Telomere Erosion and Depressive Symptoms Across Development Following Institutional Care

J Am Acad Child Adolesc Psychiatry. 2024 Mar;63(3):365-375. doi: 10.1016/j.jaac.2023.06.011. Epub 2023 Jun 23.

Abstract

Objective: A large literature has identified exposure to early caregiving adversities as a potent risk for developing affective psychopathology, with depression, in particular, increasing across childhood into adolescence. Evidence suggests telomere erosion, a marker of biological aging, may underlie associations between adverse early-life experiences and later depressive behavior; yet, little is understood about this association during development.

Method: The current accelerated longitudinal study examined concurrent telomere length and depressive symptoms concurrently, 2 and 4 years later, from the preschool period through adolescence among children exposed (n =116) and not exposed (n = 242) to early previous institutional (PI) care.

Results: PI care was associated with shorter telomeres on average and with quadratic age-related growth in depressive symptoms, indicating a steeper association between PI care and depressive symptoms in younger age groups that leveled off in adolescence. Contrary to studies in adult samples, telomere length was not associated with depressive symptoms, and it did not predict future symptoms.

Conclusion: These findings indicate that early caregiving disruptions increase the risk for both accelerated biological aging and depressive symptoms, although these variables did not correlate with each other during this age range.

Keywords: depression; development; early life adversity; longitudinal; telomeres.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Depression* / diagnosis
  • Depression* / genetics
  • Humans
  • Longitudinal Studies
  • Psychopathology
  • Telomere
  • Telomere Shortening*