Adolescence and puberty Flashcards Preview

Y2 LCRS 1 - RDA > Adolescence and puberty > Flashcards

Flashcards in Adolescence and puberty Deck (23)
Loading flashcards...

Define adolescence

The transitional period between childhood and adulthood ( psychological and social changes)


What are the general differences in maturation rate between genders?

Girls starts puberty earlier, have their growth spurt earlier and physically mature earlier by about 2 years.


What groups of teenagers are at a higher risk of depression and substance abuse?

Early maturing girls and late maturing boys.


What neurological changes occur during puberty?

Prefrontal cortex starts decreasing in grey matter density ( previously increasing) and increases in cortical white matter.


Define puberty

The physical changes that occur to reach sexual maturity


When does puberty occur

Female 10-14
Male 12-16


What physical change occur?

Female- breasts, pubic hair, growth spurt, periods, underarm hair, redistribution of body fat

male- scrotum and testes enlarge, voice deepens, lengthening of penis, pubic, facial and underarm hair and change in body shape (mainly muscle bulk changes)


Define menarche

First period


How has the age of menarche changes over the last 150 years?

It has decreased ( plateuing over the last 3-4 decades)
starting weight has remained constant at 47kgs


How does self estimate and confidence affect mental health.

Low self esteem is associated with depression and anxiety, despite the fact that high self esteem can lead to self confidence. Self confidence on its own is not protective against mental health problems.


What are the areas of social development in adolescence?

Family relationships
peer development
school attainment


How do teenage relationships differ between boys and girls?

Girls form close and confiding relationships
where as boys are less intimate and disclosing.


What are the key features of anoxeria nervosa

Body weight below 15% of expected weight or BMI<17.5
Self induced weight loss
psycho-pathological dread of fatness
endocrine disturbances eg amenorrhea primary or secondary depending on age of suffer, delayed growth.


What are the risk factors for anoxeria?

Genetics, perfectionism, subcultures, childhood abuse,higher social class, social media, bullying, trauma, gymnastics, early puberty and depression.


what is the treatment for anorexia?

Family intervention, CBT and hospital admission for weight restoration.


Why are teenagers so predisposed to risk taking behaviour?

Because there is a developmental mismatch between the dopaminergic reward pathway development and the regulatory/cognitive control pathways.


What is characterised by repetitive and persistent: defiance, tantrums, bullying, fighting, running away from home, cruelty to animals, stealing, destroying property and fire starting.
At frequencies and severity worse than normal

Legally = delinquency
Socially = antisocial behaviour
Psychology= conduct disorder


What are the three main factor domains that contribute to conduct disorder?

Child- eg ADHD
Family eg bad parenting


What is the prognosis for conduct disorder?

Juvenile delinquency
antisocial adult
drugs and alcohol abuse
relationship breakdown


What intervention can be made in CD

Target modifiable factors
manage hyperactivity
parenting programs
cognitive training
multi systemic therapy


What are the signs and symptoms of depressions

Low mood, lack of enjoyment, lack of energy, appetite changes, weight changes, sleep changes, decreased concentration, pessimism, guilt, low self confidence, decreased libido, self harm and suicide attempts.


How can the different severities of depression be treated?

Mild- CBT and psychotherapy
moderate- SSRIs and CBT
Severe- same as above.


How can depression present in adolescences differently to in adults?

Irritable instead of sadness
more common in boys than in girls
somatic issues and social withdrawal
Psychosis rare before mid adolescences