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Centre for Policy on Ageing | |
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Childhood abuse and late-life depression
— mediating effects of psychosocial factors for early- and late-onset depression | | Author(s) | Ilse Wielaard, Mathijs Hoyer, Didi Rhebergen |
| Journal title | International Journal of Geriatric Psychiatry, vol 33, no 3, March 2018 |
| Publisher | Wiley, March 2018 |
| Pages | pp 537-545 |
| Source | http://www.orangejournal.org |
| Keywords | Elder abuse ; Children ; Ageing process ; Life span ; Social contacts ; Loneliness ; Depression ; Evaluation. |
| Annotation | Childhood abuse makes people vulnerable to developing depression, even in later life. Psychosocial factors that are common in later life, such as loneliness or lack of a partner, may explain this association. The aim of this study was to investigate whether the association between childhood abuse and depression in older adults could be explained by psychosocial factors. Cross-sectional data were derived from the Netherlands Study of Depression in Older Persons (age 60-93), including 132 persons without lifetime depression, 242 with early onset depression (age under 60), and 125 with late onset depression (age 60 or above). Childhood abuse (yes/no) and a frequency-based childhood abuse index were included. Multinomial regression and multivariable mediation analyses were used to examine the association between childhood abuse and the onset of depression, and the influence of loneliness, social network and partner status. Multinomial regression analyses showed a significant association between childhood abuse and the childhood abuse index with early and late onset depression. Multivariable mediation analyses showed that the association between childhood abuse and early onset depression was partly mediated by social network size and loneliness. This was particularly present for emotional neglect and psychological abuse, but not for physical and sexual abuse. No psychosocial mediators were found for the association between childhood abuse and late onset depression. Overall findings showed that a smaller social network and feelings of loneliness mediate the association between childhood abuse and early onset depression in older adults. The findings show the importance of detecting childhood abuse as well as the age at depression onset and mapping of relevant psychosocial factors in the treatment of late life depression. (JL). |
| Accession Number | CPA-180323232 A |
| Classmark | QNT: SBC: BG: BG6: TOA: DV: ENR: 4C |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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