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Zhang Y, Huang C, Yang M. Family Resilience Progress from the Perspective of Parents of Adolescents with Depression: An Interpretative Phenomenological Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2564. [PMID: 36767927 PMCID: PMC9914939 DOI: 10.3390/ijerph20032564] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/25/2022] [Revised: 01/24/2023] [Accepted: 01/29/2023] [Indexed: 06/18/2023]
Abstract
Family resilience plays an important role in the healthy family development of adolescents with depression, but few studies have explored the specific process of family resilience. This study aims to explore the dynamic processes of family resilience from parents of adolescents with depression. Data were collected from 14 Chinese parents of adolescents with depression by interpretative phenomenological analysis method. Four themes and 12 sub-themes emerged: (1) decompensation phase: (i) misinterpretations of illness, (ii) heavy psychological burden, (iii) chaotic rhythms in family; (2) launch phase: (i) potential influences of labeling, (ii) we must cure my child anyway, (iii) begin adjusting to family roles; (3) recovery phase: (i) family reflection, (ii) subsequent reorganization of family resources, (iii) ultimately establishing a new balance; (4) normality phase: (i) adaption for medical seeking process, (ii) actively lower expectations, (iii) concerns of future needs. Mental health professionals could provide targeted suggestions to help the parents achieve family resilience by assessing its different phases.
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Affiliation(s)
- Yinying Zhang
- School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430074, China
| | - Chongmei Huang
- Xiang Ya Nursing School, Central South University, Changsha 410017, China
| | - Min Yang
- Xiang Ya Nursing School, Central South University, Changsha 410017, China
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Akbar SA, Mattfeld AT, Laird AR, McMakin DL. Sleep to Internalizing Pathway in Young Adolescents (SIPYA): A proposed neurodevelopmental model. Neurosci Biobehav Rev 2022; 140:104780. [PMID: 35843345 PMCID: PMC10750488 DOI: 10.1016/j.neubiorev.2022.104780] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Revised: 05/28/2022] [Accepted: 07/12/2022] [Indexed: 01/28/2023]
Abstract
The prevalence of internalizing disorders, i.e., anxiety and depressive disorders, spikes in adolescence and has been increasing amongst adolescents despite the existence of evidence-based treatments, highlighting the need for advancing theories on how internalizing disorders emerge. The current review presents a theoretical model, called the Sleep to Internalizing Pathway in Young Adolescents (SIPYA) Model, to explain how risk factors, namely sleep-related problems (SRPs), are prospectively associated with internalizing disorders in adolescence. Specifically, SRPs during late childhood and early adolescence, around the initiation of pubertal development, contribute to the interruption of intrinsic brain networks dynamics, both within the default mode network and between the default mode network and other networks in the brain. This interruption leaves adolescents vulnerable to repetitive negative thought, such as worry or rumination, which then increases vulnerability to internalizing symptoms and disorders later in adolescence. Sleep-related behaviors are observable, modifiable, low-stigma, and beneficial beyond treating internalizing psychopathology, highlighting the intervention potential associated with understanding the neurodevelopmental impact of SRPs around the transition to adolescence. This review details support for the SIPYA Model, as well as gaps in the literature and future directions.
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Affiliation(s)
- Saima A Akbar
- Department of Psychology, Florida International University, Miami, FL, USA.
