B3287 - Relationship between timing of puberty depressive symptoms and depression from adolescence to adulthood - 15/04/2019

B number: 
B3287
Principal applicant name: 
Carol Joinson | Population Health Sciences, Bristol Medical School
Co-applicants: 
Dr Abigail Fraser, Dr Jon Heron, Population Health Sciences, Bristol Medical School
Title of project: 
Relationship between timing of puberty, depressive symptoms and depression from adolescence to adulthood
Proposal summary: 

The transition into puberty is a critical developmental period associated with profound biological and psychosocial changes. During early adolescence there is a dramatic rise in depressive symptoms in girls compared with boys. By the mid-teens, girls are twice as likely to experience depression than boys, and this gender difference persists through adult life. Adolescence is, therefore, the key developmental period for the female rise in depression. The timing of the pubertal transition is of interest because early puberty in girls has been linked to a range of adverse outcomes in psychological, social, sexual and educational domains. Girls who mature earlier than their peers face a cascade of psychosocial challenges that may be inconsistent with their level of cognitive and emotional development. This may lead to feelings of isolation and increased vulnerability to depression. It is still unclear, however, whether adverse outcomes associated with early puberty translate into longer-term negative consequences for mental health in young women. Timing of puberty could also be important in determining risk for depressive symptoms/depression in boys, but findings are inconsistent and more research is needed. Few studies have examined mechanisms through which timing of puberty affects risk for depressive symptoms/depression. Psychosocial theories propose that individual and social factors explain more of the variance in adolescent depression than hormones alone.

Impact of research: 
The research findings have the potential to improve identification of young people who are at risk of developing depressive symptoms and depression. In particular, the research will lead to improved understanding about the role of puberty in determining risk for depression and potentially modifiable mechanisms that underlie this link. This evidence could help to inform the development of interventions and school based programmes to reduce the risk of depression in young people. Interventions could be tailored to the distinct needs of young people at different stages of pubertal maturation, increasing the possibility of delivering services to young people who are most likely to benefit.
Date proposal received: 
Friday, 5 April, 2019
Date proposal approved: 
Friday, 5 April, 2019
Keywords: 
Epidemiology, Mental health, Statistical methods, Puberty