Relationship between childhood maltreatment and geriatric depression: the mediator effect of personality traits

Jardim, Gabriel Behr Gomes; Gunten, Armin von; Filho, Irênio Gomes da Silva; Ziegelmann, Patrícia Klarmann; Bumaguin, Daniela Benzano; Nogueira, Eduardo Lopes; Engroff, Paula; Neto, Alfredo Cataldo

doi:10.1017/s1041610219000073

Cited by 21 publications

(20 citation statements)

References 45 publications

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“…Our findings suggest that low self-esteem is an important factor in geriatric depression especially in individuals with a previous history of physical abuse. In contrast to previously published studies [1,5,6], we found no significant correlation with personality traits, while our work focused specifically on TRD in the geriatric population. Our study sample was selected from highly specialised care centres in contrast to other published studies which focused on samples identified in the general population [1,5,6].…”

Section: Discussioncontrasting

confidence: 99%

“…We selected all cohort patients over 60 years of age for this study. Although the cutoff between geriatric and non-geriatric depression remains unclear, ranging from 60 [1,6,18,19] to 65 years old [20,21], we chose the age of 60 in order to compare our findings with those of most studies focusing on the impact of CM in depressive disorders [1,6,18,19]. Before participating in the full assessment, patients were interviewed by a psychiatrist at the expert centre in order to:…”

Section: Methodsmentioning

confidence: 99%

“…In addition, the relationship between childhood maltreatment and geriatric depression (EOD or LOD) is mediated by certain personality traits. Neuroticism and extraversion seem to be more direct mediators while agreeableness and conscientiousness are rather indirect mediators [1]. However, none of these previous studies specifically examined the link between childhood trauma and treatment-resistant depression (TRD) in the context of a geriatric population.…”

Section: Introductionmentioning

confidence: 99%

“…Depression is a very common disorder in the elderly, with a prevalence of up to 30% [1]. Geriatric depression is currently defined as the occurrence of depressive episodes in the elderly, although the age at onset is critical with early-(EOD; first episode before the age of 60) or late-onset depression (LOD; first episode after the age of 60).…”

Section: Introductionmentioning

confidence: 99%

“…Half of the elderly depressed adults report some form of childhood abuse [5]. However, childhood mistreatment is associated with the development of geriatric depression, albeit more frequently in EOD [1,5]. There is also a link between childhood abuse and EOD in older populations [6].…”

Section: Introductionmentioning

confidence: 99%

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Relationship between Childhood Physical Abuse and Clinical Severity of Treatment-Resistant Depression in a Geriatric Population

Yrondi

Arbus

Bennabi

et al. 2020

Preprint

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Background: We assessed the correlation between childhood maltreatment (CM) and severity of depression in an elderly unipolar Treatment-Resistant Depression (TRD) sample. Methods: Patients were enrolled from a longitudinal cohort (FACE-DR) of the French Network of Expert TRD Centres. Results: Our sample included 96 patients (33% of the overall cohort) aged 60 years or above, with a mean age of 67.2 (SD = 5.7). Most of the patients were female (62.5%). The Montgomery and Asberg Depression Rating Scale (MADRS) and Quick Inventory Depression Scale-Self Report (QIDS-SR) mean scores were high, 28.2 (SD = 7.49) [MADRS score range: 0-60; moderate severity≥20, high severity≥35] and 16.5 (SD=4.94) [IDS-SR score range: 0-27; moderate severity≥11, high severity≥16], respectively. Mean self-esteem scores were 22.47 (SD=6.26) [range 0-30]. In an age and sex-adjusted model, we found a positive correlation between childhood trauma (CTQ scores) and depressive symptom severity [MADRS (β=0.274; p=0.07) and QIDS-SR (β=0.302; p=0.005) scores]. We detected a statistically significant correlation between physical abuse and depressive symptom severity [MADRS (β=0.304; p=0.03) and QIDS-SR (β=0.362; p=0.005) scores]. We did not observe any significant correlation between other types of trauma and depressive symptom severity. We showed that self-esteem (Rosenberg scale) mediated the effect of physical abuse (PA) on the intensity of depressive symptoms [MADRS: b=0.318, 95% BCa C.I. [0.07, 0.62]; QIDS-SR: b=0.177, 95% BCa C.I. [0.04, 0.37]]. Preacher & Kelly’s Kappa Squared values of 19.1% (k2=0.191) and 16% (k2=0.16), respectively, indicate a moderate effect. Conclusion: To our knowledge, this is the first study conducted in a geriatric TRD population documenting an association between childhood trauma (mainly relating to PA) and the intensity of depressive symptoms.

