Childhood adversity, recent life events and depression in late life

被引:58
作者
Comijs, Hannie C.
Beekman, Aartjan T. F.
Smit, Filip
Bremmer, Marijke
Van Tilburg, Theo
Deeg, Dorly J. H.
机构
[1] Vrije Univ Amsterdam, Med Ctr, EMGO Inst, Dept Psychiat,LASA, NL-1081 BT Amsterdam, Netherlands
[2] Vrije Univ Amsterdam, GGZ Buitenamstel, Amsterdam, Netherlands
[3] Vrije Univ Amsterdam, Dept Clin Psychol, Amsterdam, Netherlands
[4] Vrije Univ Amsterdam, Netherlands Inst Mental Hlth & Addict, Trimbos Inst, Amsterdam, Netherlands
关键词
childhood adversity; life events; stress; late-life depression;
D O I
10.1016/j.jad.2007.01.012
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: The study investigates whether persons who have experienced childhood adversity are more likely to develop depressive symptoms when faced with recent events. Method: Data were used from a population-based sample, aged 55 to 85 years (n = 1887), which were not depressed at baseline. Childhood adversities and recent stressful life events were retrospectively assessed. Depressive symptoms were measured with the CES-D. Results: 14.4% of our sample experienced adverse events during childhood (<18 yrs) and 35.4% experienced recent events. Associations of depressive symptoms were found with both, childhood adversity (OR 1.80, 95% CI 1.21-2.69) and recent life events (OR 1.42, 95% CI 1.0 1 -2.00). The effect of recent events on depressive symptoms was not modified by childhood adversity. Limitations: Underreporting may be present due to unwillingness to report embarrassing events or to disclose painful memories. Conclusions: No evidence was found for the assumption that older persons were more vulnerable for depression in reaction to recent life events when they were exposed to childhood adversity. (C) 2007 Elsevier B.V. All rights reserved.
引用
收藏
页码:243 / 246
页数:4
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