Liu Richard T
Department of Psychiatry and Human Behavior Alpert Medical School of Brown University.
Clin Psychol (New York). 2017 Jun;24(2):140-153. doi: 10.1111/cpsp.12190. Epub 2017 Mar 23.
Considerable support exists supporting a relationship between childhood adversities and adult depression. Consistent evidence has emerged linking early life adversities with a more chronic course for depression, as well as to poorer treatment outcomes. What remain decidedly less clear, however, are the moderators and mediating mechanisms underlying this association. This article provides a review of the existing research relating early adversities to adult depression, as well as recent studies suggestive of potential mediators and moderators of this relation. Advances in these areas are important for their potential to lead to the identification of new targets for clinical intervention for adults with a history of childhood adversities, as well as to the development of individually tailored prevention and treatment strategies.
有大量证据支持童年逆境与成人抑郁症之间的关联。越来越多的一致证据表明,早期生活逆境与抑郁症更慢性的病程以及更差的治疗结果有关。然而,该关联背后的调节因素和中介机制仍明显不太清楚。本文综述了将早期逆境与成人抑郁症相关的现有研究,以及暗示这种关系潜在中介因素和调节因素的近期研究。这些领域的进展很重要,因为它们有可能促成识别有童年逆境史的成年人临床干预的新靶点,以及制定个性化的预防和治疗策略。