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THE ASSOCIATION OF POOR ECONOMIC CONDITION AND FAMILY RELATIONS IN CHILDHOOD WITH LATE-LIFE DEPRESSION

Roza Krsteska ; Centre for Geriatric Psychiatry, Psychiatric Hospital “Skopje”, Skopje, R. Macedonia
Vesna Gerazova Pejoska ; Psychiatric Clinic, Faculty of Medicine, University of Skopje, R. Macedonia

Sažetak

Background: Late-life depression encompasses both patients with late-life onset of depression (>60 years) and older adults with
a prior and current history of depression. The aim of the study was to analyze the impact of the economic condition and family
relations in childhood as risk factors for late-life depression.
Subjects and methods: This was an analytical cross-sectional study comprising 120 subjects, 60 patients with unipolar
depression and 60 subjects without depressive disorders, diagnosed in accordance with the 10-th International Classification of
Mental and Behavioural Disorders. All participants in the study were above the age of 60 and there was no significant statistical
difference in the sex proportion in both groups (p>0.05). Data for the examination were taken from a self-reported questionnaire
designed for our aim. The Geriatric Depression Scale was used to measure depressive symptoms.
Results: Our results have shown that severe financial difficulties are important events in childhood and are risk factors for
depression in the elderly (Chi-square=12.68, df=2, p=0.0018). Our investigation has found the association of family relations with
late-life depression. In fact, conflictual relations in the family were more common in the experimental group than in the control
group (Chi-square=14.32, df=3, p=0.0025). Furthermore, father’s addiction to alcohol in childhood was associated with depression
in later life (p=0.013). The difference in childhood emotional neglect and unequal treatment between siblings in both groups was
insufficient to be confirmed statistically, but the examinees with this trauma had a threefold higher chance of having depression later
in life (Odds ratio=3.04, 95% CL0.92 < OR<10.65; Yates chi-square=3.2, df=1, p=0.07). Subjects who have estimated their mother
(p=0.019) or father (p=0.046) having negative personal character traits had a significantly greater risk for development of late-life
depression.
Conclusions: Negative socio-economic circumstances as well as family conflicts during childhood are associated with late-life
depression. Father's addiction to alcohol and parents’ negative personal character traits are associated with depression in the
elderly.

Ključne riječi

late-life depression - older adults - risk factors - family relations - psychosocial risk factors

Hrčak ID:

161196

URI

https://hrcak.srce.hr/161196

Datum izdavanja:

17.9.2013.

Posjeta: 908 *