The mediating role of the aggregate index of systemic inflammation between childhood emotional neglect and depressive severity in major depressive disorder: a cross-sectional study - Scorecard - MDSpire

The mediating role of the aggregate index of systemic inflammation between childhood emotional neglect and depressive severity in major depressive disorder: a cross-sectional study

  • By

  • Yongqi Ding

  • Xiaomei Dong

  • Qi Wang

  • Tianchao Xu

  • June 10, 2026

  • 0 min

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Clinical Scorecard: The Role of the Aggregate Index of Systemic Inflammation in Linking Childhood Emotional Neglect to Depressive Severity in Major Depressive Disorder: A Cross-Sectional Analysis

At a Glance

CategoryDetail
Condition
Key MechanismsAssociation between childhood emotional neglect, inflammation, and depressive severity mediated by the Aggregate Index of Systemic Inflammation (AISI).
Target Population
Care Setting

Key Highlights

  • MDD patients with childhood trauma exhibited higher inflammatory markers and depressive severity.
  • Emotional neglect showed strong predictive power for depressive severity.
  • AISI demonstrated significant predictive power for depressive severity.
  • AISI partially mediated the relationship between emotional neglect and depressive severity.

Guideline-Based Recommendations

Diagnosis

  • Utilize the Childhood Trauma Questionnaire (CTQ) and Hamilton Depression Rating Scale (HAMD-24) for assessment.

Management

    Monitoring & Follow-up

    • Monitor inflammatory markers as part of the assessment of MDD severity.

    Risks

    • Childhood trauma, particularly emotional neglect, increases the risk of developing MDD.

    Patient & Prescribing Data

    236 patients with Major Depressive Disorder (MDD).

    AISI may serve as a valuable marker for understanding depressive severity in MDD patients.

    Clinical Best Practices

    • Incorporate assessment of childhood trauma in MDD evaluations.
    • Evaluate systemic inflammation levels in MDD patients.

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