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Earlier age at menarche as a transdiagnostic mechanism linking childhood trauma with multiple forms of psychopathology in adolescent girls

  • Natalie L. Colich (a1), Jonathan M. Platt (a2), Katherine M. Keyes (a2), Jennifer A. Sumner (a3), Nicholas B. Allen (a4) and Katie A. McLaughlin (a5)...



Although early life adversity (ELA) increases risk for psychopathology, mechanisms linking ELA with the onset of psychopathology remain poorly understood. Conceptual models have argued that ELA accelerates development. It is unknown whether all forms of ELA are associated with accelerated development or whether early maturation is a potential mechanism linking ELA with psychopathology. We examine whether two distinct dimensions of ELA – threat and deprivation – have differential associations with pubertal timing in girls, and evaluate whether accelerated pubertal timing is a mechanism linking ELA with the onset of adolescent psychopathology.


Data were drawn from a large, nationally representative sample of 4937 adolescent girls. Multiple forms of ELA characterized by threat and deprivation were assessed along with age at menarche (AAM) and the onset of DSM-IV fear, distress, externalizing, and eating disorders.


Greater exposure to threat was associated with earlier AAM (B = −0.1, p = 0.001). Each 1-year increase in AAM was associated with reduced odds of fear, distress, and externalizing disorders post-menarche (ORs = 0.74–0.85). Earlier AAM significantly mediated the association between exposure to threat and post-menarche onset of distress (proportion mediated = 6.2%), fear (proportion mediated = 16.3%), and externalizing disorders (proportion mediated = 2.9%).


Accelerated pubertal development in girls may be one transdiagnostic pathway through which threat-related experiences confer risk for the adolescent onset of mental disorders. Early pubertal maturation is a marker that could be used in both medical and mental health settings to identify trauma-exposed youth that are at risk for developing a mental disorder during adolescence in order to better target early interventions.


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Author for correspondence: Natalie L. Colich, E-mail:


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Authors contributed equally to this manuscript.



