The purpose of this report is to synthesize the existing literature on pubertal timing and (a) depression and (b) externalizing behavior within a theoretical framework of risks, transitions, and psychological development during adolescence. This review first proposes a framework for considering pubertal timing and maladaptive behavior. Next, the literature on pubertal timing and depression is discussed, followed by the literature on pubertal timing and externalizing behavior with fine distinctions being made for males and females. Additionally, mediating and moderating variables are reviewed in an effort to understand mechanisms by which timing of puberty and maladjustment may operate or risk factors that may amplify the detrimental consequences of the pubertal transition. Finally, conclusions and future directions are proposed.
Purpose
Dysmenorrhea affects quality of life and contributes to absenteeism from school and work diminishing opportunities for successful psychosocial and cognitive development during adolescence. In adults, depression, anxiety, and smoking have an impact on menstrual cycles and dysmenorrhea. Associations between these potential problems have not been examined in adolescents. The purpose of this study was to examine relationships between depressive symptoms and anxiety with menstrual symptoms. Smoking was examined as a moderator of this relationship.
Methods
This study enrolled 154 post-menarcheal girls from a sample of 207 girls age 11, 13, 15, and 17 years [M = 15.4 years (± 1.9)]. Self-reported measures included the Menstrual Symptom Questionnaire (MSQ), Children’s Depression Inventory (CDI), State-Trait Anxiety Inventory, and smoking behavior. Generalized linear regression modeled MSQ outcomes separately for depressive symptoms and anxiety.
Results
More depressive symptoms/anxiety were related to higher numbers of menstrual symptoms (r = 0.23–0.44, p < .05). Smoking status (ever) was related to higher MSQ scores. Moderating effects of smoking and depressive symptoms or anxiety on menstrual symptoms were consistent across most MSQ factors where effects were stronger in never smokers.
Conclusion
This is the first study in adolescents showing smoking status and depressive symptoms/anxiety are related to menstrual symptoms and that the impact of depressive symptoms/anxiety on menstrual symptoms is stronger in never smokers. The dynamic and complex nature of smoking, moods, and dysmenorrhea cannot be disentangled without longitudinal analyses. Efforts to reduce menstrual symptoms should begin at a young gynecological age and include consideration of mood and smoking status.
Child abuse and neglect, often collectively called child maltreatment, are huge social problems affecting millions of children and adolescents in America. Adolescents are affected both by maltreatment which occurred during childhood with lingering effects and by maltreatment that continues into or begins in adolescence. Several decades of research indicate such maltreatment is associated with a number of mental health problems, including internalizing and externalizing problems, as well as other maladaptive developmental problems, in childhood and beyond. This is a review of research published from 2000 to 2010 with a specific focus on the nature and impact of child maltreatment on adolescent development. This article focuses on 3 especially critical themes of this recent research: (1) prospective longitudinal studies that examine adolescent adaptation and maladaptation of individuals abused or neglected earlier in life; (2) research that focuses on some developmental outcomes with particular salience during adolescence such as delinquency and substance abuse, romantic relationships, and sexuality; and (3) research that examined psychobiological processes in maltreated adolescents, processes that might indicate the mechanisms underlying maladaptive development.
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