Relationship of psychotic symptoms with childhood abuse and psychological resilience in patients with depression

Abstract

Objective To explore relationship of psychotic symptoms with childhood abuse and psychological resilience in patients with depression. Methods According to whether the psychotic symptoms exist, 160 patients with depression were divided into psychotic major depression (PMD group, n=80) and nonpsychotic major depression (NMD group, n=80). All patients were assessed with general information questionnaire, the childhood trauma questionnaire(CTQ)and the Conner-Davidson resilience scale(CD-RISC). Using logistic regression analysis to explore the influencing factors of psychiatric symptoms in depressive patients. Results There were significant differences in the emotional abuse ((17.80±2.78), (10.14±1.46)), the physical abuse ((16.98±3.21), (8.31±1.24)), the sexual abuse ((8.74±1.87), (7.85±1.71)), the emotional neglect ((21.46±1.95), (15.71±2.12)) and total score of childhood abuse ((81.98±9.88), (54.10±4.36)) between the two group (F=68.88, 70.91, 2.91, 45.93, 77.28, all P<0.01). There were significant differences in the resilience (F=4.47, P<0.01), the power (F=5.59, P<0.01), the optimism (F=2.35, P=0.033) and total score of psychological resilience (F=7.23, P<0.01) between the two group.Logistic regression analysis showed that attack in early age(B=2.57, P=0.024, OR(95%CI)=13.07(1.01-169.54))was a risk factor for psychotic symptoms in patients with depression.No experience of childhood abuse (B=-1.95, P=0.003, OR(95%CI)=0.14(0.04-0.52)), the higher psychological resilience level(B=-2.54, P<0.01, OR(95%CI)=0.08(0.02-0.27)), mild to moderate depression (B=-1.33, P=0.013, OR(95%CI)=0.27(0.09-0.76))were protective factors of psychotic symptoms in patients with depression. Conclusion Psychological resilience may be the protective factor for psychotic symptoms in patients with depression while childhood abuse may be a risk factor. Key words: Depression; Psychotic symptoms; Childhood abuse; Psychological resilience