| | - Aaron T Mattfeld
- Department of Psychology, Florida International University, Miami, FL, USA
| | - Angela R Laird
- Department of Physics, Florida International University, Miami, FL, USA
| | - Dana L McMakin
- Department of Psychology, Florida International University, Miami, FL, USA
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Huang CC, Chen Y, Cheung S. Early childhood exposure to intimate partner violence and teen depression symptoms in the U.S. HEALTH & SOCIAL CARE IN THE COMMUNITY 2021; 29:e47-e55. [PMID: 33237601 DOI: 10.1111/hsc.13240] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Revised: 10/08/2020] [Accepted: 10/29/2020] [Indexed: 06/11/2023]
Abstract
Among the various negative outcomes of intimate partner violence (IPV) exposure to children, depression symptoms are worthy of attention given the effects on well-being and long-term achievement. This study examined the effects of early childhood exposure to IPV between ages 1 and 3 on depression symptoms at age 15 and investigated whether maternal physical punishment at age 5 and peer bullying victimisation at age 9 affected the association. Data came from five waves of the Fragile Families and Child Wellbeing Study. The study was based on 20 U.S. cities with populations of over 200,000 people. The most recent wave of data collection occurs during the period between 2014 and 2017. The final analytic sample was 1,690 children. Structural equation modeling was utilised to examine the effects of exposure to IPV on physical punishment, bullying victimisation, and depression symptoms. Early exposure to IPV was associated with experiencing physical punishment at Year 5, which subsequently increased peer bullying victimisation at Year 9 and then depression symptoms at Year 15. Early exposure to IPV had a direct effect on depression symptoms at Year 15. Early exposure to IPV also had indirect effects on Year 15 depression symptoms through its effects on physical punishment and bullying victimisation. The total standardised effect of early exposure on depression symptoms was 0.06. Consistent with trauma theory and the ecobiodevelopmental framework, the results indicate that exposure to IPV appeared to have a long-term effect on children, manifested in teen depression symptoms.
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Affiliation(s)
- Chien-Chung Huang
- Huamin Research Center, Rutgers University School of Social Work, New Brunswick, NJ, USA
| | - Yafan Chen
- Huamin Research Center, Rutgers University School of Social Work, New Brunswick, NJ, USA
| | - Shannon Cheung
- Huamin Research Center, Rutgers University School of Social Work, New Brunswick, NJ, USA
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van Dijk MT, Murphy E, Posner JE, Talati A, Weissman MM. Association of Multigenerational Family History of Depression With Lifetime Depressive and Other Psychiatric Disorders in Children: Results from the Adolescent Brain Cognitive Development (ABCD) Study. JAMA Psychiatry 2021; 78:778-787. [PMID: 33881474 PMCID: PMC8060885 DOI: 10.1001/jamapsychiatry.2021.0350] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
IMPORTANCE Three-generation family studies of depression have established added risk of psychopathology for offspring with 2 previous generations affected with depression compared with 1 or none. Because of their rigorous methodology, there are few of these studies, and existing studies are limited by sample sizes. Consequently, the 3-generation family risk paradigm established in family studies can be a critical neuropsychiatric tool if similar transmission patterns are reliably demonstrated with the family history method. OBJECTIVE To examine the association of multigenerational family history of depression with lifetime depressive disorders and other psychopathology in children. DESIGN, SETTING, AND PARTICIPANTS In this analysis of the Adolescent Brain Cognitive Development (ABCD) study data, retrospective, cross-sectional reports on psychiatric functioning among 11 200 children (generation 3 [G3]) and parent reports on parents' (G2) and grandparents' (G1) depression histories were analyzed. The ABCD study sampling weights were used for generalized estimating equation models and descriptive analyses. Data were collected from September 2016 to November 2018, and data were analyzed from July to November 2020. MAIN OUTCOMES AND MEASURES Four risk categories were created, reflecting how many prior generations had history of depression: (1) neither G1 nor G2 (G1-/G2-), (2) only G1 (G1+/G2-), (3) only G2 (G1-/G2+), and (4) both G1 and G2 (G1+/G2+). Child lifetime prevalence and relative risks of psychiatric disorders were based on child and caregiver reports and grouped according to familial risk category derived from G1 and G2 depression history. RESULTS Among 11 200 included children, 5355 (47.8%) were female, and the mean (SD) age was 9.9 (0.6) years. By parent reports, the weighted prevalence of depressive disorder among children was 3.8% (95% CI, 3.2-4.3) for G1-/G2- children, 5.5% (95% CI, 4.3-7.1) for G1+/G2- children, 10.4% (95% CI, 8.6-12.6) for G1-/G2+ children, and 13.3% (95% CI, 11.6-15.2) for G1+/G2+ children (Cochran-Armitage trend = 243.77; P < .001). The weighted suicidal behavior prevalence among children was 5.0% (95% CI, 4.5-5.6) for G1-/G2- children, 7.2% (95% CI, 5.8-8.9) for G1+/G2- children, 12.1% (95% CI, 10.1-14.4) for G1-/G2+ children, and 15.0% (95% CI, 13.2-17.0) for G1+/G2+ children (Cochran-Armitage trend = 188.66; P < .001). By child reports, the weighted prevalence of depressive disorder was 4.8% (95% CI, 4.3-5.5) for G1-/G2- children, 4.3% (95% CI, 3.2-5.7) for G1+/G2- children, 6.3% (95% CI, 4.9-8.1) for G1-/G2+ children, and 7.0% (95% CI, 5.8-8.5) for G1+/G2+ children (Cochran-Armitage trend = 9.01; P = .002), and the weighted prevalence of suicidal behaviors was 7.4% (95% CI, 6.7-8.2) for G1-/G2- children, 7.0% (95% CI, 5.6-8.6) for G1+/G2- children, 9.8% (95% CI, 8.1-12.0) for G1-/G2+ children, and 13.8% (95% CI, 12.1-15.8) for G1+/G2+ children (Cochran-Armitage trend = 46.69; P < .001). Similar patterns were observed for other disorders for both parent and child reports and across sex, socioeconomic status, and race/ethnicity. CONCLUSIONS AND RELEVANCE In this study, having multiple prior affected generations was associated with increased risk of childhood psychopathology. Furthermore, these findings were detectable even at prepubertal ages and existed in diverse racial/ethnic and socioeconomic groups. Clinically, they underscore the need for screening for family history in pediatric settings and highlight implications for biological research with homogenous subgroups using magnetic resonance imaging or genetic analyses.
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Affiliation(s)
- Milenna T. van Dijk
- Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York, New York,Division of Translational Epidemiology, New York State Psychiatric Institute, New York
| | - Eleanor Murphy
- Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York, New York,Division of Translational Epidemiology, New York State Psychiatric Institute, New York
| | - Jonathan E. Posner
- Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York, New York,Division of Child and Adolescent Psychiatry, New York State Psychiatric Institute, New York
| | - Ardesheer Talati
- Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York, New York,Division of Translational Epidemiology, New York State Psychiatric Institute, New York
| | - Myrna M. Weissman
- Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York, New York,Division of Translational Epidemiology, New York State Psychiatric Institute, New York,Mailman School of Public Health, Columbia University, New York, New York
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Zhang Y, Yang M, Guo X, Chen Q. Quality of Life in Family Caregivers of Adolescents with Depression in China: A Mixed-Method Study. Patient Prefer Adherence 2020; 14:1317-1327. [PMID: 32801662 PMCID: PMC7398742 DOI: 10.2147/ppa.s265867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2020] [Accepted: 07/12/2020] [Indexed: 02/03/2023] Open
Abstract
PURPOSE In this study, we investigated quantitatively the quality of life (QoL) and its influencing factors among Chinese family caregivers who care for adolescents with depression (AWD) and we explored qualitatively their care-giving experiences. METHODS The study was a mixed method with convergent parallel design. The sociodemographic characteristics, QoL, caregivers' burden, family functioning, positive and negative affects were assessed by using questionnaires on 240 family caregivers of AWD in China. Twelve of these family caregivers were interviewed by using a semi-structured guide to explore their care-giving experiences. RESULTS The mean score among family caregivers of AWD for physical QoL was 65.18 and 59.42 for mental QoL, which was significantly lower than the Chinese norms for QoL. Multiple regression analysis demonstrated that course of disease of AWD, caregivers' educational qualification, family functioning, positive affect and care-giving burden accounted for 57% of the variance in physical QoL. Suicide history of AWD, caregivers' educational qualification, negative affect, positive affect, care-giving burden and family functioning accounted for 54% of the variance in mental QoL. Four major themes of the care-giving experiences emerged: lack of knowledge about depression, being overwhelmed emotionally with psychological burden, the devastating impact of illness on family, and the perceived benefits of care-giving. CONCLUSION The QoL among family caregivers of AWD in China was low. It is necessary for health-care professionals to pay more attention to the QoL of family caregivers who care for AWD.
