Gibb Brandon E, Chelminski Iwona, Zimmerman Mark
Department of Psychology, Binghamton University, Binghamton, New York 13902, USA.
Depress Anxiety. 2007;24(4):256-63. doi: 10.1002/da.20238.
Although a number of theorists have hypothesized a link between negative experiences during childhood (e.g., abuse) and the presence of psychopathology in adults, little is known about the relative specificity of childhood emotional, physical, or sexual abuse to different forms of psychopathology. In this study, we hypothesized that adult psychiatric outpatients' reports of childhood emotional abuse would exhibit a specific relationship with diagnoses of depression. Analyses partially supported our hypothesis. Specifically, diagnoses of major depression were significantly more strongly related to reports of childhood emotional abuse than to physical or sexual abuse. However, the same effect was observed for social phobia. In addition, patients with major depression reported equivalent levels of childhood emotional abuse as patients with social phobia, but lower levels of emotional abuse than those with posttraumatic stress disorder.
尽管许多理论家推测童年时期的负面经历（如虐待）与成年人精神病理学的存在之间存在联系，但对于童年情感、身体或性虐待对不同形式精神病理学的相对特异性知之甚少。在本研究中，我们假设成年精神科门诊患者关于童年情感虐待的报告会与抑郁症诊断呈现特定关系。分析部分支持了我们的假设。具体而言，重度抑郁症的诊断与童年情感虐待报告的关联显著强于与身体或性虐待报告的关联。然而，社交恐惧症也观察到了同样的效应。此外，重度抑郁症患者报告的童年情感虐待水平与社交恐惧症患者相当，但低于创伤后应激障碍患者的情感虐待水平。
