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. 2017 Jun;139(6):e20163177. doi: 10.1542/peds.2016-3177

TABLE 6.

Psychopathology in Individuals With Delayed Puberty

Study (Reference) Year Location/Name N Age at Evaluation, Years ± SD or Range Outcome Variable Conclusion
Joinson et al76 2013 United Kingdom 3648 women 14–16.5 Depressive symptoms OR up to 1.52, 95% CI: 1.12 to 2.05 for age at menarche 11.5 to 13.5 y vs ≥13.5 y, P = .007
18–19 No difference in OR for age at menarche 11.5 to 13.5 y vs ≥13.5 (OR 1.07–1.18, all Ps >.05)
Boden et al77 2011 New Zealand 497 women 15–18 Major depression No difference in % outcome for age at menarche 14–15 y vs 12–13 y (32.5% vs 30.9%, P > .50)
Herva et al78 2004 Northern Finland 3952 women 31 Depression OR 1.7, 95% CI: 1.1 to 1.6 for age at menarche ≥16 y vs 12–15 y
Galvao et al79 2014 Meta-analysis: New Zealand and Northern Finland 4449 women 15–31 Major depression/ depression No significant risk of depression for age at menarche ≥14 y vs <14 y (RR 1.28, 95% CI: 0.87 to 1.88)
Opoliner et al80 2014 United States/ Growing Up Today Study 9039 women 20–26 Depressive symptoms No difference in OR for age at menarche >14.3 y vs 12–14.3 y (OR 0.91, 95% CI: 0.70 to 1.18)
Day et al81 2015 United Kingdom/UK Biobank Study 250 037 women 40–69 Depression No difference in OR for age at menarche 15–19 y vs 12–14 y (OR 1.07, 95% CI: 1.02 to 1.13, P > 7.48 × 10–5)
Conley and Rudolph82 2009 United States 82 men 13.4 Depression Later perceived pubertal timing was associated higher levels of depression (β = −0.31, P < .05)
Graber et al83 2004 United States 392 men 24.2 Disruptive behavior disorder OR 2.1, 95% CI: 1.1 to 4.5 for perceived late pubertal timing vs on time
Substance use OR 2.5, 95% CI: 1.1 to 5.9 for perceived late pubertal timing vs on time
Day et al81 2015 United Kingdom/UK Biobank Study 197 714 men 40–69 Anxiety/panic attacks OR 1.43, 95% CI: 1.22 to 1.67 for perceived late voice breaking vs on time, P < 7.48 × 10–5
Depression OR 1.36, 95% CI: 1.25 to 1.49 for perceived late voice breaking vs on time, P < 7.48 × 10–5

CI, confidence interval; OR, odds ratio; RR, relative risk.