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Affiliation(s)
- Yinying Zhang
- Xiangya Nursing School of Central South University, Changsha, Hunan Province, People’s Republic of China
| | - Min Yang
- Xiangya Nursing School of Central South University, Changsha, Hunan Province, People’s Republic of China
- Correspondence: Min Yang Tel/ Fax +86 731 8265 0275 Email
| | - Xin Guo
- Huashan Hospital of Fudan University, Shanghai City, People’s Republic of China
| | - Qiongni Chen
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, Hunan Province, People’s Republic of China
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Landes I, Bakos S, Kohls G, Bartling J, Schulte-Körne G, Greimel E. Altered neural processing of reward and punishment in adolescents with Major Depressive Disorder. J Affect Disord 2018; 232:23-33. [PMID: 29475180 DOI: 10.1016/j.jad.2018.01.017] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/24/2016] [Revised: 01/02/2018] [Accepted: 01/29/2018] [Indexed: 01/16/2023]
Abstract
BACKGROUND Altered reward and punishment function has been suggested as an important vulnerability factor for the development of Major Depressive Disorder (MDD). Prior ERP studies found evidence for neurophysiological dysfunctions in reinforcement processes in adults with MDD. To date, only few ERP studies have examined the neural underpinnings of reinforcement processing in adolescents diagnosed with MDD. The present event-related potential (ERP) study aimed to investigate neurophysiological mechanisms of anticipation and consumption of reward and punishment in adolescents with MDD in one comprehensive paradigm. METHOD During ERP recording, 25 adolescents with MDD and 29 healthy controls (12-17 years) completed a Monetary Incentive Delay Task comprising both a monetary reward and a monetary punishment condition. During anticipation, the cue-P3 signaling attentional allocation was recorded. During consumption, the feedback-P3 and Reward Positivity (RewP) were recorded to capture attentional allocation and outcome evaluation, respectively. RESULTS Compared to controls, adolescents with MDD showed prolonged cue-P3 latencies to reward cues. Furthermore, unlike controls, adolescents with MDD displayed shorter feedback-P3 latencies in the reward versus punishment condition. RewPs did not differ between groups. LIMITATIONS It remains unanswered whether the observed alterations in adolescent MDD represent a state or trait. CONCLUSIONS Delayed neural processing of reward cues corresponds to the clinical presentation of adolescent MDD with reduced motivational tendencies to obtain rewards. Relatively shorter feedback-P3 latencies in the reward versus punishment condition could indicate a high salience of performance-contingent reward. Frequent exposure of negatively biased adolescents with MDD to performance-contingent rewards might constitute a promising intervention approach.
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Affiliation(s)
- I Landes
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Munich, Munich, Germany
| | - S Bakos
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Munich, Munich, Germany
| | - G Kohls
- Child Neuropsychology Section, Department of Child and Adolescent Psychiatry, Psychosomatics, and Psychotherapy, Medical Faculty, RWTH Aachen University Hospital, Aachen, Germany
| | - J Bartling
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Munich, Munich, Germany
| | - G Schulte-Körne
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Munich, Munich, Germany
| | - E Greimel
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Munich, Munich, Germany.
