Adult mental health outcomes of adolescent depression: A systematic review
Open accessAbstract
BACKGROUND: Adolescent depression may increase risk for poor mental health outcomes in adulthood. The objective of this study was to systematically review the literature on the association between adolescent depression and adult anxiety and depressive disorders as well as suicidality. METHODS: EMBASE, MEDLINE, and PSYCinfo databases were searched and longitudinal cohort studies in which depression was measured in adolescence (age 10-19) and outcomes of depressive disorders, anxiety disorders, or suicidality were measured in adulthood (age 21+), were selected. Meta-analysis using inverse variance and random effects modeling, along with sensitivity analyses, were used to synthesize article estimates. RESULTS: Twenty articles were identified, representing 15 unique cohorts. Seventeen of 18 articles showed adolescent depression increased risk for adult depression; eleven pooled cohorts estimated that adolescents with depression had 2.78 (1.97, 3.93) times increased odds of depression in adulthood. Seven of eight articles that investigated the association between adolescent depression and any adult anxiety found a significant association. Three of five articles showed a significant association between adolescent depression and adult suicidality. CONCLUSION: This review shows that adolescent depression increases the risk for subsequent depression later in life. Articles consistently found that adolescent depression increases the risk for anxiety disorders in adulthood, but evidence was mixed on whether or not a significant association existed between adolescent depression and suicidality in adulthood. Early intervention in adolescent depression may reduce long-term burden of disease.
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Emotional symptoms often remain untreated and show continuity into adulthood, where they can escalate into full-syndrome and recurrent anxiety and depressive disorders.
“Unfortunately, emotional symptoms often remain untreated and show continuity into adulthood, where they can escalate into full‐syndrome and recurrent anxiety and depressive disorders (Johnson et al., 2018; Kwong et al., 2019; Naicker, Galambos, Zeng, Senthilselvan, & Colman, 2013; Wolitzky‐Taylor et al., 2014).”
From A cross‐lagged twin study of emotional symptoms, social isolation and peer victimisation from early adolescence to emerging adulthood (2023) · cites this paper as Johnson et al., 2018
Sections 4.1 and 4.2 link adolescent depression with adult depression and anxiety disorders, and the Introduction reports an increased risk of recurrent major depression. But the review studies adolescents meeting criteria for depression, not emotional symptoms generally progressing to full-syndrome disorders. Section 4.4 says treatment after adolescent depression was not measured, so the claim that symptoms often remain untreated is not established. (LLM, conf=0.87)
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“Mood disorders are also persistent, mostly in the form of recurrence, and it is common for childhood- and adolescent-onset disorders to recur in adulthood (Kessler et al., 2001; Ormel et al., 2014; Johnson et al., 2018).”
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“(4) use Friston-24 model to regress various covariates such as white matter, cerebrospinal fluid and headmovement parameters to minimize the impact of physiological noise on data analysis (37).”
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Beames, J. R., Han, J., Shvetcov, A., Zheng, W. Y., Slade, A., Dabash, O., Rosenberg, J., O’Dea, B., Kasthurirathne, S. N., Hoon, L., et al. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e35472 · Cited by 34 · see citing works
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“Early-onset depression has also been found to predict poor mental health outcome [2] and impaired psychosocial functioning [3] in adulthood, further underscoring the need for effective treatment and prevention.”
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“Depression in adolescence has been linked with poor mental health in adulthood including depression, anxiety, and suicidality (Johnson et al., 2018) as well as illicit substance use and intimate partner violence victimization (McLeod et al., 2016).”
BackgroundRoberts, H., Jacobs, R. H., Bessette, K. L., Crowell, S. E., Schreiner, M. W., Thomas, L. R., Easter, R. E., Pocius, S. L., Dillahunt, A. K., Frandsen, S. B., et al. (2021) · BMC Psychiatry · doi:10.1186/s12888-021-03193-3 · Cited by 32 · see citing works
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“This fi nding aligns with the understanding that the onset of depression during childhood augments the risk of experiencing subsequent depressive episodes in adult life (23).”
The effect of brief exposure to virtual nature on mental wellbeing in adolescents
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Klaufus, L. H., Luijten, M. A. J., Verlinden, E., van der Wal, M. F., Haverman, L., Cuijpers, P. J., Chinapaw, M. J. M., & Terwee, C. B. (2021) · Quality of Life Research · doi:10.1007/s11136-021-02852-y · Cited by 33 · see citing works
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“In fact, depression has become the second most common cause of death among young (Patton et al., 2009; Johnson et al., 2018; Christ et al., 2020; Arzola et al., 2022).”
BackgroundLee, A., & Park, J. K. (2021) · Clinical Nursing Research · doi:10.1177/10547738211065105 · Cited by 33 · see citing works
“A meta-analysis using pooled cohorts of 11 studies investigating the association between adolescent and adult depression noted that adolescents with depression had 2.78 (95% CI: 1.97, 3.93) times increased odds of depression in adulthood (Johnson et al., 2018).”
