The roots of depression in adolescent girls: is menarche the key?

被引:44
作者
Born L. [1 ]
Shea A. [1 ]
Steiner M. [1 ]
机构
[1] Women's Health Concerns Clinic, St. Joseph's Healthcare, East, Room FB-639, 50 Charlton Avenue, Hamilton
关键词
Depressive Symptom; Major Depression; Mood Disorder; Major Depressive Disorder; Adolescent Girl;
D O I
10.1007/s11920-002-0073-y
中图分类号
学科分类号
摘要
Before adolescence, the rates of depression are similar in girls and boys (or are slightly higher in boys). Yet with the onset of puberty, the gender proportion of depression dramatically shifts to a two girls to one boy ratio. What, then, is the relationship between menarche and the onset of major depression in early adolescence? Recent literature intimates that vulnerability to depression may be rooted in an intricate meld of genetic traits, normal female hormonal maturational processes, and gender socialization. Information regarding gender differences in the presentation of depressive symptoms is provided along with biologic, psychologic, and sociologic factors contributing to depression in adolescent girls. The burden of illness associated with onset of depression after menarche reinforces the importance of prevention or else expeditious recognition and intervention.
引用
收藏
页码:449 / 460
页数:11
相关论文
共 411 条
[1]  
Offord DR(1989)Ontario Child Health Study: summary of selected results Can J Psychiatry 34 483-491
[2]  
Boyle MH(1993)Puberty onset of gender differences in rates of depression: a developmental, epidemiologic and neuroendocrine perspective J Affect Disord 29 145-158
[3]  
Fleming JE(1998)Epidemiology of DSM-III-R major depression and minor depression among adolescents and young adults in the National Comorbidity Survey Depress Anxiety 7 3-14
[4]  
Angold A(1998)Major depressive disorder in older adolescents: prevalence, risk factors and clinical implications Clin Psychol Rev 18 765-794
[5]  
Worthman CW(1990)Age at onset of selected mental disorders in five community populations Arch Gen Psychiatry 47 511-518
[6]  
Kessler RC(1993)An epidemiological study of disorders in late childhood and adolescence, I: age- and gender-specific prevalence J Child Psychol Psychiatry 34 851-867
[7]  
Walters EE(1995)Sex differences in depression: a role for pre-existing anxiety Psychiatry Res 58 1-12
[8]  
Lewinsohn PM(1996)Menarche and the onset of depression and anxiety in Victoria, Australia J Epidemiol Community Health 50 661-666
[9]  
Rhode P(1997)The epidemiology of DSM-III-R bipolar I disorder in a general population survey Psychol Med 27 1079-1089
[10]  
Seeley JR(1998)Gender differences in the prevalence of depression among Canadian adolescents Can J Public Health 89 181-182