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Query: UMLS:C0011570 (depression)
 172,036 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The present investigation examined the effectiveness of a cognitive behavioral treatment program designed for sexually abused children suffering post-traumatic stress disorder. Nineteen girls who suffered contact sexual abuse and met DSM-III-R criteria for post-traumatic stress disorder were included in the study. Subjects ranged in age from 3 to 16 years old. Structured interviews were conducted to assess the presence or absence of post-traumatic stress disorder symptoms before, during, and following the abuse. Additionally, parents completed the Child Behavior Checklist, and subjects at least 6 years of age were administered the Child Depression Inventory and the Spielberger State-Trait Anxiety Inventory at the initial evaluation and again approximately 2 to 3 weeks later before the initiation of treatment. The baseline data collected at these two points were compared, and no significant changes were found over time. The above measures were readministered following 12 treatment sessions. The results revealed significant improvements at post-treatment on all measures.
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PMID:Cognitive behavioral treatment for sexually abused children suffering post-traumatic stress: preliminary findings. 222 28

A sample of 223 adolescents who sought services from runaway and homeless youth programs in New York State during 1986-1987 was identified as having a history of maltreatment. A demographic profile is presented and the nature of their maltreatment described. The majority of these youth were female and between 15-16 years of age. Less than 25% came from intact families and one-third were born to single mothers. Of the sample, 60% had allegedly experienced physical abuse, 42% emotional abuse, 48% neglect, and 21% sexual abuse. Over one-third were "pushed out" of their homes by their families. Biological mothers were the most frequently cited perpetrators of maltreatment (63%), followed by biological fathers (45%). The sample of maltreated runaways is compared to both statewide and national samples of runaway and homeless youth with regard to their demographic characteristics and the problems they present to staff at intake (e.g., depression, substance abuse, etc.). Youth in the maltreated sample were more likely to be female and were more likely to have engaged in suicidal behavior. Otherwise, the maltreated runaways were not readily distinguished from the runaway and homeless youth population at large.
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PMID:Maltreatment among runaway and homeless youth. 231 Sep 77

The influence of life stressors arising in different life stages on the severity of depression was examined in a sample of 123 depressive women, ranging from 22 to 64 years of age. In an interview, information was obtained on the incidence of certain life stressors in early and recent periods. The severity of depression was measured using the Beck Depression Inventory. The results indicate that experience of physical or sexual abuse before the age of 19 is strongly associated with severity of depression. Also, most women suffering from severe depression had previous and recent difficulties in their relationships with parents, partner or others and recent problems with self-esteem. A hypothetical model for predicting the severity of depression was evaluated. Difficulties experienced one year prior to assessment appeared to directly predict severity of depression. Difficulties with social relationships whose origin could be traced back to early periods and that had a continuing effect throughout life were found to be crucial factors for indirectly predicting the severity of depression.
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PMID:The influence of early and recent life stress on severity of depression. 234 56

The diagnostic features and treatment histories of 11 adolescents with multiple personality disorder (MPD) are presented. Clinical evaluation revealed that the majority of these adolescents manifested extremely variable school performance, disruptive behavior, trances, amnesias, mood swings, sharp changes in personality, apparent lying, voices heard in the head, and depression. All had a history of childhood trauma: Sexual abuse (73%), physical abuse (73%), and emotional abuse (82%). Seventy-three percent had a parent with a diagnosable dissociative disorder; 36% of the mothers had MPD. These adolescents had a mean number of 24.1 alter personalities and appear to have become multiple at a mean age of 3 years, 1 month. All patients had angry protector alters, depressed alters, scared alters, and child alters. Fifty-four percent of these cases have integrated during treatment or are progressing toward integration. The remaining cases dropped out of therapy.
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PMID:Adolescent multiple personality disorder: a preliminary study of eleven cases. 234 31

Development of a measure of child sexual abuse, operationalized as unwanted sexual contact before age 17, is described. In a community mental health survey of 750 women aged 18 to 27 yr., 32% recalled unwanted sexual contact. 7% experienced prolonged sexual assault before age 17 and had significantly higher scores as adults on the CESD Depression scale.
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PMID:Development of a measure of unwanted sexual contact in childhood, for use in community mental health surveys. 234 25

