Evidence map›Paper›PMID 25393812›Full record

Trial reportPloS one2014

The scars of childhood adversity: minor stress sensitivity and depressive symptoms in remitted recurrently depressed adult patients.

Gemma Kok, Gerard van Rijsbergen, Huibert Burger, Hermien Elgersma, Heleen Riper, Pim Cuijpers, Jack Dekker, Filip Smit, Claudi Bockting

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Gemma KokDepartment of Clinical Psychology, University of Groningen, Groningen, The Netherlands.
Gerard van RijsbergenDepartment of Clinical Psychology, University of Groningen, Groningen, The Netherlands.
Huibert BurgerDepartment of General Practice, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands; Interdisciplinary Center for Psychiatric Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Hermien ElgersmaDepartment of Clinical Psychology, University of Groningen, Groningen, The Netherlands.
Heleen RiperDepartment of Clinical Psychology and EMGO + Institute for Health and Care Research, VU University and VU University Medical Centre, Amsterdam, the Netherlands; Leuphana University, Lüneburg, Germany.
Pim CuijpersDepartment of Clinical Psychology and EMGO + Institute for Health and Care Research, VU University and VU University Medical Centre, Amsterdam, the Netherlands; Leuphana University, Lüneburg, Germany.
Jack DekkerResearch Department, Arkin Mental Health Institute, Amsterdam, The Netherlands; Department of Clinical Psychology, VU University, Amsterdam, The Netherlands.
Filip SmitDepartment of Clinical Psychology and EMGO + Institute for Health and Care Research, VU University and VU University Medical Centre, Amsterdam, the Netherlands; Department of Epidemiology and Biostatistics, EMGO + Institute for Health and Care Research, VU University Medical Centre, Amsterdam, the Netherlands; Trimbos Institute (Netherlands Institute of Mental Health and Addiction), Utrecht, the Netherlands.
Claudi BocktingDepartment of Clinical Psychology, University of Groningen, Groningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildhood adversity may lead to depressive relapse through its long-lasting influence on stress sensitivity. In line with the stress sensitization hypothesis, minor (daily) stress is associated with depressive relapse. Therefore, we examine the impact of childhood adversity on daily stress and its predictive value on prospectively assessed depressive symptoms in recurrently depressed patients.

methodDaily stress was assessed in recurrently depressed adult patients, enrolled into two randomized trials while remitted. The reported intensity and frequency of dependent and independent daily stress was assessed at baseline. Independent stress is externally generated, for example an accident happening to a friend, while dependent stress is internally generated, for example getting into a fight with a neighbor. Hierarchical regression analyses were performed with childhood adversity, independent and dependent daily stress as predictor variables of prospectively measured depressive symptoms after three months of follow-up (n = 138).

resultsWe found that childhood adversity was not significantly associated with a higher frequency and intensity of daily stress. The intensity of both independent and dependent daily stress was predictive of depressive symptom levels at follow-up (unadjusted models respectively: B = 0.47, t = 2.05, p = 0.041, 95% CI = 0.02-0.92; B = 0.29, t = 2.20, p = 0.028, 95% CI = 0.03-0.55). No associations were found between childhood adversity and depressive symptoms at follow-up.

conclusionNo evidence was found supporting stress sensitization due to the experience of childhood adversity in this recurrently depressed but remitted patient group. Nevertheless, our research indicates that daily stress might be a target for preventive treatment.

trial registrationTrial A: Nederlands Trial Register NTR1907 Trial B: Nederlands Trial Register NTR2503.

Indexed as

Life Change EventsChild HealthDepressionFemaleHumansMajor Depressive DisorderMaleMiddle AgedStress, PsychologicalSurveys and Questionnaires

Identifiers

PMID25393812
PMCPMC4230942

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.