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Barrett, CB (2010) Measuring food insecurity. Science 327, 825828.
Belsky, J (2012 a) An Evolutionary Perspective on Child Development in the Context of War and Political Violence, The Oxford Handbook of Evolutionary Perspectives on Violence, Homicide, and War. Oxford University Press. doi: 10.1093/oxfordhb/9780199738403.013.0023
Belsky, J (2012b) The development of human reproductive strategies: progress and prospects. Current Directions in Psychological Science 21, 310316.
Belsky, J, Steinberg, L and Draper, P (1991) Childhood experience, interpersonal development, and reproductive strategy: an evolutionary theory of socialization. Child Development 62, 647670.
Belsky, J, Steinberg, LD, Houts, RM, Friedman, SL, DeHart, G, Cauffman, E, Roisman, GI, Halpern-Felsher, BL and Susman, E (2007) Family rearing antecedents of pubertal timing. Child Development 78, 13021321.
Belsky, J, Ruttle, PL, Boyce, WT, Armstrong, JM and Essex, MJ (2015) Early adversity, elevated stress physiology, accelerated sexual maturation, and poor health in females. Developmental Psychology 51, 816822.
Bradley, RH, Corwyn, RF, Burchinal, M, McAdoo, HP and Coll, CG (2001) The home environments of children in the United States part II: relations with behavioral development through age thirteen. Child Development 72, 18681886.
Busso, DS, McLaughlin, KA and Sheridan, MA (2016) Dimensions of adversity, physiological reactivity, and externalizing psychopathology in adolescence. Psychosomatic Medicine 12, 1.
Byrne, ML, Whittle, S, Vijayakumar, N, Dennison, M, Simmons, JG and Allen, NB (2017) A systematic review of adrenarche as a sensitive period in neurobiological development and mental health. Developmental Cognitive Neuroscience 25, 1228.
Cameron, NM (2011) Maternal programming of reproductive function and behavior in the female rat. Frontiers in Evolutionary Neuroscience 3, 110.
Cameron, NM, Del Corpo, A, Diorio, J, McAllister, K, Sharma, S and Meaney, MJ (2008) Maternal programming of sexual behavior and hypothalamic-pituitary-gonadal function in the female rat. PLoS ONE 3, e2210.
de Vries, L, Kauschansky, A, Shohat, M and Phillip, M (2004) Familial central precocious puberty suggests autosomal dominant inheritance. The Journal of Clinical Endocrinology & Metabolism 89, 17941800.
Dennison, MJ, Rosen, ML, Sambrook, KA, Jenness, JL, Sheridan, MA and McLaughlin, KA (2017) Differential associations of distinct forms of childhood adversity with neurobehavioral measures of reward processing: a developmental pathway to depression. Child Development 90, e96e113.
Dorn, LD, Sontag-Padilla, LM, Pabst, S, Tissot, A and Susman, EJ (2013) Longitudinal reliability of self-reported age at menarche in adolescent girls: variability across time and setting. Developmental Psychology 49, 11871193.
Duncan, GJ and Magnuson, K (2012) Socioeconomic status and cognitive functioning: moving from correlation to causation. Wiley Interdisciplinary Reviews: Cognitive Science 3, 377386.
Ellis, BJ (2004) Timing of pubertal maturation in girls: an integrated life history approach. Psychological Bulletin 130, 920958.
Ellis, BJ and Garber, J (2000) Psychosocial antecedents of variation in girls’ pubertal timing: maternal depression, stepfather presence, and marital and family stress. Child Development 71, 485501.
Ellis, BJ, Figueredo, AJ, Brumbach, BH and Schlomer, GL (2009) Fundamental dimensions of environmental risk: the impact of harsh versus unpredictable environments on the evolution and development of life history strategies. Human Nature 20, 204268.
Everaerd, D, Klumpers, F, Zwiers, M, Guadalupe, T, Franke, B, van Oostrom, I, Schene, A, Fernandez, G and Tendolkar, I (2016) Childhood abuse and deprivation are associated with distinct sex-dependent differences in brain morphology. Neuropsychopharmacology 41, 17161723.
Ge, X and Natsuaki, MN (2009) In search of explanations for early pubertal timing effects on developmental psychopathology. Current Directions in Psychological Science 18, 327331.
