Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-23T22:27:58.363Z Has data issue: false hasContentIssue false

Childhood adversities and adult depression: basic patterns of association in a US national survey

Published online by Cambridge University Press:  09 July 2009

Ronald C. Kessler*
Affiliation:
Department of Sociology and Survey Research Center, Institute for Social Research, University of Michigan, USA
William J. Magee
Affiliation:
Department of Sociology and Survey Research Center, Institute for Social Research, University of Michigan, USA
*
1Address for correspondence: Dr R. C. Kessler, Institute for Social Research, The University of Michigan, Box 1248, Ann Arbor, MI 48106–1248, USA.

Synopsis

The long-term relationships between various forms of childhood adversity and adult episodes of major depression are explored in a representative household survey of the United States adult (age 25 +) population. Seven of the eight childhood adversities considered are significantly associated with recent (12-month) episodes of depression. These effects are largely indirect consequences of some childhood adversities leading to a life history of depression and prior depression leading to new episodes. Only three of the eight childhood adversities directly affect recent onset or recurrence. The paper closes with a discussion of implications for future research on the long-term effects of childhood adversities.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Allison, P. D. (1984). Event History Analysis. Sage: Beverly Hills.CrossRefGoogle Scholar
American Psychiatric Association. (1987). Diagnostic and Statistical Manual of Mental Disorders, 3rd edn-Revised. (DSM-III-R). American Psychiatric Association: Washington, DC.Google Scholar
Barnett, P. & Gotlib, I. (1988). Psychosocial functioning and depression: distinguishing among antecedents, concomitants, and consequences. Psychological Bulletin 104, 97126.CrossRefGoogle ScholarPubMed
Birtchnell, J. (1988). Depression and family relationships: a study of young married women on a London housing estate. British Journal of Psychiatry 153, 758769.CrossRefGoogle ScholarPubMed
Birtchnell, J., Evans, C. & Kennard, J. (1988). Life history factors associated with neurotic symptomatology in a rural community sample of 40–49-year-old women. Journal of Affective Disorders 3, 271285.CrossRefGoogle Scholar
Brown, G. R. & Anderson, B. (1991). Psychiatric morbidity in adult inpatients with childhood histories of sexual and physical abuse. American Journal of Psychiatry 148, 5561.Google ScholarPubMed
Brown, G. W., Andrews, B., Harris, T., Adler, Z. & Bridges, L. (1986). Social support, self-esteem, and depression. Psychological Medicine 16, 813831.CrossRefGoogle ScholarPubMed
Bryer, J. B., Nelson, B. A., Miller, J. B. & Krol, P. A. (1987). Childhood sexual and physical abuse as factors in adult psychiatric illness. American Journal of Psychiatry 144, 14261430.Google ScholarPubMed
Burke, J. D., Wittchen, H., Regier, D. A. & Sartorius, N. (1990). Extracting information from diagnostic interviews on co-occurrence of symptoms of anxiety and depression. In Comorbidity of Mood and Anxiety Disorders (ed. Maser, S. D. and Cloninger, C. R.), pp. 649667. American Psychiatric Press: Washington, DC.Google Scholar
Burke, K. C., Burke, J. D., Rae, D. S. & Regier, D. A. (1991). Comparing age at onset of major depression and other psychiatric disorders by birth cohorts in five US community populations. Archives of General Psychiatry 48, 789795.CrossRefGoogle ScholarPubMed
Chesney, M. A., Frautschi, N. M. & Rosenman, R. H. (1985). Modifying type-A behavior. In Prevention in Health Psychology (ed. Rosen, J. C. and Solomon, L. J.), pp. 130142. University Press of New England: Hanover, New Hampshire.Google Scholar
Clarizio, H. F. (1989). Continuity in childhood depression. Adolescence 24, 253267.Google ScholarPubMed
Coryell, W. & Winokur, G. (1992). Course and outcome. In Handbook of Affective Disorders, 2nd edn (ed. Paykel, E.), pp. 89108. Churchill Livingstone: London.Google Scholar
Coryell, W., Endicott, J. & Keller, M. B. (1991). Predictors of relapse into major depressive disorder in a nonclinical population. American Journal of Psychiatry 148, 13531358.Google Scholar
