Prevalence of small t trauma in depressed adolescent and early adulthood patient in King Chulalongkorn Memorial Hospital

Authors

  • Krittapast Thongrakyoo Department of Psychiatry, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
  • Puchong Laurujisawat Department of Psychiatry, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
  • Parichawan Chandarasiri Division of Child and Adolescent Psychiatry, Department of Psychiatry, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand

Keywords:

Adverse childhood experiences, depression, small t trauma, trauma, traumatic experiences

Abstract

Background: Trauma and depression are known to be related, especially in adolescents and early adulthood patients in which depression usually starts, then deteriorates, and causes decreased function and worse quality of life.

Objective: To study prevalence of small t trauma level in adolescents and early adulthood patients with depression and to determine whether the level of small t trauma and severity of depression are associated.

Methods: This cross-sectional descriptive study recruited depressive patients aged 15 - 25 years to complete a questionnaire consisting of three parts: demographic data and big T trauma, Beck Depression Inventory-IA scale Thai version, and the small t trauma level of adverse childhood experience.

Results: One hundred and six subjects were recruited in this study. Majority of them had high small t trauma level (66.0% in the red zone) and had severe depression. Furthermore, the level of the small t trauma was positively correlated with the severity of depression (r = 0.25, P = 0.02).

Conclusion: The subjects had high small t trauma level and had severe depression which both were related. Therefore, this risk should be concerned in child rearing, educational system, and mental health promotion of children and adolescent.

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References

Hunt TKA, Slack KS, Berger LM. Adverse childhood experiences and behavioral problems in middle childhood. Child Abuse Negl 2017;67:391-402. https://doi.org/10.1016/j.chiabu.2016.11.005

Beurel E, Toups M, Nemeroff CB. The bidirectional relationship of depression and inflammation: double trouble. Neuron 2020;107:234-56. https://doi.org/10.1016/j.neuron.2020.06.002

Kongsuk T, Kittirattanapaiboon P, Kenbubpha K, Sukawaha S, Leejongpermpoon J. The prevalence of major depressive disorders in Thailand. Results from the Epidemiology of Mental Disorders National Survey 2008. Presented at World Psychiatric Association Section on Epidemiology and Public Health meeting, Prediction in psychiatric epidemiology - from childhood and adolescence to adulthood; 2010 Jul 11 -14; Lisbon:Portugal; 2010.

Murray CJL, Lopez AD. The global burden of disease: A comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020. Cambridge, MA: The Harvard School of Public Health on behalf of the World Health Organization and the World Bank Distributed by Harvard University Press;1996.

Avenevoli S, Swendson J, He JP, Burstein M, Merikangas KR. Major depression in the national comorbid-ity survey-adolescent supplement: prevalence, correlates, and treatment. J Am Acad Child Adolesc Psychiatry 2015;54:37-44.e2. https://doi.org/10.1016/j.jaac.2014.10.010

Kessler RC, Wai CT, Demler O, Merikangas KR, Walters EE. Prevalence, severity, and comorbidity of 12 - month DSM-IV disorders in the national comorbidity survey replication. Arch Gen Psychiatry 2005;62:617-27. https://doi.org/10.1001/archpsyc.62.6.617

Klein DN, Shankman SA, Lewinsohn PM, Seeley JR. Subthreshold depressive disorder in adolescents: predictors of escalation to full-syndrome depressive disorders. J Am Acad Child Adolesc Psychiatry 2009;48:703-10. https://doi.org/10.1097/CHI.0b013e3181a56606

Panyawong W, Santitadakul R, Pavasuthipaisit C. Prevalence of depression and suicidal risks in Thai adolescents: A survey in schools from 13 public health region. J Ment Health of Thai 2020;28:136-49.

Boland R, Verduin M, Ruiz P. Kaplan and Sadock's Synopsis of Psychiatry:12th ed. Philadelphia: Wolters Kluwer; 2021.

American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington DC: American Psychiatric Association; 2000.

Weersing VR, Shamseddeen W, Garber J, Hollon SD, Clarke GN, Beardslee WR, et al. Prevention of depression in at-risk adolescents: predictors and moderators of acute effects. J Am Acad Child Adolesc Psychiatry 2016;55:219-26. https://doi.org/10.1016/j.jaac.2015.12.015

Joiner L, Chelf K, Ikeda L. Healing from Trauma. California: Empower International Ministries; 2013.

Shapiro F. Eye movement desensitization and reprocessing (EMDR) therapy: basic principles, protocols, and procedures. 3rd ed. New York: The Gulford Press; 2017.

Shapiro F, Kaslow FW, Maxfield L. Handbook of EMDR and family therapy processes. New Jersey: John Wiley & Sons; 2007. https://doi.org/10.1002/9781118269985

Reidy DE, Niolon PH, Estefan LF, Kearns MC, D'Inverno AS, Marker CD, et al. Measurement of adverse childhood experiences: it matters. Am J Prev Med 2021;61:821-30.

https://doi.org/10.1016/j.amepre.2021.05.043

Crouch E, Probst JC, Radcliff E, Bennett KJ, McKinney SH. Prevalence of adverse childhood experiences (ACEs) among US children. Child Abuse Negl 2019;92:209-18. https://doi.org/10.1016/j.chiabu.2019.04.010

Lin L, Wang HH, Lu C, Chen W, Guo VY. Adverse childhood experiences and subsequent chronic diseases among middle-aged or older adults in China and associations with demographic and socioeconomic characteristics. JAMA Netw Open 2021;4:e2130143.

https://doi.org/10.1001/jamanetworkopen.2021.30143

Felitti VJ , Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the adverse childhood experiences (ACE) study. Am J Prev Med 1998;14:245-58.

https://doi.org/10.1016/S0749-3797(98)00017-8

Daniel WW. Biostatistics: A foundation of analysis in the health science. 6th ed. Hoboken, New Jersey: John Wiley & Sons, Inc;1998.

