Depression from childhood into late adolescence: Influence of gender, development, genetic susceptibility, and peer stress.
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Depression is a debilitating mental illness with clear developmental patterns from childhood through late adolescence. Here, we present data from the Gene Environment Mood (GEM) study, which used an accelerated longitudinal cohort design with youth (N = 665) starting in 3rd, 6th, and 9th grades, and a caretaker, who were recruited from the general community, and were then assessed repeatedly through semistructured diagnostic interviews every 6 months over 3 years (7 waves of data) to establish and then predict trajectories of depression from age 8 to 18. First, we demonstrated that overall prevalence rates of depression over time, by age, gender, and pubertal status, in the GEM study closely match those trajectories previously obtained in past developmental epidemiological research. Second, we tested whether a genetic vulnerability-stress model involving 5-HTTLPR and chronic peer stress was moderated by developmental factors. Results showed that older aged adolescents with SS/SL genotype, who experienced higher peer chronic stress over 3 years, were the most likely to be diagnosed with a depressive episode over time. Girls experiencing greater peer chronic stress were the most likely to develop depression. This study used repeated assessments of diagnostic interviewing in a moderately large sample of youth over 3 years to show that depression rates increase in middle to late adolescence, or postpubertally, and that the gender difference in depression emerges earlier in adolescence (age 12.5), or postpubertally. Additionally, genetically susceptible older adolescents who experience chronic peer stress were the most likely to become depressed over time.
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Biological sex differences occur earlier in development for SAS (at least by 4th grade, or 9 years of age, in the current investigation) than for depressive symptoms (8th grade, or about 13 years of age).
“Biologi -cal sex differences occur earlier in development for SAS (at least by 4th grade or 9 years-of-age in the current investi -gation) than depressive symptoms (8th grade or about 13 years-of-age, [26, 28]).”
From Co-Development of Anxious Solitude and Social Anxiety Symptoms from Middle Childhood Through Early Adolescence: Increased Transactions After the Middle School Transition (2026) · cites this paper as [28]
The Results (Preliminary Descriptive Results; page unavailable) report that the gender difference in depression diagnoses emerged at age 12.5, broadly supporting the cited age of about 13. The paper does not establish an eighth-grade onset for depressive symptoms: it measures diagnoses, and its grade analysis identifies significant differences in the sixth- and ninth-grade cohorts. (LLM, conf=0.86)
Experimental — accuracy not yet measuredYounger emerging adults and older adolescent students are more prone to depressive moods.
“Several studies have shown that younger emerging adults and older adolescent students are more prone to depressive moods (Bayram and Bilgel 2008; Hankin et al. 2015)”
From Problematic online behaviors among adolescents and emerging adults: associations between cyberbullying perpetration, problematic social media use, and psychosocial factors (2019) · cites this paper as Hankin et al. 2015
Depressive feelings and problematic behaviors may peak around the last years of high school.
“it has been suggested that depressive feelings and problematic behaviors may peak around the last years of high school (Bayram and Bilgel 2008; Hankin et al. 2015).”
From Problematic online behaviors among adolescents and emerging adults: associations between cyberbullying perpetration, problematic social media use, and psychosocial factors (2019) · cites this paper as Hankin et al. 2015
Evidence from other pre-COVID studies indicates that middle and late adolescents are likely to experience more heightened levels of distress than their younger peers.
“This is also consistent with evidence from other pre-COVID studies indicating that middle and late adolescents are likely to experience more heightened levels of distress than their younger peers [65,66].”
From Exploring the Impact of COVID-19 on Mental Health Outcomes in Children and Adolescents: A Systematic Review (2020) · cites this paper as [66]
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“For example, in an accelerated longitudinal cohort design, Hankin et al. (2015) recently reported that the gender difference in clinical depression emerges at age 12.5, slightly younger than the findings from the current study.”
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Adolescent depression screening in primary care: Who is screened and who is at risk?
