DEPRESSION AND CHILDHOOD BEREAVEMENT
DEPRESSION AND CHILDHOOD BEREAVEMENT
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DOI：
10.1192/bjp.107.449.754
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发表时间：
1961-01-01
期刊：
影响因子：
--
通讯作者：
BROWN, F
中科院分区：
文献类型：
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作者：
BROWN, F
对在汉普斯特德综合医院精神病科就诊的216名未选定的抑郁症患者进行了儿童时期失去父母的发生率调查。对照数据取自1921年人口普查的1921年孤儿表。从参加汉普斯特德全科手术的267名患者中选取了2d系列对照。抑郁症患者的童年丧亲率明显高于普通人群和汉普斯特德全科患者。例如，41%的抑郁症患者在15岁之前失去了父母中的任何一方，而人口普查局的这一比例为12%，汉普斯特德全科医生的这一比例为19.6%。在5-9岁和10-14岁年龄组中，失去父亲的情况在儿童后期更为明显。在每个5年的童年时期，失去母亲的情况同样严重。由此得出结论，童年丧亲之痛是日后患抑郁症的最重要因素之一。与一般人群相比，不了解自己父母的抑郁症患者比例明显更高。该理论提出，抑郁症在以后的生活中经常发生，通过可能轻微的排斥情况的重新激活明显恢复的抑郁症在童年。讨论了这一理论的治疗和预防意义。
The incidence of loss of parents during childhood was investigated in 216 unselected patients suffering from depressive illness attending the Hampstead General Hospital Psychiatric Department. Control figures were taken from the 1921 orphanhood tables from the 1921 cenus. A 2d series of controls were taken from 267 patients attending Hampstead general practice surgeries. The incidence of childhood bereavement was significantly higher in the depressive patients than in both the general population and Hampstead general practice patients. For instance 41% of depressive patients lost either parent before the age of 15, compared with 12% from the Census, and 19.6% from Hampstead general practice. The loss of fathers was more signifi-cant in later childhood in the age groups 5-9 and 10-14. The loss of mothers was equally significant in each five-year period of childhood. From this it is concluded that bereavement in childhood is one of the most significant factors in the development of depressive illness in later life. There was a significantly higher proportion of depressive patients who had no knowledge of their parents than in the general popula-tion. The theory is put forward that depression in later life often occurs through the re-activation by possibly minor rejection situations of an apparently recovered depression in childhood. The therapeutic and prophylactic implications of this theory are discussed.