Examining the relationship between lifetime stressful life events and the onset of major depression in Chinese women

Tao, Ming; Li, Y; Xie, Dong; Z, Wang; Qiu, Jianyin; Wu, Wei; Sun, Jing; Tao, Danhong; Zhao, Haiying; Tian, Tian; Zhang, J; Gao, Chengge; Niu, Qihui; Li, Q; Liu, S; Liu, J; Zhang, Y; He, Qiang; Han, Rong; Zhang, Gan; Li, J; Chen, X; Pan, Jiyang; Cui, Yong; Han, Wei; Ma, Hongyu; Xie, Shuang; Jin, Guixing; Li, L; Zhang, R; Tan, Qingrong; Guan, Jing; Shi, Sheng; Chen, Y; Kendler, Kenneth S.; Flint, Jonathan; Gao, Jingfang

doi:10.1016/j.jad.2011.06.054

Cited by 39 publications

(35 citation statements)

References 30 publications

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“…Childbirth‐related problems, such as miscarriage and giving birth to daughters, also result in more depressive symptoms among young Chinese women (Qiu and Xiao ; Ramashwar ; Tao et al. ). Moreover, traditional Chinese religions, especially Chinese folk religions and Confucianism, typically serve as tools for perpetuating gender discrimination in the patrilineal society (Law ).…”

Section: Discussionmentioning

confidence: 99%

Religious Involvement and Depression: Evidence for Curvilinear and Stress‐Moderating Effects Among Young Women in Rural China

De-dong

Liu

2013

Scientific Study of Religion

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Debates about whether the relationship between religiousness and depression is nonlinear have continued, but no definitive conclusions thus far have been drawn. Unlike most previous research in this area, which has been based on U.S. populations, this study focuses on a sample of 882 young rural Chinese women. Results from analyses reveal an inverse U‐shaped relationship between intrinsic religiosity and depression. In addition, results show that intrinsic religiosity and religious activities exacerbate the deleterious effects of particular life events such as childbirth issues and marital conflicts. Implications of the findings for future studies on the subject are discussed.

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Section: Discussionmentioning

confidence: 99%

Religious Involvement and Depression: Evidence for Curvilinear and Stress‐Moderating Effects Among Young Women in Rural China

De-dong

Liu

2013

Scientific Study of Religion

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“…Recently, a case-control study from mainland China also found that patients with major depressive disorders were more likely to have experienced stressful life events than controls, and reported a dose-response relationship between stressful life events and major depressive disorders [24]. Therefore, an assessment of stressful life events has been included in the present study.…”

Section: Introductionmentioning

confidence: 99%

Depressive symptoms in people with chronic physical conditions: prevalence and risk factors in a Hong Kong community sample

et al. 2012

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BackgroundDepression is predicted to become one of the two most burdensome diseases worldwide by 2020 and is common in people with chronic physical conditions. However, depression is relatively uncommon in Asia. Family support is an important Asian cultural value that we hypothesized could protect people with chronic physical conditions from developing depression. We investigated depressive symptom prevalence and risk factors in a Chinese sample with chronic medical conditions, focusing on the possible protective role of family relationships.MethodsData were obtained from the Hong Kong Jockey Club FAMILY Project cohort study in 2009–2011, which included 6,195 participants (age ≥15) with self-reported chronic conditions. Depressive symptoms were recorded using the Patient Health Questionnaire-9 (PHQ-9). Demographic and lifestyle variables, stressful life events, perceived family support and neighborhood cohesion were assessed. Factors associated with a non-somatic (PHQ-6) depression score were also examined.ResultsThe prevalence of depressive symptoms (PHQ-9 scores ≥5) was 17% in those with one or more chronic conditions, and was more prevalent in women than in men (19.7% vs. 13.9%; p < 0.001). In multilevel analyses, life stress, number of chronic conditions and satisfaction with family support explained 43% of the variance in PHQ-9 scores (standardized regression coefficients of 0.46, 0.15, and −0.12 respectively, all p <0.001). Body mass index, problem alcohol drinking, physical activity, and unmarried status were significantly associated with PHQ-9 scores, although these associations were weak. Variables associated with depression explained 35% of the variance in non-somatic (PHQ-6) depression scores. Satisfaction with family support played a stronger protective role against depressive symptoms (both PHQ-9 and PHQ-6 scores) among women than men (p < 0.05).ConclusionsAcute life stress and the number of chronic conditions, together with socio-demographic factors, explain most variance in depressive symptoms among chronically ill Chinese individuals. Somatic items in the PHQ-9 increased the depression scores but they did not alter the pattern of predictors. Family support appears to be an important protective factor in Chinese cultures for individuals with chronic conditions.

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“…In addition, the differences in interhemispheric coherence in the frontotemporal areas between the two groups may result from the different susceptibility of the frontolimbic circuitry function to stress 40. These findings suggest that patients with ADJ may be more vulnerable to the negative stress in excess of what would be expected from exposure to a stressor1 although patients with MDD may show marked distress during the illness period 41-43…”

Section: Discussionmentioning

confidence: 99%

Distinguishing Quantitative Electroencephalogram Findings between Adjustment Disorder and Major Depressive Disorder

Jeong

Han

et al. 2013

Psychiatry Investig

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ObjectiveAdjustment disorder (ADJ) is a common diagnosis. However, it is difficult to distinguish ADJ from other major Axis I disorders, such as major depressive disorder (MDD). The aim of this study was to determine the distinguishing neurophysiological characteristics between ADJ and MDD using quantitative analysis of an electroencephalogram (QEEG).MethodsThe study included 30 patients with ADJ and 51 patients with MDD. Resting (eye closed) vigilance controlled EEG recordings were assessed at 19 electrode sites according to the international 10/20 system. QEEG absolute power and coherence were calculated for the delta, theta, alpha and beta bandwidths.ResultsAbsolute powers of alpha and high beta bands, particularly at the frontocentral area, differed between MDD and ADJ group (p<0.05). Interhemispheric coherence values for the delta and beta bands were lower in the ADJ group than in the MDD group (p<0.05). Intrahemispheric coherence values for the alpha band were also lower in the ADJ group (p<0.05).ConclusionThe differences in QEEG power and coherence in our investigation suggest that underlying pathophysiologic mechanisms may be different between ADJ and MDD.

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Examining the relationship between lifetime stressful life events and the onset of major depression in Chinese women

Cited by 39 publications

References 30 publications

Religious Involvement and Depression: Evidence for Curvilinear and Stress‐Moderating Effects Among Young Women in Rural China

Religious Involvement and Depression: Evidence for Curvilinear and Stress‐Moderating Effects Among Young Women in Rural China

Depressive symptoms in people with chronic physical conditions: prevalence and risk factors in a Hong Kong community sample

Distinguishing Quantitative Electroencephalogram Findings between Adjustment Disorder and Major Depressive Disorder

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