Relationship between adolescent depressive symptoms with childhood psychological trauma and maternal pregnancy

WANG Jian; LI Guangyun; XU Shucai

doi:10.16835/j.cnki.1000-9817.2023.08.010

Volume 44 Issue 8

Aug. 2023

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WANG Jian, LI Guangyun, XU Shucai. Relationship between adolescent depressive symptoms with childhood psychological trauma and maternal pregnancy[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(8): 1165-1168. doi: 10.16835/j.cnki.1000-9817.2023.08.010

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WANG Jian, LI Guangyun, XU Shucai. Relationship between adolescent depressive symptoms with childhood psychological trauma and maternal pregnancy[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(8): 1165-1168. doi: 10.16835/j.cnki.1000-9817.2023.08.010

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Relationship between adolescent depressive symptoms with childhood psychological trauma and maternal pregnancy

doi: 10.16835/j.cnki.1000-9817.2023.08.010

1.
Psychological Trauma Ward of Wuhan Mental Health Center, Wuhan (430022), China

Received Date: 2023-01-13
Rev Recd Date: 2023-05-19

Available Online: 2023-08-26

Publish Date: 2023-08-25

Abstract

Abstract

Objective To explore the relationship between adolescent depressive symptoms, childhood psychological trauma and maternal illness during pregnancy, so as to provide scientific busis for the development of adolescent mental health. Methods A stratified cluster random sampling method was employed to select 2 092 primary and secondary school students in Wuhan City from January to July 2022. Questionnaires were administered to investigate adolescent depressive symptoms, childhood psychological trauma, and maternal illness during pregnancy. The influencing factors of adolescent depression were analyzed. Results A total of 139 adolescents reported depressive symptoms. The childhood trauma questionnaire (CTQ) score of the depression group was (57.49±6.85), and the score in adolescents without depression group was (46.28±5.96)(t=21.14, P < 0.05). Among the maternal diseases during pregnancy, hypertension accounted for 11.51%, diabetes 9.35%, cholestasis 7.19%, hypothyroidism/hyperthyroidism 7.91%, anemia 9.35% and viral hepatitis 3.60% in depression group, 5.79%, 4.71%, 3.64%, 3.07%, 4.30%, 1.18% in the group without depression, respectively, and the differences were statistically significant (χ²=7.35, 5.87, 4.42, 9.28, 7.49, 5.75, P < 0.05). The proportion of academic stress in the depressed group and non-depressed group were 61.15% and 46.34%, respectively, and was statistically significant (χ²=16.04, P < 0.05). Multivariate Logistic regression analysis showed that gestational hypertension (OR=5.04, 95%CI=2.07-12.24), diabetes mellitus (OR=4.49, 95%CI=1.85-10.91), anemia (OR=3.68, 95%CI=1.51-8.94), high academic stress (OR=3.52, 95%CI=1.45-8.56) and the Childhood Trauma Questionnaire (OR=4.63, 95%CI=1.91-11.26) were the risk factors of depression in adolescents (P < 0.05). Conclusion Adolescent depression may be due to high academic stress, childhood psychological trauma, maternal hypertension, diabetes, thyroid dysfunction and anemia in pregnancy. It is suggested that relevant departments provide appropriate measures to reduce the risk of adolescent depression.
- Depression,
- Mental health,
- Mothers,
- Pregnancy,
- Disease,
- Regression analysis,
- Adolescent

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References(23)

