Puberty and the development of psychopathology in adolescence
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Kate Stroud 12.02.04. Puberty and the Development of Psychopathology in Adolescence. 1. Definitions/Theory 2. Measurement Paradigm 3. Pubertal Timing 4. Psychopathology (pp) 5. Conclusions/Implications. Outline. Historically, a period of “storm and stress” (Hall, 1904) Freud

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Puberty and the development of psychopathology in adolescence l.jpg

Kate Stroud

12.02.04

Puberty and the Development of Psychopathology in Adolescence


Outline l.jpg

1. Definitions/Theory

2. Measurement Paradigm

3. Pubertal Timing

4. Psychopathology (pp)

5. Conclusions/Implications

Outline


Defining adolescence l.jpg

Historically, a period of “storm and stress” (Hall, 1904)

Freud

Adolescence does generate more “turmoil” than either childhood or adulthood

Biological, psychological and social systems undergo marked changes

Defining Adolescence


Developmental psychopathology l.jpg

1904)An integrative discipline that seeks to unify, within a developmental, lifespan framework, contributions from multiple fields of inquiry with the goal of understanding pp and its relation to normal adaptation” (Cicchetti & Rogosch, 2000)

It is not about studying disorders per se, but the full range of experiences from normal to abnormal

DevelopmentalPsychopathology


How can we apply this to adolescence l.jpg

Research must focus on how the pp is manifested in the context of the developmental capacities of the period

Distal/proximal influences interacting dynamically

Research must focus on how current functioning evolved (childhood) and on future developmental trajectories (adulthood)

Focus is on normative processes and determining where problems may have arisen

How can we apply this to adolescence?


How can we apply this to pubertal development l.jpg

Study the biological system (at many levels) in dynamic interplay with other systems

Study the pre-pubertal period and the adult trajectories

Possess knowledge of normative development

How can we apply this to pubertal development?


Measuring puberty l.jpg

Tanner Stages interplay with other systems

- primary and secondary sex characteristics

Menarche Age

More difficult for boys

Measuring Puberty


Measuring conceptualizing pubertal timing l.jpg

Pubertal Status- interplay with other systems level or stage of development at a certain point

Pubertal Timing- the age of a pubertal event compared to most adolescents (on-time, early, late)

Comparison groups:

1. within sample (timing classified according to sample)

2. outside groups (timing classified according to population)

Measuring/Conceptualizing Pubertal Timing


Antecedents of timing l.jpg

Genes and shared environment interplay with other systems

- Farber (1981): MZ reared together > MZ reared apart > DZ together > DZ apart

2 types of stress:

1. physical (DELAYS)

-malnutrition

-disease

-economic hardship

2. socioemotional (ACCELERATES)

-family conflict (Moffit, 1992; Ellis & Graber, 2000)

-father absence or step-father presence (Ellis et al., 1999)

Antecedents of Timing


3 hypotheses about puberty and pp l.jpg

1. Stressful change hypothesis interplay with other systems(Simons & Blyth, 1987)

- change is stressful

2. Off-time hypothesis

- events that occur earlier or later generate more distress

3. Early-timing hypothesis (Stattin & Magnusson, 1990)

- events that occur earlier generate more distress

3 Hypotheses about puberty and pp


Do these hypotheses follow from the developmental pp framework l.jpg

No, all share the assumption that puberty will interplay with other systemsgenerate behavioral differences.

Instead, pre-existing differences are magnified and accentuated during periods of change.

Thus, regardless of timing, puberty may not generate uniform reactions among adolescents, but accentuate pre-existing differences. (Caspi & Moffit, 1991)

Do these hypotheses follow from the developmental pp framework?


Caspi moffit 1991 l.jpg

Early maturing girls exhibited the most behavior problems at 13 and 15

Early maturing girls with a history of childhood behavior problems experienced the most problems

Pre-existing differences were accentuated, not generated, by early maturation

Caspi & Moffit (1991)


Depression l.jpg

Early and late maturing boys show higher levels of depression

Early maturing girls show the highest levels of depression throughout adolescence

Depression


Body image l.jpg

Puberty moves girls away and boys towards the cultural ideal (results in elevated body dissatisfaction for girls)

Theoretically, early girls and late boys would be at the greatest risk

Results are mixed

(Stice, 2003)

Body Image


Substance use abuse l.jpg

Early maturing boys and girls show elevated rates of alcohol and tobacco use and abuse

Late maturing boys have lower rates of use/abuse than on-time boys

Effects are stronger for cigarette abuse

Substance Use/Abuse


Antisocial behavior asb boys l.jpg

Early and late maturing boys show significantly higher levels of delinquency and clinically diagnosed ADHD, CD, ODD

Early maturing boys more likely to associate with deviant peers

Early maturing boys more likely to engage in early sexual activity

Antisocial Behavior (ASB): Boys


Antisocial behavior girls l.jpg

Early maturing girls show more ASB at 13 and 15 levels of delinquency and clinically diagnosed ADHD, CD, ODD

This is moderated by exposure to boys

2 pathways to ASB:

1. childhood history of externalizing problems

2. early maturation

(Caspi et al., 1993)

Antisocial behavior: Girls


What about adulthood l.jpg

Women (age 24): levels of delinquency and clinically diagnosed ADHD, CD, ODD

- Early maturers had higher lifetime prevalence rates of MDD, anxiety, disrupted behavior, and AS traits

- No differences in current disorder

- Early maturers showed deficits in psychosocial functioning (e.g. lower quality relationships, smaller social networks)(Graber et al., 2004)

What About Adulthood?


