The Effect Of Childhood Trauma On The Cognitive Model And Emotional Regulation Of Patients With Depression And Bipolar Depression

【Objective】(1)To explore the impact of childhood trauma on the cognitive of patients with depression and bipolar depression.(2)To explore the influence of childhood trauma on the emotional regulation of patients with depression and bipolar depression.(3)To explore the relationship between cognitive bias and emotional dysregulation in patients with depression with childhood trauma and bipolar depression with childhood trauma.【Method】Participant were divided into 3 groups,depression with childhood trauma,bipolar depression with childhood trauma,health control with childhood trauma.Using Dysfunctional Attitude Questionnaire(DAS)and the Cognitive Bias Questionnaire(CBQ)to assess their cognition;Using the Emotion Regulation Self-Efficacy(RESS)and the Cognitive Emotion Regulation Style Scale(CERQ)to assess their emotional regulation ability.A total of 453 research subjects were inclued in this study.169 of them were patients with childhood trauma depression.182 of them were patients with childhood trauma bipolar depression.102 of them were healthy people with childhood trauma.【Result】(1)Depression patients with childhood trauma with a family history of mental illness(Waldχ~2=0.944,p=0.005)are more likely to have cognitive biases.The cognitive model of depression patients with childhood traumatic whose home location is a town(Waldχ~2=0.005,p=0.002)would be more appropriate;depression with a family history of mental illness(Waldχ~2=5.256,p=0.022)with childhood traumatic would be more appropriate.Emotional disorders are prone to occur,and married(Waldχ~2=4.503,p=0.034)patients with childhood traumatic depression have a stronger ability to regulate emotions.(2)The cognitive model of bipolar depression with childhood trauma is more appropriate if the family is located in a town(Waldχ~2=4.195,p=0.041)and the family has better economic conditions(Waldχ~2=4.997,p=0.025);age is 0-25(Waldχ~2=5.787,p=0.016)Patients with bipolar depression associated with childhood trauma are more likely to have emotional disorders.(3)Compared with the bipolar depression with childhood trauma,the cognitive bias of depression patients with childhood trauma is more reflected in the vulnerability of the Dysfunctional Attitudes Questionnaire(DAS)(p=0.012)and the cognitive bias questionnaire(CBQ)depression-distortion angle(p=0.029);compared with healthy people with childhood trauma,the cognitive bias of depression patients with childhood trauma is more reflected in the vulnerability dimension of the Dysfunctional Attitudes Questionnaire(DAS)(P=0.002),perfection dimension(p=0.019),dependence dimension(p=0.003),cognitive philosophy dimension(p=0.034),cognitive bias questionnaire(CBQ)depression-distortion score(p=0.002).(4)Compared with depressed patients with childhood trauma,the cognitive bias of patients with bipolar depression with childhood trauma is more reflected in the cognitive philosophy dimension of the Dysfunctional Attitudes Questionnaire(DAS)(p<0.001);Compared with healthy people with trauma,the cognitive bias of patients with bipolar depression with childhood trauma is more reflected in the vulnerability dimension(p=0.002)and cognitive philosophy dimension(p=0.043)of the Dysfunctional Attitudes Questionnaire(DAS).Cognitive Bias Questionnaire(CBQ)depression-distortion score(p=0.014).(5)Compared with the bipolar depression group with childhood trauma,the emotional disorder of the depression patients with childhood trauma is more reflected in the expression of the emotional regulation self-efficacy(RESS)questionnaire positive emotional self-efficacy(POS)dimension(p=0.007),the self-efficacy(DES)dimension of adjusting depression/painful emotions(p=0.004);compared with healthy people with childhood trauma,the emotional disorder of depression patients with childhood trauma is more reflected in the self-efficacy of emotional regulation(RESS)Questionnaire expressing positive emotion self-efficacy(POS)dimension(p=0.005),regulating depression/painful emotion self-efficacy(DES)dimension(p=0.006)upper,cognitive emotion regulation style scale(CERQ)The catastrophic dimension of the questionnaire(p=0.002),the blaming dimension(p=0.048),the active re-focusing dimension(p=0.008),and the positive re-evaluating dimension(p=0.014).