Cuidado informado en trauma: Un modelo emergente para el abordaje del subtipo depresivo con historia de adversdad infantil

Translated title of the contribution: Informed care in trauma: An emerging model for the depression subtype with a history of childhood adversity

Verónica Vitriol, Andrés Sciolla, Alfredo Cancino, Fernanda Contreras, Claudia Mansilla, María Ignacia Muñoz, Constanza Suazo, Matías Jara

Research output: Contribution to journalArticlepeer-review

Abstract

Adverse childhood experiences (ACEs) are a risk factor for the development of the most prevalent mental disorders in adulthood, including major depression, and are associated with a more complex clinical presentation and increased severity, which requires a unique approach. In Chile, depression is subject to explicit legal mandates ensuring access to and guidelines for clinical care issued by the government. Ninety percent of depressed patients are treated in primary care. A third of primary patients presenting with depression in the VII Region are characterized by increased suicidality and histories of exposure to ACEs and violence within the family. These patients require a specialized treatment that incorporates research findings in the field of trauma, as applied to the treatment of depression. Together, results from the ACE Study, neurobiological evidence from exposure to toxic stress and the model of trauma-informed care comprise a framework that can orient clinical practice in healthcare settings. The purpose of this article is to review the literature with the goal of update the clinical approach and suggest future research in this subgroup of depressed patients.

Translated title of the contributionInformed care in trauma: An emerging model for the depression subtype with a history of childhood adversity
Original languageSpanish
Pages (from-to)348-362
Number of pages15
JournalRevista Chilena de Neuro-Psiquiatria
Volume58
Issue number4
DOIs
StatePublished - 2020

Keywords

  • Adverse childhood experiences
  • Depression
  • Trauma-informed care

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology
  • Psychiatry and Mental health

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