Literature DB >> 19496077

Chronic and acute stress and the prediction of major depression in women.

Constance Hammen1, Eunice Y Kim, Nicole K Eberhart, Patricia A Brennan.   

Abstract

BACKGROUND: This study explored the relatively neglected role of chronic stress in major depression, examining the independent contributions of co-occurring chronic and acute stress to depression, whether chronic stress predicts acute life events, and whether the two types of stress interact such that greater chronic stress confers greater sensitivity-or resistance-to the depressive effects of acute stressors.
METHODS: From a sample of 816 community women, those who had a major depression onset in the past 9 months and those without major depressive episodes (MDE) onset and with no history of current or recent dysthymic disorder were compared on interview-based measures of antecedent acute and chronic stress. Chronic stress interviews rated objective stress in multiple everyday role domains, and acute stress was evaluated with contextual threat interviews.
RESULTS: MDE onset was significantly associated with both chronic and acute stress; chronic stress was also associated with the occurrence of acute events, and there was a trend suggesting that increased acute stress is more strongly associated with depression in those with high versus low chronic stress.
CONCLUSIONS: Results suggest the importance of including assessment of chronic stress in fully understanding the extent and mechanisms of stress-depression relationships. (c) 2009 Wiley-Liss, Inc.

Entities:  

Mesh:

Year:  2009        PMID: 19496077      PMCID: PMC3380803          DOI: 10.1002/da.20571

Source DB:  PubMed          Journal:  Depress Anxiety        ISSN: 1091-4269            Impact factor:   6.505


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