Of 174 women presenting symptoms of premenstrual syndrome (PMS), 40% had a history as victims of sexual abuse. Thirty-three percent were of a high-SES (socioeconomic status) group and 52% of a low-SES group. The authors found a connection between sexual abuse and psychiatric hospitalization for women seeking treatment for PMS. Beck Depression Inventory scores were high, supporting current research indicating a prevalence of affective disorders in women seeking treatment for PMS. However, the authors found few differences between the high- and low-SES groups. Specific questioning regarding a history of adverse sexual experiences is critical in evaluating all patients.
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PMID:Sexual abuse and premenstrual syndrome: comparison between a lower and higher socioeconomic group. 238 80

Fifteen cases of sexually abused children, who were treated at a neuropsychiatry unit were reviewed. Age at offense ranged from 5 to 14 years and two thirds of them occurred to girls. Seven cases were rapes. Nine offenders were family members, five were acquaintances and only one was a complete stranger. There cases were those of "father attacking daughter". Two were of "father abusing son", one of which was the rape of a son. Most frequent symptoms after sexual abuse were sleeping disorders (9/15) different kinds of fears (8/15) and depression (6/15). The most common psychopathological features in the parents, were alcoholism (6 cases) and open psychopathic traits in 3 cases (two fathers and one mother). The outcome of these patients was better the greater the family support. The situation is most serious when the aggressor is a family member.
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PMID:[General and psychopathologic aspects of sexual abuse in children]. 248 92

In a study of the family environments and psychiatric histories of 35 bulimic women, the authors found that 12 (34.3%) of the 35 women had been sexually abused or had a sister who had been sexually abused. That rate is comparable to estimates from other studies of women with eating disorders and of female psychiatric patients, but is apparently higher than the rate found in the general population. Bulimic women from families in which sexual abuse occurred were more likely than bulimic women with no personal or family history of sexual abuse to have a personal history of major depression, relatives who abused drugs, and a disturbed family environment. The presence of bulimia should alert clinicians to screen for concomitant depression, suicidality, and substance abuse as well as the possibility of severe, if hidden, familial pathology and environmental disruption including sexual abuse, parental psychopathology, and character deficits.
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PMID:Childhood sexual abuse in women with bulimia. 260 64

The incidence of sexual abuse in eating disorder patients appears significant. Fifty percent of both our anorectic and bulimic patients reported a history of sexual abuse while only 28% of a non-anorexic, non-bulimic control population reported similar problems (p less than 0.01). Several patterns of behavior seemed related to previous sexual assault. In one, the eating disorder was used to change the body image of the patient and therefore to provide a defense to future abuse. Other behaviors which occurred more specifically in bulimic women dealt with a projection of repressed anger toward male authority figures. Forty six percent of the bulimic women seen in our study exhibited some promiscuous behavior, using sex either as a gauge of their own self worth or as a means of punishing men. It is essential that sexual issues be addressed early in the treatment of patients with eating disorders. Disclosure is often difficult particularly in outpatient situations where the patient lives at home with her family. It usually does not occur in such cases until the later stages of therapy, or until the patient is hospitalized. Rape is the exception since our data suggests that it is usually revealed early in the course of treatment (p less than 0.001). Once disclosure occurs, a dramatic change is usually seen in the patient and treatment becomes more effective. As the patient deals with the issues of sexual abuse, they no longer need to deny their sexuality or punish themselves or others. Issues of guilt, depression, repressed anger, low self-esteem, social isolation and inadequacy are important and need to be addressed during the course of therapy with sexually abused patients.
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PMID:Sexual abuse in patients with eating disorders. 260 70

The visitor experience, a more intense form of the normal sense of presence, emphasizes the deep belief of personal contact with an extraterrestrial (or religious) entity. Phenomenological details of visitor experiences are expected to reflect the functions of deep temporal lobe structures; common details involve cosmic meaningfulness, vestibular experiences, flickering, complex visual sensations and alimentary references. After intense experiences, interictal-like behaviors similar to religious conversions (widening affect, sense of personal, desire to spread the word, concern about Man's destiny) emerge. Normal people who are prone to these experiences show frequent temporal lobe signs and specific personality characteristics that include enhanced creativity, suggestibility, mild hypomania, anxiety, and emotional lability. Learning histories that encourage the use of right temporal lobe functions for the consolidation of memory, such as compartmentalization of beliefs or repression due to early sexual abuse, predispose to intense visitor experiences. The most frequent precipitants are psychological depression, personal (existential) stress and proximal exposure to the focal tectonic strain fields that accompany luminous phenomena. Possible neuropsychological mechanisms are discussed.
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PMID:Geophysical variables and behavior: LV. Predicting the details of visitor experiences and the personality of experients: the temporal lobe factor. 264 14


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