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Mesquita CDS, Basto-Pereira M, da Costa Maia Â. Prevalence of Childhood Victimization Experiences in Psychiatric Patients: a Systematic Review. Int J Ment Health Addict 2016. [DOI: 10.1007/s11469-016-9697-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Abstract
Borderline personality disorder (BPD) has been demonstrated to be a reliable and valid construct in young people (adolescents and young adults). Both borderline- and mood-related psychopathology become clinically apparent from puberty through to young adulthood, frequently co-occur, can reinforce one another, and can be difficult to differentiate clinically. This Gordian knot of overlapping clinical features, common risk factors, and precursors to both BPD and mood disorders complicates clinical assessment, prevention, and treatment. Regardless of whether an individual crosses an arbitrary diagnostic threshold, a considerable proportion of young people with borderline- and mood-related psychopathology will develop significant and persistent functional, vocational, and interpersonal impairment and disability during this critical risk and developmental period. There is a clear need for early intervention, but spurious diagnostic certainty risks stigma, misapplication of diagnostic labels, inappropriate treatment, and unfavorable outcomes. This article aims to integrate early intervention for BPD and mood disorders in the clinical context of developmental and phenomenological change and evolution. "Clinical staging," similar to disease staging in general medicine, is presented as a pragmatic, heuristic, and trans-diagnostic framework to guide prevention and intervention. It acknowledges that the early stages of these disorders cannot be disentangled sufficiently to allow for disorder-specific preventive measures and early interventions. Clinical staging defines an individual's location along the continuum of the evolving temporal course of a disorder. Such staging aids differentiation of early or milder clinical phenomena from those that accompany illness progression and chronicity, and suggests the application of appropriate and proportionate intervention strategies.
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Brook DW, Lee JY, Morojele NK, Rosenberg G, Brook JS. Predictors of Childhood Depressed Mood: A Two-Generational Study. JOURNAL OF CHILD AND FAMILY STUDIES 2015; 24:2786-2794. [PMID: 26539024 PMCID: PMC4628816 DOI: 10.1007/s10826-014-0082-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
This study tests a model of intergenerational influences on childhood depressed mood that proposes (1) indirect and direct paths from maternal drug use to offspring depressed mood; and (2) pathways from maternal maladaptive personality attributes to offspring depressed mood via adverse child-rearing practices. A cross-sectional two-generational design is employed. Data was obtained utilizing structured questionnaires administered by trained interviewers in the homes of the participants. The sample was comprised of African American and Puerto Rican children (N=210) and their mothers living in New York City. Using structural equation modeling, the analysis showed that maladaptive personality attributes are associated with adverse maternal child-rearing practices, which, in turn, are related to depressed mood in the offspring. Maternal drug use had a direct effect on offspring depressed mood. Maternal drug use also had an indirect path to offspring depressed mood via maladaptive personality attributes and adverse maternal child-rearing practices. The total effects analysis indicated that adverse maternal child-rearing practices was the strongest predictor of childhood depressed mood. This finding was consistent with the proximal position of the latent construct within the model. Maternal personality attributes and drug use were of lesser importance, but still statistically significant. The results suggest that maternal drug use and maladaptive personality attributes pose risks for the future depressive mood of children. The relative strength of maternal involvement with offspring should be the focus of preventive and therapeutic intervention efforts.