BackgroundMethodInfluentialLiao, S., Luo, B., Liu, H., Zhao, L., Shi, W., Lei, Y., & Jia, P. (2021) · Sleep Medicine · doi:10.1016/j.sleep.2021.06.007 · Cited by 34 · see citing works
“early pregnancy, unemployment [12], and higher risk of depression and suicidality in adulthood [13].”
BackgroundAdverse adolescence experiences, feeling lonely across life stages and loneliness in adulthood
Lin, W.-H., & Chiao, C. (2020) · International Journal of Clinical and Health Psychology · doi:10.1016/j.ijchp.2020.07.006 · Cited by 28 · see citing works
Prediction of adolescent subjective well‐being: A machine learning approach
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Li, Y., Zhang, J., Zheng, X., Lu, W., Guo, J., Chen, F., & Liu, C. (2024) · Frontiers in Endocrinology · doi:10.3389/fendo.2024.1399580 · Cited by 22 · see citing works
“Besides, adolescent depression and anxiety are linked to elevated odds of adult depression and anxiety disorders, thereby adding to the long-term burden of disease (16, 17).”
Urbańska-Grosz, J., Sitek, E. J., Pakalska−Korcala, A., Pietraszczyk-Kędziora, B., Skwarska, K., & Walkiewicz, M. (2024) · Children · doi:10.3390/children11010131 · Cited by 31 · see citing works
“Of note, the onset of depression during teenage years increases the likelihood of experiencing depressive episodes later in life [6].”
BackgroundIntegrating Beck’s Cognitive Theory of Depression and the Hopelessness Model in an Adolescent Sample
Pössel, P., & Smith, E. (2019) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-019-00604-8 · Cited by 23 · see citing works
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“Depression is relatively rare during childhood and the incidence increases after puberty [4], but depression during childhood and adolescence carries a high risk of recurrence [5,6].”
BackgroundMorneau‐Vaillancourt, G., Oginni, O., Assary, E., Krebs, G., Thompson, E. J., Palaiologou, E., Lockhart, C., Arseneault, L., & Eley, T. C. (2023) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13847 · Cited by 26 · see citing works
“:3) ebert, Brendgen, & Blais, 2022; Zhu et al., 2022), others align with a symptom-driven model, where emotional symptoms precede and perhaps evoke peer victimisation (e.g., Barzeva, Richards, Meeus, & Oldehinkel, 2020; Lee & Vaillancourt, 2019; Pabian & Vandebosch, 2016).”
BackgroundResultWang, C., Tong, Y., Tong, Y., Wang, X., Fang, L., Wen, X., Su, P., Wang, J., & Wang, G. (2024) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2024.104185 · Cited by 27 · see citing works
Ji, L., Ren, Z., Chen, J., Zhao, H., Zhang, X., Xue, B., & Zhang, D. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-05867-0 · Cited by 21 · see citing works
“Depression in adolescence is not only a major risk factor for suicidal behavior [7] but also increases the risk of adverse psychological outcomes in adulthood, such as major depression and anxiety [8, 9].”
BackgroundAlves, R. L., Oliveira, P., Lopes, I., Portugal, C., Alves, C. J., Barbosa, F., Summavielle, T., & Magalhães, A. (2020) · Scientific Reports · doi:10.1038/s41598-020-70242-4 · Cited by 26 · see citing works
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“Adolescent depression is associated with long-term negative outcomes in adulthood [6,7].”
BackgroundSelf-citationAdolescent depression and adult labor market marginalization: a longitudinal cohort study
Alaie, I., Philipson, A., Ssegonja, R., Copeland, W., Ramklint, M., Bohman, H., & Jonsson, U. (2021) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-021-01825-3 · Cited by 29 · see citing works
Kaasbøll, J., Sigurdson, J. F., Skokauskas, N., & Sund, A. M. (2021) · PLoS ONE · doi:10.1371/journal.pone.0247036 · Cited by 25 · see citing works
“Over recent years, longitudinal cohort studies have provided invaluable knowledge about continuity and changes in depressive symptoms [28, 29] and disorders [3], investigating both the course and outcomes into adulthood in the community settings.”
BackgroundInfluentialWang, Y., Lynne‐Landsman, S. D., Witherspoon, D. O., & Black, M. M. (2020) · PLoS ONE · doi:10.1371/journal.pone.0228585 · Cited by 26 · see citing works
“bulimia and anorexia [6], and depressive symptoms have been associated with academic problems and failure, substance abuse, self-harming behaviors and suicide [7] and depression in adulthood [8].”
