Interdisciplinary Center for Psychiatric Epidemiology and Groningen Graduate School Medical Sciences, University Medical Center Groningen, CC 72, P.O. Box 30001, 9700 RB Groningen, The Netherlands.
J Adolesc. 2011 Feb;34(1):73-85. doi: 10.1016/j.adolescence.2010.01.010. Epub 2010 Feb 21.
The aim of this study was to investigate associations between specific mental health problems and pubertal stage in (pre)adolescents participating in the Dutch prospective cohort study TRAILS (first assessment: N=2230, age 11.09±0.56, 50.8% girls; second assessment: N=2149, age 13.56±0.53, 51.0% girls). Mental health was assessed by the Youth Self-Report, pubertal (Tanner) stage by parent-rated drawings of secondary sex characteristics. Overall, higher Tanner stages were related to more reported tiredness, irritability, rule-breaking behaviors, and substance use; and fewer fears and somatic complaints. Girls showed increases in social uncertainty, depressed mood, and worries; boys a decrease in self-criticism. Increasing problems during puberty were mostly related to the process of physical maturation, whereas decreasing problems were rather related to general age-related developments. Pubertal timing was associated with different symptoms than pubertal status or age. Puberty seems to affect girls more negatively than boys.
本研究旨在探讨（前）青春期儿童特定心理健康问题与青春期阶段的关系，这些儿童参与了荷兰前瞻性队列研究 TRAILS（第一次评估：N=2230，年龄 11.09±0.56，50.8%为女孩；第二次评估：N=2149，年龄 13.56±0.53，51.0%为女孩）。心理健康通过青少年自我报告进行评估，青春期（Tanner）阶段通过父母对第二性征的图画评级进行评估。总体而言，较高的 Tanner 阶段与更多的疲劳、易怒、违反规则行为和物质使用报告有关，与较少的恐惧和躯体抱怨有关。女孩表现出更多的社交不确定性、情绪低落和担忧，男孩则表现出自责感降低。青春期期间增加的问题主要与身体成熟过程有关，而减少的问题则与一般与年龄相关的发展有关。青春期时间与不同的症状有关，而不是与青春期状态或年龄有关。青春期似乎对女孩的负面影响大于男孩。
