Early puberty may not be the root cause of adolescent turmoil, study says


A study traces problems associated with stormy adolescence back to kindergarten years. (ISTOCKPHOTO)
July 8, 2013

Puberty has always been a time of stress and emotional turmoil for adolescents and their parents. And scientists have long recognized that kids who start puberty before their peers are particularly likely to have trouble getting along with other children and with adults. New research suggests, though, that those difficulties can be traced back to even earlier ages, indicating that early puberty may not be the root cause.

Australian researchers drew on data for 3,491 children, roughly half boys and half girls, who were recruited at age 4 or 5 and then followed until they reached 10 or 11. Every two years, a researcher visited each participant’s home, evaluated the child and interviewed the primary caregiver, who later returned a questionnaire about the child’s behavior. The primary caregiver — in most cases, a parent — was also asked to judge the child’s pubertal status, based on indicators for an early phase of puberty such as breast growth in girls, adult-type body odor and body hair; and growth spurts, deepening voices in boys and menstruation in girls for a later stage.

Girls typically enter puberty at age 10 or 11 and boys at 11 or 12. The researchers found that 16 percent of the girls and 6 percent of the boys in the study had entered puberty early, at age 8 or 9.

Previously, researchers thought that negative behavior associated with early puberty — such as difficulty playing with other kids and participating in normal school activities — showed up only after puberty’s onset. But the new study showed that children who later had early-onset puberty showed evidence of such problems when they were 4 or 5 years old. Boys in this group had also shown other behavior problems, such as being overactive, losing their temper and preferring to play alone from a young age.

“The association between
early-onset puberty and poor mental health appears to result from processes under way well before the onset of puberty,” the researchers conclude in a paper published online in the Journal of Adolescent Health.

Unusually early puberty “is opening up a broader window of vulnerability” for mental health problems among youths, says George Patton, the senior author of the paper and a psychiatric epidemiologist at the Murdoch Childrens Research Institute in Melbourne, Australia. He explains that mental capacities for self-control of impulsive behavior do not normally accompany early puberty. This means that early puberty may increase the risk of children’s harming themselves or falling into depression.

The paper challenges previous assumptions that puberty triggers behavior changes, says Jay Giedd, a psychiatrist at the National Institute of Mental Health, who was not involved in the study. But he adds that the study raises new questions about what factors are influencing this behavior and whether early psychosocial and behavioral difficulties might somehow trigger early puberty.

The next stage of the research will try to provide some answers, says the study’s lead author, Fiona Mensah, a social scientist at the Murdoch institute. “We will be looking to see whether we can identify the early life factors that may be influencing children’s development and leading to early puberty,” she says. They also want to understand how premature delivery, the home and community environment might influence mental health.

The ultimate goal is to identify supportive measures to help children develop social and emotional resources before they reach puberty so that they can better navigate the storms of adolescence.

This article was produced by ScienceNOW, the daily online news service of the journal Science.

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