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Outline
Exploring the mediating role of psychological resilience in the relationship between childhood trauma and the severity of depression among individuals with depressive disorder, and to identify subtypes of depressive disorder by latent profile analysis and analyze the related factors among subtypes.
General information questionnaire, Hamilton Depression Rating Scale (HAMD), Childhood Trauma Questionnaire (CTQ-SF) and Connor-Davidson Resilience Scale (CD-RISC) were used to investigate 360 patients with depressive disorder in outpatient department and ward of Traditional Chinese Medicine Department of Shanghai Mental Health Center.
HAMD was positively correlated with CTQ-SF and the scores of all dimensions (P<0.01), and negatively correlated with CD-RISC and the scores of all dimensions (P<0.01). There was a significant negative correlation between CTQ-SF and CD-RISC (P<0.01). The mediation effect test indicated that childhood trauma had a significant direct predictive effect on the severity of depressive disorder (β=0.079, t=12.984, P<0.001). After adding psychological resilience as a mediating variable, the direct predictive effect of childhood trauma on the severity of depressive disorder remained significant (β=0.050, t=2.636, P<0.01). Latent profile analysis showed that patients with depressive disorder could be classified into low-trauma-high-resilience depressive disorder (72.8%) and high-trauma-low-resilience depressive disorder (27.2%). Gender, age, marital status and educational background were the predictors of latent profile classification(P<0.05).
The severity of depression is correlated with childhood trauma and psychological resilience, and childhood trauma can effectively predict the severity of depression. Individuals with higher levels of childhood trauma and lower levels of psychological resilience are more prone to developing depressive disorder. It is recommended to enhance individual psychological resilience to reduce the occurrence of depressive disorder.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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