The association of poor economic condition and family relations in childhood with late-life depression.
The association of poor economic condition and family relations in childhood with late-life depression.
复制标题
童年时期贫困的经济状况和家庭关系与晚年抑郁症的关系。
DOI：
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发表时间：
2013
影响因子：
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通讯作者：
Vesna Gerazova Pejoska
中科院分区：
文献类型：
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作者：
R. Krsteska;Vesna Gerazova Pejoska
背景
晚年抑郁症包括老年抑郁症患者(>；60岁)和有抑郁症既往和当前病史的老年人。这项研究的目的是分析童年时期的经济状况和家庭关系作为老年抑郁症的危险因素的影响。
研究对象和方法
这是一项分析性横断面研究，包括120名受试者，60名单相抑郁患者和60名非抑郁障碍患者，根据第10届国际精神和行为障碍分类进行诊断。所有研究参与者的年龄都在60岁以上，两组的性别比例没有显著的统计学差异(p>；0.05)。这次考试的数据来自为我们的目的而设计的自我报告问卷。采用老年抑郁量表测量抑郁症状。
结果
结果表明，严重的经济困难是儿童时期的重要事件，也是老年抑郁症的危险因素(卡方=12.68，df=2，p=0.0018)。我们的调查发现，家庭关系与老年抑郁症之间存在关联。事实上，实验组的家庭矛盾关系比对照组更常见(卡方=14.32，df=3，p=0.0025)。此外，父亲童年时饮酒成瘾与晚年抑郁有关(p=0.013)。两组兄弟姐妹之间在童年情感忽视和不平等待遇方面的差异不足以得到统计学上的证实，但有这种创伤的考生在以后的生活中患抑郁症的几率是对照组的三倍(优势比=3.04，95%CL0.92；OR<；10.65；Yates卡方=3.2，df=1，p=0.07)。那些估计他们的母亲(p=0.019)或父亲(p=0.046)具有负面个人性格特征的受试者，患老年抑郁症的风险明显更大。
结论
不利的社会经济环境以及童年时期的家庭冲突与晚年抑郁症有关。父亲酗酒和父母消极的个性特征与老年人的抑郁有关。
BACKGROUND
Late-life depression encompasses both patients with late-life onset of depression (>60 years) and older adults with a prior and current history of depression. The aim of the study was to analyze the impact of the economic condition and family relations in childhood as risk factors for late-life depression.
SUBJECTS AND METHODS
This was an analytical cross-sectional study comprising 120 subjects, 60 patients with unipolar depression and 60 subjects without depressive disorders, diagnosed in accordance with the 10-th International Classification of Mental and Behavioural Disorders. All participants in the study were above the age of 60 and there was no significant statistical difference in the sex proportion in both groups (p>0.05). Data for the examination were taken from a self-reported questionnaire designed for our aim. The Geriatric Depression Scale was used to measure depressive symptoms.
RESULTS
Our results have shown that severe financial difficulties are important events in childhood and are risk factors for depression in the elderly (Chi-square=12.68, df=2, p=0.0018). Our investigation has found the association of family relations with late-life depression. In fact, conflictual relations in the family were more common in the experimental group than in the control group (Chi-square=14.32, df=3, p=0.0025). Furthermore, father's addiction to alcohol in childhood was associated with depression in later life (p=0.013). The difference in childhood emotional neglect and unequal treatment between siblings in both groups was insufficient to be confirmed statistically, but the examinees with this trauma had a threefold higher chance of having depression later in life (Odds ratio=3.04, 95% CL0.92 < OR<10.65; Yates chi-square=3.2, df=1, p=0.07). Subjects who have estimated their mother (p=0.019) or father (p=0.046) having negative personal character traits had a significantly greater risk for development of late-life depression.
CONCLUSIONS
Negative socio-economic circumstances as well as family conflicts during childhood are associated with late-life depression. Father's addiction to alcohol and parents' negative personal character traits are associated with depression in the elderly.
影响因子：
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作者：
Karg, Katja;Burmeister, Margit;Shedden, Kerby;Sen, Srijan
通讯作者：
Sen, Srijan