scholarly journals Adverse childhood experiences (ACEs) and later-life depression: perceived social support as a potential protective factor

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e013228 ◽  
Author(s):  
E Von Cheong ◽  
Carol Sinnott ◽  
Darren Dahly ◽  
Patricia M Kearney
Keyword(s):  
Social Support ◽  
Depressive Symptoms ◽  
Adverse Childhood Experiences ◽  
Protective Factor ◽  
Perceived Social Support ◽  
Later Life ◽  
Self Report ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Socio Demographic Factors

ObjectiveTo investigate associations between adverse childhood experiences (ACEs) and later-life depressive symptoms; and to explore whether perceived social support (PSS) moderates these.MethodWe analysed baseline data from the Mitchelstown (Ireland) 2010–2011 cohort of 2047 men and women aged 50–69 years. Self-reported measures included ACEs (Centre for Disease Control ACE questionnaire), PSS (Oslo Social Support Scale) and depressive symptoms (CES-D). The primary exposure was self-report of at least one ACE. We also investigated the effects of ACE exposure by ACE scores and ACE subtypes abuse, neglect and household dysfunction. Associations between each of these exposures and depressive symptoms were estimated using logistic regression, adjusted for socio-demographic factors. We tested whether the estimated associations varied across levels of PSS (poor, moderate and strong).Results23.7% of participants reported at least one ACE (95% CI 21.9% to 25.6%). ACE exposures (overall, subtype or ACE scores) were associated with a higher odds of depressive symptoms, but only among individuals with poor PSS. Exposure to any ACE (vs none) was associated with almost three times the odds of depressive symptoms (adjusted OR 2.85; 95% CI 1.64 to 4.95) among individuals reporting poor PSS, while among those reporting moderate and strong PSS, the adjusted ORs were 2.21 (95% CI 1.52 to 3.22) and 1.39 (95% CI 0.85 to 2.29), respectively. This pattern of results was similar when exposures were based on ACE subtype and ACE scores, though the interaction was clearly strongest among those reporting abuse.ConclusionsACEs are common among older adults in Ireland and are associated with higher odds of later-life depressive symptoms, particularly among those with poor PSS. Interventions that enhance social support, or possibly perceptions of social support, may help reduce the burden of depression in older populations with ACE exposure, particularly in those reporting abuse.

scholarly journals Maternal Depression, Adverse Childhood Experiences, and Social Support in Relation to Gestational Diabetes Risk

2021 ◽  
Author(s):  
Margaret E. Versteegen ◽  
Christine T. Bozlak ◽  
Heather Larkin ◽  
Allison A. Appleton
Keyword(s):  
Social Support ◽  
Gestational Diabetes ◽  
Maternal Depression ◽  
Psychosocial Factors ◽  
Adverse Childhood Experiences ◽  
Secondary Data ◽  
Self Report ◽  
Childhood Experiences ◽  
Care Clinic ◽  
Adverse Childhood

Abstract Purpose Psychosocial factors are of increasing interest as potential influencers in disease development. This study explores associations between gestational diabetes mellitus (GDM) and maternal depression, adverse childhood experiences (ACEs), and social support, in response to emerging evidence in these areas. Methods An observational, prospective cohort study (AIMS) served as the source of secondary data for this study. Participants included 300 pregnant women aged 18–40 years at an upstate New York prenatal care clinic, who completed a set of self-report questionnaires assessing exposures and stressors both during and prior to their pregnancy. Data were also abstracted from infant and maternal medical records. Results Logistic regression modeling estimated the odds ratios (ORs) of developing GDM in relation to psychosocial factors. There was a significant association between depression and GDM (OR = 2.85, 95% CI: 1.15, 7.06), which persisted in the model adjusted for age and BMI (aOR = 3.19, 95% CI: 1.25, 8.10). No significant associations were found between ACEs or social support with GDM. Conclusions Study findings support an association between maternal depression and GDM development. This study underscores the need for additional research on psychosocial factors and connections to health risks.

Adverse Childhood Experiences: Are They Associated With Greater Risk of Elder Abuse Victimization?

