THE COMORBIDITY OF DEPRESSION AND PTSD IN SEXUALLY ABUSED CHILDREN: A SYSTEMATIC REVIEW
Abstract
Background and Purpose: In recent years, the incidence of child sexual abuse (CSA) has significantly increased, particularly among younger children. Such traumatic experiences can have profound and long-lasting effects on a child's mental health, often leading to an increased risk of developing disorders such as depression and post-traumatic stress disorder (PTSD). This study aims to investigate the comorbidity of depression and PTSD in children who have experienced sexual abuse. The primary objective is to examine whether these two disorders frequently coexist in children subjected to CSA. Method: This study follows the PRISMA 2020 guidelines and employs a systematic review methodology. No statistical analysis methods were utilized. The research sample also included adolescents, providing a broader understanding of the effects of CSA across different age groups. Results: The findings revealed a strong correlation between child sexual abuse and the comorbidity of depression and PTSD, indicating that children who have been sexually abused are at a heightened risk of developing both disorders simultaneously. Conclusion: Children who have experienced sexual abuse are highly likely to develop both depression and PTSD. However, further research is necessary to deepen our understanding of this comorbidity and to explore effective interventions.
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AlSaad, H., AlSaad, A., Khalifah, Z., Almogarry, L., & Alsaihaty, E. (2023). Psychological, behavioral, and developmental impact on children of alcoholics. International Journal of Medicine in Developing Countries, 930–936. https://doi.org/10.24911/IJMDC.51-1672650644
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition). American Psychiatric Association. https://doi.org/10.1176/appi.books.9780890425596
Bae, S. M., Kang, J. M., Chang, H. Y., Han, W., & Lee, S. H. (2018). PTSD correlates with somatization in sexually abused children: Type of abuse moderates the effect of PTSD on somatization. PLOS ONE, 13(6), e0199138. https://doi.org/10.1371/journal.pone.0199138
Bains, N., & Abdijadid, S. (2024). Major Depressive Disorder. In StatPearls. StatPearls Publishing. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK559078/
Benarous, X., Renaud, J., Breton, J. J., Cohen, D., Labelle, R., & Guilé, J.-M. (2020). Are youths with disruptive mood dysregulation disorder different from youths with major depressive disorder or persistent depressive disorder? Journal of Affective Disorders, 265, 207–215. https://doi.org/10.1016/j.jad.2020.01.020
Charles, J., & Fazeli, M. (2017). Depression in children. Australian Family Physician, 46(12), 901–907.
Du, H., Li, X., Weinstein, T. L., Chi, P., Zhao, J., & Zhao, G. (2015). Links between teacher assessment and child self—Assessment of mental health and behavior among children affected by HIV/AIDS. AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, 27(7), 876–884. Embase. https://doi.org/10.1080/09540121.2015.1009360
Du, J., Diao, H., Zhou, X., Zhang, C., Chen, Y., Gao, Y., & Wang, Y. (2022). Post-traumatic stress disorder: A psychiatric disorder requiring urgent attention. Medical Review, 2(3), 219–243. https://doi.org/10.1515/mr-2022-0012
Gardner, M. J., Thomas, H. J., & Erskine, H. E. (2019). The association between five forms of child maltreatment and depressive and anxiety disorders: A systematic review and meta-analysis. Child Abuse & Neglect, 96, 104082. https://doi.org/10.1016/j.chiabu.2019.104082
Gokten, E. S., & Uyulan, C. (2021). Prediction of the development of depression and post-traumatic stress disorder in sexually abused children using a random forest classifier. Journal of Affective Disorders, 279, 256–265. https://doi.org/10.1016/j.jad.2020.10.006
Grover, S., Raju V, V., Sharma, A., & Shah, R. (2019). Depression in Children and Adolescents: A Review of Indian studies. Indian Journal of Psychological Medicine, 41(3), 216–227. https://doi.org/10.4103/IJPSYM.IJPSYM_5_19
Hailes, H. P., Yu, R., Danese, A., & Fazel, S. (2019). Long-term outcomes of childhood sexual abuse: An umbrella review. The Lancet Psychiatry, 6(10), 830–839. https://doi.org/10.1016/S2215-0366(19)30286-X
