Life adversity in depressed and non-depressed older adults: A cross-sectional comparison of the brief LTE-Q questionnaire and life events and difficulties interview as part of the CASPER study

Journal of Affective Disorders
Hjördis M DonoghueSimon Gilbody

Abstract

There is a paucity of research on the nature of life adversity in depressed and non-depressed older adults. Early life events work used in-depth interviews; however, larger epidemiological trials investigate life adversity using brief questionnaires. This study investigates the type of life adversity experienced in later life and its association with depression and compares adversity captured using a brief (LTE-Q) and in-depth (LEDS) measure. 960 participants over 65 years were recruited in UK primary care to complete the PHQ-9 and LTE-Q. A sub-sample (n=19) completed the LEDS and a question exploring the subjective experience of the LTE-Q and LEDS. Important life adversity was reported on the LTE-Q in 48% of the sample. In the LTE-Q sample the prevalence of depression (PHQ-9≥10) was 12%. Exposure to recent adversity was associated with doubling of the odds of depression. The LTE-Q only captured a proportion of adversity measured by the LEDS (42% vs 84%). Both measures showed health, bereavement and relationship events were most common. The cross-sectional design limits the extent to which inferences can be drawn around the direction of causality between adversity and depression. Recall in older adults is questionable. UK older...Continue Reading

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Citations

Aug 6, 2017·Behavior Research Methods·Dale J CohenMadeline R White
Apr 14, 2019·The British Journal of Clinical Psychology·Antonia BifulcoHelen L Fisher
Oct 16, 2019·Frontiers in Psychology·Cristina Díaz-PrietoAlejandro Canedo-García
Jan 12, 2021·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·M Colleen BrandMarlene Walden

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