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Affiliation(s)
- David W. Brook
- Department of Psychiatry, New York University School of Medicine, 215 Lexington Ave., 15 Floor, New York
| | - Jung Yeon Lee
- Department of Psychiatry, New York University School of Medicine, 215 Lexington Ave., 15 Floor, New York
| | - Neo K. Morojele
- Alcohol & Drug Abuse Research Unit, Medical Research Council, Pretoria, South Africa
| | - Gary Rosenberg
- Department of Community and Preventive Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
| | - Judith S. Brook
- Department of Psychiatry, New York University School of Medicine, 215 Lexington Ave., 15 Floor, New York
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Yang F, Zhao H, Wang Z, Tao D, Xiao X, Niu Q, Wang Q, Li Y, Guo L, Li J, Li K, Xia J, Wang L, Shang X, Sang W, Shao C, Gan Z, He K, Zhao X, Tian T, Xu D, Gu D, Weng X, Li H, Tian J, Yang L, Li Q, Yang Q, Wang H, Dang Y, Dai L, Cui Y, Ye D, Cao J, Guo L, Kang Z, Liu J, Chen B, Liu J, Zhang J, Yang D, Jiao B, Yu F, Geng F, Li L, Yang H, Dai H, Wang H, Liu C, Liu H, Peng L, Wang X, Wei S, Liu X, Li C, Liu Z, Zhang Q, Di D, Flint J, Shi S, Kendler KS. Age at onset of recurrent major depression in Han Chinese women - a replication study. J Affect Disord 2014; 157:72-9. [PMID: 24581831 DOI: 10.1016/j.jad.2014.01.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/11/2013] [Revised: 01/08/2014] [Accepted: 01/09/2014] [Indexed: 02/05/2023]
Abstract
BACKGROUND The relationship between age at onset (AAO) and major depression (MD) has been studied in US, European and Chinese populations. However, larger sample studies are needed to replicate and extend earlier findings. METHODS We re-examined the relationship between AAO and the clinical features of recurrent MD in Han Chinese women by analyzing the phase I (N=1848), phase II (N=4169) and total combined data (N=6017) from the CONVERGE project. Linear, logistic, multiple linear and multinomial logistic regression models were used to determine the association of AAO with continuous, binary and categorical variables. RESULTS The effect size of the association between AAO and clinical features of MD was quite similar in the phase I and phase II samples. These results confirmed that MD patients with earlier AAO tended to suffer more severe, recurrent and chronic illness and cases of MD with earlier AAO showed increased neuroticism, greater family history and psychiatric comorbidity. In addition, we showed that earlier AAO of MD in Han Chinese women was associated with premenstrual symptoms, postnatal depression, a highly authoritarian or cold childhood parental rearing style and a reduced probability for having melancholia. LIMITATIONS Data were collected retrospectively through interview and recall bias may have affected the results. CONCLUSIONS MD with earlier AAO in Han Chinese women shows a distinct set of clinical features which are similar to those reported in Western populations.
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Affiliation(s)
- Fuzhong Yang
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China
| | - Hongsu Zhao
- Zhejiang Traditional Chinese Medical Hospital, Hangzhou, Zhejiang, People's Republic of China
| | - Zhoubing Wang
- No. 4 Hospital of Jiangsu University, Zhenjiang, Jiangsu, People's Republic of China
| | - Danhong Tao
- Xinhua Hospital of Zhejiang Province, Hangzhou, Zhejiang, People's Republic of China
| | - Xue Xiao
- The First Hospital of China Medical University, Heping District, Shenyang, Liaoning, People's Republic of China
| | - Qihui Niu
- No. 1 Hospital of Zhengzhou University, Zhengzhou, Henan, People's Republic of China
| | - Qian Wang
- Beijing Anding Hospital of Capital University of Medical Sciences, Beijing, People's Republic of China
| | - Yajuan Li
- Xian Mental Health Center, Xian, Shaanxi, People's Republic of China
| | - Liyang Guo
- No. 1 Hospital of Medical College of Xian Jiaotong University, Xian, Shaanxi, People's Republic of China
| | - Jianying Li
- No. 1 Hospital of Shanxi Medical University, Taiyuan, Shanxi, People's Republic of China