Graber, J, Brooks-Gunn, J and Warren, MP (1995) The antecedents of menarcheal age: heredity, family environment, and stressful life events. Child Development 66, 346359.
Green, JG, McLaughlin, KA, Berglund, PA, Gruber, MJ, Sampson, NA, Zaslavsky, AM and Kessler, RC (2010) Childhood adversities and adult psychiatric disorders in the national comorbidity survey replication I. Archives of General Psychiatry 67, 113.
Hu, L and Bentler, PM (1999) Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling: a Multidisciplinary Journal 6, 155.
Humphreys, KL and Zeanah, CH (2015) Deviations from the expectable environment in early childhood and emerging psychopathology. Neuropsychopharmacology 40, 154170.
Imai, K, Keele, L and Tingley, D (2010) A general approach to causal mediation analysis. Psychological Methods 15, 309.
James-Todd, T, Tehranifar, P, Rich-Edwards, J, Titievsky, L and Terry, MB (2010) The impact of socioeconomic status across early life on age at menarche among a racially diverse population of girls. Annals of Epidemiology 20, 836842.
Joinson, C, Heron, J, Lewis, G, Croudace, T and Araya, R (2011) Timing of menarche and depressive symptoms in adolescent girls from a UK cohort. British Journal of Psychiatry 198, 1723.
Kessler, RC and Üstün, TB (2004) The World Mental Health (WMH) survey initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). International Journal of Methods in Psychiatric Research 13, 93121.
Kessler, RC, Avenevoli, S, Costello, EJ, Green, JG, Gruber, MJ, Heeringa, S, Merikangas, KR, Pennell, B-E, Sampson, NA and Zaslavsky, AM (2009 a) Design and field procedures in the US National Comorbidity Survey Replication Adolescent Supplement (NCS-A). International Journal of Methods in Psychiatric Research 18, 6983.
Kessler, RC, Avenevoli, S, Costello, EJ, Green, JG, Gruber, MJ, Heeringa, S, Merikangas, KR, Pennell, B-E, Sampson, NA and Zaslavsku, AM (2009 b) National comorbidity survey replication adolescent supplement (NCS-A): II. Overview and design. Journal of the American Academy of Child & Adolescent Psychiatry 48, 380385.
Kessler, RC, Avenevoli, S, Green, JG, Gruber, MJ, Guyer, M, He, Y, Jin, R, Kaufman, J, Sampson, NA, Zaslavsky, AM and Merikangas, KR (2009 c) National comorbidity survey replication adolescent supplement (NCS-A): III. Concordance of DSM-IV/CIDI diagnoses with clinical reassessments. Journal of the American Academy of Child & Adolescent Psychiatry 48, 386399.
Kessler, RC, McLaughlin, KA, Green, JG, Gruber, MH, Sampson, NA, Zaslavsky, AM, Aguilar-Gaxiola, S, Alhamzawi, AO, Alonso, J, Angermeyer, M, Benjet, C, Bromet, E, Chatterji, S, de Girolamo, G, Demyttenaere, K, Fayyad, J, Florescu, S, Gal, G, Gureje, O, Haro, JM, Hu, C, Karam, EG, Kawakami, N, Lee, S, Lepine, J-P, Ormel, J, Posada-Villa, J, Sagar, R, Tsang, A, Bedirhan, U, Vassilev, S, Viana, MC and Williams, DR (2010) Childhood adversities and adult psychopathology in the WHO world mental health surveys. British Journal of Psychiatry 197, 378385.
Knäuper, B, Cannell, CF, Schwarz, N, Bruce, ML and Kessler, RC (1999) Improving accuracy of major depression age-of-onset reports in the US National Comorbidity Survey. International Journal of Methods in Psychiatric Research 8, 3948.
Lambert, HK, King, KM, Monahan, KC and McLaughlin, KA (2017) Differential associations of threat and deprivation with emotion regulation and cognitive control in adolescence. Development and Psychopathology 29, 929940.
Marceau, K, Ram, N, Houts, RM, Grimm, KJ and Susman, EJ (2011) Individual differences in boys’ and girls’ timing and tempo of puberty: modeling development with nonlinear growth models. Developmental Psychology 47, 13891409.
McLaughlin, KA (2016) Future directions in childhood adversity and youth psychopathology. Journal of Clinical Child and Adolescent Psychology 45, 361382.
McLaughlin, KA and Sheridan, MA (2016) Beyond cumulative risk: a dimensional approach to childhood adversity. Current Directions in Psychological Science 25, 239245.
