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SO175

The relationship between loneliness and childhood trauma in patients with late-life depression

THE RELATIONSHIP BETWEEN LONELINESS AND CHILDHOOD TRAUMA AMONG PATIENTS WITH LATE-LIFE DEPRESSION

Perceived loneliness in older adults with late-life depression was found to be associated with childhood trauma, particularly emotional abuse and emotional neglect.

The aim of this study was to examine the relationship between perceived loneliness and traumatic childhood experiences in patients with late-life depression, identify which trauma subtypes were more specifically associated with loneliness, and investigate whether family support moderated this relationship. This cross-sectional study included adults aged 60 years and older with a history of depressive disorder who were not in an acute episode; participants completed the Childhood Trauma Questionnaire (CTQ), the Geriatric Depression Scale (GDS), the UCLA Loneliness Scale (version 3), and the Chinese version of the Family APGAR scale (APGAR-C), which assesses family functioning. The 51 participants had a mean age of 68.7±6.2 years and a mean duration of education of 10.5±4.0 years; 82.4% were women. The poster reports a high prevalence of experiences captured by the neglect subscales, with 92.3% of participants reporting some degree of emotional neglect and 96.2% reporting some degree of physical neglect. After adjustment for potential confounding variables, loneliness scores were positively associated with total CTQ scores (ß = 0.45, p = 0.004). Among trauma subtypes, emotional abuse (ß = 0.28, p = 0.033) and emotional neglect (ß = 0.32, p = 0.047) were significantly associated with loneliness, whereas no significant associations were found for physical neglect, physical abuse, or sexual abuse (in the fully adjusted model, ß = 0.219, p = 0.069; ß = 0.156, p = 0.258; and ß = 0.012, p = 0.925, respectively). Although loneliness was negatively associated with APGAR-C scores, family support did not significantly moderate the relationship between childhood trauma and loneliness. In conclusion, the study recommends assessing traumatic childhood experiences, particularly emotional abuse and emotional neglect, in patients with late-life depression and planning appropriate interventions to reduce social isolation and loneliness.

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