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Danger and loss events and the incidence of anxiety and depressive disorders: a prospective-longitudinal community study of adolescents and young adults

Published online by Cambridge University Press:  05 June 2014

E. Asselmann ,
H.-U. Wittchen ,
R. Lieb ,
M. Höfler  and
K. Beesdo-Baum
E. Asselmann*
Affiliation:
Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Germany Behavioral Epidemiology, Technische Universität Dresden, Germany
H.-U. Wittchen
Affiliation:
Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Germany Max Planck Institute of Psychiatry, Munich, Germany
R. Lieb
Affiliation:
Max Planck Institute of Psychiatry, Munich, Germany Department of Psychology, Division of Clinical Psychology and Epidemiology, University of Basel, Switzerland
M. Höfler
Affiliation:
Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Germany
K. Beesdo-Baum
Affiliation:
Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Germany Behavioral Epidemiology, Technische Universität Dresden, Germany
*
*Address for correspondence: E. Asselmann, Dipl.-Psych., Institute of Clinical Psychology and Psychotherapy, Behavioral Epidemiology, Technische Universität Dresden, Chemnitzer Str. 45, 01187 Dresden, Germany. (Email: eva.asselmann@tu-dresden.de)
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Abstract

Background

There are inconclusive findings regarding whether danger and loss events differentially predict the onset of anxiety and depression.

Method

A community sample of adolescents and young adults (n = 2304, age 14–24 years at baseline) was prospectively followed up in up to four assessments over 10 years. Incident anxiety and depressive disorders were assessed at each wave using the DSM-IV/M-CIDI. Life events (including danger, loss and respectively mixed events) were assessed at baseline using the Munich Event List (MEL). Logistic regressions were used to reveal associations between event types at baseline and incident disorders at follow-up.

Results

Loss events merely predicted incident ‘pure’ depression [odds ratio (OR) 2.4 per standard deviation, 95% confidence interval (CI) 1.5–3.9, p < 0.001] whereas danger events predicted incident ‘pure’ anxiety (OR 2.3, 95% CI 1.1–4.6, p = 0.023) and ‘pure’ depression (OR 2.5, 95% CI 1.7–3.5, p < 0.001). Mixed events predicted incident ‘pure’ anxiety (OR 2.9, 95% CI 1.5–5.7, p = 0.002), ‘pure’ depression (OR 2.4, 95% CI 1.6–3.4, p < 0.001) and their co-morbidity (OR 3.6, 95% CI 1.8–7.0, p < 0.001).

Conclusions

Our results provide further evidence for differential effects of danger, loss and respectively mixed events on incident anxiety, depression and their co-morbidity. Since most loss events referred to death/separation from significant others, particularly interpersonal loss appears to be highly specific in predicting depression.

Keywords

Anxietydangerdepressionepidemiologylossprospective-longitudinalpsychopathologystressful life events
Type
Original Articles
Information
Psychological Medicine , Volume 45 , Issue 1 , January 2015 , pp. 153 - 163
Copyright
Copyright © Cambridge University Press 2014 

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