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Psychological and Social Problems in Children with Premature Adrenarche and Precocious Puberty

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When Puberty is Precocious

Part of the book series: Contemporary Endocrinology ((COE))

Abstract

Early puberty, including premature adrenarche (PA) and precocious puberty (PP) can be a challenge for the practitioner as well as the parent and child. This chapter will focus on the Psychosocial problems that may be evident in children with PA or PP. To better Understand these issues, four specific areas will be addressed. First the chapter will focus on the existing empirical evidence of psychosocial problems in children with PA or PP and the limitations of these studies. Second, the chapter will address ways to better understand why certain psychosocial problems may occur in children with early puberty. The theoretical and empirical rationale for such problems will be discussed along with specific actions of hormones that may influence the brain and behavior. Third, implications for the practitioner caring for children with PA or PP will be addressed regarding psychosocial issues. Finally, directions for future research on psychosocial problems in children with PA or PP will be discussed.

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References

  1. Cannon WB. Bodily Changes in Pain, Hunger, Fear and Rage: An Account of Recent Researches Into the Function of Emotional Excitement, 2nd edition. New York and London: D. Appleton and Company, 1929.

    Google Scholar 

  2. Dorn LD, Hitt S, Rotenstein D. Biopsychological and cognitive differences in children with premature vs. on-time adrenarche. Arch Pediatr Adolesc Med 1999;153(2):137–146.

    CAS  Google Scholar 

  3. Fisher PW, Shaffer D, Piacentini JC et al. Sensitivity of the diagnostic interview schedule for children, 2nd edition (DISC-2.1) for specific diagnoses of children and adolescents. J Am Acad Child Adolesc Psychiatry 1993;32:666–673.

    Article  PubMed  CAS  Google Scholar 

  4. Achenbach TM. Manual for the Child Behavior Checklist/4-18 and 1991 Profile. Burlington: University of Vermont, 1991.

    Google Scholar 

  5. Kovacs M. Children’s Depression Inventory (CDI) Manual. North Tonawanda, NY: Multi-Health Systems, 1992.

    Google Scholar 

  6. Spielberger CD, Edwards CD, Lushene RE, Montuori J, Platzek D. STAIC Preliminary Manual. Palo Alto, CA: Consulting Psychologists Press, 1973.

    Google Scholar 

  7. Shaffer D, Schwab-Stone M, Fisher P et al. The diagnostic interview schedule for children-revised version (DISC-R): I. Preparation, field testing, interrater reliability, and acceptability. J Am Acad Child Adolesc Psychiatry 1993;32(3):643–650.

    Article  PubMed  CAS  Google Scholar 

  8. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 3rd edition. Washington DC: American Psychiatric Association, 1987.

    Google Scholar 

  9. Dorn LD. Developmental psychobiology of premature adrenarche. RO1 MH59892 Funded by the National Institutes of Mental Health, 2001.

    Google Scholar 

  10. Solyom AE, Austad CC, Sherick I, Bacon GE. Precocious sexual development in girls: the emotional impact on the child and her parents. J Pediatr Psychol 1980;5(4):385–393.

    Article  PubMed  CAS  Google Scholar 

  11. Ehrhardt AA, Meyer-Bahlburg HF, Bell JJ et al. Idiopathic precocious puberty in girls: psychiatric follow-up in adolescence. J Am Acad Child Adolesc Psychiatry 1984;23(1):23–33.

    Article  CAS  Google Scholar 

  12. Ehrhardt AA, Meyer-Bahlburg HF. Idiopathic precocious puberty in girls: long-term effects on adolescent behavior. Acta Endocrinol Suppl (Copenh) 1986;279:247–253.

    CAS  Google Scholar 

  13. Meyer-Bahlburg HF, Ehrhardt AA, Bell JJ et al. Idiopathic precocious puberty in girls: psychosexual development. J Youth Adolesc 1985;14(4):339–353.

    Article  Google Scholar 

  14. Galatzer A, Beth-Halachmi MA, Kauli R, Laron Z. Intellectual function of girls with precocious puberty. Pediatrics 1984;74(2):246–249.