Auersperg F, Vlasak T, Ponocny I, Barth A. Long-term effects of parental divorce on mental health-A meta-analysis. J Psychiatr Res 2019;119:107-15. https://doi.org/10.1016/j.jpsychires.2019.09.011

Sengendo J, Nambi J. The psychological effect of orphanhood: A study of orphans in Rakai district. Health Transit Rev 1997;7 Suppl:105-24.

Easey KE, Mars B, Pearson R, Heron J, Gunnell D. Association of birth order with adolescent mental health and suicide attempts: A population-based longitudinal study. Eur Child Adolesc Psychiatry 2019;28:1079-86. https://doi.org/10.1007/s00787-018-1266-1

Sullivan PF, Neale MC, Kendler KS. Genetic epidemiology of major depression: review and meta-analysis. Am J Psychiatry 2000;157:1552-62. https://doi.org/10.1176/appi.ajp.157.10.1552

Bone JK, Lewis G, Roiser JP, Blakemore SJ, Lewis G. Recall bias during adolescence: gender differences and associations with depressive symptoms. J Affect Disord 2021;282:299-307.

https://doi.org/10.1016/j.jad.2020.12.133

Jermann F, van der Linden M, D'Argembeau A. Identity recognition and happy and sad facial expression recall: influence of depressive symptoms. Memory 2008;16:364-73.

https://doi.org/10.1080/09658210801935413

Chuetai N. Development of small t trauma measured instrument for secondary School students [thesis]. Bangkok: Chulalongkorn University; 2015.

Ho GWK, Bressington D, Karatzias T, Chien WT, Inoue S, Yang PJ, et al. Patterns of exposure to adverse childhood experiences and their associations with mental health: A survey of 1346 university students in East Asia. Soc Psychiatry Psychiatr Epidemiol 2020;55:339-49.

https://doi.org/10.1007/s00127-019-01768-w

Mersky JP, Topitzes J, Reynolds AJ. Impacts of adverse childhood experiences on health, mental health, and substance use in early adulthood: A cohort study of an urban, minority sample in the U.S. Child Abuse Negl 2013;37:917-25. https://doi.org/10.1016/j.chiabu.2013.07.011

Ratchanoo W, Peeraphon L. Prevalence of complicated grief and associated factors in psychiatric outpatients at King Chulalongkorn Memorial Hospital. J Psychiatr Assoc Thailand 2015;60:85-98.

Hoang NTN, Jirapongsuwan A, Siri S. Depression and related factors among health science students in da nang, vietnam: A cross-sectional study. J Public Health Res 2022;37:145-52.

https://doi.org/10.56808/2586-940X.1005

Ridhitrairatana S. Prevalence and factors of depression in high school students in Petchaburi Province. Office of Academic Resources [thesis]. Bangkok: Chulalongkorn University;2001.

Choi KR, Seng JS, Briggs EC, Munro-Kramer ML, Graham-Bermann SA, Lee RC, et al. The dissociative subtype of posttraumatic stress disorder (PTSD) among adolescents: co-occurring PTSD, depersonalization/derealization, and other dissociation symptoms. J Am Acad Child Adolesc Psychiatry 2017;56:1062-72. https://doi.org/10.1016/j.jaac.2017.09.425

Ranney ML, Patena JV, Nugent N, Spirito A, Boyer E, Zatzick D, et al. PTSD, cyberbullying and peer violence: prevalence and correlates among adolescent emergency department patients. Gen Hosp Psychiatry 2016;39:32-8. https://doi.org/10.1016/j.genhosppsych.2015.12.002

Patra KP, Kumar R. Screening for depression and suicide in children. 2022 Dec 12. In: StatPearls. [Internet]. Treasure Island (FL): StatPearls Publishing; 2023. PMID: 35015441.

Houtepen LC, Heron J, Suderman MJ, Fraser A, Chittleborough CR, Howe LD. Associations of adverse childhood experiences with educational attainment and adolescent health and the role of family and socioeconomic factors: A prospective cohort study in the UK. PLoS Med 2020;17:

https://doi.org/10.1371/journal.pmed.1003031 e1003031.

Braam AW, Koenig HG. Religion, spirituality and depression in prospective studies: A systematic review. J Affect Disord 2019;257:428-38. https://doi.org/10.1016/j.jad.2019.06.063

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Published

2023-06-06

How to Cite

1.
Thongrakyoo K, Laurujisawat P, Chandarasiri P. Prevalence of small t trauma in depressed adolescent and early adulthood patient in King Chulalongkorn Memorial Hospital. Chula Med J [Internet]. 2023 Jun. 6 [cited 2024 Dec. 22];67(3). Available from: https://he05.tci-thaijo.org/index.php/CMJ/article/view/22