Posts Tagged ‘depression’

Adults who had Stress in Childhood (4)

Tuesday, December 1st, 2009

The long-term effects of childhood stress impact relationships and mood in adults.  The study* described in the last post surveyed 380 women who came to a general medical clinic.  In addition to questions about abuse in childhood, patients were surveyed about whether they had ever experienced intimate-partner violence (IPV) and also about depression.  (The vast majority of those who had experienced IPV were no longer in an abusive relationship.)

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The Stress History

Monday, November 16th, 2009

Negative life events that persist for more than a short time sometimes can cause physical symptoms.  We can divide the wide range of issues that can do this into five major categories, which simplifies the diagnostic process considerably.  In evaluating medically unexplained symptoms, I inquire into each category in a process called taking the Stress History.  I do this after having acquired a clear chronology of the patient’s illness.  I know when and where symptoms began and their pattern over time.  This often enables me to find links between symptoms and stresses.  For example, I often ask if anything stressful occurred just prior to the onset of the illness.  When I find these connections in timing, it increases the likelihood that the stress is responsible for the symptom.

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