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Early life experience in elderly women with a history of depression: a pilot study using the Brief Parenting Interview

Published online by Cambridge University Press:  13 June 2014

Eleanor Mullan  and
Martin Orrell
Eleanor Mullan
Affiliation:
Richmond, Twickenham & Roehampton Healthcare NHS Trust, Barnes Hospital, South Worple Way, Barnes, SW14 8SU, England
Martin Orrell
Affiliation:
Department of Psychiatry, University College London Medical School, London WIN 8AA, England
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Abstract

Objective: The relationship between early adverse experience and psychological illness has been studied in younger adults, but not in the elderly. This study investigated early adverse experience in elderly women with a history of severe depression by using a semi-structured interview.

Method: Women admitted with a history of severe depression were identified and interviewed using the Brief Parenting Interview (BPI)(n=14).

Results: The majority of elderly women (71%) with a history of severe depression had suffered significant childhood trauma. Eight (57%) women reported parental loss, six (49%) reported tension or discord in the family home and one woman reported severe child sexual abuse. The majority of the women (87%) did not find the questionnaire distressing and all found it acceptable.

Conclusions: Considering the high prevalence of childhood trauma in this group and the problems treating severe depressive illness in the elderly, this area deserves further study. The BPI is well tolerated in elderly women with a history of depression.

Keywords

DepressionAgedIncestAbuseLoss
Type
Brief Reports
Information
Irish Journal of Psychological Medicine , Volume 13 , Issue 1 , March 1996 , pp. 18 - 20
Copyright
Copyright © Cambridge University Press 1996

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References

1.Katona, CLE. Depression in Old Age. London: Wiley, 1994.Google ScholarPubMed
2.Murphy, E. The prognosis of depression in old age. Br J Psychiatry 1983; 142: 111–9.CrossRefGoogle ScholarPubMed
3.Baldwin, RC, Jolley, DJ. The prognosis of depression in old age. Br J Psychiatry 1986; 149: 574–83.CrossRefGoogle ScholarPubMed
4.Georgotas, A, McCue, RE. Relapse of depressed patients after effective continuation therapy. J Affective Disord 1989; 17: 159–64.CrossRefGoogle ScholarPubMed
5.Freud, S. Mourning and Melancholia. In: Pelican Freud Library, Vol. 11 On Metapsychology. London: Pelican Books, 1984; 245–68.Google Scholar
6.Cahill, C, Llewelyn, SP, Pearson, C. Long-term effects of sexual abuse which occurred in childhood; a review. Br J Clin Psychol 1991; 30: 117–30.CrossRefGoogle ScholarPubMed
7.Bowlby, J. Attachment and loss: Vol.2. Separation: Anxiety and anger. Harmondsworth: Penguin, 1978.Google Scholar
8.Roy, A. Early parental separation and adult depression. Arch Gen Psychiatry 1985; 42: 987–91.CrossRefGoogle ScholarPubMed
9.Harris, T, Brown, GW. Bifulco, A. Loss of a parent in childhood and adult psychiatric disorder: the role of lack of adequate parental care. Psychol Med 1986; 16: 641–59.CrossRefGoogle ScholarPubMed
10.Andrews, B, Brown, GW, Creasey, L. Intergenerational links between psychiatric disorder in mothers and daughters: the role of parenting experiences. J Child Psychol Psychiatry 1990; 31 (7): 1115–29.CrossRefGoogle ScholarPubMed
11.Parker, G, Kiloh, L, Hayward, L. Parental representations of neurotic and endogenous depressives. J Affective Disord 1987; 13: 75–82.CrossRefGoogle ScholarPubMed
12.Andrews, B, Brown, GW. Social support, onset of depression and personality. An exploratory analysis. Soc Psychiatry Psychiatr epidemiology 1988; 23: 99–108.CrossRefGoogle ScholarPubMed
13.Murphy, E. Social origins of depression in old age. Br J Psychiatry 1982; 141: 135–42.CrossRefGoogle ScholarPubMed
14.Margo, GM, McLees, EM. Further evidence for the significance of a childhood abuse history in psychiatric in-patients. Compr Psychiatry 1991; 32; 4: 363–6.CrossRefGoogle Scholar
15.Hooper, PD. Psychological sequelae of sexual abuse in childhood. Br J Gen Pract 1990; 40: 29–31.Google ScholarPubMed
16.American Psychiatric Association. Diagnostic and Statistical Manual (3rd edn, revised). Washington DC: American Psychiatric Association, 1987.Google Scholar
17.Folstein, MF, Folstein, SE, McHugh, PR. ‘Mini Mental State’: A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12: 89–198.Google Scholar
18.Yesavage, JA, Brink, TL, Rose, TL, Lum, O. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 1983; 17: 37–49.CrossRefGoogle Scholar
19.Seligman, MEP. Helplessness. San Franciso: WH Freeman, 1975.Google ScholarPubMed
20.Patterson, TL, Smith, LW, Smith, TL, Yager, J, Grant, L. Symptoms of illness in late adulthood are related to childhood social deprivation and misfortune in men and not in women. J Behav Med 1992; 15; 2: 112–3.CrossRefGoogle Scholar
21.Brewin, CR, Andrews, B, Gotlib, IH. Psychopathology and early experience: a reappraisal of retrospective reports. Psychol Bull 1993; 113; 1: 1–17.CrossRefGoogle ScholarPubMed