早年创伤与抑郁症及抑郁症患者自杀倾向的相关性分析

目的探讨早年创伤经历与抑郁症及抑郁症患者自杀倾向的相关性。方法选取441例抑郁症患者（抑郁症组）和154正常对照（对照组）,采用早年创伤问卷简表评估早年创伤情况,贝克抑郁自评问卷相关条目评估自杀倾向,运用M ann-W h itney非参数检验和B inary Logistic回归分析早年创伤与抑郁症及抑郁症患者自杀倾向的相关性。结果抑郁症组与对照组情感虐待分量表分差异具有统计学意义（P〈0.001）;情感虐待分（β=0.410,P〈0.001）和贝克抑郁自评问卷总分（β=0.134,P〈0.001）进入最终的回归方程,方程的预测准确率为81.1%。结论抑郁症患者有较多早年情感虐待经历;早年情感虐待经历与抑郁症患者自杀倾向密切相关,可能增加患者自杀的风险。

Correlation analysis of early trauma experience and depression and suicidal tendency of patients with depression

Objective To investigate the association between early trauma experience and depression and suicidal tendency of patients with depression. Methods Four hundred and forty-one patients with depression (depression group) and 154 healthy controls (control group) were enrolled. Early Trauma Inventory-Short Form was adopted to assess the early trauma experience, and Beck Depressive Inventory (BDI) was employed to evaluate the suicidal tendency of patients with depression. Mann-Whitney nonparametric test and Binary Logistic regression analysis were performed to explore the association between early trauma and depression and suicidal tendency of patients with depression. Results There was significant difference in the score of emotional abuse between depression group and control group (P＜0.001). Score of emotional abuse （β=0.410，P＜0.001) and total scores of BDI (β=0.134，P＜0.001）were included in the ultimate regression equation, and the predictive efficiency of the equation was 81.1%. Conclusion Patients with depression have more early emotional abuse experience. Early emotional abuse experience is associated with suicidal tendency of patients with depression, and can increase the risk of suicide.