Trajectories of depressive symptoms through adolescence and young adulthood: social and health outcomes

Bulhões, Cláudia; Ramos, Elisabete; Severo, Mílton; Dias, Sónia; Barros, Henrique

doi:10.1007/s00787-020-01493-9

Cited by 14 publications

(9 citation statements)

References 32 publications

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“…More specifically, similar to our findings, all of the previous studies above detected a low stable group which represented the vast majority of the sample. Persistently high depression group trajectories have also been found in previous research supporting the relevance of chronicity of depression in youth (Bulhões et al, 2021;Kwong et al, 2019;Shore et al, 2018;Weavers et al, 2021). Further, in line with previous research (Kwong et al, 2019;Weavers et al, 2021), increasing levels of depressive symptoms and persistent levels of depressive symptoms differed in their age of onset, with an earlier age (starting at or before age 12.5 years) for persistent levels than increasing levels of depressive symptoms (starting at age 16 years).…”

Section: Discussionsupporting

confidence: 73%

Factors associated with chronic depressive symptoms across adolescence and young adulthood: a UK birth cohort study

Durdurak,

Williams,

Zhigalov

et al. 2024

Epidemiol Psychiatr Sci

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Aims Identifying children and/or adolescents who are at highest risk for developing chronic depression is of utmost importance, so that we can develop more effective and targeted interventions to attenuate the risk trajectory of depression. To address this, the objective of this study was to identify young people with persistent depressive symptoms across adolescence and young adulthood and examine the prospective associations between factors and persistent depressive symptoms in young people. Methods We used data from 6711 participants in the Avon Longitudinal Study of Parents and Children. Depressive symptoms were assessed at 12.5, 13.5, 16, 17.5, 21 and 22 years with the Short Mood and Feelings Questionnaire, and we further examined the influence of multiple biological, psychological and social factors in explaining chronic depressive symptoms. Results Using latent class growth analysis, we identified four trajectories of depressive symptoms: persistent high, persistent low, persistent moderate and increasing high. After applying several logistic regression models, we found that loneliness and feeling less connected at school were the most relevant factors for chronic course of depressive symptoms. Conclusions Our findings contribute with the identification of those children who are at highest risk for developing chronic depressive symptoms.

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Section: Discussionsupporting

confidence: 73%

Factors associated with chronic depressive symptoms across adolescence and young adulthood: a UK birth cohort study

Durdurak,

Williams,

Zhigalov

et al. 2024

Epidemiol Psychiatr Sci

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“…The present study sought to identify the various trajectory-profiles of depressive symptoms manifested by adolescents and their association with several indicators of school functioning, including achievement goals, school engagement, and school burnout. As such, this study adds to our understanding of the heterogeneous development of depressive symptoms during the critical years encompassing adolescence and early adulthood by providing replication evidence among a Finnish sample to the previous studies of depression trajectory-profiles covering this critically important developmental period (e.g., Bulhões et al, 2021;Lee et al, 2017;Yaroslavsky et al, 2013). Replication evidence is particularly important for research seeking to identify developmental profiles, as it makes it possible to differentiate between idiosyncratic profiles that only emerge occasionally as a result random sampling variations from the more relevant profiles that systematically emerge across contexts and within specific developmental periods (Morin et al, 2020).…”

Section: Discussionmentioning

confidence: 54%

“…This observation is particularly worrisome and highlights the need for more potent school-based intervention to counteract the upward evolution of depressive symptoms. A closer examination of the results obtained in previous studies supported that such a decreasing trajectory was also not systematically identified when participants were followed across the transition from adolescence into early adulthood (Bulhões et al, 2021). In some studies, the tendency for youth to report declining symptoms of depression seems to correspond to far more restricted developmental periods.…”