    PubMed  CAS  Google Scholar 

  15. Sonis WA, Comite F, Blue J et al. Behavior problems and social competence in girls with true precocious puberty. J Pediatr 1985;106:156–160.

    Article  PubMed  CAS  Google Scholar 

  16. Sonis WA, Comite F, Pescovitz OH et al. Biobehavioral aspects of precocious puberty. J Am Acad Child Adolesc Psychiatry 1986;25(5):674–679.

    Article  CAS  Google Scholar 

  17. Jackson PL, Ott MJ. Perceived self-esteem among children diagnosed with precocious puberty. J Pediatr Nurs 1990;5(3):190–203.

    PubMed  CAS  Google Scholar 

  18. Xhrouet-Heinrichs D, Lagrou K, Heinrichs C et al. Longitudinal study of behavioral and affective patterns in girls with central precocious puberty during long-acting triptorelin therapy. Acta Paediatr 1997;86:808–815.

    Article  PubMed  CAS  Google Scholar 

  19. Baumann DA, Landolt MA, Wetterwald R, Dubuis JM, Sizonenko PC, Werder EA. Psychological evaluation of young women after medical treatment for central precocious puberty. Horm Res 2001;56:45–50.

    Article  PubMed  CAS  Google Scholar 

  20. Herman-Giddens ME, Slora EJ, Wasserman RC et al. Secondary sexual characteristics and menses in young girls seen in office practice: a study from the pediatric research in office settings network. Pediatrics 1997;99(4):505–512.

    Article  PubMed  CAS  Google Scholar 

  21. Jones HE. The California adolescent growth study. J Educ Res 1938;31:561–567.

    Google Scholar 

  22. Jones MC. A study of socialization patterns at the high school level. J Genet Psychol 1958;92:87–111.

    Google Scholar 

  23. Mussen PH, Jones MC. Self-conceptions, motivations, and interpersonal attitudes of late-and earlymaturing boys. Child Dev 1957;28:243–256.

    PubMed  CAS  Google Scholar 

  24. Brooks-Gunn J, Warren MP. Measuring physical status and timing in early adolescence: a developmental perspective. J Youth Adolesc 1985;14(3):163–189.

    Article  Google Scholar 

  25. Caspi A, Moffitt T. Individual differences are accentuated during periods of social change: the sample case of girls at puberty. J Pers Soc Psychol 1991;61(1):157–168.

    Article  PubMed  CAS  Google Scholar 

  26. Petersen AC, Taylor B. The biological approach to adolescence: biological change and psychosocial adaptation. In: Adelson J, editor. Handbook of the Psychology of Adolescence. New York: Wiley, 1980:115–155.

    Google Scholar 

  27. Tschann JM, Adler NE, Irwin CE Jr, Millstein SG, Turner RA, Kegeles SM. Initiation of substance use in early adolescence: the roles of pubertal timing and emotional distress. Health Psychol 1994;13:326–333.

    Article  PubMed  CAS  Google Scholar 

  28. Williams JM, Dunlop LC. Pubertal timing and self-reported delinquency among male adolescents. J Adolesc 1999;22:157–171.

    Article  PubMed  CAS  Google Scholar 

  29. Dorn LD, Dahl RE, Woodward HR, Biro F. Defining the boundaries of early adolescence: a user’s guide to assessing pubertal status and pubertal timing in research with adolescents. Appl Dev Sci 2006;10(1):30–56.

    Article  Google Scholar 

  30. Dorn LD, Ponirakis A, Susman EJ. Pubertal timing and adolescent adjustment and behavior: conclusions vary by rater. J Youth Adolesc 2003;32:157–167.

    Article  Google Scholar 

  31. Graber JA, Lewinsohn PM, Seeley JR, Brooks-Gunn J. Is psychopathology associated with the timing of pubertal development? J Am Acad Child Adolesc Psychiatry 1997;36(12):1768–1776.

