Early puberty may increase the risk of depression in both girls and boys

It is not only height, breasts and the voice that change during puberty. According to a new study from Aarhus University the timing of when puberty begins may also affect children and young people’s risk of developing depression.

Early puberty may have an impact on children's mental health, according to a new study from Aarhus University by PhD student Thea Emily Benson and Professor Cecilia Ramlau-Hansen. Photo: AU Foto og Simon Fischel

Facts about the study

The researchers followed more than 16,000 Danish children and young people over several years through questionnaire surveys.

Girls

  • Girls who developed breasts earlier than their peers had a 27% higher risk of being diagnosed with depression.
  • Girls who had their first menstrual period earlier than most of their peers had a 36% higher risk of being diagnosed with depression.
  • The strongest association was seen in girls who developed breasts faster than most of their peers – they had a 69% higher risk of developing moderate to severe depressive symptoms.

Boys

  • Boys who developed pubic hair earlier than most of their peers had a 32% higher risk of developing moderate to severe depressive symptoms and a 66% higher risk of being diagnosed with depression.
  • Boys whose voice broke earlier than most of their peers had a 35% higher risk of developing moderate to severe depressive symptoms.
  • Boys who had their first ejaculation earlier than most of their peers had a 51% higher risk of being diagnosed with depression.

The figures show how much higher the risk is for young people who entered puberty earlier than most of their peers, compared with young people who entered puberty at the same time as most of their peers.

A new study from the Department of Public Health at the Faculty of Health Sciences, Aarhus University, shows that children and young people who entered puberty earlier than most of their peers had an increased risk of both developing depressive symptoms and receiving a depression diagnosis. The researchers followed almost 16,000 Danish children and young people over a number of years through puberty.

“We can see a clear association between earlier puberty and a higher risk of depression. The association is strongest in girls, but it also applies to boys,” says PhD student Thea Emily Benson, who conducted the study together with Professor Cecilia Ramlau-Hansen.

In girls, the risk was particularly elevated when breast development occurred earlier than in most of their peers, or when menstruation began earlier.

“We see that girls who reached these milestones earlier than most others had a greater risk of later receiving a depression diagnosis,” explains Thea Emily Benson.

The study also shows an increased risk among boys. This is particularly seen in boys who developed pubic hair or had their first ejaculation earlier than their peers. In addition, the results suggest that boys whose voice broke earlier more often experienced depressive symptoms.

However, more research is still needed into the mechanisms behind the association between earlier puberty and depression, says Cecilia Ramlau-Hansen. Among other things, the researchers behind the study would like to investigate which biological and social mechanisms interact, and whether the increased risk of depression continues into adulthood or whether the mental health challenges are primarily linked to adolescence.

Nevertheless, the researchers hope that the study will raise greater awareness of children and young people’s wellbeing during the years when puberty begins.

“Hopefully, the results can make a difference for families by making us more aware that children who enter puberty early may be more vulnerable to mental health challenges. In the long term, we hope this knowledge can help prevent poor wellbeing among children and young people,” says Thea Emily Benson.

About the study:

 

  • Study type:: Longitudinal cohort study.
  • Collaborators: Professor Katrine Strandberg-Larsen, Department of Public Health, Section of Epidemiology, University of Copenhagen; Mikko Myrskylä, Max Planck Institute for Demographic Research, Rostock; and Assistant Professor Anne Gaml-Sørensen, Department of Public Health, Aarhus University.
  • Funding: The Lundbeck Foundation, the European Research Council and the Department of Public Health, Faculty of Health Sciences, Aarhus University.
  • Read more in the scientific paper

Contact:

PhD student Thea Emily Benson
Aarhus University, Department of Public Health
Mail: [email protected]

Professor Cecilia Ramlau-Hansen
Aarhus University, Department of Public Health
Phone: +45 26 29 57 15
Mail: [email protected]