Stressful life events and depression symptoms: the effect of childhood emotional abuse on stress reactivity.

OBJECTIVE Stressful life events are associated with an increase in depressive symptoms and the onset of major depression. Importantly, research has shown that the role of stress changes over the course of depression. The present study extends the current literature by examining the effects of early life stress on emotional reactivity to current stressors. METHOD In a multiwave study (N = 281, mean age = 18.76; 68% female), we investigated the proximal changes that occur in depressive symptoms when individuals are faced with life stress and whether a history of childhood emotional abuse moderates this relationship. RESULTS Results support the stress sensitivity hypothesis for early emotional abuse history. Individuals with greater childhood emotional abuse severity experienced greater increases in depressive symptoms when confronted with current dependent stressors, controlling for childhood physical and sexual abuse. CONCLUSIONS This study highlights the importance of emotional abuse as an indicator for reactivity to stressful life events.

[1]  R. C. Fraley,et al.  Attachment and Loss , 2018 .

[2]  J. Garber,et al.  Predictors of the first onset of a major depressive episode and changes in depressive symptoms across adolescence: stress and negative cognitions. , 2011, Journal of abnormal psychology.

[3]  B. Penninx,et al.  Child abuse and negative explicit and automatic self-associations: the cognitive scars of emotional maltreatment. , 2010, Behaviour research and therapy.

[4]  B. Rothbaum,et al.  Differential responses to psychotherapy versus pharmacotherapy in patients with chronic forms of major depression and childhood trauma , 2003, Proceedings of the National Academy of Sciences of the United States of America.

[5]  M. Seligman,et al.  Predictors and consequences of childhood depressive symptoms: a 5-year longitudinal study. , 1992, Journal of abnormal psychology.

[6]  Satish Iyengar,et al.  Prevention of depression in at-risk adolescents: a randomized controlled trial. , 2009, JAMA.

[7]  B. Rothbaum,et al.  Early adversity in chronic depression: clinical correlates and response to pharmacotherapy , 2009, Depression and anxiety.

[8]  B. Hankin Childhood Maltreatment and Psychopathology: Prospective Tests of Attachment, Cognitive Vulnerability, and Stress as Mediating Processes , 2005, Cognitive Therapy and Research.

[9]  K. Harkness,et al.  Life stress, the "kindling" hypothesis, and the recurrence of depression: considerations from a life stress perspective. , 2005, Psychological review.

[10]  I. Gotlib,et al.  First onset versus recurrence of depression: differential processes of psychosocial risk. , 1999, Journal of abnormal psychology.

[11]  J. Endicott,et al.  A diagnostic interview: the schedule for affective disorders and schizophrenia. , 1978, Archives of general psychiatry.

[12]  A. Beck,et al.  Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation , 1988 .

[13]  P. Lavori,et al.  Multiple recurrences of major depressive disorder. , 2000, The American journal of psychiatry.

[14]  D. Cicchetti Neuroendocrine functioning in maltreated children , 2003 .

[15]  E. McDaniel Social Origins of Depression: A Study of Psychiatric Disorder in Women , 1980 .

[16]  G. W. Rever Attachment and Loss. Vol. 1. Attachment , 1972 .

[17]  K. Dobson,et al.  Cognitive therapy of depression: pretreatment patient predictors of outcome. , 2002, Clinical psychology review.

[18]  M. Stein,et al.  Relationship of childhood maltreatment to the onset and course of major depression in adulthood , 1999, Depression and anxiety.

[19]  L. Abramson,et al.  Developmental predictors of depressive cognitive style: Research and theory. , 1992 .

[20]  K. Kendler,et al.  Toward a Comprehensive Developmental Model for Major Depression in Women , 2002 .

[21]  C. Miller-Perrin,et al.  Family violence across the lifespan: An introduction, 2nd ed. , 2005 .

[22]  B. Buunk Subordination and defeat: An evolutionary approach to mood disorders and their therapy , 2000 .

[23]  Jacob Cohen,et al.  Applied multiple regression/correlation analysis for the behavioral sciences , 1979 .

[24]  M. Thase,et al.  The generation of life events in recurrent and non-recurrent depression , 1999, Psychological Medicine.

[25]  C. Mazure Life Stressors as Risk Factors in Depression , 1998 .

[26]  R. Post,et al.  Transduction of psychosocial stress into the neurobiology of recurrent affective disorder. , 1992, The American journal of psychiatry.

[27]  K. Harkness,et al.  The role of childhood abuse and neglect in the sensitization to stressful life events in adolescent depression. , 2006, Journal of abnormal psychology.

[28]  T. Martin,et al.  Association for the Advancement of Behavior Therapy , 2008 .

[29]  M. Kovács Cognitive therapy in depression. , 1980, The Journal of the American Academy of Psychoanalysis.

