Saturday, November 7, 2015

Long-Term Consequences of Pubertal Timing for Youth Depression: Identifying Personal & Contextual Pathways of Risk

This research explored sex differences in the pathways linking pubertal timing to depression across 4 years. A sample of 167 youth (M age = 12.41 years, SD = 1.19) and their caregivers completed measures of puberty and semistructured interviews of interpersonal stress and youth depression. Youth reported on psychological (negative self-focus, anxious arousal) and social–behavioral (coping) characteristics; parents reported on youths’ social–behavioral characteristics (withdrawal/social problems) and deviant peer affiliations. Early maturation predicted stable high trajectories of depression in girls; although early maturing boys showed low initial levels of depression, they did not differ from girls by the final wave of the study. Latent growth curve analyses identified several psychological, social–behavioral, and interpersonal pathways accounting for the contribution of pubertal timing to initial and enduring risk for depression in girls as well as emerging risk for depression in boys. These findings provide novel insight into multilevel processes accounting for sex differences in depression across the adolescent transition.

...Although the contribution of pubertal timing to depression is well established, research is limited by an overreliance on cross-sectional or two-wave longitudinal designs and failure to track within-individual change over time. These constraints raise three critical substantive questions: (a) Does off-time maturation generate temporary perturbations in depression during or shortly after onset of puberty (or lack of onset in late-maturing youth) or do adverse effects endure across adolescence? (b) If off-time maturation exerts both initial and long-term effects, are these effects similar? (c) Does puberty predict similar or different absolutelevels of depression in girls and boys? Tracking individual changes in depression over time, Part 1 of this study reveals that the consequences of early maturation for depression persist across 4 years and there are key sex-linked differences between the initial and long-term effects.

Consistent with the stage-termination hypothesis, early maturation predicted elevated initial depression (reflecting close to “moderate” symptoms, consistent with a diagnosis of minor depression) in girls. As reflected in a significant sex difference, the effect for boys was opposite in direction (albeit nonsignificant), and late-maturing boys showed significantly higher initial depression than did late-maturing girls. Examining trajectories over time, early maturation predicted stable high depression in girls and increasing depression in boys; early maturing girls and boys did not significantly differ by the end of the study. These findings indicate the need to consider not only patterns of change but also absolute levels of psychopathology over time. That is, early maturation created an early and stable risk in girls. In contrast, this timing somewhat favored boys initially but posed a risk over time; late-maturing boys ultimately showed the lowest level of depression (close to none) overall.

These results confirm the differing significance of off-time development for initial versus emerging depression in boys, demonstrating the importance of tracking symptoms within individuals over time. Some of the desirable aspects of puberty may provide a brief psychological and social boost to boys when they first appear but perhaps are overcome by longer term adverse effects that trigger depression over time (). Our results for girls generally are consistent with prior research. In this study, trajectories were high and stable over time; in others, early maturing girls showed increasing (; ) or curvilinear (increasing and then slightly decreasing; ; ) trajectories over time. The precise nature of the trajectories likely depends on the age range and length of follow-up. However, studies converge on the conclusion that (a) early maturing girls face the highest risk for depression early in adolescence and (b) this effect persists for at least several years. In sum, both early maturing girls and boys show distinct risks for depression across adolescence, leaving open the question of the processes through which this risk emerges...

Full article at: http://goo.gl/LW4MXY

aUniversity of Illinois, Urbana–Champaign
bNorth Dakota State University
cGeorge Washington University
dUniversity of California, Riverside
aUniversity of Illinois, Urbana–Champaign
bNorth Dakota State University
cGeorge Washington University
dUniversity of California, Riverside
Address correspondence and reprint requests to: Karen D. Rudolph, Department of Psychology, University of Illinois, 617 Psychology Building, 603 East Daniel Street, Champaign, IL 61820; Email: ude.sionilli@hplodurk

  


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