Costello, C. G. & Comrey, A. L. (1967). Scales for measuring depression and anxiety. Journal of Psychology 66, 303313.CrossRefGoogle ScholarPubMed
Cox, D. R. (1972). Regression models and life-tables. Journal of the Royal Statistical Society 34, 187220.Google Scholar
Earls, F., Reich, W., Jung, K. G. & Cloninger, C. R. (1988). Psychopathology in children of alcoholic and antisocial parents. Alcoholism: Clinical and Experimental Research 12, 481487.CrossRefGoogle ScholarPubMed
Endicott, J., Andreasen, N. & Spitzer, R. L. (1978). Family History Research Diagnostic Criteria. Biometrics Research, New York State Psychiatric Institute: New York.Google Scholar
Faravelli, C., Sacchetti, E., Ambonetti, A., Conte, G., Pallanti, S. & Vita, A. (1986). Early life events and affective disorder revisited. British Journal of Psychiatry 148, 288295.CrossRefGoogle Scholar
Fendrich, M., Warner, V. & Weissman, M. M. (1990). Family risk factors, parental depression, and psychopathology in offspring. Developmental Psychology 26, 4050.CrossRefGoogle Scholar
Fergusson, D. M., Dimond, M. E. & Horwood, L. J. (1986). Childhood family placement history and behavior problems in 6-year-old children. Journal of Child Psychiatry 27, 213226.CrossRefGoogle Scholar
Fleming, J. E. & Offord, D. R. (1990). Epidemiology of childhood depressive disorders: A critical review. Journal of American Academic Child Adolescent Psychiatry 29, 571580.CrossRefGoogle ScholarPubMed
Frank, E., Prien, R., Jarrett, R. B., Keller, M. B., Kupfer, D. J., Lavori, P. W., Rush, A. J. & Weissman, M. M. (1991). Conceptualization and rationale for consensus definitions of terms in major depressive disorder: remission, recovery, relapse, and recurrence. Archives of General Psychology 48, 851855.CrossRefGoogle ScholarPubMed
Gershon, E. S., Hamovit, J., Guroff, J. J., Dibble, E., Leckman, J. F., Sceery, W., Targum, S. D., Nurnberger, J., Golden, L. R. & Bunney, W. E. (1982). A family study of schizoaffective, bipolar I, bipolar II, unipolar, and normal control probands. Archives of General Psychiatry 39, 11571173.CrossRefGoogle ScholarPubMed
Giles, D. E., Jarrett, R. B., Biggs, M. M., Guzick, D. S. & Rush, A. J. (1989). Clinical predictors of recurrence in depression. American Journal of Psychiatry 146, 764767.Google ScholarPubMed
Goodwin, D. W., Schulsinger, F., Knop, J., Mednick, s. & Guze, S. B. (1977). Psychopathology in adopted and nonadopted daughters of alcoholics. Archives of General Psychiatry 34, 10051009.CrossRefGoogle ScholarPubMed
Goodyear, I. M. (1990). Family relationships, life events and childhood psychopathology. Journal of Child Psychology and Psychiatry 31, 161192.CrossRefGoogle Scholar
Gotlib, I., Mount, J. H., Cordy, N. I. & Wahiffen, V. E. (1988). Depression and perceptions of early parenting: a longitudinal investigation. British Journal of Psychiatry 152, 2427.CrossRefGoogle ScholarPubMed
Guilkey, D. K. & Rindfuss, R. R. (1987). Logistic regression multivariate life tables. Sociological Methods and Research 16, 276300.CrossRefGoogle Scholar
Harrington, R., Fudge, H., Rutter, M., Pickle, A. & Hill, J. (1990). Adult outcomes of childhood and adolescent depression. Archives of General Psychiatry 47, 465473.CrossRefGoogle ScholarPubMed
Harris, T., Brown, G. W. & Bifulco, A. (1986). Loss of parent in childhood and adult psychiatric disorder: the role of lack of adequate parental care. Psychological Medicine 16, 641659.CrossRefGoogle ScholarPubMed
Harris, T., Brown, G. W. & Bifulco, A. (1987). Loss of parent in childhood and adult psychiatric disorder: the role of social class position and premarital pregnancy. Psychological Medicine 17, 163183.CrossRefGoogle ScholarPubMed
Harris, T., Brown, G. W. & Bifulco, A. (1990). Loss of parent in childhood and adult psychiatric disorder: a tentative overall model. Development and Psychopathology 2, 311328.CrossRefGoogle Scholar
Healy, J. M., Malley, J. E. & Stewart, A. J. (1990). Children and their fathers after parental separation. American Journal of Orthopsychiatry 60, 531543.CrossRefGoogle ScholarPubMed
Hess, R. D. & Camara, K. A. (1979). Post-divorce family relationships as mediating factors in the consequences of divorce for children. Journal of Social Issues 35, 7996.CrossRefGoogle Scholar
Holmes, S. J. & Robins, L. N. (1988). The role of parental disciplinary practices in the development of depression and alcoholism. Psychiatry 51, 2436.CrossRefGoogle ScholarPubMed
