Depressive symptomatology among very early maturing girls

This study investigated whether menarche is associated with depression when its onset is at the very early extreme of the normal age range. Girls who were postmenarcheal at the beginning of the sixth grade, comprising less than 10% of a sample of girls in that grade, were classified as very early maturers; their scores on the Beck Depression Inventory, short form (BDIs), were compared with those of their premenarcheal peers. Additionally, postmenarcheal seventh graders, who comprised 30% of a sample of girls in that grade, were compared to their premenarcheal peers on the BDIs. Results were that postmenarcheal sixth graders were significantly more depressed than their premenarcheal peers, but that postmenarcheal and premenarcheal seventh graders did not differ significantly. The results suggest that very early menarche is associated with higher levels of depression than more normative menarcheal timing.This research was supported by Grant 16034 from the National Institute of Child Health and Human Development. Some portions of the data were cited previously at meetings of the Society for Research in Child Development and the Society for Menstrual Cycle Research.Received Ph.D. from Clark University. Major interest is in clinical-developmental psychology. To whom reprint requests should be addressed.Received Ph.D. from Tufts University. Major interests are psychobiology and adolescent development     

Race and Perceived Pubertal Transition Effects on Girls’ Depressive Symptoms and Delinquent Behaviors

Most past research on the effects of early pubertal timing on girls’ depressive symptoms and delinquent behavior has focused on either age of menarche or has combined multiple indicators of development into a single index of puberty. Past research has rarely examined both the onset of puberty such as age of menarche, as well more psychologically mediated impressions of puberty (i.e., perceived pubertal timing) within the same study. This study extends past research on racial differences and pubertal related effects on girls’ depressive symptoms and delinquent behavior by examining the independent influence of different indicators of puberty (age of menarche, development of breasts, and perceived pubertal timing). Two waves of data (100 % females) were used from African Americans (N = 481) and European Americans (N = 1259) who were enrolled in seventh- and eighth-grade during the first wave of data collection in the National Longitudinal Study of Adolescent Health. Early age of menarche was associated with high levels of depressive symptoms at Wave 1. Additionally, both early and late perceived pubertal timing were associated with high levels of depressive symptoms and high delinquent behaviors at Wave 1. The structural relationships among these variables were similar for African Americans and European Americans. Age of menarche and perceived pubertal timing influenced depressive symptoms and delinquent behavior at Wave 2 through depressive symptoms and delinquent behavior reported at Wave 1. The implications of these findings are discussed with an emphasis on how the specific indicator used to assess puberty is important in efforts to understand pubertal timing effects.     

Ethnicity,Perceived Pubertal Timing,Externalizing Behaviors,and Depressive Symptoms Among Black Adolescent Girls

An accumulation of research evidence suggests that early pubertal timing plays a significant role in girls’ behavioral and emotional problems. If early pubertal timing is a problematic event, then early developing Black girls should manifest evidence of this crisis because they tend to be the earliest to develop compared to other girls from different racial and ethnic groups. Given the inconsistent findings among studies using samples of Black girls, the present study examined the independent influence of perceived pubertal timing and age of menarche on externalizing behaviors and depressive symptoms in a nationally representative sample of Black girls (412 African American and 195 Caribbean Black; M = 15 years). Path analysis results indicated that perceived pubertal timing effects on externalizing behaviors were moderated by ethnic subgroup. Caribbean Black girls’ who perceived their development to be early engaged in more externalizing behaviors than Caribbean Black girls’ who perceived their development to be either on-time or late. Age of menarche did not significantly predict Black girls’ externalizing behaviors and depressive symptoms. The onset of menarche does not appear to be an important predictor of Black girls’ symptoms of externalizing behavior and depression. These findings suggest ethnic subgroup and perceived pubertal timing are promising factors for better understanding the adverse effects of early perceived pubertal timing among Black girls.     

Timing of menarche and initial menstrual experience

This study sought to compare the relative importance of subjective and objective timing of menarche for initial menstrual experience. Objective timing is defined as when an event occurs relative to a person's actual chronological age. Subjective timing is when a life event occurs relative to social norms for the timing of its occurrence, and has been cited as being of importance in determining the events' psychological significance. In this study, college women completed a survey in which they recorded their age at menarche, an estimate of the number of their peers reaching menarche before them, and their memory of their initial experience of menstruation, on a 7-point scale ranging from 1 (completely positive) to 7 (completely negative). The assumption was that girls who reported early menarche in relation to peers subjectively experienced themselves as early maturers, the converse being true for girls reporting late menarche. Since a curvilnear relationship between subjective timing and objective timing has been reported for girls by other studies, linear relationships were not considered; instead, a chisquare analysis and a measure of the relative strength of each relationship were performed on the date, the results indicating that subjective timing was significantly related to menarcheal experience, but objective timing was not, with girls who experienced themselves as early remembering a more negative menarche than girls who experienced themselves as "on time" or late. The results validate the importance of the concept of "social clocks" in adolescent development and suggest that future studies of the importance of pubertal timing should include measures of subjective as well as objective timing.     