McLaughlin, KA, Green, JG, Alegría, M, Costello, EJ, Gruber, MH, Sampson, NA and Kessler, RC (2012 a) Food insecurity and mental disorders in a national sample of U.S. Adolescents. Journal of the American Academy of Child & Adolescent Psychiatry 51, 12931303.
McLaughlin, KA, Green, JG, Gruber, MJ, Sampson, NA, Zaslavsku, AM and Kessler, RC (2012b) Childhood adversities and first onset of psychiatric disorders in a national sample of US adolescent. Archives of General Psychiatry 69, 1151.
McLaughlin, KA, Sheridan, MA and Lambert, HK (2014) Childhood adversity and neural development: deprivation and threat as distinct dimensions of early experience. Neuroscience and Biobehavioral Reviews 47, 578591. doi: 10.1016/j.neubiorev.2014.10.012.
Mendle, J (2014) Why puberty matters for psychopathology. Child Development Perspectives 8, 218222.
Mendle, J, Harden, KP, Brooks-Gunn, J and Graber, JA (2010) Development's tortoise and hare: pubertal timing, pubertal tempo, and depressive symptoms in boys and girls. Developmental Psychology 46, 13411353.
Mendle, J, Leve, LD, Van Ryzin, MV, Natsuaki, MN and Ge, X (2011) Associations between early life stress, child maltreatment, and pubertal development among girls in foster care. Journal of Research on Adolescence 21, 871880.
Mendle, J, Leve, LD, Van Ryzin, M and Natsuaki, MN (2014) Linking childhood maltreatment with girls’ internalizing symptoms: early puberty as a tipping point. Journal of Research on Adolescence 24, 689702.
Mendle, J, Ryan, RM and McKone, KM (2016) Early childhood maltreatment and pubertal development: replication in a population-based sample. Journal of Research on Adolescence 26, 595602.
Natsuaki, MN, Klimes-Dougan, B, Ge, Z, Shirtcliff, EA, Hastings, PD and Zahn-Waxler, C (2009) Early pubertal maturation and internalizing problems in adolescence: sex differences in the role of cortisol reactivity to interpersonal stress. Journal of Clinical Child and Adolescent Psychology 38, 513524.
Natsuaki, MN, Leve, LD and Mendle, J (2011) Going through the rites of passage: timing and transition of menarche, childhood sexual abuse, and anxiety symptoms in girls. Journal of Youth and Adolescence 40, 13571370.
Negriff, S, Saxbe, DE and Trickett, PK (2015) Childhood maltreatment, pubertal development, HPA axis functioning, and psychosocial outcomes: an integrative biopsychosocial model. Developmental Psychobiology 57, 984993.
Nettle, D, Frankenhuis, WE and Rickard, IJ (2013) The evolution of predictive adaptive responses in human life history. Proceedings of the Royal Society of London Series B-Biological Sciences 280, 20131343.
Noll, JG, Trickett, PK, Long, JD, Negriff, S, Susman, EJ, Shalev, I, Li, JC and Putnam, FW (2017) Childhood sexual abuse and early timing of puberty. Journal of Adolescent Health 60, 6571.
Parent, AS, Franssen, D, Fudvoye, J, Gerard, A and Bourguignon, J-P (2015) Developmental variations in environmental influences including endocrine disruptors on pubertal timing and neuroendocrine control: revision of human observations and mechanistic insight from rodents. Frontiers in Neuroendocrinology 38, 1236. doi: 10.1016/j.yfrne.2014.12.004.
Platt, JM, Colich, NL, McLaughlin, KA, Gary, D and Keyes, KM (2017) Transdiagnostic psychiatric disorder risk associated with early age of menarche: a latent modeling approach. Comprehensive Psychiatry 79, 7079.
Platt, JM, McLaughlin, KA, Luedtke, AR, Ahern, J, Kaufman, AS and Keyes, KM (2018) Targeted estimation of the relationship between childhood adversity and fluid intelligence in a US population sample of adolescents. American Journal of Epidemiology 187, 14561466.
Prebeg, Z and Bralic, I (2000) Changes in menarcheal age in girls exposed to war conditions. American Journal of Human Biology 12, 503508.
Reid, BM, Miller, BS, Dorn, LD, Desjardins, C, Donzella, B and Gunnar, M (2017) Early growth faltering in post-institutionalized youth and later anthropometric and pubertal development. Pediatric Research 82, 278284.
