The role of early adversity and recent life stress in depression severity in an outpatient sample

作者: Dominic Vogt , Sandra Waeldin , Dirk Hellhammer , Gunther Meinlschmidt

DOI: 10.1016/J.JPSYCHIRES.2016.08.007

关键词: Clinical psychologyDepression (differential diagnoses)Injury preventionAnxietyInternal medicineMental healthPoison controlSuicide preventionMedicinePrenatal stressPeri

摘要: Pre-, peri-, and postnatal stress have frequently been reported to be associated with negative health outcomes during adult life. However, it is unclear, if these factors independently predict mental in adulthood. We estimated potential associations between reports of pre-, depression severity outpatients (N = 473) diagnosed depression, anxiety or somatoform disorders by their family physician. retrospectively assessed measured as well recent life using questionnaires. First, we was predicted peri- and/or multiple regression models. Second, compared pre- levels patient subgroups different degrees severity, performing multilevel linear modeling. Third, analyzed an association current mediated stress. found no perinatal (all p > 0.05). Higher higher (p < 0.001). Patients moderately severe patients none minimal, mild p < 0.05). Mediation analysis revealed a significant indirect effect via the In for anxiety, disorders, but neither nor This

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