Timing of menarche,preparation, and initial menstrual experience: Replication and further analyses in a prospective study

The goals of this study were to assess the significance of two timing variables (objective timing of menarche and subjective timing, i.e., the belief—not necessarily true—about one's status as early, average, or late maturing) and two cognitive variables (preparation for menstruation and ego functioning) as predictors of the experience of menarche. Subjects were 92 girls who changed from pre- to postmenarcheal between two test occasions, six months apart. Findings were that subjective timing of menarche and preparation were significant predictors of menarcheal experience, while objective timing and ego functioning were not. The results replicated earlier findings based on cross-sectional analyses. Interpretation of the results suggested some directions for further exploration of determinants of initial menstrual experience.This research was supported by National Institute of Child Health and Human Development Grant 16034 to the first two authors.Received Ph.D. from Clark University. Major interest is in clinical-developmental psychology.Received Ph.D. from Tufts University. Major interests are psychobiology and adolescent development.Received Ph.D. from Brandeis University. Major interest is early adolescent girls' development.     

Developmental Markers in Adolescence: Implications for Studies of Pubertal Processes

There is inconsistency in the outcome measures of biological and psychosocial studies using measures of puberty as a predictor. For example, some studies show that maturational timing may have differential influences (positive, negative, or no effect) depending on the specific disorder, dimension of measure, and gender. Other studies have suggested that some effects may be more directly linked to pubertal stage or hormone concentrations rather than timing per se. This study outlines several conceptual and methodological issues that may be relevant to addressing these inconsistencies, in the context of examining data from a study of maturational hormones obtained from a unique longitudinal cohort of 24 girls (age 10.0 ± 1.6 years) and 36 boys (age 10.4 ± 1.6 years) in the early part of puberty, where the developmental trajectory of these hormones were tracked annually in 65% of the sample. We explored the contributions of measures of pubertal growth and sociodemographic factors on hormone concentrations. In brief, it appears that no single measure best captures the maturational processes during puberty and suggests that multiple processes are occurring in parallel. Several conceptual and methodological implications are discussed that may guide investigators in interpreting existing studies of pubertal timing and behavior as well as in conducting future studies.     

Early Menarcheal Age and Risk for Later Depressive Symptomatology: The Role of Childhood Depressive Symptoms

Previous research has investigated the relationship between pubertal timing and depression in girls, with most results suggesting that earlier menarche predicts more depression in adolescence. However, few studies have controlled for the potentially confounding effects of childhood depressive symptoms. The current study uses a prospective, longitudinal sample of 1,185 girls (47.8 % Caucasian) to examine the relationships between pubertal timing, childhood depressive symptoms, and adolescent depressive symptomatology. Using multiple linear regression analyses, our results suggest that higher levels of childhood depressive symptoms and earlier menarche have independent effects on adolescent depressive symptoms. Surprisingly, childhood depressive symptomatology predicted later age of menarche, although the magnitude of this effect was small. Taken together, the results suggest that early childhood depressive symptoms and early menarche represent independent pathways to later depressive symptoms.     

Peer Group Similarity in Perceptions of Pubertal Timing

Self-report measures of perceived pubertal timing correspond only weakly with clinical measures of “objective” physical development. Peer and school contexts shape adolescents’ self-perceptions of pubertal timing. The current study examined associations between perceived pubertal timing and the pubertal timing reported by nominated friends and schoolmates. Participants included 2817 adolescents (M_age = 16.6; 49 % female; 16 % Black; 20 % Hispanic) from the National Longitudinal Study of Adolescent Health. Three measures of pubertal timing were included: age-standardized ratings of body changes, comparisons of development relative to peers (relative timing), and, in females, age at menarche. It was hypothesized that relative timing, which explicitly asks adolescents to compare themselves to their peers, would be related to the age-standardized pubertal timing of nominated friends and schoolmates. Surprisingly, there were no associations between relative timing and age-standardized pubertal timing reported by peers, suggesting that pubertal self-perceptions do not fluctuate in response to the average level of development in a friend group. Instead, males were similar to nominated friends and schoolmates in age-standardized ratings of body changes, and females were similar to nominated friends in relative timing, controlling for race, ethnicity, and age. Different self-report measures of pubertal timing index different underlying constructs, and the social processes that influence adolescents’ perceptions of pubertal maturation may differ between genders.     

