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15 - Trauma and Depression

Published online by Cambridge University Press:  05 June 2012

Kristin M. Penza
Affiliation:
Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, Georgia
Christine Heim
Affiliation:
Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, Georgia
Charles B. Nemeroff
Affiliation:
Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, Georgia
Corey L. M. Keyes
Affiliation:
Emory University, Atlanta
Sherryl H. Goodman
Affiliation:
Emory University, Atlanta
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Summary

Considerable evidence exists to suggest that traumatic events contribute toward vulnerability for major depression throughout the lifespan (Brown & Harris, 1993; Finlay-Jones & Brown, 1981; Kendler, Karkowski, & Prescott, 1999). However, the timing of the trauma may constitute an especially important variable in the development of long-term vulnerabilities toward depression and other psychiatric disorders including posttraumatic stress disorder (PTSD). Traumatic events occurring early in life appear to result in persistent alterations in neurobiological stress systems, increasing one's vulnerability to develop major depression. These early-life stress-induced changes include neuroendocrine, neurochemical, and neuroanatomical alterations. Increasing data derived from clinical and preclinical studies lend support to the view that these neurobiological changes associated with trauma experienced early in life occur after undue stress during particular critical developmental periods. These studies also support the important contribution of early-life traumas in the development of symptoms of depression and anxiety. In addition, this neurobiological vulnerability secondary to early-life trauma may permanently increase susceptibility to depression by rendering individuals more sensitive to stress throughout their adult life. Women are particularly vulnerable to depression; approximately twice as many women (12%) as men (7%) endure a depressive episode each year (Nolen-Hoeksema,; 1987). Lifetime risk of depression is also higher for women; 21% of women and 13% of men in the United States will experience an episode of major depression in their lifetime (Kessler et al., 1994). Higher exposure of women to early life trauma might contribute to this gender-related risk (Weiss, Longhurst, & Mazure, 1999).

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Women and Depression
A Handbook for the Social, Behavioral, and Biomedical Sciences
, pp. 360 - 381
Publisher: Cambridge University Press
Print publication year: 2006

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  • Trauma and Depression
    • By Kristin M. Penza, Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, Georgia, Christine Heim, Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, Georgia, Charles B. Nemeroff, Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, Georgia
  • Edited by Corey L. M. Keyes, Emory University, Atlanta, Sherryl H. Goodman, Emory University, Atlanta
  • Book: Women and Depression
  • Online publication: 05 June 2012
  • Chapter DOI: https://doi.org/10.1017/CBO9780511841262.017
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  • Trauma and Depression
    • By Kristin M. Penza, Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, Georgia, Christine Heim, Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, Georgia, Charles B. Nemeroff, Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, Georgia
  • Edited by Corey L. M. Keyes, Emory University, Atlanta, Sherryl H. Goodman, Emory University, Atlanta
  • Book: Women and Depression
  • Online publication: 05 June 2012
  • Chapter DOI: https://doi.org/10.1017/CBO9780511841262.017
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Trauma and Depression
    • By Kristin M. Penza, Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, Georgia, Christine Heim, Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, Georgia, Charles B. Nemeroff, Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, Georgia
  • Edited by Corey L. M. Keyes, Emory University, Atlanta, Sherryl H. Goodman, Emory University, Atlanta
  • Book: Women and Depression
  • Online publication: 05 June 2012
  • Chapter DOI: https://doi.org/10.1017/CBO9780511841262.017
Available formats
×