2021 ◽  
pp. 088626052110283
Author(s):  
Mengtong Chen ◽  
Yuanyuan Fu
Keyword(s):  
Life Course ◽  
Adverse Childhood Experiences ◽  
Elder Abuse ◽  
Later Life ◽  
Physical Punishment ◽  
Life Course Perspective ◽  
Self Report ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Original Family

Though a growing number of studies have examined the associations between adverse childhood experiences (ACEs) and negative later-life health outcomes, the effects of these early life-course factors on elder abuse victimization have yet to be fully investigated. Using a life-course perspective, this study examines the associations between ACEs and elder abuse victimization. We used data from a cross-sectional survey conducted in Beijing, China. A total of 1,002 older adults were included in this study. Retrospective self-report items were used to measure ACEs and elder abuse victimization in later life. Univariate and multivariate logistic regressions were performed to examine the associations between ACEs and elder abuse victimization. Five types of ACEs (i.e., socio-economic difficulty of the original family, parental divorce, frequent quarrels between parents, frequent physical punishment by parents, and starvation) were associated with a higher risk of elder abuse victimization. After controlling for participants’ socio-demographic characteristics and adding these five types of ACEs simultaneously in the multivariate regression model, the poor socio-economic status of the original family (OR = 1.759, p < .05) and suffering frequent physical punishment inflicted by parents (OR = 2.288, p < .05) were found to be significantly associated with elder abuse victimization. To have multiple (at least 4) ACEs is a risk factor for elder abuse victimization as well (OR = 3.06, p < .001). This study provides evidence for ACEs as risk factors for elder abuse victimization. The findings highlight the importance of strengthening our understanding of the impacts of ACEs in both research and practice.

scholarly journals Maternal depression, adverse childhood experiences, and social support in relation to gestational diabetes risk: results from the Albany Infant and Mother Study (AIMS)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Margaret Versteegen ◽  
Christine T. Bozlak ◽  
Heather Larkin ◽  
Allison A. Appleton
Keyword(s):  
Social Support ◽  
Gestational Diabetes ◽  
Maternal Depression ◽  
Psychosocial Factors ◽  
Adverse Childhood Experiences ◽  
Secondary Data ◽  
Self Report ◽  
Childhood Experiences ◽  
Care Clinic ◽  
Adverse Childhood

Abstract Background Psychosocial factors are of increasing interest as potential influencers in disease development. This study explores associations between gestational diabetes mellitus (GDM) and maternal depression, adverse childhood experiences (ACEs), and social support, in response to emerging evidence in these areas. Methods An observational, prospective cohort study (AIMS) served as the source of secondary data for this study. Participants included 300 pregnant women aged 18–40 years at an upstate New York prenatal care clinic, who completed a set of self-report questionnaires assessing exposures and stressors both during and prior to their pregnancy. Data were also abstracted from infant and maternal medical records. Results Logistic regression modeling estimated the odds ratios (ORs) of developing GDM in relation to psychosocial factors. There was a significant association between depression and GDM (OR = 2.85, 95% CI: 1.15, 7.06), which persisted in the model adjusted for age and BMI (aOR = 3.19, 95% CI: 1.25, 8.10). No significant associations were found between ACEs or social support with GDM. Conclusions Study findings support an association between maternal depression and GDM development. This study underscores the need for additional research on psychosocial factors and connections to health risks.

scholarly journals Adverse childhood experiences leads to perceived negative attitude of others and the effect of adverse childhood experiences on depression in adulthood is mediated via negative attitude of others

2018 ◽  
Vol 54 ◽  
pp. 27-34 ◽  
Author(s):  
Raimo K.R. Salokangas ◽  
Tiina From ◽  
Sinikka Luutonen ◽  
Jarmo Hietala
Keyword(s):  
Depressive Symptoms ◽  
Adverse Childhood Experiences ◽  
Emotional Abuse ◽  
Negative Attitude ◽  
Self Report ◽  
Mediation Effect ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Physical Neglect ◽  
Distress Scale

AbstractBackground:The attachment theory suggests that adverse childhood experiences (ACEs) can have an effect on how individuals perceive other people's attitude towards them. ACEs have also been associated with adult depression. We hypothesised that ACEs associate with perceived negative attitude of others (AoO) and depressive symptoms (DEPS), and that these associations differ between the genders.Methods:Altogether, 692 participants drawn from the general population completed the Trauma and Distress Scale, as a measurement of ACE and its domains: emotional abuse (EmoAb), physical abuse (PhyAb), sexual abuse (SexAb), emotional neglect (EmoNeg) and physical neglect (PhyNeg); a visual analog scale with the question: “What kind of attitude do other people take towards you?”, and the self-report scale DEPS on depressive symptoms.Results:ACEs, AoO and DEPS correlated strongly with each other. In path analyses, ACE total and all its domains associated directly and indirectly, via DEPS, to negative AoO in the whole sample, and in females separately. ACE total, EmoAb, PhyAb, EmoNeg and PhyNeg associated directly and indirectly, via AoO, to DEPS in the whole sample and in both genders separately. EmoNeg, in all, and EmoAB, in males, had specific associations both with negative AoO and DEPS. Mediation effect via AoO was greater than via DEPS.Conclusions:ACEs have a direct and indirect, via depression, negative effect on how adult individuals perceive other people's attitude towards themselves. Additionally, negative AoO mediates the effects of ACEs on depression. Childhood EmoNeg associates specifically with negative AoO and DEPS in adulthood.

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