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Hagan CC, Graham JME, Wilkinson PO, Midgley N, Suckling J, Sahakian BJ, Goodyer IM. Neurodevelopment and ages of onset in depressive disorders. Lancet Psychiatry 2015; 2:1112-6. [PMID: 26613851 DOI: 10.1016/s2215-0366(15)00362-4] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/20/2015] [Revised: 07/24/2015] [Accepted: 07/26/2015] [Indexed: 11/16/2022]
Abstract
How and why do clinical depressive disorders emerge in adolescence? In this Personal View, we present a neurodevelopmental theory to address causes for adolescent onsets of clinical depressive disorders. We argue that theories should account for three perplexing aspects of depressive disorders in adolescence: the episodic nature of depression; differences between sexes in rates of depression across development; and age-differentiated onsets. We consider how theories such as psychosocial acceleration, heterochronic brain development, dual-process models, glucocorticoid vulnerability hypothesis linked to early life stress, and epigenetic and genetic susceptibility might explain some aspects of adolescent depressive disorders. We argue that some synthesis between existing theories might be needed to establish a sufficient neurodevelopmental theoretical framework to explain onsets of depressive disorders in adolescence.
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Affiliation(s)
- Cindy C Hagan
- Department of Psychiatry, University of Cambridge, Cambridge, UK; Department of Psychology, Columbia University, New York, NY, USA.
| | - Julia M E Graham
- Department of Psychiatry, University of Cambridge, Cambridge, UK
| | - Paul O Wilkinson
- Department of Psychiatry, University of Cambridge, Cambridge, UK
| | - Nick Midgley
- Anna Freud Centre and Research Department of Clinical, Educational and Health Psychology, University College London, London, UK
| | - John Suckling
- Department of Psychiatry, University of Cambridge, Cambridge, UK; Medical Research Council and Wellcome Trust Behavioural and Clinical Neuroscience Institute, University of Cambridge, Cambridge, UK; Wellcome Trust Neurosciences in Psychiatry Network, University of Cambridge, Cambridge, UK
| | - Barbara J Sahakian
- Department of Psychiatry, University of Cambridge, Cambridge, UK; Medical Research Council and Wellcome Trust Behavioural and Clinical Neuroscience Institute, University of Cambridge, Cambridge, UK
| | - Ian M Goodyer
- Department of Psychiatry, University of Cambridge, Cambridge, UK; Wellcome Trust Neurosciences in Psychiatry Network, University of Cambridge, Cambridge, UK
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Åslund C, Comasco E, Nordquist N, Leppert J, Oreland L, Nilsson KW. Self-reported family socioeconomic status, the 5-HTTLPR genotype, and delinquent behavior in a community-based adolescent population. Aggress Behav 2013; 39:52-63. [PMID: 22987641 DOI: 10.1002/ab.21451] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2011] [Accepted: 06/18/2012] [Indexed: 12/14/2022]
Abstract
Twin and adoption studies have demonstrated a significant contribution of both genetic and environmental factors to antisocial and delinquent behavior. Associations have been reported between the serotonin transporter (5-HTT) and aggression, and between socioeconomic status (SES), aggression, and serotonergic functions of the brain. We aimed to investigate associations between the 5-HTTLPR genotype and family SES in relation to delinquent behavior among adolescents. A total of 1,467 17- to 18-year-old students in the county of Västmanland, Sweden, anonymously completed a questionnaire and gave a saliva sample. Family SES had a U-shaped relation to delinquency, where adolescents with low and high family SES were the most delinquent. There were curvilinear interactions between the 5-HTTLPR genotype and family SES in relation to delinquency. Among individuals having high family SES, boys with the LL (homozygous for the long allele) or LS (heterozygous) genotypes and girls with the SS (homozygous for the short allele) or LS (heterozygous) genotypes showed the highest delinquency scores. Among individuals having low family SES, boys with the LL (homozygous for the long allele) genotype and girls with the LS (heterozygous) genotype showed the highest delinquency scores. The present study suggests evidence for an interaction between family SES and the 5-HTTLPR genotype in relation to juvenile delinquency.
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Affiliation(s)
- Cecilia Åslund
- Centre for Clinical Research; Uppsala University; Central Hospital; Västerås; Sweden
| | - Erika Comasco
- Department of Neuroscience; Unit of Pharmacology; Uppsala University; Uppsala; Sweden
| | - Niklas Nordquist
- Department of Neuroscience; Unit of Pharmacology; Uppsala University; Uppsala; Sweden
| | - Jerzy Leppert
- Centre for Clinical Research; Uppsala University; Central Hospital; Västerås; Sweden
| | - Lars Oreland
- Department of Neuroscience; Unit of Pharmacology; Uppsala University; Uppsala; Sweden
| | - Kent W. Nilsson
- Centre for Clinical Research; Uppsala University; Central Hospital; Västerås; Sweden
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Stoddard SA, Zimmerman MA, Bauermeister JA. A Longitudinal Analysis of Cumulative Risks, Cumulative Promotive Factors, and Adolescent Violent Behavior. JOURNAL OF RESEARCH ON ADOLESCENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR RESEARCH ON ADOLESCENCE 2012; 22:542-555. [PMID: 23049231 PMCID: PMC3462005 DOI: 10.1111/j.1532-7795.2012.00786.x] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
This study examined the effects of cumulative risk and promotive factors on violent behavior across the high school years of adolescence in a sample of predominately African American urban adolescents (n = 750). Cumulative risk and promotive factor indices represented individual characteristics, and peer, parental, and familial influences. Using growth curve modeling, we describe trajectories of cumulative risk and promotive factors and test the associations between the time-varying cumulative risk and promotive factor indices and violent behavior. Higher risk was associated with higher levels of violent behavior. Higher levels of promotive factors were associated with less violent behavior and moderated the association between risk and violent behaviors. The results support the risk-protective model of resiliency. Implications for prevention are discussed.
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Affiliation(s)
- Sarah A Stoddard
- Department of Health Behavior and Health Education, School of Public Health University of Michigan 3726 SPH 1 1415 Washington Heights Ann Arbor MI 48109
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