Title
Childhood maltreatment preceding depressive disorder at age 18 years: A prospective Brazilian birth cohort study
Date Issued
01 August 2017
Access level
open access
Resource Type
journal article
Author(s)
Gallo E.A.G.
Wehrmeister F.
Gonçalves H.
Kieling C.
Murray J.
Universidade Federal de Pelotas
Publisher(s)
Elsevier B.V.
Abstract
Background Childhood maltreatment is linked with increased risk for mental illness in adolescence and adulthood. However, little evidence is available on whether different forms of maltreatment have specific effects, and no prospective studies in low- or middle-income countries have addressed this issue. Methods Participants in a population-based, birth cohort study in Pelotas, Brazil (N=3715) self-reported exposure to maltreatment (emotional abuse, physical neglect, physical abuse, sexual abuse, domestic violence) in confidential questionnaires at age 15 years, and were assessed for major depression in interviews at age 18 years, using the MINI. Confounding variables concerning family characteristics were measured in interviews with mothers in the perinatal period and at age 11 years. Results Females exposed to emotional abuse (OR=2.7; 95%CI=1.9, 3.8) and domestic violence (OR=1.9; 95%CI=1.2, 2.9) were at increased risk for depression after adjustment for confounders and other types of maltreatment. Females exposed to two or more forms of maltreatment were at particularly high risk for depression (OR=4.1; 95%Cl=2.8, 6.1) compared with females not exposed to maltreatment. In adjusted analyses, maltreatment was not associated with depression for males. Limitations Detailed information about maltreatment such as timing and frequency was not available, and 1534 individuals were not included in the analyses, who had poorer and less educated mothers. Conclusions Emotional abuse and domestic violence are strong risk factors for major depression for females. Early intervention to prevent maltreatment and its consequences is critical, especially for girls exposed to poly-maltreatment.
Start page
218
End page
224
Volume
217
Language
English
OCDE Knowledge area
Temas sociales Psicología (incluye terapias de aprendizaje, habla, visual y otras discapacidades físicas y mentales)
Scopus EID
2-s2.0-85017499740
PubMed ID
Source
Journal of Affective Disorders
ISSN of the container
01650327
Sponsor(s)
This article is based on data from the study “Pelotas Birth Cohort, 1993” conducted by Postgraduate Program in Epidemiology at Universidade Federal de Pelotas with the collaboration of the Brazilian Public Health Association (ABRASCO). From 2004 to 2013, the Wellcome Trust supported the 1993 birth cohort study. The European Union, National Support Program for Centers of Excellence (PRONEX), the Brazilian National Research Council (CNPq), and the Brazilian Ministry of Health supported previous phases of the study. Dr. Kieling has received support from Brazilian governmental research funding agencies Conselho Nacional de Desenvolvimento Científico e Tecnológico [CNPq] #307066/2015-0 and #445828/2014-5, Coordenação de Aperfeiçoamento de Pessoal de Nível Superior [CAPES] #64/2014, and Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul [Fapergs] #09/2012.
Sources of information: Directorio de Producción Científica Scopus