| | - Kan Li
- Mental Hospital of Jiangxi Province, No. 43 Shangfang Road, Nanchang, Jiangxi, People's Republic of China
| | - Jing Xia
- ShengJing Hospital of China Medical University, Shenyang, Liaoning, People's Republic of China
| | - Lina Wang
- Shandong Mental Health Center, Jinan, Shandong, People's Republic of China
| | - Xiaofang Shang
- Nanjing Brain Hospital, Nanjing, Jiangsu, People's Republic of China
| | - Wenhua Sang
- Hebei Mental Health Center, Baoding, Hebei, People's Republic of China
| | - Chunhong Shao
- Department of Psychiatry, Huashan Hospital, Fudan University, Shanghai 200040, People's Republic of China
| | - Zhaoyu Gan
- No. 3 Hospital of Sun Yat-sen University, Guangzhou, Guangdong, People's Republic of China
| | - Kangmei He
- Shanghai Tongji University affiliated Tongji Hospital, Shanghai 200065, People's Republic of China
| | - Xiaochuan Zhao
- First Hospital of Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China
| | - Tian Tian
- Tianjin Anding Hospital, Hexi District, Tianjin, People's Republic of China
| | - Dan Xu
- Shenzhen Kang Ning Hospital, Shenzhen, Guangdong, People's Republic of China
| | - Danhua Gu
- Weihai Mental Health Center, Weihai, Shandong, People's Republic of China
| | - Xiaoqin Weng
- Psychiatric Hospital of Henan Province, No.388 Middle Jianshe Road, Xinxiang, Henan, People's Republic of China
| | - Haimin Li
- Mental Health Center of West China Hospital of Sichuan University, No. 28 South Dianxin Street, Wuhou District, Chengdu, Sichuan, People's Republic of China
| | - Jing Tian
- No. 1 Hospital of Jinan University, Guangzhou, Guangdong, People's Republic of China
| | - Lijun Yang
- Jilin Brain Hospital, Siping, Jilin, People's Republic of China
| | - Qiang Li
- No. 1 Mental Health Center Affiliated Harbin Medical University, Harbin, Heilongjiang, People's Republic of China
| | - Qingzhen Yang
- Chongqing Mental Health Center, Chongqing, People's Republic of China
| | - Hui Wang
- No. 1 Hospital of Chongqing Medical University, Chongqing, People's Republic of China
| | - Yamei Dang
- Guangzhou Brain Hospital (Guangzhou Psychiatric Hospital), No. 36 Mingxin Road, Fangcun Avenue, Liwan District, Guangzhou, Guangdong, People's Republic of China
| | - Lei Dai
- Dalian No.7 Hospital & Dalian Mental Health Center, Dalian, Liaoning, People's Republic of China
| | - Yanping Cui
- No. 3 Hospital of Heilongjiang Province, Beian, Heilongjiang, People's Republic of China
| | - Dong Ye
- Sichuan Mental Health Center, Mianyang, Sichuan, People's Republic of China
| | - Juling Cao
- No. 2 Hospital of Lanzhou University, No. 82, Cuiyingmen, Lanzhou, Gansu, People's Republic of China
| | - Li Guo
- The Fourth Military Medical University Affiliated Xijing Hospital, Xian, Shaanxi, People's Republic of China
| | - Zhen Kang
- Liaocheng No. 4 Hospital, Liaocheng, Shandong, People's Republic of China
| | - Jimeng Liu
- Ningbo Kang Ning Hospital, Ningbo, Zhejiang, People's Republic of China
| | - Bin Chen
- Fuzhou Psychiatric Hospital, Cangshan District, Fuzhou, Fujian, People's Republic of China
| | - Jinhua Liu
- Suzhou Guangji Hospital, Suzhou, Jiangsu, People's Republic of China
| | - Jinling Zhang
- Mental Health Center of Shantou University, Shantou, Guangdong, People's Republic of China
| | - Donglin Yang
- Jining Psychiatric Hospital, Jining, Shandong, People's Republic of China
| | - Bin Jiao
- No. 2 Xiangya Hospital of Zhongnan University, Changsha, Hunan, People's Republic of China
| | - Fengyu Yu
- Harbin No. 1 Special Hospital, Harbin, Heilongjiang, People's Republic of China
| | - Feng Geng
- Anhui Mental Health Center, Hefei, Anhui, People's Republic of China
| | - Ling Li
- Changchun Mental Hospital, Changchun, Jilin, People's Republic of China
| | - Haiying Yang
- Huaian No. 3 Hospital, Huaian, Jiangsu, People's Republic of China
| | - Hong Dai
- Huzhou No. 3 Hospital, Huzhou, Zhejiang, People's Republic of China
| | - Hongli Wang
- Mudanjiang Psychiatric Hospital of Heilongjiang Province, Mudanjiang, Heilongjiang, People's Republic of China
| | - Caixing Liu