Rickard, IJ, Frankenhuis, WE and Nettle, D (2014) Why are childhood family factors associated with timing of maturation? A role for internal prediction. Perspectives on Psychological Science 9, 315.
Rogol, AD, Clark, PA and Roemmich, JN (2000) Growth and pubertal development in children and adolescents: effects of diet and physical activity 1–4. The American Journal of Clinical Nutrition 72, 521S528S.
Rosen, ML, Sheridan, MA, Sambrook, KA, Meltzoff, AN and McLaughlin, KA (2018) Socioeconomic disparities in academic achievement: a multi-modal investigation of neural mechanisms in children and adolescents. NeuroImage 173, 298310.
Ryan, RM, Mendle, J and Markowitz, AJ (2015) Early childhood maltreatment and girls’ sexual behavior: the mediating role of pubertal timing. Journal of Adolescent Health 57, 342347.
Saxbe, DE, Margolin, G, Spies Shapiro, L, Ramos, M, Rodriguez, A and Iturraide, E (2014) Relative influences: patterns of HPA axis concordance during triadic family interaction. Health Psychology 33, 273281.
Sheridan, MA and McLaughlin, KA (2014) Dimensions of early experience and neural development: deprivation and threat. Trends in Cognitive Sciences 18, 580585.
Sheridan, MA, Peverill, M, Finn, AS and McLaughlin, KA (2017) Dimensions of childhood adversity have distinct associations with neural systems underlying executive functioning. Development and Psychopathology 29, 17771794.
Sumner, JA, Colich, NL, Uddin, M, Armstrong, D and McLaughlin, KA (2018) Early experiences of threat, but not deprivation, are associated with accelerated biological aging in children and adolescents. Biological Psychiatry 85, 268278.
Sun, Y, Mensaw, FK, Azzopardi, P, Patton, GC and Wake, M (2017) Childhood social disadvantage and pubertal timing: a national birth cohort from Australia. Pediatrics 139, 320164099.
Sung, S, Simpson, JA, Griskevicius, V, I-Chun Kuo, S, Schlomer, GL and Belsky, J (2016) Secure infant-mother attachment buffers the effect of early-life stress on age of menarche. Psychological Science 27, 667674.
Towne, B, Czerwinski, SA, Demerath, EW, Blangero, J, Roche, AF and Siervogel, RM (2005) Heritability of age at menarche in girls from the Fels Longitudinal Study. American Journal of Physical Anthropology 128, 210219.
Ullsperger, JM and Nikolas, MA (2017) A meta-analytic review of the association between pubertal timing and psychopathology in adolescence: are there sex differences in risk? Psychological Bulletin 143, 903938. doi: 10.1037/bul0000106.
van Noord, PAH and Kaaks, R (1991) The effect of wartime conditions and the 1944-45 ‘Dutch famine’ on recalled menarcheal age in participants of the DOM breast cancer screening project. Annals of Human Biology 18, 5770.
Whittle, SL, Simmons, JG, Byrnes, ML, Strikwerda-Brown, C, Kerestes, RB, Seal, ML, Olsson, CA, Dudgeon, P, Mundy, LK, Patton, GC and Allen, NB (2015) Associations between early adrenarche, affective brain function and mental health in children. Social Cognitive and Affective Neuroscience 10, 12821290.
Wolf, EJ, Maniates, H, Nugent, N, Maihofer, AX, Armstrong, D, Ratanatharathorn, A, Ashley-Koch, AE, Garrett, M, Kimbrel, NA, Lori, A, Mid-Atlantic MIRECC Workgroup, Aiello, AE, Baker, DG, Beckham, JC, Boks, MP, Galea, S, Geuze, E, Hauser, MA, Kessler, RC, Koenen, KC, Miller, MW, Kessler, KJ, Risbrough, V, Rutten, BPF, Stein, MB, Ursano, RJ, Vermetten, E, Vinkers, CH, Uddin, M, Smith, AK, Nievergelt, CM and Logue, MW (2017) Traumatic stress and accelerated DNA methylation age: a meta-analysis. Psychoneuroendocrinology 92, 3064530. doi: 10.1016/j.psyneuen.2017.12.007.


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Earlier age at menarche as a transdiagnostic mechanism linking childhood trauma with multiple forms of psychopathology in adolescent girls

  • Natalie L. Colich (a1), Jonathan M. Platt (a2), Katherine M. Keyes (a2), Jennifer A. Sumner (a3), Nicholas B. Allen (a4) and Katie A. McLaughlin (a5)...


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