缺乏症关系的研究应该使用专门设计的量表来测量年轻人的这些结构,以及评估快感缺乏症特定亚型的量表。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Preliminary Evidence for Anhedonia as a Marker of Sexual Trauma in Female Adolescents.

Preliminary Evidence for Anhedonia as a Marker of Sexual Trauma in Female Adolescents.

Introduction: Major depressive disorder (MDD) is a common condition with heterogeneous presentations that often include predominant anhedonia. Previous studies have revealed that childhood trauma is a potent risk factor for the development of MDD; however, the clinical implications of this finding are not fully understood.

Methods: Participants were adolescents (age 13-21 years) with a diagnosis of moderate-to-severe major depressive disorder and healthy controls. We used generalized linear models to assess the relationship between anhedonia severity and trauma severity in a cross-sectional dataset.

Results: This cross-sectional analysis of an adolescent sample that underwent clinical evaluations and a trauma assessment, suggested that anhedonia was associated with historical trauma severity. The association between anhedonia and sexual abuse was greater in female participants compared to male participants.

Discussion: Our results were partially in line with the reported literature in adult samples. Future studies aiming to characterize the trauma-anhedonia relationship in adolescents should utilize scales designed specifically to measure these constructs in young populations, and scales that assess specific subtypes of anhedonia.

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来源期刊
自引率
0.00%
发文量
13
审稿时长
16 weeks
期刊介绍: Adolescent Health, Medicine and Therapeutics is an international, peer reviewed, open access journal focusing on health, pathology, and treatment issues specific to the adolescent age group, including health issues affecting young people with cancer. Original research, reports, editorials, reviews, commentaries and adolescent-focused clinical trial design are welcomed. All aspects of health maintenance, preventative measures, disease treatment interventions, studies investigating the poor outcomes for some treatments in this group of patients, and the challenges when transitioning from adolescent to adult care are addressed within the journal. Practitioners from all disciplines are invited to submit their work as well as health care researchers and patient support groups. Areas covered include: Physical and mental development in the adolescent period, Behavioral issues, Pathologies and treatment interventions specific to this age group, Prevalence and incidence studies, Diet and nutrition, Specific drug handling, efficacy, and safety issues, Drug development programs, Outcome studies, patient satisfaction, compliance, and adherence, Patient and health education programs and studies.
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