Section: Depressive Symptoms Trajectories and Turning Pointsmentioning

confidence: 84%

“…There is a consensus that youth follow heterogeneous trajectories of depressive symptoms from adolescence to early adulthood. In research assessing the evolution of depressive symptoms across the adolescent years into early adulthood, three to four distinct profiles of youth characterized by distinct trajectories of depressive symptoms (hereafter referred to as trajectory-profiles) have typically been identified (Barboza, 2020; Bulhões et al, 2021; Kent & Bradshaw, 2021; Lee et al, 2017; Martinez & Armenta, 2020; Salmela-Aro, Aunola, et al, 2008; Vaillancourt & Haltigan, 2018; Wang, Chan, et al, 2018; Wickrama & Wickrama, 2010; Yaroslavsky et al, 2013). These trajectory-profiles generally describe youth presenting (a) consistently low, (b) moderate and slightly increasing or decreasing, (c) high and decreasing, and (d) consistently high trajectory of depressive symptoms.…”

Section: Heterogeneity In Youth’s Trajectories Of Depressive Symptomsmentioning

confidence: 99%

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The interconnected development of depressive symptoms and school functioning from mid-adolescence to early adulthood: A piecewise growth mixture analysis.

Olivier¹,

Morin²,

Leo³

et al. 2023

Journal of Educational Psychology

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This study seeks to identify profiles of depressive symptoms trajectories among a sample of 2,696 Finnish students (56.8% female), followed from 13–14 to 18–19 years old. Piecewise growth mixture analyses identified 5 trajectories: Low Stabilizing (6.20%), Mild Increasing (47.90%), Moderate Stabilizing (36.82%), Low Increasing (3.62%), and High Stable (5.46%). Relative to boys, girls experienced more problematic depressive symptoms trajectories. The study also assesses whether achievement goals growth predicts depression trajectories, and whether school burnout and engagement growth trajectories can be positioned as outcomes of depression trajectories. Adopting mastery-intrinsic and mastery-extrinsic goals was associated with a lower risk of feeling depressed, whereas adhering to performance-approach or performance-avoidance goals was associated with a higher risk of corresponding to a problematic trajectory-profile. School burnout and engagement trajectories closely matched youth depressive symptoms trajectory-profiles, except for youth corresponding to a High Stable profile who experienced an increase in their school engagement.

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“…Among sexual minority youth, depression occurs at a greater rate during adolescence, compared to their cisgender heterosexual peers ( Cole et al, 2002 ). Unfortunately, both identity-related stressors and depression are also known to have harmful effects on multiple developmental outcomes (e.g., later mental health, educational and economic outcomes) through their late adolescence and early adulthood ( Dekker et al, 2007 ; Fergusson et al, 2007 ; Bulhões et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Sexual identity fluidity, identity management stress, and depression among sexual minority adolescents

et al. 2023

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IntroductionSexual identity is mutable and evolving, particularly during adolescence. Sexual identity fluidity could be stressful for some adolescents and may differ by birth-sex. Evidence suggests chronic stress can lead to negative mental health outcomes. However, it is unknown if these two processes (stress and depression) differ by sexual identity fluidity.MethodsThis paper studied time-sequential associations between identity management stress and depression over time by sexual identity fluidity, in a national longitudinal data from sexual minority adolescents (SMA) aged 14–17 years using a multigroup autoregressive cross-lagged model (n = 1077).ResultsIn the sample, 40% of SMA reported at least one change in sexual identity over 18-month period. Greater number of cisgender females reported sexual identity fluidity compared to their male counterparts (46.9% vs. 26.6%). A temporal cross-lagged effect was reported between depression and identity management stress among cisgender females who reported fluidity in sexual identity; and no cross-lagged effect was reported among those females who did not report fluidity. However, among cisgender male sample depression predicted subsequent identity management stress, irrespective of their change sexual identity fluidity status.ConclusionPublic health programs and practice must be responsive to the sexual identity fluidity processes among adolescents, with particular attention to minority stress and depression. In addition, our results indicate that sexual identity development and fluidity processes differ between cisgender females and males; and the nuances associated with these processes of change need further investigation.

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Trajectories of depressive symptoms through adolescence and young adulthood: social and health outcomes

Cited by 14 publications

References 32 publications

Factors associated with chronic depressive symptoms across adolescence and young adulthood: a UK birth cohort study

Factors associated with chronic depressive symptoms across adolescence and young adulthood: a UK birth cohort study

The interconnected development of depressive symptoms and school functioning from mid-adolescence to early adulthood: A piecewise growth mixture analysis.

Sexual identity fluidity, identity management stress, and depression among sexual minority adolescents

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