Neurobiological and psychiatric consequences of child abuse and neglect

Developmental Psychobiology - Tập 52 Số 7 - Trang 671-690 - 2010
Christine Heim1, Margaret A. Shugart1, W. Edward Craighead1, Charles B. Nemeroff2
1Department of Psychiatry & Behavioral Sciences, Emory University School of Medicine, Atlanta, GA 30322
2Department of Psychiatry & Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL 33136

Tóm tắt

AbstractThe effects of early‐life trauma and its consequences for the treatment of depression are reviewed. The prevalence and clinical sequelae of early sexual and physical abuse, neglect and parental loss are described. An overview of preclinical studies that help guide clinical research and practice is presented. Human clinical studies on the neurobiological consequences of early trauma are summarized. Moderating factors, such as genetic variation and sex differences, are discussed. The few current treatment outcome studies relevant to this research area are described. Guidance for the management of patients with depression and a history of child abuse and neglect are provided. Most patients who have experienced early traumatic experiences are likely best treated with a combination of psychotherapy and pharmacotherapy. This review is dedicated to the memory of Seymour Levine who pioneered the field of early experience research and to a considerable extent inspired the clinical studies described in this review. © 2010 Wiley Periodicals, Inc. Dev Psychobiol 52: 671–690, 2010.

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Developmental Psychobiology

Tập 52 Số 7

671-690

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