House, J. S., Kessler, R. C., Herzog, R., Mero, R. P., Kinney, A. M. & Breslow, M. J. (1990). Age, socioeconomic status, and health. The Milbank Quarterly 68, 383411.CrossRefGoogle ScholarPubMed
Kandel, D. B. & Davies, M. (1986). Adult sequelae of adolescent depressive symptoms. Archives of General Psychiatry 43, 255262.CrossRefGoogle ScholarPubMed
Kendler, K. S., Neale, M. C., Kessler, R. C., Heath, A. C. & Eaves, L. J. (1992). A population-based twin study of major depression in women: the impact of varying definitions of illness. Archives of General Psychiatry 49, 257266.CrossRefGoogle ScholarPubMed
Kessler, R. C., Kendler, K. S., Heath, A., Neale, M. C. & Eaves, L. J. (1992). Social support, depressed mood, and adjustment to stress: a genetic epidemiologic investigation. Journal of Personality & Social Psychology 62, 257272.CrossRefGoogle Scholar
Kolvin, I., Miller, F. J., Fleeting, M. & Kolvin, P. A. (1988). Social and parenting factors affecting criminal-offence rates: findings from the Newcastle Thousand Family Study (1947–1980). British Journal of Psychiatry 152, 8090.CrossRefGoogle ScholarPubMed
Kovacs, M. & Paulaukas, S. L. (1984). Developmental stage and the expression of depressive disorders in children: an empirical analysis. New Directions for Child Development 26, 5980.CrossRefGoogle Scholar
Lauer, R. H. & Lauer, J. C. (1991). The long-term relational consequences of problematic family backgrounds. Family Relations 40, 286290.CrossRefGoogle Scholar
Lavori, P. W., Keller, M. B. & Klerman, G. L. (1984). Relapse in affective disorders: a reanalysis of the literature using life table methods. Journal of Psychiatric Research 18, 1325.CrossRefGoogle ScholarPubMed
Lewinsohn, P. M. & Rosenbaum, M. (1987). Recall of parental behavior by acute depressives, remitted depressives, and non-depressives. Journal of Personality and Social Psychology 52, 611619.CrossRefGoogle Scholar
Lewinsohn, P. M., Hoberman, H. M. & Rosenbaum, M. (1988). A prospective study of risk factors for unipolar depression. Journal of Abnormal Psychology 97, 251264.CrossRefGoogle ScholarPubMed
Lipovsky, J. A., Saunders, B. E. & Murphy, S. M. (1989). Depression, anxiety, and behavior problems among victims of father–child sexual assault and nonabused siblings. Journal of Interpersonal Violence 4, 452468.CrossRefGoogle Scholar
Lloyd, C. (1980). Life events and depressive disorder reviewed. Archives of General Psychiatry 37, 529535.CrossRefGoogle ScholarPubMed
McLeod, J. (1991). Childhood parental loss and adult depression. Journal of Health and Social Behavior 35, 205220.CrossRefGoogle Scholar
McLeod, J. D., Turnbull, J. E., Kessler, R. C. & Abelson, J. M. (1990). Sources of discrepancy in the comparison of a lay-administered diagnostic instrument with clinical diagnosis. Psychiatry Research 31, 145159.CrossRefGoogle ScholarPubMed
McLeod, J. D., Kessler, R. C. & Landis, K. R. (1992). Speed of recovery from major depressive episodes in a community sample of married men and women. Journal of Abnormal Psychology 101, 277286.CrossRefGoogle Scholar
Maughan, B, Gray, G. & Rutter, M. (1985). Reading retardation and antisocial behavior: a follow-up into employment. Journal of Child Psychology and Psychiatry 26, 741758.CrossRefGoogle ScholarPubMed
Mechanic, D. & Hansell, S. (1989). Divorce, family conflict, and adolescent well-being. Journal of Health and Social Behavior 30, 105116.CrossRefGoogle Scholar
Mendlewicz, J. & Baron, M. (1981). Morbidity risks in subtypes of unipolar depressive illness: differences between early and late onset forms. British Journal of Psychiatry 139, 463466.CrossRefGoogle ScholarPubMed
Miller, D. & Jang, M. (1977). Children of alcoholics: a 20-year longitudinal study. Social Work Research and Abstracts 13, 2329.CrossRefGoogle Scholar
O'Connell, R. A. & Mayo, J. A. (1988). The role of social factors in affective disorders: a review. Hospital and Community Psychiatry 39, 842851.Google ScholarPubMed
Parker, G. (1984). The measurement of pathogenic parental style and its relevance to psychiatric disorder. Social Psychiatry 19, 7585.CrossRefGoogle ScholarPubMed
Parker, G. & Hadzi-Pavlovic, D. (1984). Modification of levels of depression in mother-bereaved women by parental and marital relationships. Psychological Medicine 14, 125135.CrossRefGoogle ScholarPubMed
