Outcomes of early pubertal timing in young women: a prospective population-based study.

Outcomes of early pubertal timing in young women: a prospective population-based study.
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DOI:
10.1176/appi.ajp.2010.09081190
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发表时间:
2010-10
期刊:
The American journal of psychiatry
影响因子:
--
通讯作者:
Maughan B
Maughan B
中科院分区:
其他
文献类型:
--
作者:
Copeland W;Shanahan L;Miller S;Costello EJ;Angold A;Maughan B

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女性过早进入青春期与整个青春期的社会心理问题有关,但尚不清楚这些问题是否会持续到成年期。数据来自前瞻性的、以人群为基础的大烟山研究(N = 1,420),该研究最初招募了9岁、11岁和13岁的儿童,并跟踪他们直到成年。青春期时间是根据自我报告的坦纳期和月经初潮年龄来定义的。结果包括青少年(13至16岁)与犯罪、物质使用、学校/同龄人问题、家庭关系、性行为和心理健康相关的功能,以及青年成年(19岁和21岁)与犯罪、物质使用、教育/社会经济地位、性行为和心理健康相关的功能。在青春期,早熟的女性自我报告的犯罪、药物使用问题、社会孤立、早期性行为和精神问题的水平更高。到成年早期,这些差异中的大多数已经减弱:早熟者在某些领域的功能有所改善(恢复);在其他情况下,准时/晚熟的人赶上了早熟的同龄人。然而,早熟的女性,尤其是那些有青少年行为障碍史的女性,在成年后更容易抑郁。早熟者也更有可能有很多性伴侣。青春期早期对青少年社会心理问题的影响是广泛的,但除了一小部分人之外,所有人在进入成年期后都有所减少。
Early pubertal timing in females is associated with psychosocial problems throughout adolescence, but it is unclear whether these problems persist into young adulthood. Data are from the prospective, population-based Great Smoky Mountains Study (N = 1,420) which initially recruited children at ages 9, 11, and 13 and followed them into young adulthood. Pubertal timing was defined based upon self-reported Tanner stage and age of menarche. Outcomes included functioning related to crime, substance use, school/peer problems, family relationships, sexual behavior and mental health in adolescence (ages 13 to 16) and crime, substance use, education/SES, sexual behavior and mental health in young adulthood (ages 19 and 21). In adolescence, early maturing females displayed higher levels of self-reported criminality, substance use problems, social isolation, early sexual behavior, and psychiatric problems. By young adulthood, most of these differences had attenuated: Functioning for early maturers improved in some areas (recovery); in others, on-time/late maturers had caught up with their early maturing peers. Nevertheless, early maturing females, particularly those with a history of adolescent conduct disorder, were more likely to be depressed in young adulthood compared to their counterparts. Early maturers were also more likely to have had many sexual partners. The effects of early pubertal timing on adolescent psychosocial problems were wide-ranging, but diminished by young adulthood for all but a small group.
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