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Chronic stress and major depression.

N Breslau, G C Davis

Archives of General Psychiatry

|April 1, 1986

Summary

This summary is machine-generated.

Chronic stress in mothers of children with disabilities did not increase rates of major depressive disorder (MDD). However, it was linked to earlier onset and more lifetime episodes of MDD.

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Area of Science:

Psychiatry
Psychology
Epidemiology

Background:

Mothers of children with disabilities often experience chronic stress.
The relationship between chronic stress and major depressive disorder (MDD) requires further investigation.

Purpose of the Study:

To compare the rates and characteristics of DSM-III major depressive disorder (MDD) in mothers of children with disabilities versus a control group.
To examine the potential etiologic role of chronic stress in MDD.

Main Methods:

A comparative study involving mothers of children with disabilities (n=310) and a general population control sample (n=357).
Diagnostic Interview Schedule from the National Institute of Mental Health used for DSM-III MDD ascertainment.

Main Results:

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No significant difference in MDD rates between the chronic stress and control groups.
Mothers in the chronic stress group reported earlier age of onset and more lifetime episodes of MDD.
No differences in the symptomatology of the worst episode between the groups.

Conclusions:

Chronic stress does not appear to be an etiologic factor for MDD.
Chronic stress is not associated with a unique symptom profile or more severe MDD episodes.
Chronic stress may play a role in precipitating MDD episodes, but further research is needed.