Davis, M., Jones, J. D., So, A., Benton, T. D., Boyd, R. C., Melhem, N., Ryan, N. D., Brent, D. A., & Young, J. F. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.12.022 · Cited by 45 · see citing works
Self-citationMuris, P., Otgaar, H., López, A., Kurtic, I., & van de Laar, I. (2020) · Mindfulness · doi:10.1007/s12671-020-01514-3 · Cited by 45 · see citing works
Nelis, S., Bastin, M., Raes, F., & Bijttebier, P. (2019) · Social Development · doi:10.1111/sode.12318 · Cited by 44 · see citing works
Mental disorders at the beginning of adolescence: Prevalence estimates in a sample aged 11-14 years
Scheiner, C., Grashoff, J., Kleindienst, N., & Buerger, A. (2022) · Public Health in Practice · doi:10.1016/j.puhip.2022.100348 · Cited by 44 · see citing works
Hankin, B. L., Young, J. F., Gallop, R., & Garber, J. (2018) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-018-0401-2 · Cited by 43 · see citing works
Self-citationYang, Y., Chen, L., Zhang, L., Ji, L., & Zhang, W. (2020) · Journal of Youth and Adolescence · doi:10.1007/s10964-020-01236-8 · Cited by 43 · see citing works
Moran, K. M., Root, A. E., Vizy, B. K., Wilson, T. K., & Gentzler, A. L. (2018) · Social Development · doi:10.1111/sode.12338 · Cited by 43 · see citing works
Schneider, R. L., Long, E. E., Arch, J. J., & Hankin, B. L. (2020) · Anxiety Stress & Coping · doi:10.1080/10615806.2020.1839730 · Cited by 43 · see citing works
Self-citationRelationships among self-esteem, depression and self-injury in adolescents: a longitudinal study
Lei, H., Xiong, J., Rao, Y., Zhu, T., & Zhang, X. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1406283 · Cited by 42 · see citing works
Bosmans, G., Young, J. F., & Hankin, B. L. (2017) · Developmental Psychology · doi:10.1037/dev0000422 · Cited by 42 · see citing works
Self-citationKautz, M. M., Coe, C. L., McArthur, B. A., Giollabhui, N. M., Ellman, L. M., Abramson, L. Y., & Alloy, L. B. (2019) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2019.02.029 · Cited by 41 · see citing works
Mullin, B. C., Perks, E. L., Haraden, D. A., Snyder, H. R., & Hankin, B. L. (2018) · Assessment · doi:10.1177/1073191118820133 · Cited by 39 · see citing works
Self-citationCohen, J. R., So, F. K., Young, J. F., Hankin, B. L., & Lee, B. A. (2019) · Child Psychiatry & Human Development · doi:10.1007/s10578-019-00869-6 · Cited by 39 · see citing works
Self-citationValuing happiness in youth: Associations with depressive symptoms and well-being
Gentzler, A. L., Palmer, C. A., Ford, B. Q., Moran, K. M., & Mauss, I. B. (2019) · Journal of Applied Developmental Psychology · doi:10.1016/j.appdev.2019.03.001 · Cited by 39 · see citing works
- Authors
- Hankin, B. L., Young, J. F., Abela, J. R. Z., Smolen, A., Jenness, J. L., Gulley, L. D., Technow, J. R., Gottlieb, A. B., Cohen, J. R., & Oppenheimer, C. W.
- Affiliations
- University of Denver (US)
- Rutgers, The State University of New Jersey (US)
- University of Colorado Boulder (US)
- University of Pittsburgh (US)
- ORCID
- Venue
- Journal of Abnormal Psychology
- Published
- 2015-11
- Volume
- 124
- Issue
- 4
- Pages
- 803-816
- ISSN
- 0021-843X (ISSN-L)
- 1939-1846
- PMC
- PMC4662048
- OpenAlex
- W2174766270
- Cited by
- 443
- References
- 116
- Citations by year
- 2026: 33 · 2025: 48 · 2024: 34 · 2023: 45 · 2022: 35 · 2021: 60 · 2020: 51 · 2019: 46 · 2018: 51 · 2017: 22 · 2016: 16 · 2015: 1
- FWCI
- 37.25
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Journal of Abnormal Psychology (publishedVersion, other-oa)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Digital Commons - DU (University of Denver) (submittedVersion)
- Funders
- National Institute of Mental Health (R01-MH 077195 and R01-MH 077178)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Keywords
- adolescent depression, depression trajectories, childhood depression, gender differences in depression, pubertal stage, 5-HTTLPR, genetic susceptibility, accelerated longitudinal design, developmental epidemiology
- MeSH terms
- Adolescent, Child, Depressive Disorder, Female, Genotype, Humans, Interpersonal Relations, Life Change Events, Longitudinal Studies, Male, Peer Group, Sex Factors, Social Environment, Stress, Psychological, Prevalence, Genetic Predisposition to Disease, Serotonin Plasma Membrane Transport Proteins, Gene-Environment Interaction
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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