Adverse childhood experiences and 10-year depressive-symptoms trajectories among middle-aged and older adults in China: a population-based cohort study
2024

Impact of Childhood Experiences on Depression in Older Adults in China

Sample size: 17106 publication Evidence: high

Author Information

Author(s): Xu Jin, Han Guangxue, Xu Xiulian

Primary Institution: Shandong University

Hypothesis

How do adverse childhood experiences affect the trajectory of depressive symptoms in middle-aged and older adults in China?

Conclusion

The study found that older adults with more adverse childhood experiences are more likely to experience varying trajectories of depressive symptoms over a 10-year period.

Supporting Evidence

  • Older adults with more adverse childhood experiences have higher odds of experiencing depressive symptoms.
  • Five distinct trajectories of depressive symptoms were identified among the participants.
  • Participants with a history of childhood abuse were more likely to report higher depressive symptoms in adulthood.

Takeaway

If kids have tough times when they're young, they might feel sadder when they grow up. This study looked at how those tough times can change how sad people feel as they get older.

Methodology

The study used data from the China Health and Retirement Longitudinal Study (CHARLS) and employed group-based trajectory modeling to analyze depressive symptoms over five waves.

Potential Biases

Self-reported data may lead to biases in the accuracy of reported adverse childhood experiences and depressive symptoms.

Limitations

The data were self-reported, which may introduce recall and measurement biases, and the frequency and intensity of ACEs were not recorded.

Participant Demographics

Participants were middle-aged and older adults aged 45 and above, with a balanced gender distribution and varying educational levels.

Statistical Information

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3389/fpubh.2024.1455750

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