Childhood family stress and adult resilience in a sample of depressed patients.
Journal
Journal of affective disorders
ISSN: 1573-2517
Titre abrégé: J Affect Disord
Pays: Netherlands
ID NLM: 7906073
Informations de publication
Date de publication:
01 03 2021
01 03 2021
Historique:
received:
10
02
2020
revised:
14
12
2020
accepted:
22
12
2020
pubmed:
9
1
2021
medline:
27
4
2021
entrez:
8
1
2021
Statut:
ppublish
Résumé
The aim of this study is to explore the effect of childhood family stress on depression, personal, and social resilience in depressed patients. We assessed childhood family stress (RFQ), depression (BSI, depression subscale), and resilience (RSA) in 152 depressed patients, 70 males, and 82 females. We calculated the 33rd and 66th percentiles of RFQ scores to divide the sample among Low, Medium, and High RFQ subgroups. A one-way ANOVA has been carried out to explore the differences between the variables in the subgroups. Finally, two regression analyses with depression, as the dependent variable, and resilience, divided for stress-sensitive and no stress-sensitive factors as independent variables, have been implemented. The one-way ANOVA showed that the Low subgroup had a positive profile, the Medium had an intermediate profile, while the High had a negative one for depression, personal (structured style and social competence), and interpersonal (social resources) resilience. The other factors (perception of self, planned future, and family cohesion) did not show differences in the subgroups, suggesting they are no stress sensitive. Regression analysis showed that no stress-sensitive factors have a constant and significant predictive value for depression in all subgroups; while, stress-sensitive ones showed a growing predictive value for depression from Low to Medium, but not in High, suggesting a ceiling effect. The use of self-report measures, the cross-sectional nature of the study, and the lack of a non-clinical and/or outpatient samples. This study provides a contribution to the understanding of the effect of childhood family stress on adult resilience and depression.
Sections du résumé
BACKGROUND
The aim of this study is to explore the effect of childhood family stress on depression, personal, and social resilience in depressed patients.
METHODS
We assessed childhood family stress (RFQ), depression (BSI, depression subscale), and resilience (RSA) in 152 depressed patients, 70 males, and 82 females. We calculated the 33rd and 66th percentiles of RFQ scores to divide the sample among Low, Medium, and High RFQ subgroups. A one-way ANOVA has been carried out to explore the differences between the variables in the subgroups. Finally, two regression analyses with depression, as the dependent variable, and resilience, divided for stress-sensitive and no stress-sensitive factors as independent variables, have been implemented.
RESULTS
The one-way ANOVA showed that the Low subgroup had a positive profile, the Medium had an intermediate profile, while the High had a negative one for depression, personal (structured style and social competence), and interpersonal (social resources) resilience. The other factors (perception of self, planned future, and family cohesion) did not show differences in the subgroups, suggesting they are no stress sensitive. Regression analysis showed that no stress-sensitive factors have a constant and significant predictive value for depression in all subgroups; while, stress-sensitive ones showed a growing predictive value for depression from Low to Medium, but not in High, suggesting a ceiling effect.
LIMITATIONS
The use of self-report measures, the cross-sectional nature of the study, and the lack of a non-clinical and/or outpatient samples.
CONCLUSIONS
This study provides a contribution to the understanding of the effect of childhood family stress on adult resilience and depression.
Identifiants
pubmed: 33418375
pii: S0165-0327(20)33187-6
doi: 10.1016/j.jad.2020.12.097
pii:
doi:
Types de publication
Letter
Langues
eng
Sous-ensembles de citation
IM
Pagination
255-257Informations de copyright
Copyright © 2020 Elsevier B.V. All rights reserved.