Citation

Wang SK, Feng M, Fang Y, Lv L, Sun GL, Yang SL, Guo P, Cheng SF, Qian MC, Chen HX. World J. Psychiatry 2023; 13(6): 331-339.

Copyright

(Copyright © 2023, Baishideng Publishing Group)

DOI

10.5498/wjp.v13.i6.331

PMID

37383283

PMCID

PMC10294137

Abstract

There are various types of traumatic stimuli, such as catastrophic events like wars, natural calamities like earthquakes, and personal trauma from physical and psychological neglect or abuse and sexual abuse. Traumatic events can be divided into type I and type II trauma, and their impacts on individuals depend not only on the severity and duration of the traumas but also on individuals' self-evaluation of the traumatic events. Individual stress reactions to trauma include posttraumatic stress disorder (PTSD), complex PTSD and trauma-related depression. Trauma-related depression is a reactive depression with unclear pathology, and depression occurring due to trauma in the childhood has gained increasing attention, because it has persisted for a long time and does not respond to conventional antidepressants but shows good or partial response to psychotherapy, which is similar to the pattern observed for PTSD. Because trauma-related depression is associated with high risk of suicide and is chronic with a propensity to relapse, it is necessary to explore its pathogenesis and therapeutic strategy.

Language: en

Keywords

Psychotherapy; Posttraumatic stress disorder; Antidepressant; Psychological trauma; Reactive depression; Trauma-related depression