    Article  PubMed  CAS  Google Scholar 

  32. Wichstrom L. Predictors of adolescent suicide attempts: a nationally representative longitudinal study of Norwegian adolescents. J Am Acad Child Adolesc Psychiatry 2000;39(5):603–610.

    Article  PubMed  CAS  Google Scholar 

  33. Ge X, Conger RD, Elder GH. Pubertal transition, stressful life events and the emergence of gender differences in adolescent depressive symptoms. Dev Psychobiol 2001;37:404–417.

    Article  CAS  Google Scholar 

  34. Hayward C, Killen JD, Wilson DM et al. Psychiatric risk associated with early puberty in adolescent girls. J Am Acad Child Adolesc Psychiatry 1997;36(2):255–262.

    PubMed  CAS  Google Scholar 

  35. Siegel JM, Yancey A, Aneshensel CS, Schuler R. Body image, perceived pubertal timing and adolescent mental health. J Adolesc Health 1999;25:155–165.

    Article  PubMed  CAS  Google Scholar 

  36. Blyth D, Simmons RG, Zakin DF. Satisfaction with body image for early adolescent females: the impact of pubertal timing within different school environments. J Youth Adolesc 1985;14:207–225.

    Article  Google Scholar 

  37. Duncan PD, Ritter PL, Dornbusch SM, Gross RT, Carlsmith JM. The effects of pubertal timing on body image, school behavior, and deviance. J Youth Adolesc 1985;14(3):227–235.

    Article  Google Scholar 

  38. Petersen AC, Crockett L. Pubertal timing and grade effects on adjustment. J Youth Adolesc 1985;14(3):191–206.

    Article  Google Scholar 

  39. Silbereisen RK, Petersen AC, Albrecht HT, Kracke B. Maturational timing and the development of problem behavior: longitudinal studies in adolescence. J Early Adolesc 1989;9(3):247–268.

    Article  Google Scholar 

  40. Magnusson D, Stattin H, Allen V. Biological maturation and social development: a longitudinal study of some adjustment processes from mid-adolescence to adulthood. J Youth Adolesc 1985;14:267–283.

    Article  Google Scholar 

  41. Wilson DM, Killen JD, Hayward C et al. Timing and rate of sexual maturation and the onset of cigarette and alcohol use among teenage girls. Arch Pediatr Adolesc Med 1994;148(8):789–795.

    Article  PubMed  CAS  Google Scholar 

  42. Crockett L, Petersen AC. Pubertal status and psychosocial development: findings from the early adolescence study. In: Lerner R, Foch T, editors. Biological-Psychosocial Interactions in Early Adolescence. Hillsdale, NJ: Lawrence Erlbaum Associates, 1987:173–188.

    Google Scholar 

  43. Simmons R, Blyth A, Van Cleave E, Bush D. Entry into early adolescence: the impact of school structure, puberty, and early dating on self-esteem. Am Soc Rev 1979;44(6):948–967.

    Article  CAS  Google Scholar 

  44. Dubas JS, Graber JA, Petersen AC. The effects of pubertal development on achievement during adolescence. Am J Educ 1991;99:444–460.

    Article  Google Scholar 

  45. Ge X, Kim IJ, Brody GH et al. It’s about timing and change: pubertal transition effects on symptoms of major depression among African American youths. Dev Psychobiol 2003;39(3):430–439.

    Article  Google Scholar 

  46. Ge X, Conger RD, Elder GH Jr. The relation between puberty and psychological distress in adolescent boys. J Res Adolesc 2001;11:49–70.

    Article  Google Scholar 

  47. Andersson T, Magnusson D. Biological maturation in adolescence and the development of drinking habits and alcohol abuse among young males: a prospective longitudinal study. J Youth Adolesc 1990;19(1):33–41.

    Article  Google Scholar 

  48. Dorn LD, Chrousos GP. Neurobiology of stress: understanding regulation of affect during female biological transitions. Semin Reprod Endocrinol 1997;15(1):29–45.

