Olumsuz Çocukluk Deneyimlerinin Yaşlılıkta Depresyon ve İnsomnia İle İlişkisi

Abstract

AbstractBackground: Adverse childhood experiences (ACEs) are potentially traumatic events that occurup to the age of 18 years, and include physical, psychological, sexual abuse and neglect. Suchtrauma often results in chronic stress which are linked to negative health outcomes across thelifespan. The aim of this study is to reveal the impact of ACE in older age.Methods: This was as a cross-sectional study. Data were collected from patients attending oneoutpatient geriatric clinic. Socio-demographic information on the patients age, gender, maritalstatus, living status, and education level was collected. Subsequently, a compherensive geriatricassessment (CGA) and ACE scale were conducted. The ACE scale consisted of 10 questions thatwere categorized as psychological, physical, and sexual sexual abuse, as well as neglect. Therelationship between detailed CGA parameters and ACE were analysed.Results: 319 (the mean age of 76.6 ± 7.2 years, and 76.1% female) older patients wereincluded. The prevalence of ACE was 41.4 %, with psychological ACE being the most commontype of ACE. Female gender, number of medication, the presence of insomnia, depression anddysphagia were higher in older patients who experienced at least one ACE than those withoutACE (p<0.05). The association between insomnia (OR 1.86, 95% CI 1.15-3.01; p <0.05) anddepression (OR 1.71, 95% Cl 1.04-2.82; p<0.05) with ACEpersisted in multivariate analyses.Conclusions: ACE was detected in approximately one in every two older adults and was 1.8times more likely to be associated with insomnia and 1.7 times more likely to be associated withdepression. Therefore, when evaluating an older patient experiencing insomnia and depression,ACE should also be evaluated, or insomnia and depression should also be questioned in an olderpatient experiencing ACE.