References

[1]	MILLER L, CAMPO J V. Depression in adolescents[J]. N Engl J Med, 2021, 385(5): 445-449. doi: 10.1056/NEJMra2033475
[2]	HAZELL P. Updates in treatment of depression in children and adolescents[J]. Curr Opin Psychiatry, 2021, 34(6): 593-599. doi: 10.1097/YCO.0000000000000749
[3]	邱依雯, 娄熠雪, 雷怡. 青少年抑郁: 基于社会支持的视角[J]. 心理发展与教育, 2021, 37(2): 288-297. https://www.cnki.com.cn/Article/CJFDTOTAL-XLFZ202102016.htm QIU Y W, LOU Y X, LEI Y. Adolescent depression: a perspective based on social support[J]. Psychol Dev Educ, 2021, 37(2): 288-297. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XLFZ202102016.htm
[4]	ZAKHOUR S, NARDI A E, LEVITAN M, et al. Cognitive-behavioral therapy for treatment-resistant depression in adults and adolescents: a systematic review[J]. Trends Psychiatry Psychother, 2020, 42(1): 92-101. doi: 10.1590/2237-6089-2019-0033
[5]	STRAWN J R, AARONSON S T, ELMAADAWI A Z, et al. Treatment-resistant depression in adolescents: clinical features and measurement of treatment resistance[J]. J Child Adolesc Psychopharmacol, 2020, 30(4): 261-266. doi: 10.1089/cap.2020.0008
[6]	CUIJPERS P, PINEDA B S, NG M Y, et al. A Meta-analytic review: psychological treatment of subthreshold depression in children and adolescents[J]. J Am Acad Child Adolesc Psychiatry, 2021, 60(9): 1072-1084. doi: 10.1016/j.jaac.2020.11.024
[7]	张紫微, 余春艳, 袁萍, 等. 儿童期不良经历与青春早期抑郁的关联性[J]. 中国学校卫生, 2019, 40(6): 874-877. doi: 10.16835/j.cnki.1000-9817.2019.06.023 ZHANG Z W, YU C Y, YUAN P, et al. Association between adverse childhood experiences and depression in early adolescence[J]. Chin J Sch Health, 2019, 40(6): 874-877. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2019.06.023
[8]	STANTON K J, DENIETOLIS B, GOODWIN B J, et al. Childhood trauma and psychosis: an updated review[J]. Child Adolesc Psychiatr Clin N Am, 2020, 29(1): 115-129. doi: 10.1016/j.chc.2019.08.004
[9]	ALAN C, HOLLIE D, FIONA C. A systematic review of the outcome of child abuse in long-term care[J]. Trauma Viol Abuse, 2020, 21(4): 660-677. doi: 10.1177/1524838018789154
[10]	STANTON K J, DENIETOLIS B, GOODWIN B J, et al. Childhood trauma and psychosis: an updated review[J]. Child Adolesc Psychiatr Clin N Am, 2020, 29(1): 115-129. doi: 10.1016/j.chc.2019.08.004
[11]	杨文辉, 刘绍亮, 周烃, 等. 贝克抑郁量表第2版中文版在青少年中的信效度[J]. 中国临床心理学杂志, 2014, 22(2): 240-245. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201402010.htm YANG W H, LIU S L, ZHOU T, et al. Reliability and validity of Baker Depression Scale (2 Edition) in adolescents[J]. Chin J Clin Psychol, 2014, 22(2): 240-245. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201402010.htm
[12]	赵幸福, 张亚林, 李龙飞, 等. 中文版儿童期虐待问卷的信度和效度[J]. 中国组织工程研究, 2005, 9(20): 105-107. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201105073.htm ZHAO X F, ZHANG Y L, LI L F, et al. Reliability and validity of Chinese version of Childhood Abuse Questionnaire[J]. Chin J Tissue Engineer Res, 2005, 9(20): 105-107. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201105073.htm
[13]	GORYUNOV A V. Clinical features of depression in adolescents with schizotypal disorder[J]. Zh Nevrol Psikhiatr Im S S Korsakova, 2021, 121(5. Vyp. 2): 12-18.
[14]	STALLWOOD E, MONSOUR A, RODRIGUES C, et al. Systematic review: the measurement properties of the Children's Depression Rating Scale-revised in adolescents with major depressive disorder[J]. J Am Acad Child Adolesc Psychiatry, 2021, 60(1): 119-133. doi: 10.1016/j.jaac.2020.10.009
[15]	DROR C, PORTNOY V, DAYAN-ROSENBLUM S, et al. Emotion perception and theory of mind in adolescents with major depression[J]. Acta Neuropsychiatr, 2021, 33(5): 261-266. doi: 10.1017/neu.2021.16
[16]	程庆林, 谢立, 王乐, 等. 青少年抑郁倾向影响因素分析[J]. 中国公共卫生, 2022, 38(6): 680-685. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW202206008.htm CHENG Q L, XIE L, WANG L, et al. Analysis of influencing factors of depressive tendency in adolescents[J]. Chin J Public Health, 2022, 38(6): 680-685. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW202206008.htm
[17]	GIJTENBEEK M, LOPRIORE E, STEGGERDA S J, et al. Persistent pulmonary hypertension of the newborn after fetomaternal hemorrhage[J]. Transfusion, 2018, 58(12): 2819-2824.
[18]	DACHEW B A, SCOTT J G, BETTS K, et al. Hypertensive disorders of pregnancy and the risk of offspring depression in childhood: findings from the Avon longitudinal study of parents and children[J]. Dev Psychopathol, 2020, 32(3): 845-851.
[19]	NOMURA Y, MARKS D J, GROSSMAN B, et al. Exposure to gestational diabetes mellitus and low socioeconomic status: effects on neurocognitive development and risk of attention-deficit/hyperactivity disorder in offspring[J]. Arch Pediatr Adolesc Med, 2012, 166(4): 337-343.
[20]	AVIEL-SHEKLER K, HAMSHAWI Y, SIRHAN W, et al. Gestational diabetes induces behavioral and brain gene transcription dysregulation in adult off spring[J]. Transl Psychiatry, 2020, 10(1): 412.
[21]	FETENE D M, BETTS K S, ALATI R. The role of maternal prenatal thyroid function on offspring depression: findings from the ALSPAC cohort[J]. Dev Psychopathol, 2020, 32(1): 189-196.
[22]	BAKSI S, PRADHAN A. Thyroid hormone: sex-dependent role in nervous system regulation and disease[J]. Biol Sex Diff, 2021, 12(1): 25.
[23]	JANBEK J, SARKI M, SPECHT I O, et al. A systematic literature review of the relation between iron status/anemia in pregnancy and offspring neurodevelopment[J]. Eur J Clin Nutr, 2019, 73(12): 1561-1578.