title: Developmental and contextual factors in the role of severe childhood trauma in geriatric depression: the sample case of former indentured child laborers.
abstract: The purpose of this study was to quantify the association between childhood traumatic experiences and geriatric depression (GDS) in a population of elderly who were exposed to severe childhood trauma. We aimed to identify the role of childhood maltreatment exposure in geriatric depression and the developmental and contextual factors that exacerbate this relationship. We interviewed 141 former indentured child laborers (58 females) about their experiences as children and their current depressive symptoms (Mage=77, SD=6.8). Participants provided their age, the year they were first indentured, duration indentured, current physical health, completed the Childhood Trauma Questionnaire (CTQ) and the Geriatric Depression Scale (GDS). Child maltreatment, specifically emotional abuse, was strongly associated with geriatric depression symptoms. These effects were specific to individuals who were removed from their biological families between the ages of 3 and 9 years, and for children who were indentured for 6-12 years. Finally, depression partially mediated the association between medical conditions and daily health impairment, but not for individuals "at risk" for depression by virtue of their maltreatment experiences. This study was conducted with a specific subpopulation of elderly and therefore may not generalize to all geriatric depression, nor to all generations or populations with exposure to childhood adversity. This study demonstrates the importance of using a developmental framework to understand how childhood maltreatment facilitates increased risk for the development of depression in late life.
authors.affiliation: University of Michigan, Department of Psychology, USA; International Max Planck Research School: Life Course, Berlin, Germany.
authors.forename: Kate Ryan
authors.initials: KR
authors.lastname: Kuhlman
authors.forename: Andreas
authors.initials: A
authors.lastname: Maercker
authors.forename: Rahel
authors.initials: R
authors.lastname: Bachem
authors.forename: Keti
authors.initials: K
authors.lastname: Simmen
authors.forename: Andrea
authors.initials: A
authors.lastname: Burri
mesh_terms: D000293:Adolescent; D054523:Adult Survivors of Child Abuse / Q000523:psychology*; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002649:Child Abuse / Q000523:psychology*; D002675:Child, Preschool; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology*; D004651:Employment / Q000523:psychology*; D015577:Geriatric Assessment; D006801:Humans; D036301:Qualitative Research; D013557:Switzerland / Q000453:epidemiology; D015599:Trauma Severity Indices
keywords: Childhood maltreatment; Developmental psychopathology; Geriatric depression; Verdingkinder