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Section: Discussioncontrasting

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Relationship between Childhood Physical Abuse and Clinical Severity of Treatment-Resistant Depression in a Geriatric Population

Yrondi

Arbus

Bennabi

et al. 2020

Preprint

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Examining the moderating effects of school factors on sense of acceptance and mental health: A multilevel analysis

Yanagi

2023

Child Abuse Review

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Children who feel unaccepted by their mothers tend to have poor mental health. Although school factors (social support from homeroom or from teachers and friends, as well as classroom satisfaction) can protect students, few studies have examined these factors at the classroom level. Understanding the relationships between sense of acceptance, school factors and mental health may help students. This study, conducted in Japan, examines how sense of acceptance at the student level and school factors at the student and classroom levels affect the mental health variables of depression, loneliness, subjective happiness and emotional wellbeing. In total, 1470 Japanese school students (8–15 years old) from 68 classes participated. Multilevel analysis was conducted at the student and classroom levels. At the classroom level, social support from friends was associated with lower depression and loneliness and higher emotional wellbeing (p < 0.01). A positive classroom climate moderated the relationships of sense of acceptance with depression, loneliness, subjective happiness and emotional wellbeing (p < 0.05). Social support from friends at the classroom level and positive classroom climate at the student level serve as protective factors for students who feel unaccepted by their mothers. More activities boosting classroom student interactions would benefit such students.

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Deconstructing pathways to resilience: A systematic review of associations between psychosocial mechanisms and transdiagnostic adult mental health outcomes in the context of adverse childhood experiences

Panagou

MacBeth

2022

Clin Psychology and Psychoth

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Adverse childhood experiences (ACEs) are identified with increased risk of adult mental health difficulties and negative impacts on well‐being. However, there is a need to go beyond simple associations and identify candidate mechanisms underpinning the ACEs–mental health relationship. Further methodological heterogeneity points to issues around the operationalization of ACEs and the importance of modelling data using robust research designs. The aim of the current review was to synthesize studies that utilized formal mediation and/or moderation analyses to explore psychological and social variables on the pathway between clearly defined ACEs (as measured by the ACE questionnaire and Childhood Trauma Questionnaire [CTQ]) and common mental health outcomes (depressive, anxiety and post‐traumatic stress disorder [PTSD] symptoms) across community samples aged over 18. A total of 31 papers were retrieved for critical appraisal. The majority of the studies explored factors mediating/moderating the link between child adversity and depression and less on anxiety and trauma. Most mechanisms were tested in only single studies, limiting the consistency of evidence. Evidence indicated that the mechanisms underlying associations between ACEs and adult mental health are likely to reflect multiple intervening variables. Further, there are substantial methodological limitations in the extant literature including the proliferation of causal inferences from cross‐sectional designs and both measurement and conceptual issues in operationalizing adversity. Consistent transdiagnostic mechanisms relevant to common mental health problems were identified, including perceived social support, emotion regulation and negative cognitive appraisals/beliefs. Further research using longitudinal design is required to delineate the potential contribution of the identified mechanisms.

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Relationship between childhood maltreatment and geriatric depression: the mediator effect of personality traits

Cited by 21 publications

References 45 publications

Relationship between Childhood Physical Abuse and Clinical Severity of Treatment-Resistant Depression in a Geriatric Population

Relationship between Childhood Physical Abuse and Clinical Severity of Treatment-Resistant Depression in a Geriatric Population

Examining the moderating effects of school factors on sense of acceptance and mental health: A multilevel analysis

Deconstructing pathways to resilience: A systematic review of associations between psychosocial mechanisms and transdiagnostic adult mental health outcomes in the context of adverse childhood experiences

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