Parker, G., Tupling, H. & Brown, L. B. (1979). A parental bonding instrument. British Journal of Medical Psychology 52, 110.CrossRefGoogle Scholar
Perris, H. (1983). Deprivation in childhood and life events in depression. Archives of Psychiatry and Neurological Sciences 233, 489498.Google ScholarPubMed
Peterson, J. L. & Zill, N. (1986). Marital disruption, parent–child relationships, and behavior problems in children. Journal of Marriage and the Family 48, 295307.CrossRefGoogle Scholar
Plantes, M. M., Prusoff, B. A., Brennan, J. & Parker, G. (1988). Parental representations of depressed outpatients from a U.S.A. sample. Journal of Affective Disorders 15, 149155.CrossRefGoogle ScholarPubMed
Quinton, D., Rutter, M. & Liddle, C. (1984). Institutional rearing, parenting difficulties and marital support. Psychological Medicine 14, 107124.CrossRefGoogle ScholarPubMed
Reinhertz, H. Z., Stewart-Berghauer, G., Pakiz, B., Frost, A. K., Moeykens, B. A. & Holmes, W. M. (1989). The relationship of early risk and current mediators to depressive symptomatology in adolescence. Journal of the American Academy of Child and Adolescent Psychiatry 28, 942947.CrossRefGoogle Scholar
Robins, L. N., Helzer, J. E., Croughhan, J. & Ratcliff, K. L. (1981). National Institute of Mental Health Diagnostic Interview Schedule: its history, characteristics and validity. Archives of General Psychiatry 38, 381389.CrossRefGoogle ScholarPubMed
Rutter, M. (1979). Maternal deprivation, 1972–1978: new findings, new concepts, new approaches. Child Development 50, 283305.CrossRefGoogle ScholarPubMed
Rutter, M. (1989). Pathways from childhood to adult life. Journal of Child Psychology and Psychiatry 30, 2351.CrossRefGoogle ScholarPubMed
Schlesselman, J. J. (1982). Case Control Studies: Design, Conduct, Analysis. Oxford University Press: New York.Google Scholar
Smeraldi, E., Gasperini, M., Macciardi, F., Bussoleni, C. & Morabito, A. (1982/1983). Factors affecting the distribution of age at onset in patients with affective disorders. Journal of Psychiatric Research 17, 309317.CrossRefGoogle ScholarPubMed
Sørenson, S. B.Rutter, C. M. & Aneshensel, C. S. (1991). Depression in the community: an investigation into age of onset. Journal of Consulting and Clinical Psychology 59, 541546.CrossRefGoogle ScholarPubMed
Sroufe, L. A. & Rutter, M. (1984). The domain of developmental psychopathology. Child Development 55, 1729.CrossRefGoogle ScholarPubMed
Tennant, C. (1988). Parental loss in childhood: its effect in adult life. Archives of General Psychiatry 45, 10451050.CrossRefGoogle ScholarPubMed
Tennant, C., Bebbington, P. & Hurry, J. (1982). Social experiences in childhood and adult psychiatric morbidity: a multiple regression analysis. Psychological Medicine 12, 321327.CrossRefGoogle ScholarPubMed
Testa, M., Miller, B. A., Downs, W. R. & Panek, D. (1990). Long-term effects of childhood victimization: the moderating impact of social support.Presented at the Annual Meeting of the American Society of Criminology in Baltimore,Maryland,7–10 November.Google Scholar
Turnbull, J. E., George, L. K., Landerman, R., Swartz, M. S. & Blazer, D. G. (1990). Social outcomes related to age of onset among psychiatric disorders. Journal of Consulting and Clinical Psychology 58, 832839.CrossRefGoogle ScholarPubMed
Weissman, M. M., Gershon, E. S., Kidd, K. K., Prusoff, B. A., Leckman, J. F., Dibble, E., Hamovit, J., Thompson, W. D., Pauls, D. L. & Guroff, J. J. (1984). Psychiatric disorders in the relatives of probands with affective disorders: the Yale–NIMH collaborative family study. Archives of General Psychiatry 41, 1321.CrossRefGoogle Scholar
Weissman, M. M., Gammon, G. D., John, K., Merikangas, K. R., Warner, V., Prusoff, B. A. & Scholomskas, D. (1987). Children of depressed parents: increased psychopathology and early onset of major depression. Archives of General Psychiatry 44, 847853.CrossRefGoogle ScholarPubMed
West, M. O. & Prinz, R. J. (1987). Parental alcoholism and childhood psychopathology. Psychological Bulletin 102, 204218.CrossRefGoogle ScholarPubMed
Zung, W. W., Richards, C. B. & Short, M. J. (1965). Self-rating depression scale in an outpatient clinic. Further validation of the SDS. Archives of General Psychiatry 13, 508515.CrossRefGoogle Scholar