Disordered Eating Precursors in Pre- and Early Adolescent Girls and Boys

First- and second-year findings from a study of the development of disordered eating in pre- and early adolescents are presented. Fifth- and sixth-grade girls (n = 80) and boys (n = 85) were assessed on depression, body image, self-esteem, and eating behaviors and attitudes in Year 1 and again one year later. Weight, height, and pubertal development were also evaluated in Year 1 and Year 2. Gender differences existed on all measures in Year 2 and indicated consistently poorer scores for girls compared to boys. For girls, Year 1 Body Mass Index and pubertal development predicted Year 2 disordered eating. For boys, poor body image in Year 1 predicted Year 2 disordered eating. The importance of identifying early risk factors for eating disorders is discussed.     

Negative affect and hormone levels in young adolescents: Concurrent and predictive perspectives

The purpose of this study was to test hypotheses regarding (1) relations among negative affect and hormones of gonadal and adrenal origin in young adolescents, at three times of measurement, over a one-year period; and (2) stability of negative affect. The sample consisted of 10- to 14-year-old boys (N=56) and 9- to 14-year-old girls (N=52). The adolescents were assessed three times at 6-month intervals over one year. Serum levels of gonadotropins, gonadal steroids, adrenal androgens, and cortisol were assessed, as well as stage of pubertal development (Tanner criteria). The negative affect assessments consisted of self-report questionnaire and interview measures of anxiety and depressive affect, as well as mother reports of internalizing behavior problems. In the concurrent (cross-sectional) analyses, boys reporting higher levels of negative affect tended to be those at higher genital stage or older age, with lower testosterone and cortisol levels and lower dehydroepian-drosterone sulphate levels. In the longitudinal analyses, negative affect, and to a lesser extent hormone levels at the first time of measurement predicted negative affect 12 months later. The findings suggest that puberty-related hormone levels should be considered along with psychological characteristics in examining the processes involved in the development of negative affect during the pubertal years.Received Ph.D. from The Pennsylvania State University. Research interests include hormone-behavior interactions and emotional development.Received Ph.D. from The Pennsylvania State University. Research interests include neuroendocrinology and adolescent depression.Recieved M.D. from Athens University. Research interests include hypothalamic releasing factors and stress.     

Pubertal Timing and Adolescent Adjustment and Behavior: Conclusions Vary by Rater

The effects of pubertal timing on adolescent development have been studied since the late 1930s, yet the research has yielded inconsistent findings. One reason for such inconsistency may be the source of the rating. The purpose of this report was to examine whether pubertal timing by self-report (SR), parent report (PR), or physical exam (PE) predicted the same aspects of adjustment and behavior problems. Fifty-two girls, age 9–14 years (M = 12.0 ± 1.6) and 56 boys, age 10–15 years (M = 12.7 ± 1.3) and their parents were enrolled in the longitudinal study. Parents completed the Child Behavior Checklist and adolescents completed the Offer Self-Image Questionnaire. Using regression, later maturing boys and girls had more adjustment and behavior problems than on-time or earlier maturers in cross-sectional analyses. Longitudinally, there were few significant relationships between pubertal timing at the first occasion of measurement and adjustment and behavior problems 1 year later. Overlap in correlates of adjustment and behavior problems across raters was not always found. More significant findings were evident between pubertal timing and adjustment and behavior problems for boys than for girls and more for ratings by PE than by SR or PR. Caution appears in order when drawing conclusions about pubertal timing and adolescent behavior when rater of pubertal development or timing of rating varies across studies. The selection of who rates pubertal development and the timing of the ratings should be based on the underlying theoretical framework guiding the hypotheses.     

