Evidence map›Paper›PMID 40071369›Full record

ArticleActas espanolas de psiquiatria2025

Stressful Life Events and Neuroticism among Chinese Women with Recurrent Major Depressive Disorder.

Fengfeng Chu, Chu Wang, Shufei Tao, Jingfang Gao, Xiangzhen Zhu, Danhong Tao, Bijun Chen, Ming Tao

Abstract read
In one paragraph

Article in Actas espanolas de psiquiatria, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Fengfeng ChuThe Second School of Clinical Medicine, Zhejiang Chinese Medical University, 310053 Hangzhou, Zhejiang, China.
Chu WangThe Second School of Clinical Medicine, Zhejiang Chinese Medical University, 310053 Hangzhou, Zhejiang, China.
Shufei TaoDepartment of Family Medicine, University of Virginia Medical Center, Charlottesville, VA 22903, USA.
Jingfang GaoPsychiatry Department, The First Affiliated Hospital of Zhejiang Chinese Medical University, 310003 Hangzhou, Zhejiang, China.
Xiangzhen ZhuPsychiatry Department, The First Affiliated Hospital of Zhejiang Chinese Medical University, 310003 Hangzhou, Zhejiang, China.
Danhong TaoClinical Psychology Department, The Second Affiliated Hospital of Zhejiang Chinese Medical University, 310005 Hangzhou, Zhejiang, China.
Bijun ChenAffiliated Mental Health Centre & Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, 310013 Hangzhou, Zhejiang, China.
Ming TaoThe Second School of Clinical Medicine, Zhejiang Chinese Medical University, 310053 Hangzhou, Zhejiang, China; Clinical Psychology Department, The Second Affiliated Hospital of Zhejiang Chinese Medical University, 310005 Hangzhou, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDepression is associated with a high incidence of stressful life events (SLEs) and neuroticism. However, the impact of SLEs and neuroticism on the recurrence of major depressive disorder (MDD) remains unclear. Therefore, we aimed to identify the potential causal relationship between SLEs, neuroticism, and depression recurrence.

methodsThis study included 5561 female patients with recurrent MDD (ages 30-60) and 4257 healthy volunteers (ages 40-60) from the China, Oxford, and Virginia Commonwealth University Experimental Research on Genetic Epidemiology (CONVERGE) study. We compared the female patients with recurrent MDD to a gender and age-matched group of healthy volunteers. Odds ratios (ORs) were calculated using logistic regression analysis to assess the impact of SLEs on depression onset. Furthermore, we employed bootstrapping sampling procedures to explore the mediating role of neuroticism between SLEs and the number of depressive episodes.

resultsSLEs contributed to the occurrence of major depression, with rape (OR = 19.14, p = 0.004), serious neglect (OR = 3.65, p < 0.001), legal problems (OR = 2.51, p < 0.001), and divorce or relationship breakup (OR = 2.14, p < 0.001) being significantly associated with the onset of MDD. Following MDD onset, certain SLEs, such as the death of a family member (Z = 3.64, p < 0.001), unemployment (Z = 5.63, p < 0.001), job termination (Z = 6.43, p < 0.001), and financial crisis (Z = 5.53, p < 0.001), led to a significant increase in the number of depressive episodes. Furthermore, mediation analysis demonstrated that events such as divorce or relationship breakup (p < 0.05), rape (p < 0.05), financial crisis (p < 0.05), and physical abuse (p < 0.05) indirectly affected the number of depressive episodes through neuroticism.

conclusionsOur study demonstrates that SLEs in different categories have different effects on the onset and recurrence of MDD, and their effects regarding personal maltreatment, interpersonal relationship, and finance on the recurrence of depression are mediated by neuroticism.

Indexed as

Life Change EventsMajor Depressive DisorderNeuroticismStress, PsychologicalAdultCase-Control StudiesChinaEast Asian PeopleFemaleHumansMiddle AgedRecurrence

Identifiers

PMID40071369
PMCPMC11898265

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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.