    Article  Google Scholar 

  49. Susman EJ. Modeling developmental complexity in adolescence: hormones and behavior in context. J Res Adolesc 1997;7:283–306.

    Article  Google Scholar 

  50. Brooks-Gunn J, Warren MP. Biological and social contributions to negative affect in young adolescent girls. Child Dev 1989;60:40–55.

    Article  PubMed  CAS  Google Scholar 

  51. Nottelmann ED, Susman EJ, Inoff-Germain GE, Cutler GB Jr, Loriaux DL, Chrousos GP. Developmental processes in early adolescence: relations between adolescent adjustment problems and chronologic age, pubertal stage, and puberty-related hormone levels. J Pediatr 1987;110: 473–480.

    Article  PubMed  CAS  Google Scholar 

  52. Susman EJ, Nottelmann ED, Inoff GE et al. The relationship of relative hormone levels and physical development and social-emotional behavior in young adolescents. J Youth Adolesc 1985;14:245–264.

    Article  Google Scholar 

  53. Susman EJ, Nottelmann ED, Inoff-Germain G, Dorn LD. Hormonal influences on aspects of psychological development during adolescence. J Adolesc Health 1987;8(6):492–504.

    Article  CAS  Google Scholar 

  54. Susman EJ, Dorn LD, Chrousos GP. Negative affect and hormone levels in young adolescents: concurrent and predictive perspectives. J Youth Adolesc 1991;20(2):167–190.

    Article  Google Scholar 

  55. Udry JR, Billy JOG, Morris NM, Groff TR, Raj MH. Serum androgenic hormones motivate sexual behavior in adolescent boys. Fertil Steril 1985;43(1):90–94.

    PubMed  CAS  Google Scholar 

  56. Udry JR, Talbert LM. Sex hormone effects on personality at puberty. J Pers Soc Psych 1988;54(2):291–295.

    Article  CAS  Google Scholar 

  57. Mazur A, Lamb TA. Testosterone, status, and mood in human males. Horm Behav 1980;14:236–246.

    Article  PubMed  CAS  Google Scholar 

  58. Booth A, Shelley G, Mazur A, Tharp G, Kittok R. Testosterone, winning and losing in human competition. Horm Behav 1989;23:556–571.

    Article  PubMed  CAS  Google Scholar 

  59. Powell GF, Brasel JA, Raiti S, Blizzard RN. Emotional deprivation and growth retardation timulating idiopathic hypopituitarism: 2. Endocrinologic evaluation of the syndrome. N Engl J Med 1967;276:1279–1283.

    Article  PubMed  CAS  Google Scholar 

  60. Green WH, Campbell M, David R. Psychosocial dwarfism: a critical review of the evidence. Am Acad Child Psychiatry 1984;23(1):39–48.

    Article  CAS  Google Scholar 

  61. Albanese A, Hamill G, Jones J, Skuse D, Stanhope R. Reversibility of physiological growth hormone secretion in children with psychosocial dwarfism. Clin Endocrinol (Oxf) 1994;40:687–692.

    Article  CAS  Google Scholar 

  62. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 1986;51:1173–1182.

    Article  PubMed  CAS  Google Scholar 

  63. Holmbeck GH. Toward terminological, conceptual, and statistical clarity in the study of mediators and moderators: examples from the child-clinical and pediatric psychology literatures. J Consult Clin Psychol 1997;65(4):599–610.

    Article  PubMed  CAS  Google Scholar 

  64. Ibanez L, DiMartino-Nardi J, Potau N, Saenger P. Premature adrenarche-normal variant or forerunner of adult disease. Endocr Rev 2000;21:671–696.

    Article  PubMed  CAS  Google Scholar 

  65. Seckl JR. Glucocorticoid programming of the fetus: adult phenotypes and molecular mechanisms. Mol Cell Endocrinol 2001;185(1–2):61–71.

    Article  PubMed  CAS  Google Scholar 

  66. Seckl JR, Meaney MJ. Glucocorticoid programming. Ann NY Acad Sci 2004;1032:63–84.

    Article  PubMed  CAS  Google Scholar 

  67. Dahl RE, Spear LP, editors. Adolescent Brain Development: Vulnerabilities and Opportunities. New York: Annals of the New York Academy of Sciences, 2004.

