对儿童出现初潮早期情绪障碍的担忧并不是青春期抑制的迹象
Kübra Yüksek Acinikli1, Ozge Besci1, Gözde Akın Kağızmanlı1
1Division of Pediatric Endocrinology, Dokuz Eylül Üniversitesi Tıp Fakültesi, Izmir, Türkiye.
Journal of pediatric endocrinology & metabolism : JPEM
|August 13, 2025
概括
女孩早期初潮似乎不会引起心理或行为问题. 这项研究发现,早期成熟的女孩和他们的同龄人之间在心理健康方面没有显著差异.
科学领域:
- 儿科 儿科 儿科
- 内分泌学 在内分泌学.
- 儿童心理学 儿童心理学
背景情况:
- 早期初潮,即10岁前的月经开始,正在变得越来越普遍.
- 早期初潮的心理和行为影响需要进一步调查.
- 现有的关于早期青春期心理影响的研究是有限的.
研究的目的:
- 为了评估经历初潮早期的女孩的心理问题.
- 为了比较早期初潮女孩的心理健康结果与对照组.
- 为临床决策提供有关GnRH模拟疗法的数据.
主要方法:
- 一项前性横截面研究比较了两组女孩:初潮的10岁以下的女孩 (I组) 和9-10岁的健康的青春期前女孩 (II组).
- 在I组中排除了青春期的外围原因.
- 对两组进行四次心理测试,对I组进行6个月的后续评估.
主要成果:
- 早期初潮组 (n=28) 和对照组 (n=21) 之间没有观察到精神测试得分或情绪障碍频率的显著差异.
- 早期初潮的女孩表现出明显更高的身高年龄,身高,体重和BMI SD分数.
- 在I组17名女孩的后续再评估中,没有发现测试成绩或新的精神病状况有显著变化.
结论:
- 与同龄人相比,早期初潮与显著的心理或行为问题无关.
- 对于早期青春期的GnRH模拟疗法决策不应假定心理社会困扰.
- 在考虑早期青春期的GnRH模拟疗法之前,精神病学评估至关重要.
相关概念视频
Signs of Puberty
610
Puberty is a critical phase, typically beginning between the ages of 8 and 13 in girls and 9 and 14 in boys, though timing can vary based on genetics, environmental factors, and overall health. This period is characterized by the development of secondary sexual characteristics and the attainment of reproductive potential. Endocrine changes underpin puberty, with hormonal surges of Luteinizing Hormone (LH) and Follicle-Stimulating Hormone (FSH) instigated by Gonadotropin-Releasing Hormone (GnRH)...
610
Oppositional Defiant Disorder
143
A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
Diagnostic Criteria and...
Diagnostic Criteria and...
143
Conduct Disorder
106
Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...
106
Depressive Disorders: MDD and Dysthymia
214
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
214
Menopause
250
Menopause, a natural biological process marking the end of a woman's fertility, typically occurs between the fifth and sixth decade of life. This phase is characterized by the exhaustion of the ovarian follicle pool, leading to less responsive ovaries despite the high levels of Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH). The consequential decrease in estrogen production results in symptoms like hot flashes, heavy sweating, headaches, hair loss, muscle pains, vaginal...
250
Psychosexual Stages of Personality: Latency
678
Following the phallic stage in Freud's theory of psychosexual development, children enter a phase called the latency period, which lasts from approximately six to twelve years of age. Unlike earlier stages, where sexual impulses played a central role, Freud believed these impulses are repressed during the latency period, becoming part of the unconscious. This stage is often described as a time of psychological calm after the turbulence of the phallic stage.
The latency period is not...
The latency period is not...
678