[30]  L. Abramson,et al.  Emotional maltreatment and depression: prospective prediction of depressive episodes , 2009, Depression and anxiety.

[31]  H. MacMillan,et al.  Child maltreatment and HPA axis dysregulation: relationship to major depressive disorder and post traumatic stress disorder in females , 2005, Psychoneuroendocrinology.

[32]  Martin E. P. Seligman,et al.  The attributional Style Questionnaire , 1982, Cognitive Therapy and Research.

[33]  Brandon E. Gibb,et al.  Role of Parenting and Maltreatment Histories in Unipolar and Bipolar Mood Disorders: Mediation by Cognitive Vulnerability to Depression , 2006, Clinical child and family psychology review.

[34]  R. Bonsall,et al.  Pituitary-adrenal and autonomic responses to stress in women after sexual and physical abuse in childhood. , 2000, JAMA.

[35]  L. Abramson,et al.  Negative cognitive style as a predictor of negative life events in depression-prone individuals: a test of the stress generation hypothesis. , 2007, Journal of affective disorders.

[36]  J. Abela,et al.  Dysfunctional attitudes, self-esteem, and hassles: cognitive vulnerability to depression in children of affectively ill parents. , 2007, Behaviour research and therapy.

[37]  L Sloman,et al.  Evolved mechanisms in depression: the role and interaction of attachment and social rank in depression. , 2003, Journal of affective disorders.

[38]  C. Hammen,et al.  Depression and sensitization to stressors among young women as a function of childhood adversity. , 2000, Journal of consulting and clinical psychology.

[39]  A. V. D. Does,et al.  Serotonin transporter gene, childhood emotional abuse and cognitive vulnerability to depression , 2010, Genes, brain, and behavior.

[40]  I. Gotlib,et al.  Psychopathology and early experience: a reappraisal of retrospective reports. , 1993, Psychological bulletin.

[41]  K. Kendler,et al.  Childhood sexual abuse, stressful life events and risk for major depression in women , 2004, Psychological Medicine.

[42]  L. Abramson,et al.  Prospective incidence of first onsets and recurrences of depression in individuals at high and low cognitive risk for depression. , 2006, Journal of abnormal psychology.

[43]  D. Klein,et al.  A growth curve analysis of the course of dysthymic disorder: the effects of chronic stress and moderation by adverse parent-child relationships and family history. , 2004, Journal of consulting and clinical psychology.

[44]  Patrick J Curran,et al.  Implications of latent trajectory models for the study of developmental psychopathology , 2003, Development and Psychopathology.

[45]  C. Hammen,et al.  Early childhood adversity and adolescent depression: the mediating role of continued stress , 2008, Psychological Medicine.

[46]  K. Gunthert,et al.  Affective Reactivity to Daily Interpersonal Stressors as a Prospective Predictor of Depressive Symptoms , 2004 .

[47]  L. Abramson,et al.  History of Childhood Maltreatment, Negative Cognitive Styles, and Episodes of Depression in Adulthood , 2001, Cognitive Therapy and Research.

[48]  C. Judd,et al.  Statistical difficulties of detecting interactions and moderator effects. , 1993, Psychological bulletin.

[49]  S. Kaplan,et al.  Child and adolescent abuse and neglect research: a review of the past 10 years. Part I: Physical and emotional abuse and neglect. , 1999, Journal of the American Academy of Child and Adolescent Psychiatry.

[50]  D. Finkelhor,et al.  Poly-victimization: a neglected component in child victimization. , 2007, Child abuse & neglect.

[51]  S. Monroe,et al.  Life Stress and Major Depression , 2009 .

[52]  L. Abramson,et al.  The Temple-Wisconsin Cognitive Vulnerability to Depression Project: lifetime history of axis I psychopathology in individuals at high and low cognitive risk for depression. , 2000 .

[53]  M. Brassard,et al.  Psychological maltreatment of children and youth , 1987 .

[54]  M Y Wong,et al.  Childhood abuse and lifetime psychopathology in a community sample. , 2001, The American journal of psychiatry.

[55]  C. Hammen,et al.  Interpersonal Style, Stress, and Depression: An Examination of Transactional and Diathesis-Stress Models. , 2010, Journal of social and clinical psychology.

[56]  A. Bifulco,et al.  Memories of childhood neglect and abuse: corroboration in a series of sisters. , 1997, Journal of child psychology and psychiatry, and allied disciplines.

[57]  A. Simons,et al.  Diathesis-stress theories in the context of life stress research: implications for the depressive disorders. , 1991, Psychological bulletin.

[58]  Joanne Davila,et al.  The relationship between stress and depression in first onsets versus recurrences: a meta-analytic review. , 2008, Journal of abnormal psychology.

[59]  C. Hammen Stress and depression. , 2005, Annual review of clinical psychology.

[60]  Anthony S. Bryk,et al.  Hierarchical Linear Models: Applications and Data Analysis Methods , 1992 .