BackgroundGriffith, J. M., Crawford, C. M., Oppenheimer, C. W., Young, J. F., & Hankin, B. L. (2019) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-019-00564-z · Cited by 31 · see citing works
“1997); however, research is needed to clarify parenting behaviors contributing to youth onset of depressive disorder, given high levels of distress and impairment associated with an onset of clinical depressive disorder during childhood or adolescence (Avenevoli et al. 2015; Fergusson and Woodward 2002; Keenan-Miller…”
BackgroundAdolescent neurocognitive development and decision-making abilities regarding gender-affirming care
Ravindranath, O., Perica, M. I., Parr, A. C., Ojha, A., McKeon, S. D., Montano, G. T., Ullendorff, N., Luna, B., & Edmiston, E. K. (2024) · Developmental Cognitive Neuroscience · doi:10.1016/j.dcn.2024.101351 · Cited by 27 · see citing works
“While minimal research has examined how adolescent mental illness affects adult neurocognitive outcomes, it has been shown that adolescent depression is associated with greater risk for depression recurrence, anxiety, and suicidality in adulthood (Johnson et al., 2018).”
BackgroundFox, D. J., & Hanes, D. A. (2022) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2022.10.001 · Cited by 26 · see citing works
Mental Health Literacy Scale Arabic Version: A Validation Study Among Saudi University Students
Alshehri, E., Alosaimi, D. N., Rufaidi, E., Alsomali, N., & Tumala, R. B. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.741146 · Cited by 20 · see citing works
Gladstone, T. R. G., Schwartz, J. A. J., Pössel, P., Richer, A. M., Buchholz, K. R., & Rintell, L. S. (2021) · Child Psychiatry & Human Development · doi:10.1007/s10578-021-01216-4 · Cited by 27 · see citing works
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Chen, Y., Cheung, S., & Huang, C.-C. (2020) · Journal of Interpersonal Violence · doi:10.1177/0886260520967754 · Cited by 21 · see citing works
“Much of the existing literature on teen depression and depression symptoms have shown supporting evidence for the fact that depression among adolescents is associated with a broad range of negative outcomes, both during adolescence as well as in adulthood (Johnson et al., 2018; Keenan-Miller et al., 2007; Naicker et a…”
BackgroundRichardson, C. E., Magson, N. R., Oar, E. L., Fardouly, J., Johnco, C. J., Freeman, J. Y. A., & Rapee, R. M. (2024) · Clinical Psychological Science · doi:10.1177/21677026241230458 · Cited by 23 · see citing works
“…in adolescence, symptoms of these disorders are associated with significant burden (Klaufus et al., 2022) and adverse long-term outcomes, including worse educational outcomes, unemployment, and worse mental health and suicidality in adulthood (Clayborne et al., 2019; Johnson et al., 2018).”
Macedo, M., Sato, J. R., Bressan, R. A., & Pan, P. M. (2022) · Brazilian Journal of Psychiatry · doi:10.47626/1516-4446-2021-2032 · Cited by 22 · see citing works
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Wångby‐Lundh, M., Lundh, L., Claréus, B., Bjärehed, J., & Daukantaité, D. (2023) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-023-00660-5 · Cited by 22 · see citing works
“, [41, 42]) this might make it more difficult to stop engaging in NSSI.”
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“Compared with adult MDD, adolescent MDD is associated with an increased risk for the recurrence of MDD during adulthood (Nardi et al. , 2013 ) and a higher rate of suicide (Johnson et al. , 2018 ).”
BackgroundSmith, L., Sánchez, G. F. L., Oh, H. Y., Rahmati, M., Tully, M. A., Yon, D. K., Butler, L., Barnett, Y., Ball, G., Shin, J. I., et al. (2023) · Psychiatry Research · doi:10.1016/j.psychres.2023.115485 · Cited by 20 · see citing works
“Moreover, depression in adolescence can also have long-term negative effects that can last into adulthood; this includes depression in adulthood (Johnson et al., 2018), but also a range of other problems including anxiety, illicit drug disorders, criminality, and impaired social functioning…”
Longitudinal Relationships Between Help-Seeking Intentions and Depressive Symptoms in Adolescents
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“Longitudinal studies have demonstrated the dire consequences of adolescent depression both in the short-and long-term (Alaie et al., 2019; Clayborne et al., 2019; Johnson et al., 2018; Linder et al., 2019).”
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- Authors
- Johnson, D., Dupuis, G., Piche, J., Clayborne, Z., & Colman, I.
- Affiliations
- University of Ottawa (CA)
- Children's Hospital of Eastern Ontario; Ottawa Ontario Canada
- Corresponding author
- Colman, Ian
- Venue
- Depression and Anxiety
- Publisher
- Wiley
- Published
- 2018-06-07
- Volume
- 35
- Issue
- 8
- Pages
- 700-716
- ISSN
- 1091-4269 (ISSN-L)
- OpenAlex
- W2807093528
- Cited by
- 563
- References
- 0
- Citations by year
- 2026: 75 · 2025: 93 · 2024: 99 · 2023: 87 · 2022: 85 · 2021: 61 · 2020: 43 · 2019: 18 · 2018: 1
- FWCI
- 5.18
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Depression and Anxiety (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canada Research Chairs
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- adolescent depression, adult depression, suicidality, long-term mental health outcomes, longitudinal cohort, early intervention
- MeSH terms
- Adolescent, Adult, Anxiety Disorders, Depressive Disorder, Humans, Suicide
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