B4425 - Menopause and depression assessing causation and identifying mechanisms - 10/10/2023

B number: 
B4425
Principal applicant name: 
Carol Joinson | Population Health Sciences, Bristol Medical School (UK)
Co-applicants: 
Ms Rochelle Knight, Prof Abigail Fraser, Dr Ana Goncalves Soares
Title of project: 
Menopause and depression: assessing causation and identifying mechanisms
Proposal summary: 

Despite the increasing media coverage concerning the impacts of the menopause on women’s mental health, this remains an under-researched area. Menopause affects quality of life, work, and relationships and is also a period of increased risk of depression. Depressive symptoms during menopause are often attributed to hormonal changes, but life stressors that coincide with the menopausal transition could also have a depressogenic effect. Earlier research, based mainly on cross-sectional data, has found that a later age at menopause and a longer reproductive period are associated with a lower risk of depression. This may reflect a greater lifetime exposure to oestrogen, which is thought to have an antidepressant effect in women. Limitations of previous studies include inadequate adjustment for confounders; lack of control for premenopausal depression, and failure to account for other factors affecting lifetime oestrogen exposure (e.g. oral contraceptives, breastfeeding, number of pregnancies) or hormone replacement therapy. Very few studies have sought to uncover the biopsychosocial mechanisms that might explain increased levels of depression during the menopausal transition. This project aims to advance understanding of women’s mental health during menopause by applying cutting edge causal inference methods.

Impact of research: 
This aim of this project is to advance understanding of women’s mental health during menopause by applying cutting edge causal inference methods, and potentially provide new insights into translational targets for interventions. This is a PhD project so research will aim to be published throughout the course of the PhD. Scripts and code will be published on Github to allow for public use. All scientific manuscripts generated from the research will be published on open-access platforms such as Wellcome Open Research or medRxiv. Presentations will be given throughout the PhD to disseminate findings to academic colleagues, at conferences and to the public.
Date proposal received: 
Friday, 29 September, 2023
Date proposal approved: 
Tuesday, 10 October, 2023
Keywords: 
Epidemiology, Mental health, Statistical methods, Mothers - maternal age, menopause, obstetrics