(6)Compared with healthy people with childhood trauma,the emotional disorder of patients with bipolar depression with childhood trauma is more reflected in the expression of positive emotional self-efficacy(POS)dimension of the emotional regulation self-efficacy(RESS)questionnaire(p<0.001),the self-efficacy(DES)dimension of adjusting depression/painful emotions(p<0.001),the positive re-attention dimension of the Cognitive Emotion Regulation Scale(CERQ)(p=0.024),the positive re-evaluation dimension(p=0.007),Rational analysis dimension(p=0.038).(7)Among depression patients with childhood trauma,the scores of Dysfunctional Attitudes(DAS)and the scores of Childhood Trauma Scale(r=0.468),emotional abuse(r=0.319),emotional neglect(r=0.385)is positively correlated;The scores of Cognitive Bias Questionnaire(CBQ)is positively correlated with the scores of CTQ(r=0.283).The scores of Emotion Regulation Self-Efficacy Scale and CTQ(r=-0.508),emotional abuse(r=-0.454),physical abuse(r=-0.221),emotional neglect(r=-0.593)is negatively correlated.(8)Among bipolar depression patients with childhood trauma,the score of dysfunctional attitude(DAS)is positively correlated with the score of CTQ(r=0.439)and the score of emotional neglect(r=0.227);The score of cognitive bias questionnaire(CBQ)is positively correlated with CTQ(r=0.379)and emotional abuse(r=0.212).The score of Emotion Regulation Self-Efficacy Scale(RESS)is negatively correlated with the score of CTQ(r=-0.451)and emotional abuse(r=-0.340).(9)When the dysfunctional attitude(DAS)of patients with childhood trauma depression is divided into the dependent variable,the emotional abuse factor of the Childhood Trauma Scale(CTQ)(β=-0.304,adjusted R~2=0.352,p=0.013)enters the regression Equation;when the emotional regulation self-efficacy scale(RESS)is divided into the dependent variable,the emotional abuse factor(β=1.851,adjusted R~2=0.398,p=0.005)and the emotional neglect factor(β=0.100,corrected R~2=0.234,p=0.043)into the regression equation.(10)When the dysfunctional attitude(DAS)of patients with bipolar depression with childhood trauma is divided into the dependent variable,the affective neglect factor of the Childhood Trauma Scale(CTQ)(β=2.736,adjusted R~2=0.311,p=0.021)Enter the regression equation;when the emotional regulation self-efficacy scale(RESS)is divided into the dependent variable,the emotional abuse factor(β=1.546,adjusted R~2=0.244,p=0.024)of the childhood trauma scale(CTQ)enters the regression equation.(11)The score of Dysfunctional Attitudes(DAS)of depressed patients with childhood trauma is negatively correlated with the score of Emotion Regulation Self-Efficacy Scale(RESS)(r=-0.432),and the depression-distortion score of Cognitive Bias Questionnaire(CBQ)There is a negative correlation with the emotional regulation self-efficacy scale(RESS)score(r=-0.244),and the dysfunctional attitude(DAS)score is positively correlated with the cognitive emotion regulation style scale(CERQ)score(r=0.251),the score of Dysfunctional Attitudes(DAS)and the cognitive bias questionnaire(CBQ)depression-distortion score are positively correlated(r=0.453),the emotional regulation self-efficacy scale(RESS)score and cognitive emotion regulation methods The CERQ score is positively correlated(r=0.602).(12)The score of dysfunctional attitude(DAS)of patients with childhood trauma and the score of emotional regulation self-efficacy scale(RESS)are negatively correlated(r=-0.550),and the score of dysfunctional attitude(DAS)is positively correlated with the cognitive bias questionnaire(CBQ)depression-distortion score(r=0.502),and the cognitive bias questionnaire(CBQ)depression-distortion score is negatively correlated with the emotional regulation self-efficacy scale(RESS)score(r=-0.109),the score of Emotion Regulation Self-Efficacy Scale(RESS)is positively correlated with the score of Cognitive Emotion Regulation Style Scale(CERQ)(r=0.696).【Conclusion】This research focuses on the relationship between childhood trauma,depression,bipolar depression,cognition(cognitive bias),and emotional regulation(emotional disorders).By comparing the cognitive biases and affective disorders among depression patients with childhood trauma,bipolar disorder patients with childhood trauma,and healthy people with childhood trauma,the impact of childhood trauma on cognitive mode and emotional regulation is explored.Provide a certain basis for the cognitive behavioral therapy,psychological trauma intervention and drug treatment of depression and bipolar depression.