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The effects of adult depression on the recollection of adverse childhood experiences
Institution:1. Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy;2. Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa;3. Department of Statistics and Actuarial Sciences, University of Stellenbosch, Stellenbosch, South Africa;1. Department of Health Sciences, Hull York Medical School, University of York, York, United Kingdom;2. Clinical Centre of Excellence for Body, Mind and Health, GGz Breburg, Tilburg, The Netherlands;3. Tranzo Department, Tilburg University, Tilburg, The Netherlands;4. Department of Geriatric Psychiatry, GGz Breburg, Tilburg, The Netherlands;5. GGz Centraal, Almere, The Netherlands;1. The Irish Longitudinal Study on Ageing (TILDA), Lincoln Gate, Trinity College Dublin, Ireland;2. Department of Medical Gerontology, Trinity College Dublin, Ireland
Abstract:Adverse childhood experiences (ACEs) have been linked to numerous negative physical and mental health outcomes across the lifespan. As such, self-report questionnaires that assess for ACEs are increasingly used in healthcare settings. However, previous research has generated some concern over the reliability of retrospective reports of childhood adversity, and it has been proposed that symptoms of depression may increase recall of negative memories. To investigate the stability of ACE scores over time and whether they are influenced by symptoms of depression, we recruited 284 participants (M age = 40.96, SD = 16.05) from primary care clinics. Participants completed self-report measures of depression and ACEs twice, three months apart. The test-retest reliability of ACEs was very high (r = .91, p < .001). A cross-lagged panel analysis indicated that PHQ-9 scores at Time 1 were not predictive of changes in ACE scores at Time 2 (β = 0.00, p = .96). Results of this study indicate that changes in symptoms of depression do not correspond with changes in ACE scores among adults. This study provides support for the stability and reliability of ACE scores over time, regardless of depression status, and suggests that ACE measures are appropriate for use in healthcare settings.
Keywords:Adverse childhood experiences  Depression  Autobiographical memory  Test-retest reliability  Stability  Primary care
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