What about adulthood19 l.jpg

Men ( age 24): levels of delinquency and clinically diagnosed ADHD, CD, ODD

- Late maturing men had elevated rates of lifetime history of disruptive behavioral disorders and higher rates of current substance use but not in adolescence

- Early maturing men continued pattern of elevated substance use and poorer psychosocial functioning (Graber et al., 2004)

What About Adulthood?


Limitations l.jpg

1. Most research is not prospective and longitudinal levels of delinquency and clinically diagnosed ADHD, CD, ODD

2. Most research does not consider pre-adolescent behavior

3. Most research does not consider adult trajectories

4. Research findings may not generalize to non-Caucasian individuals (e.g. Stice, 2002)

Limitations


Conclusions l.jpg

What are we studying the development of? levels of delinquency and clinically diagnosed ADHD, CD, ODD

Despite inconsistencies, early maturing girls are at the highest risk for pp

The experience of puberty probably accentuates early individual differences

Many systems interacting dynamically contribute to pubertal timing and the development of pp

Conclusions


References l.jpg

Angold, A., Costello, E.J., & Worthman, C.M. (1998). Puberty and depression: the roles of age, pubertal status and pubertal timing. Psychological Medicine, 28, 51-61.

Angold, A. & Rutter, M. (1992). Effects of age and pubertal status on depression in a large clinical sample. Development and Psychopathology, 4, 5-28.

Caspi, A., Lynam, D., Moffitt, T.E., & Silva, P.A. (1993). Unraveling girls’ delinquency: Biological, dispositional, and contextual contributions to adolescent misbehavior. Developmental Psychology, 29, 19-30.

Caspi, A. & Moffit, T.E. (1991). Individual differences are accentuated during periods of social change: The sample case of girls at puberty. Journal of Personality and Social Psychology, 61, 157-168.

Cicchetti, D. & Rogosch, F.A. (2002). A developmental psychopathology perspective on adolescence. Journal of Consulting and Clinical Psychology, 70, 6-20.

Compian, L., Gowen, L.K., & Hayward, C. (2004). Peripubertal girls’ romantic and platonic involvement with boys: Associations with body image and depression symptoms. Journal of Research on Adolescence, 14, 23-47.

Cyranowski, J.M., Frank, E., Young, E. & Shear, K. (2000). Adolescent onset of the gender difference in lifetime rates of major depression. Archives of General Psychiatry, 57, 21-27.

Ellis, B.J. & Garber, J. (2000). Psychosocial antecedents of variation in girls’ pubertal timing: Maternal Depression, Stepfather presence, and marital and family stress. Child Development, 71, 485-501.

Ge, X., Conger, R.D., & Elder, G.H. (2001). Pubertal transition, stressful life events, and the emergence of gender differences in adolescent depressive symptoms. Developmental Psychology, 37, 404-417.

Ge, X., Conger, R.D., & Elder, G.H. (2001). The relation between puberty and psychological distress in adolescent boys. Journal of Research on Adolescence, 11, 49-70.

Ge, X., Conger, R.D., & Elder, G.H. (1996). Coming of age too early: Pubertal influences on girls’ vulnerability to psychological distress. Child Development, 67, 3386-3400.

Graber, J. A., Seeley, J.R., Brooks-Gunn, J., & Lewinsohn, P.M. (2004). Is pubertal timing associated with psychopathology in young adulthood? Journal of the American Academy of Child and Adolescent Psychology, 43, 718-726.

Graber, J. A., Seeley, J.R., Brooks-Gunn, J., & Lewinsohn, P.M. (1997). Is pubertal timing associated with psychopathology in young adulthood? Journal of the American Academy of Child and Adolescent Psychology, 36, 1768-1777.

Hayward, C. & Sanborn, K. (2002). Puberty and the emergence of gender differences in psychopathology. Journal of Adolescent Health, 30S, 49-58.

Hayward, C. (1998). Gender differences at puberty. Cambridge, MA: Cambridge University Press.

Wiesner, M. & Ittel, A. (2002). Relations of pubertal timing and depressive symptoms to substance use in early adolescence. Journal of Early Adolescence, 22, 5-23.

References


Slide23 l.jpg

Reviewed by and depression: the roles of age, pubertal status and pubertal timing.

Heather Foran,

Tom Olino,

& Bianca Acevedo


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