Early menarche and adult major depressive disorder among Japanese women: The role of childhood traumatic experience and socioeconomic conditions in young adulthood.

Journal: PCN reports : psychiatry and clinical neurosciences

Volume: 1

Issue: 3

Year of Publication: 

Affiliated Institutions:  Research, Institute of Nursing Care for People and Community University of Hyogo Hyogo Japan. Department of Mental Health The University of Tokyo Graduate School of Medicine Tokyo Japan. Department of Hygiene and Preventive Medicine Iwate Medical University Iwate Japan. World Health Organization Rwanda Kigali Rwanda. Department of Clinical Data Science, Clinical Research & Education Promotion Division National Center of Neurology and Psychiatry Tokyo Japan. Kawasaki City Inclusive Rehabilitation Center Kanagawa Japan.

Abstract summary 

The aim of this study is to examine the long-term impact of early menarche with adult depression, and to assess whether this association was explained by childhood traumatic experience and socioeconomic condition in early adulthood.The data were derived from World Mental Health Survey Japan Second, a cross-sectional survey conducted among Japanese community residents between 2013 and 2015. We used the data of female respondents aged 20-75 years ( = 1171). Hazard ratio (HR) of the onset of major depression up to 40 years was calculated for an early-menarche group and a non-early-menarche group, respectively. Kaplan-Meier curve and log-rank statistics were used to examine the difference in failure. Cox proportional hazard models were administered for the association of major depression with early-menarche and early-life psychosocial factors.Risk for major depressive disorders were three to four times higher in an early-menarche group, and the differences in survival functions were significant ( < 0.001). HR of early menarche was 2.79 (95% CI = 1.29-6.02), and was slightly changed when childhood traumatic experience and socioeconomic conditions in young adulthood were added in the model (HR = 2.88, 95% CI = 1.30-6.38; HR = 3.19, 95% CI = 1.41-7.21).Early menarche was significantly associated with increased risk for depression by the age of 40 years. Childhood trauma and socioeconomic hardship in early adulthood did not account for the association. Both physical and psychosocial risk factors in early life need to be addressed for preventing women's depression.

Authors & Co-authors:  Umeda Maki M Kawakami Norito N Shimoda Haruki H Miyamoto Karin K Ishikawa Hanako H Tachimori Hisateru H Takeshima Tadashi T

Study Outcome 

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Statistics
Citations :  Vos T, Lim SS, Abbafati C, Abbas KM, Abbasi M, Abbasifard M, et al. Global burden of 369 diseases and injuries in 204 countries and territories, 1990‐2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet. 2020;396(10258):1204–22.
Authors :  7
Identifiers
Doi : e16
SSN : 2769-2558
Study Population
Female
Mesh Terms
Other Terms
Japan;child adversities;depression;menarche;women
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
Australia