Age at Menarche and Adolescent Alcohol Use

Research has shown that early maturation is related to problematic alcohol use, yet the differential effect of early pubertal timing (i.e., younger age at menarche) on the onset of alcohol use and subsequent level of alcohol use has rarely been examined. This distinction is relevant, as younger age at menarche can have differential effects on these outcomes, which in turn can have long-lasting effects. Therefore, the present study examined the relationship between age at menarche and adolescent alcohol use among girls, hereby distinguishing between onset and level of alcohol use. In addition, the moderating effects of alcohol-specific rules, child disclosure and class gender composition were examined. Participants were 430 girls from a Dutch four-wave survey, with a mean age of 12.17 years (SD = 0.50) at the beginning of the study. Results showed that the probability of onset of alcohol use was increased by younger age at menarche, but only when girls were younger than 15. Moderation analyses showed that younger age at menarche increased the risk of alcohol onset only in low risk girls (with high levels of alcohol-specific rules and in classes with a high percentage of girls). Once adolescent girls started drinking alcohol, younger age at menarche was associated positively with alcohol consumption only for girls in classes with a moderate to high percentage of girls. These findings confirm that younger age at menarche is a risk factor for the onset of alcohol use, but strongly suggest that this effect is strongest for girls having restrictive alcohol-specific rules and in classes with a high percentage of girls. Possibly, in the absence of social factors that “push” to alcohol use, biological factors (like age at menarche) become more important. Another possibility is that adolescent girls start drinking alcohol to oppose their parents if they set too strict alcohol-specific rules.     

The psychological impact of menarche: Integrative versus disruptive changes

Ninety-four seventh- and eighth-grade girls, 49 premenarcheal and 45 postmenarcheal, produced male and female human figure drawings. These drawings were scored for sexual differentiation, sexual identification, and anxiety related to aggression-hostility and insecurity-lability. Postmenarcheal girls were found to evidence greater sexual differentiation and clearer sexual identification than premenarcheal girls of the same age. Postmenarcheal girls did not differ from premenarcheal girls in level or class of anxiety, however. Together, these results provide evidence for viewing the impact of menarche as primarily integrative, rather than primarily disruptive. Implications of these findings for understanding menarche as a normal developmental crisis are explored.This research was supported in part by Wellesley College Faculty Development Awards to each of the two authors.Received Ph.D. in psychology from Clark University. Major interests are clinical psychology and personality development. Correspondence should be addressed to this author.Received Ph.D. in psychology from Tufts University. Major interests are psychobiology and adolescent development.     

Pubertal Timing and Substance Use in Middle Adolescence: A 2-Year Follow-up Study

Earlier research has associated early puberty with emotional and behavioral symptoms particularly among girls, while among boys, findings have been contradictory as to whether risks are associated with early or late pubertal timing. We studied the association between pubertal timing and substance use behaviors in middle adolescence in a 2-year follow up study of 2,070 (mean age 15.5 years, SD 0.36; 56.4% females) Finnish adolescents. Pubertal timing was measured by age at menarche/oigarche. Eleven years or less was classified as early, 12–13 years as normative and 14 years or later as late pubertal timing. Substance use behaviors were elicited by a number of questions related to alcohol use patterns, smoking and cannabis use. As factors that could explain the association between pubertal timing and substance use, we studied depressive symptoms, delinquency and aggression, and parental monitoring. In boys, all these substance use behaviors were the more common the earlier the puberty and the associations persisted at age 17. Among girls, early pubertal timing was similarly associated with substance use behaviors at age 15, but no longer at age 17. The associations between pubertal timing and substance use behaviors persisted when symptom dimensions and parental monitoring were added into the models. Early puberty is a risk factor for substance use particularly among boys. Among girls, the impact of pubertal timing already tempers off during adolescence.     

Problems in studying and defining pubertal events

Problems in studying and defining pubertal events during early adolescence are examined in this paper. Whether puberty is best characterized as a social construction or as a physical event and whether early adolescence is best considered a transitional or distinct life period are discussed. Then, the markers or life events associated with puberty and possible boundaries of early adolescence are considered. Finally, possible models for studying pubertal change are discussed, focusing on timing of events, mediated effects, biobehavioral interaction, and cumulative risk models. Puberty: The time of life in which the two sexes begin first to be acquainted. — Samuel JOhnson     

Going Through the Rites of Passage: Timing and Transition of Menarche,Childhood Sexual Abuse,and Anxiety Symptoms in Girls

Menarche is a discrete, transitional event that holds considerable personal, social, biological, and developmental significance. The present longitudinal study examined both the transition and timing of menarche on the trajectory of anxiety in girls with histories of childhood maltreatment (N = 93; 63% European American, 14% multiracial, 10% Latino, 9% African American, and 4% Native American). We hypothesized that because menarche is a novel, unfamiliar experience, girls would show greater anxiety around the time of menarche. The anxiety-provoking nature of menarche may be accentuated among earlier-maturing girls and girls with histories of childhood sexual abuse. Results indicated that earlier-maturing girls were more anxious in the pre- and peri-menarche periods than their later-maturing peers; however, their anxiety declined after menarche. Childhood sexual abuse was associated with heightened anxiety throughout this transition. The developmental significance of the timing and transition of menarche in relation to childhood sexual abuse and anxiety is discussed.     

