Trauma na infância, resiliência e psicoterapias breve para depressão

Abstract

To assess the effect of childhood trauma in clinical outcomes after brief cognitive therapies for major depressive disorder (MDD). This is a follow-up clinical study nested in a double-blind randomized clinical trial of cognitive therapies. Hamilton Anxiety Rating Scale and Hamilton Depression Rating Scale were assessed at baseline, post-intervention, and six-month follow-up. The Childhood trauma questionnaire (CTQ) was performed at baseline. Sixty-one patients were assessed at baseline, post-intervention and six-month follow-up. Baseline CTQ score was positively correlated with severity of depressive (r=0.293, p=0.023) and anxious (r=0.339, p=0.008) symptoms at six-month follow-up. Severity of childhood trauma has a negative impact in treatment response for MDD at sixmonth follow-up. Longer courses of psychotherapy may be needed to improve the longlasting effects of traumatic experiences.