Dergi Ara >>
Yıl:2012; Cilt: 5; Sayı: 2>> Özet
Türkiye Klinikleri Psikiyatri Özel Dergisi; 2012;5(2):46-50
Depresyon ve İstismar
DB Öztop
Erciyes Üniversitesi Tıp Fakültesi, Kayseri
Son 20 yıldaki birçok çalışmada ve gözden geçirme yazısında çocukluk çağı cinsel istismarının uzun dönemdeki olumsuz sonuçlarına işaret etmektedir. Yaygın bir durum olan cinsel, fiziksel, duygusal istismar ve ihmali de içeren çocukluk çağı örselenmesinin erişkinlik döneminde depresyon riskini %50 oranında artırdığı bilinmesine rağmen, istismar ve depresyon arasındaki ilişkinin doğası tam olarak aydınlatılabilmiş değildir. Bazı araştırmalar istismar ile depresyon arasında direkt nedensel bir ilişki olduğunu ileri sürerken, diğer araştırmalar farklı değişkenlerin istismarla depresyon arasındaki ilişkiye aracılık ettiğini belirtmektedir. Ortaya çıkan kanıtlar; çocukluk çağı istismarıyla özellikle genetik yatkınlığı daha fazla olan kronik ve tekrarlayıcı depresyon arasında bir ilişki olduğuna dikkati çekmektedir. “Çok fazla sayıdaki araştırmalar da çocukluk çağı istismarı ile depresyon arasındaki olası ilişkiye işaret etse de, depresyon etiyolojisinde ve tedavisini daha iyi aydınlatabilecek daha dikkatli çalışmalara ihtiyaç vardır.
Depression and Abuse
In a great number of studies and reviews in recent two decades, the long term negative outcomes of the sexual abuse experienced during childhood have been pointed. Although it is widely known that the childhood traumas including sexual, physical and emotional abuse and negligence increase the risk of depression during adulthood by 50%, the nature of the relationship between abuse and depression has not been clearly defined so far. While some studies propose a direct causal relationship between depression and abuse, other studies state that several variables intervene in the relationship between abuse and depression. The resulting evidence points out that there is a relation between chronic and repetitive depression, which particularly has a more genetic susceptibility, and abuse during childhood. Even though many more studies points out the relationship between depression and abuse during childhood, there is need for more prudent studies in the depression etiology which can illuminate the treatment better.

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