- Qingdao Mental Health Center, No. 299 Nanjing Road, Shibei District, Qingdao, Shandong, People's Republic of China
| | - Haijun Liu
- Tangshan No. 5 Hospital, Tangshan, Hebei, People's Republic of China
| | - Longyan Peng
- Daqing No. 3 Hospital of Heilongjiang Province, Daqing, Heilongjiang, People's Republic of China
| | - Xiaoping Wang
- Renmin Hospital of Wuhan University, Wuhan, Hubei, People's Republic of China
| | - Shaojun Wei
- Guangxi Longquanshan Hospital, Liuzhou, Guangxi, People's Republic of China
| | - Xiaojuan Liu
- Tianjin First Center Hospital, Tianjin, People's Republic of China
| | - Chang Li
- Wuhan Mental Health Center, Wuhan, Hubei, People's Republic of China
| | - Zhengrong Liu
- Anshan Psychiatric Rehabilitation Hospital, Anshan, Liaoning, People's Republic of China
| | - Qiwen Zhang
- Hainan Anning Hospital, Haikou, Hainan, People's Republic of China
| | - Dongchuan Di
- Mental Health Institute of Jining Medical College, Jining, Shandong, People's Republic of China
| | - Jonathan Flint
- Wellcome Trust Centre for Human Genetics, Oxford OX3 7BN, United Kingdom
| | - Shenxun Shi
- Department of Psychiatry, Huashan Hospital, Fudan University, Shanghai 200040, People's Republic of China.
| | - Kenneth S Kendler
- Virginia Commonwealth University, Department of Psychiatry, Virginia Institute for Psychiatric and Behavioral Genetics, Box 980126, Richmond, VA 232980126, USA.
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11
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Lima NNR, do Nascimento VB, de Carvalho SMF, de Abreu LC, Neto MLR, Brasil AQ, Junior FTC, de Oliveira GF, Reis AOA. Childhood depression: a systematic review. Neuropsychiatr Dis Treat 2013; 9:1417-25. [PMID: 24092979 PMCID: PMC3788699 DOI: 10.2147/ndt.s42402] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
As an important public health issue, childhood depression deserves special attention, considering the serious and lasting consequences of the disease to child development. Taking this into consideration, the present study was based on the following question: what practical contributions to clinicians and researchers does the current literature on childhood depression have to offer? The objective of the present study was to conduct a systematic review of articles regarding childhood depression. To accomplish this purpose, a systematic review of articles on childhood depression, published from January 1, 2010 to November 24, 2012, on MEDLINE and SciELO databases was carried out. Search terms were "depression" (medical subject headings [MeSH]), "child" (MeSH), and "childhood depression" (keyword). Of the 180 retrieved studies, 25 met the eligibility criteria. Retrieved studies covered a wide range of aspects regarding childhood depression, such as diagnosis, treatment, prevention and prognosis. Recent scientific literature regarding childhood depression converge to, directly or indirectly, highlight the negative impacts of depressive disorders to the children's quality of life. Unfortunately, the retrieved studies show that childhood depression commonly grows in a background of vulnerability and poverty, where individual and familiar needs concerning childhood depression are not always taken into consideration. In this context, this review demonstrated that childhood-onset depression commonly leads to other psychiatric disorders and co-morbidities. Many of the retrieved studies also confirmed the hypothesis that human resources (eg, health care team in general) are not yet adequately trained to address childhood depression. Thus, further research on the development of programs to prepare health care professionals to deal with childhood depression is needed, as well as complementary studies, with larger and more homogeneous samples, centered on prevention and treatment of childhood depression.
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Affiliation(s)
- Nádia Nara Rolim Lima
- Programa de Pós-graduação em Ciências da Saúde, Faculdade de Medicina do ABC, Santo André, São Paulo, Brazil
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