Pubertal Development Moderates the Importance of Environmental Influences on Depressive Symptoms in Adolescent Girls and Boys

Prevalence differences in depressive symptoms between the sexes typically emerge in adolescence, with symptoms more prevalent among girls. Some evidence suggests that variation in onset and progression of puberty might contribute to these differences. This study used a genetically informative, longitudinal (assessed at ages 12, 14, and 17) sample of Finnish adolescent twins (N = 1214, 51.6% female) to test whether etiological influences on depressive symptoms differ as a function of pubertal status. These tests were conducted separately by sex, and explored longitudinal relationships. Results indicated that pubertal development moderates environmental influences on depressive symptoms. These factors are more important on age 14 depressive symptoms among more developed girls relative to their less developed peers, but decrease in influence on age 17 depressive symptoms. The same effects are observed in boys, but are delayed, paralleling the delay in pubertal development in boys compared to girls. Thus, the importance of environmental influences on depressive symptoms during adolescence changes as a function of pubertal development, and the timing of this effect differs across the sexes.     

Early Pubertal Timing and Girls’ Problem Behavior: Integrating Two Hypotheses

Girls’ early pubertal timing has been linked in many studies to behavioral problems such as delinquency and substance use. The theoretical explanations for these links have often involved the girls’ peer relationships, but contexts have also been considered important in some explanations. By integrating two theoretical models, the peer-socialization and the contextual-amplification hypotheses, we propose a contextual framework for explaining the link between early pubertal timing and external problem behavior in girls. We hypothesize that early developing girls engage in unhealthy, dangerous, and risky behavior under contextual conditions that promote access to older friends and opposite-sex relationships. Under other conditions it is less likely. We tested this integrated hypothesis in two studies conducted in Sweden. The first was a cross-sectional study with information about school and free-time friends in a community sample (N = 284). Early pubertal timing was linked to having older, more normbreaking friends outside of school, but not in school, thus suggesting that the school context interferes early-developing girls’ selection of older peers. The second study involved both a longitudinal (N = 434) and a cross-sectional sample of girls (N = 634), where we examined a leisure setting that is known to attract delinquent youth. Results showed that early pubertal timing was most strongly linked to delinquency for girls who spent time in this context and were heavily involved with boys and peers. In sum, results from both studies supported our predictions that certain contexts would amplify the peer-socialization effect. Overall, we conclude that the integrated peer-socialization/contextual-amplification model satisfactorily explains the link between pubertal timing and external problem behavior.     

The relation of relative hormonal levels and physical development and social-emotional behavior in young adolescents

The study examined the relation between timing of physical maturation and problems of adjustment and peer relations. The participants were 9-14-year-old boys (N=56) and girls (N=52). Assessments of physical maturation consisted of pubertal staging according to Tanner criteria and serum determinations of luteinizing hormone, follicle stimulating hormone, testosterone, estradiol, dehydroepiandrosterone, dehydroepiandrosterone sulfate, and androstenedione. There was approximately an equal number of boys and girls in each pubertal stage. The psychological measures were the Psychopathology and Emotional Tone subscales from the Offer Self-Image Questionnaire for Adolescents and interview questions to assess interactions with peers. Psychopathology and emotional tone (sad effect) scores were higher for boys with high-for-age adrenal androgens and lower for boys with high-for-age sex steroids. Behavioral manifestations of sexuality, interest in dating, was higher for boys with high-for-age adrenal androgens. Dating and spending time with friends were higher for boys with high-for-age gonadotropins. Psychopathology and emotional tone were higher for girls with high-for-age gonadotropins. The results indicate that high-for-age hormone level or early timing of puberty generally was related to adverse psychological consequences for boys and girls, with relations being stronger for boys than for girls.     

Pubertal Timing Fluctuations across Middle School: Implications for Girls’ Psychological Health

The relative nature of pubertal timing has received little attention in research linking early pubertal development with psychological adjustment. The current study examines the dynamic association between pubertal timing and internalizing symptoms among an urban, ethnically diverse sample of girls (n?=?1,167; 50% Latina, 30% Black/African American, 11% Asian, 9% White). By relying on six waves of data, we detected substantial within-person variability in pubertal timing, which in turn related to fluctuations in depressive symptoms, global self-worth, and social anxiety in multilevel analyses. Within-person changes in the direction of more advanced development compared to peers consistently predicted more depressive symptoms; however, more advanced development was related to lower self-worth only at the beginning of middle school. By the end of middle school, less advanced development predicted social anxiety. Results challenge the notion that pubertal timing is a stable individual characteristic, with implications for studying the psychosocial correlates of pubertal development across multiple years.