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Social, Demographic, and Health Outcomes in the 10 Years Following Adolescent Depression
Abstract
Purpose Little attention has been paid to the sociodemographic profiles of depressed youth during the vulnerable transition from adolescence to early adulthood. This study aimed to determine and describe the social, demographic, and health outcomes of adolescent depression during a 10-year period of transition into early adulthood, using a population-based cohort of Canadian teenagers.Methods Depression status on 1,027 adolescents aged 16-17 years was ascertained from the National Population Health Survey. Social and health outcomes (i.e., employment status, marital status, personal income, education, social support, self-perceived stress, heavy drinking, smoking, migraine headaches, adult depression, antidepressant use, self-rated health, and physical activity) were measured every 2 years until the ages of 26-27 years. Logistic regression was combined with a generalized linear mixed-model approach to determine the odds of health and social outcomes in depressed versus nondepressed adolescents.Results Proximal effects of adolescent depression were observed (at ages 18-19) on all outcomes with the exception of physical activity. Significant effects that persisted after 10 years included depression recurrence, higher severity of symptoms, migraine headaches, poor self-rated health, and low levels of social support. Adolescent depression did not appear to significantly affect employment status, personal income, marital status, or educational attainment.Conclusions The transition from adolescence to adulthood is a particularly vulnerable period due to educational, employment, and social changes that may be occurring. The results of this study indicate that the onset of depression during adolescence may be indicative of problems of adaptation that persist at least a decade into early adulthood.
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“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 Naicker, Galambos, Zeng, Senthilselvan, & Colman, 2013
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“The long-term impact of anxiety and depression on children and adolescents includes significant interference with relationships, academic performance, school attendance, and daily functioning, making early intervention vital [3-8].”
From eMental Healthcare Technologies for Anxiety and Depression in Childhood and Adolescence: Systematic Review of Studies Reporting Implementation Outcomes (2018) · cites this paper as [6]
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Metadata
- Authors
- Naicker, K., Galambos, N. L., Zeng, Y., Senthilselvan, A., & Colman, I.
- Affiliations
- University of Ottawa (CA)
- University of Alberta (CA)
- Venue
- Journal of Adolescent Health
- Publisher
- Elsevier BV
- Published
- 2013-05
- Volume
- 52
- Issue
- 5
- Pages
- 533-538
- ISSN
- 1054-139X (ISSN-L)
- OpenAlex
- W2006255846
- Cited by
- 305
- References
- 43
- Citations by year
- 2026: 15 · 2025: 18 · 2024: 27 · 2023: 33 · 2022: 28 · 2021: 47 · 2020: 31 · 2019: 19 · 2018: 24 · 2017: 18 · 2016: 13 · 2015: 14 · 2014: 14 · 2013: 3
- FWCI
- 16.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Adolescent Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- M.S.I. Foundation (851)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Adolescent and Pediatric Healthcare
- Keywords
- adolescent depression, long-term outcomes, depression recurrence, migraine, self-rated health, social support, employment status, educational attainment, marital status, income, heavy drinking, smoking, antidepressant use, physical activity
- MeSH terms
- Adolescent, Antidepressive Agents, Canada, Demography, Depressive Disorder, Educational Status, Employment, Female, Health Status, Health Surveys, Humans, Income, Male, Motor Activity, Social Support, Socioeconomic Factors, Linear Models, Logistic Models, Marital Status, Substance-Related Disorders
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