Racial/Ethnic Differences in the Association of Childhood Adversities with Depression and the Role of Resilience

Abstract Background Adverse childhood experiences (ACE) including childhood abuse and trauma increase depressive symptoms. The role of resilience and how it interacts with both ACEs and the potential development of depressive symptoms, including how race and ethnicity moderate these effects, are muc...

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Bibliographic Details
Published in:Journal of affective disorders 2017-01, Vol.208, p.577-581
Main Authors: Youssef, Nagy A, Belew, Daniel, Hao, Guang, Wang, Xiaoling, Treiber, Frank A, Stefanek, Michael, Yassa, Mark, Boswell, Elizabeth, McCall, W. Vaughn, Su, Shaoyong
Format: Article
Language:English
Subjects:
Adult
Adult Survivors of Child Adverse Events - psychology
Adverse childhood experiences
Black or African American
Child
Child Abuse - ethnology
Child Abuse - psychology
Cross-Sectional Studies
Depression - ethnology
Depression - etiology
Depressive symptoms
Female
Humans
Male
Psychiatry
Race/ethnicity
Resilience
Surveys and Questionnaires
White People
Young Adult
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Summary:Abstract Background Adverse childhood experiences (ACE) including childhood abuse and trauma increase depressive symptoms. The role of resilience and how it interacts with both ACEs and the potential development of depressive symptoms, including how race and ethnicity moderate these effects, are much less studied. The aims of this study were to examine: 1) whether there is a dose-response relationship between trauma and depressive symptoms; 2) whether early trauma affected European Americans (EA) and African Americans (AA) in a similar fashion; and 3) whether resilience mitigates the effect of trauma. Methods The present study comprised a cross-sectional study of subjects from a longitudinal cohort. All subjects were 19 years or older with traumatic experiences prior to age 18. Subjects were assessed for depressive symptoms as well as resilience. Results In 413 subjects enrolled, ACEs were significantly associated with depression severity in a dose-response fashion (p
ISSN:0165-0327
1573-2517
DOI:10.1016/j.jad.2016.10.024