    Google Scholar 

  68. Giedd JN, Blumenthal J, Jeffries NO et al. Brain development during childhood and adolescence: a longitudinal MRI study. Nat Neurosci 1999;2(10):861–863.

    Article  PubMed  CAS  Google Scholar 

  69. Sisk CL, Foster DL. The neural basis of puberty and adolescence. Nat Neurosci 2004;7(10):1040–1047.

    Article  PubMed  CAS  Google Scholar 

  70. Weinberger MD, Elvevag B, Giedd JN. The Adolescent Brain: A Work in Progress. Washington, DC: The National Campaign to Prevent Teen Pregnancy, 2005. Available at http://www.teenpregnancy.org.

  71. Martin CA, Kelly TH, Rayens MK et al. Sensation seeking, puberty, and nicotine, alcohol, and marijuana use in adolescence. J Am Acad Child Adolesc Psychiatry 2002;41(12):1495–1502.

    Article  PubMed  Google Scholar 

  72. Dahl RE. Adolescent brain development: a period of vulnerabilities and opportunities. Keynote address. Ann NY Acad Sci 2004;1021:1–22.

    Article  Google Scholar 

  73. Achenbach TM. Manual for the Teacher’s Report Form and 1991 Profile. Burlington: University of Vermont, 1991.

    Google Scholar 

  74. Achenbach TM. Manual for the Youth Self-Report 1991 Profile. Burlington: University of Vermont, 1991.

    Google Scholar 

  75. Dorn LD, Rotenstein D. Early puberty in girls: the case of premature adrenarche. Womens Health Issues 2004;14(6):177–183.

    Article  PubMed  Google Scholar 

  76. Midyett LK, Moore WV, Jacobson JD. Are pubertal changes in girls before age 8 benign? Pediatrics 2003;111(1):47–51.

    Article  PubMed  Google Scholar 

  77. Granger DA, Schwartz DF, Booth A, Arentz M. Salivary testosterone determination in studies of child health and development. Horm Behav 1999;35:18–27.

    Article  PubMed  CAS  Google Scholar 

  78. Kirschbaum C, Hellhammer DH. Methodological aspects of salivary cortisol measurement. In: Kirschbaum C, Read GF, Hellhammer DH, editors. Assessment of Hormones and Drugs in Saliva in Biobehavioral Research. Seattle, WA: Hogrefe & Huber, 1992:19–32.

    Google Scholar 

  79. Schwartz EB, Granger DA, Susman EJ, Gunnar MR, Laird B. Assessing salivary cortisol in studies of child development. Child Dev 1998;69(6):1503–1513.

    PubMed  CAS  Google Scholar 

  80. Shirtcliff EA, Granger DA, Schwartz EB, Curran MJ, Booth A, Overman WH. Assessing estradiol in biobehavioral studies using saliva and blood spots: simple radioimmunoassay protocols, reliability, and comparative validity. Horm Behav 2000;38:137–147.

    Article  PubMed  CAS  Google Scholar 

  81. Fitschen W, Clayton BE. Urinary excretion of gonadotrophins with particular reference to children. Arch Dis Child 1965;40:16–26.

    Article  PubMed  CAS  Google Scholar 

  82. Kulin HE, Rifkind AB, Ross GT, Odell WO. Total gonadotropin activity in the urine of prepubertal children. J Clin Endocrinol Metab 1967;27:1123–1128.

    Article  PubMed  CAS  Google Scholar 

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Dorn, L.D. (2007). Psychological and Social Problems in Children with Premature Adrenarche and Precocious Puberty. In: Pescovitz, O.H., Walvoord, E.C. (eds) When Puberty is Precocious. Contemporary Endocrinology. Humana Press. https://doi.org/10.1007/978-1-59745-499-5_14

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  • DOI: https://doi.org/10.1007/978-1-59745-499-5_14

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