The Impact of Time Since Menarche for Depressive and Anxiety Symptom Severity in Adolescence and Young Adulthood

Purpose: The study mapped depressive and anxiety symptom trajectories throughout adolescence and early adulthood, arrayed by time since menarche, a novel indicator of pubertal change and examined the effect of age of menarche and pubertal timing, more frequently used variables, on depressive and anxiety symptom severity trajectories.

Methods: Secondary analysis of a cross-sequential prospective longitudinal investigation included a community sample of 262 U.S., adolescent females. Participants were enrolled in age cohorts of 11, 13, 15, and 17 years. Four annual waves of data were collected. Self-report of age at menarche was categorized into pubertal timing categories. A novel measure “time since menarche” (chronological age at each wave minus age at menarche), was measured along with depressive and anxiety symptom severity. Two-piece growth curve modeling with landmark registration examined depressive and anxiety symptom severity trajectories according to time since menarche.

Results: There was no change (p > .05) in depression and anxiety symptom severity before menarche; however, in the years leading away from menarche, depression and anxiety symptom severity decreased (p < .05). Age at menarche was not associated with change in depressive and anxiety symptom severity (p > .05) and there were no moderating effects of pubertal timing.

Discussion: Depressive and anxiety symptoms decrease in the years leading away from menarche, suggesting puberty-related psychopathology may be transitory in some individuals. Time since menarche may be a clinically-relevant indicator of psychological functioning in pubescent adolescent females. Future studies should examine this variable in larger samples, including more adolescents in the earlier stages of puberty.

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Work Title The Impact of Time Since Menarche for Depressive and Anxiety Symptom Severity in Adolescence and Young Adulthood
Access
Open Access
Creators
  1. Zhenyu Zhang
  2. Melissa Peckins
  3. Sarah J. Beal
  4. David J. Schnabel Jr.
  5. Chad E. Shenk
  6. Lorah D. Dorn
Keyword
  1. pubertal timing
  2. menarche
  3. depression symptoms
  4. anxiety symptoms
  5. longitudinal
  6. adolescence
  7. early adulthood
  8. time since menarche
  9. puberty
  10. depression
  11. anxiety
License In Copyright (Rights Reserved)
Work Type Article
Publisher
  1. Journal of Adolescent Health
Publication Date May 12, 2024
Language
  1. English
Publisher Identifier (DOI)
  1. https://doi.org/10.1016/j.jadohealth.2024.03.010
Deposited May 29, 2024

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Version 1
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  • Created
  • Updated
  • Updated Description, Publication Date Show Changes
    Description
    • Purpose: The study mapped depressive and anxiety symptom trajectories throughout adolescence and early adulthood, arrayed by time since menarche, a novel indicator of pubertal change and examined the effect of age of menarche and pubertal timing, more frequently used variables, on depressive and anxiety symptom severity trajectories.
    • Methods: Secondary analysis of a cross-sequential prospective longitudinal investigation included a community sample of 262 U.S., adolescent females. Participants were enrolled in age cohorts of 11, 13, 15, and 17 years. Four annual waves of data were collected. Self-report of age at menarche was categorized into pubertal timing categories. A novel measure “time since menarche” (chronological age at each wave minus age at menarche), was measured along with depressive and anxiety symptom severity. Two-piece growth curve modeling with landmark registration examined depressive and anxiety symptom severity trajectories according to time since menarche.
    • Results: There was no change (p > .05) in depression and anxiety symptom severity before menarche; however, in the years leading away from menarche, depression and anxiety symptom severity decreased (p < .05). Age at menarche was not associated with change in depressive and anxiety symptom severity (p > .05) and there were no moderating effects of pubertal timing.
    • Discussion: Depressive and anxiety symptoms decrease in the years leading away from menarche, suggesting puberty-related psychopathology may be transitory in some individuals. Time since menarche may be a clinically-relevant indicator of psychological functioning in pubescent adolescent females. Future studies should examine this variable in larger samples, including more adolescents in the earlier stages of puberty.
    Publication Date
    • 2024-05-12
  • Added Creator Lorah Dorn
  • Added Creator Zhenyu Zhang
  • Added Creator Melissa Peckins
  • Deleted Creator Lorah Dorn
  • Updated Creator Zhenyu Zhang
  • Updated Creator Melissa Peckins
  • Added Creator Sarah J. Beal
  • Added Creator David J. Schnabel
  • Added Creator Chad E. Shenk
  • Added Creator Lorah Dorn
  • Added Time Since Menarche Accepted_Final 050224 (1).docx
  • Updated Keyword, Language, Publisher, and 1 more Show Changes
    Keyword
    • pubertal timing, menarche, depression symptoms, anxiety symptoms, longitudinal, adolescence, early adulthood
    Language
    • English
    Publisher
    • Elsevier
    Publisher Identifier (DOI)
    • https://doi.org/10.1016/j.jadohealth.2024.03.010
  • Renamed Creator David J. Schnabel Jr. Show Changes
    • David J. Schnabel
    • David J. Schnabel Jr.
  • Renamed Creator Lorah D. Dorn Show Changes
    • Lorah Dorn
    • Lorah D. Dorn
  • Updated License Show Changes
    License
    • https://rightsstatements.org/page/InC/1.0/
  • Published
  • Updated
  • Updated Keyword Show Changes
    Keyword
    • pubertal timing, menarche, depression symptoms, anxiety symptoms, longitudinal, adolescence, early adulthood
    • pubertal timing, menarche, depression symptoms, anxiety symptoms, longitudinal, adolescence, early adulthood, time since menarche, puberty, depression, anxiety
  • Updated Publisher Show Changes
    Publisher
    • Elsevier
    • Journal of Adolescent Health