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@ARTICLE{Streit:289132,
author = {F. Streit and M. P. Völker and J. Klinger-König and L.
Zillich and J. Frank and I. Reinhard and J. C. Foo and S. H.
Witt and L. Sirignano and H. Becher and N. Obi and O. Riedel
and S. Do and S. Castell and M. J. Hassenstein and A. Karch
and A. Stang and B. Schmidt and T. Schikowski and A.
Stahl-Pehe and H. Brenner$^*$ and L. Perna and K. H.
Greiser$^*$ and R. Kaaks$^*$ and K. B. Michels and C.-W.
Franzke and A. Peters and B. Fischer and J. Konzok and R.
Mikolajczyk and A. Führer and T. Keil and J. Fricke and S.
N. Willich and T. Pischon and H. Völzke and C.
Meinke-Franze and M. Loeffler and K. Wirkner and K. Berger
and H. J. Grabe and M. Rietschel},
title = {{T}he interplay of family history of depression and early
trauma: associations with lifetime and current depression in
the {G}erman national cohort ({NAKO}).},
journal = {Frontiers in epidemiology},
volume = {3},
issn = {2674-1199},
address = {Lausanne},
publisher = {Frontiers Media},
reportid = {DKFZ-2024-00599},
pages = {1099235},
year = {2023},
abstract = {Family history of depression and childhood maltreatment are
established risk factors for depression. However, how these
factors are interrelated and jointly influence depression
risk is not well understood. The present study investigated
(i) if childhood maltreatment is associated with a family
history of depression (ii) if family history and childhood
maltreatment are associated with increased lifetime and
current depression, and whether both factors interact beyond
their main effects, and (iii) if family history affects
lifetime and current depression via childhood
maltreatment.Analyses were based on a subgroup of the first
100,000 participants of the German National Cohort (NAKO),
with complete information (58,703 participants, mean age =
51.2 years, $53\%$ female). Parental family history of
depression was assessed via self-report, childhood
maltreatment with the Childhood Trauma Screener (CTS),
lifetime depression with self-reported physician's diagnosis
and the Mini-International Neuropsychiatric Interview
(MINI), and current depressive symptoms with the depression
scale of the Patient Health Questionnaire (PHQ-9).
Generalized linear models were used to test main and
interaction effects. Mediation was tested using causal
mediation analyses.Higher frequencies of the childhood
maltreatment measures were found in subjects reporting a
positive family history of depression. Family history and
childhood maltreatment were independently associated with
increased depression. No statistical interactions of family
history and childhood maltreatment were found for the
lifetime depression measures. For current depressive
symptoms (PHQ-9 sum score), an interaction was found, with
stronger associations of childhood maltreatment and
depression in subjects with a positive family history.
Childhood maltreatment was estimated to mediate $7\%-12\%$
of the effect of family history on depression, with higher
mediated proportions in subjects whose parents had a
depression onset below 40 years. Abuse showed stronger
associations with family history and depression, and higher
mediated proportions of family history effects on depression
than neglect.The present study confirms the association of
childhood maltreatment and family history with depression in
a large population-based cohort. While analyses provide
little evidence for the joint effects of both risk factors
on depression beyond their individual effects, results are
consistent with family history affecting depression via
childhood maltreatment to a small extent.},
keywords = {abuse (Other) / childhood trauma (Other) / depression
(Other) / family history (Other) / genetics (Other) /
maltreatment (Other) / neglect (Other)},
cin = {C070 / C020},
ddc = {610},
cid = {I:(DE-He78)C070-20160331 / I:(DE-He78)C020-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:38523800},
pmc = {pmc:PMC10959537},
doi = {10.3389/fepid.2023.1099235},
url = {https://inrepo02.dkfz.de/record/289132},
}