Abstract
Objective: The aim of this study is to compare patients who have recurrent and first episode major depressive disorder and healthy controls based upon their childhood traumas. Methods: Sixty subjects with the diagnoses of primarily as Major Depressive Disorder according to DSM-IV-TR who admitted Bezm-i Alem Valide Sultan Vak�f Gureba Education and Research Hospital and 30 mentally healthy subjects were included in the study. Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), Hamilton Depression Scale, Childhood Trauma Questions List and socio-demographic form were applied to both patient and control group. Results: Emotional abuse, physical abuse, sexual abuse, emotional negligence and physical negligence scores were significantly higher in recurrent and first episode depression groups than the control group. It was found that age of onset is earlier in the recurrent group than the first episode group. Childhood trauma scores were higher in recurrent major depression group than those in the first episode major depression group. There was a significant relationship between childhood traumas and early onset of depression. Discussion: There is a relationship between major depression and childhood traumas and this may be one of the reasons that led to relapse of depression. This relationship must be taken into consideration when evaluating recurrent or treatment resistant major depressive patients.
Key words:

Key words: recurrent major depression, first episode, major depression, childhood trauma

---

Yineleyen ve ilk atak depresyonda �ocukluk �a�� ruhsal travmalar�n�n yeri

Özet
Ama�: Bu �al��mada; yineleyen maj�r depresyon, ilk atak maj�r depresyon hastalar� ve sa�l�kl� kontrol grubunun �ocukluk �a�� ruhsal travmalar� a��s�ndan birbirileriyle kar��la�t�r�lmalar� ama�land�.
Y�ntem: Bezm-i Alem Valide Sultan Vak�f Gureba E�itim ve Ara�t�rma Hastanesi Psikiyatri Poliklini�i�ne ba�vuran, birincil tan� olarak DSM-IV-TR �l��tlerine g�re maj�r depresyon tan�s� konmu� 60 hasta ve 30 sa�l�kl� kontrol ara�t�rmaya al�nd�. Hasta ve kontrol grubuna DSM-IV Eksen I Bozukluklar� i�in Yap�land�r�lm�� Klinik G�r��me Formu (SCID-I), Hamilton Depresyon Derecelendirme �l�e�i, �ocukluk �a�� Travmalar� Soru Listesi ve Sosyodemografik Veri Formu uyguland�. Sonu�lar: Yineleyen ve ilk atak major depresyon grubunda duygusal k�t�ye kullan�m, fiziksel k�t�ye kullan�m, cinsel k�t�ye kullan�m, duygusal ihmal ve fiziksel ihmal puanlar� kontrol grubuna g�re anlaml� derecede daha y�ksek bulundu. Yineleyen major depresyon grubunda ilk atak major depresyon grubuna k�yasla hastalanma ya��n�n daha erken oldu�u saptand�. Yineleyen major depresyon grubundaki �ocukluk �a�� travma puanlar�, ilk atak major depresyon grubuna g�re daha y�ksek bulundu. �ocukluk �a�� travmalar� ile depresyonun erken ya�ta ba�lamas� aras�nda g��l� bir ili�ki bulundu. Tart��ma: Major depresyon ve �ocukluk �a�� travmalar� aras�nda anlaml� bir ili�ki bulunmakta ve bu durum depresyonun yinelemesine yol a�an nedenlerden biri olabilmektedir. Bu ili�ki yineleyici ya da tedaviye yan�t vermeyen major depresyon hastalar�n�n de�erlendirilmesinde g�z �n�nde bulundurulmal�d�r.

Anahtar Kelimeler: Yineleyen major depresyon, ilk atak major depresyon, �ocukluk �a�� travmalar