Hoogstad, A., Mevissen, L., & Didden, R. (2024). Posttraumatic Stress Disorder in Children with Severe or Moderate Intellectual Disability: A Study Using the Diagnostic Interview Trauma, Stressors – Severe/Moderate ID. Journal of Developmental and Physical Disabilities, 36(4), 697–712. https://doi.org/10.1007/s10882-023-09928-2
Hulvershorn, L. A., & Leibenluft, E. (2015). Childhood Mood Disorders: Major Depressive Disorder, Bipolar Disorder, and Disruptive Mood Dysregulation Disorder. In A. Tasman, J. Kay, J. A. Lieberman, M. B. First, & M. B. Riba (Eds.), Psychiatry (1st ed., pp. 981–1006). Wiley. https://doi.org/10.1002/9781118753378.ch52
Juul, E. M. L., Hjemdal, O., & Aune, T. (2021). Prevalence of depressive symptoms among older children and young adolescents: A longitudinal population-based study. Scandinavian Journal of Child and Adolescent Psychiatry and Psychology, 9(1), 64–72. https://doi.org/10.21307/sjcapp-2021-008
Konstantopoulou, G., Vangeli, E., Polyzou, E., & Mavroeidi, E. (2023). Sexual Abuse In Childhood: Relationship With Post-Traumatic Stress Disorder. European Journal of Public Health Studies, 6(2). https://doi.org/10.46827/ejphs.v6i2.159
Lupesko-Persky, O., & Brown, L. M. (2019). Trauma and Stressor-Related Disorders. In D. L. Segal (Ed.), Diagnostic Interviewing (pp. 179–211). Springer US. https://doi.org/10.1007/978-1-4939-9127-3_8
MacGregor, K. E., Villalta, L., Clarke, V., Viner, R., Kramer, T., & Khadr, S. N. (2019). A systematic review of short and medium-term mental health outcomes in young people following sexual assault. Journal of Child & Adolescent Mental Health, 31(3), 161–181. https://doi.org/10.2989/17280583.2019.1665533
Merians, A. N., Spiller, T., Harpaz-Rotem, I., Krystal, J. H., & Pietrzak, R. H. (2023). Post-traumatic Stress Disorder. Medical Clinics of North America, 107(1), 85–99. https://doi.org/10.1016/j.mcna.2022.04.003
Mullen, S. (2018). Major depressive disorder in children and adolescents. Mental Health Clinician, 8(6), 275–283. https://doi.org/10.9740/mhc.2018.11.275
Palines, P. A., Rabbitt, A. L., Pan, A. Y., Nugent, M. L., & Ehrman, W. G. (2020). Comparing mental health disorders among sex trafficked children and three groups of youth at high-risk for trafficking: A dual retrospective cohort and scoping review. Child Abuse & Neglect, 100, 104196. https://doi.org/10.1016/j.chiabu.2019.104196
Torrico, T. J., & Mikes, B. A. (2024). Posttraumatic Stress Disorder in Children. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK559140/
Turgoose, D., Wilkinson, S., Shevlin, M., & Karatzias, T. (2024). Cumulative risk exposure is associated with increased risk for PTSD but not depression or anxiety. Results from a UK clinical sample of children and adolescents. Developmental Child Welfare, 6(2), 79–90. https://doi.org/10.1177/25161032241230980
Ucuz, I., Ari, A., Ozcan, O. O., Topaktas, O., Sarraf, M., & Dogan, O. (2022). Estimation of the Development of Depression and PTSD in Children Exposed to Sexual Abuse and Development of Decision Support Systems by Using Artificial Intelligence. Journal of Child Sexual Abuse, 31(1), 73–85. https://doi.org/10.1080/10538712.2020.1841350
University of Miami/Miller School of Medicine and Fielding Graduate University, USA, & Field, T. (2024). Posttraumatic Stress Disorder in Children: A Narrative Review. Journal of Clinical Psychology and Neurology, 1–10. https://doi.org/10.61440/JCPN.2024.v2.24
Weiss, E. L., Longhurst, J. G., & Mazure, C. M. (1999). Childhood Sexual Abuse as a Risk Factor for Depression in Women: Psychosocial and Neurobiological Correlates. American Journal of Psychiatry, 156(6), 816–828. https://doi.org/10.1176/ajp.156.6.816
World health statistics by WHO. (2024). World health statistics 2024: Monitoring health for the SDGs, sustainable development goals (ISBN: 978-92-4-009470-3; p. 86).
Ye, Y., Li, Y., Jin, S., Huang, J., Ma, R., Wang, X., & Zhou, X. (2023). Family Function and Post-Traumatic Stress Disorder in Children and Adolescents: A Meta-Analysis. Trauma, Violence, & Abuse, 24(5), 3151–3169. https://doi.org/10.1177/15248380221126182
DOI: http://dx.doi.org/10.46827/ejsss.v10i4.1845
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