Comparison of Clinical, Maternal, and Self Pubertal Assessments: Implications for Health Studies

Terry, Mary Beth; Goldberg, Mandy; Schechter, Sarah; Houghton, Lauren C.; White, Melissa; O’Toole, Karen; Chung, Wendy K.; Daly, Mary B.; Keegan, Theresa H.M.; Andrulis, Irene L.; Bradbury, Angela R.; Schwartz, Lisa A.; Knight, Julia A.; John, Esther M.; Buys, Saundra S.

doi:10.1542/peds.2015-4571

Cited by 38 publications

(35 citation statements)

References 54 publications

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“…In order to understand the similarities and differences in various assessments of puberty, the correspondence across measures must be understood (Shirtcliff et al, 2009). Cross-sectional studies have generally found moderate correspondence among different measures of self-report (e.g., Brooks-Gunn, Warren, Rosso, & Gargiulo, 1987), and across selfand nurse-reported data on secondary sex characteristics in boys (e.g., Coleman & Coleman, 2002;Jaruratanasirikul, Kreetapirom, Tassanakijpanich, & Sriplung, 2015;Shirtcliff et al, 2009;Terry et al, 2016). Fewer studies have investigated correspondence between nurse-reported secondary sex characteristics and hormone concentrations.…”

Section: Correspondence Among Measuresmentioning

confidence: 99%

Correspondence of Pubertal Neuroendocrine and Tanner Stage Changes in Boys and Associations With Substance Use

2018

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This study examined correspondence between timing (onset) and tempo (rate) of sexual maturation prospectively (average ages 11-16 years) measured by gonadal hormones and secondary sex characteristics (Tanner stage) using dual-process models, and associations of these measures with substance use (SU) involvement in boys at age 16 years (N = 534, 77.5% White/22.5% Non-White). All measures of timing were highly associated. Early Tanner stage timing often predicted slower increases in gonadal steroids, but not the reverse; patterns varied by ethnicity. Hormone and Tanner stage measures were similar earlier in development but diverged later in development. In White boys only, early timing of the pubertal rise in testosterone was associated with increased SU involvement, suggesting a physiological rather than psychosocial mechanism of association.

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Section: Correspondence Among Measuresmentioning

confidence: 99%

Correspondence of Pubertal Neuroendocrine and Tanner Stage Changes in Boys and Associations With Substance Use

2018

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“…Relatedly, the majority of the sample were boys in earlier pubertal stages, and few individuals who had completed puberty were represented; a larger, more heterogeneous sample of boys and girls across pubertal stage is needed for replication. We also relied on parent reports of pubertal status; although parent ratings are shown to correlate with physician ratings of pubertal stage ( Rasmussen et al, 2015 ; Terry et al, 2016 ), research utilizing a more rigorous measure of pubertal status is warranted. Third, although the goal of the study was to focus on youth with ADHD/DBDs, future research should directly compare youth with and without ADHD and assess real world measures of decision making such as ecological momentary assessment, to determine if these laboratory findings generalize to actual adolescent functioning.…”

Section: Discussionmentioning

confidence: 99%

“…Tanner staging has been shown to be a valid measure of pubertal staging and used in previous studies measuring differences across pubertal development ( Braams et al, 2015 ; Goddings et al, 2014 ). Further, parent reports of Tanner stages among pre-adolescents have been shown to correlate with physicians’ ratings of Tanner stages based on physical examination ( Rasmussen et al, 2015 ; Terry et al, 2016 ), suggesting this is an accurate measure of pubertal status. For analyses, we mean-centered Tanner scores within each sex, based on research for sex differences in timing of pubertal development (i.e., females initiate pubertal development at an earlier age than males) ( Marshall and Tanner, 1968 ).…”

Section: Methodsmentioning

confidence: 95%

Pubertal influences on neural activation during risky decision-making in youth with ADHD and disruptive behavior disorders

Dir

Hummer

Aalsma

et al. 2019

Developmental Cognitive Neuroscience

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Objective Risk-taking during adolescence is a leading cause of mortality; Neuroscience research examining pubertal effects on decision-making is needed to better inform interventions, particularly among youth with attention-deficit/hyperactivity (ADHD) and disruptive behavior disorders (DBD), who are particularly prone to risky decision-making. We examined effects of pubertal development on risky decision-making and neural activation during decision-making among youth with ADHD/DBDs. Method Forty-six 11–12-year-olds (29.4% girls; 54.9% white; Tanner M(SD) = 2.08(1.32)) who met DSM-5 criteria for ADHD/DBD completed the Balloon Analog Risk Task (BART) during fMRI scanning. We examined effects of Tanner stage, sex, and age on risky decision-making (mean wager at which individuals stopped balloon inflation) and neural activation in the middle frontal gyrus and the ventral striatum during the choice and outcome phases of decision-making. Results Those in earlier pubertal stages made riskier decisions during the BART compared to those in later Tanner stages (β=-0.62, p = .02). Later pubertal stage was associated with greater activation in the left middle frontal gyrus (β=0.61, p = .03) during the choice phase and in the right ventral striatum in response to rewards (β=0.59, p = .03). Conclusion Youth with ADHD/DBD in later stages of puberty, regardless of age, show greater ventral striatal activation in response to rewards.

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“…La concordancia y validez de la aplicación de la escala de Tanner en niños y adolescentes por autoevaluación o la evaluación por parte de las madres han arrojado resultados variables (15,16) , con algunos estudios reportando una concordancia interobservador adecuada (15)(16)(17)(18)(19)(20)(21)(22)(23) , mientras otros no recomiendan la autoevaluación como una medida confiable para la determinación del desarrollo puberal (11,15,24) , o reconocen sus limitaciones dependiendo de la variable a identificar, el sexo o el estado puberal (23,27) .…”

Section: Discussionunclassified

Concordancia de la evaluación del desarrollo puberal mediante la escala de Tanner entre adolescentes y un médico entrenado

Rueda-Quijano

Amador-Ariza

Arboleda

et al. 2019

Rev Peru Med Exp Salud Publica

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Objetivos. Evaluar la concordancia entre la autoevaluación del desarrollo puberal mediante la escala de Tanner realizada por adolescentes, comparado con la evaluación efectuada por un médico entrenado. Materiales y métodos. Los datos de 244 adolescentes fueron recolectados como parte del proyecto SIMAC. En la línea de base incluimos una evaluación antropométrica y del desarrollo puberal, con una autoevaluación por parte de los participantes. Resultados. Incluimos 229 adolescentes de 12 a 17 años. La concordancia entre la autoevaluación y la evaluación clínica de la escala de Tanner presentó un acuerdo obtenido de 88,3% y un coeficiente kappa ponderado de 0,554. La autoevaluación en mujeres demostró una concordancia buena (kappa pond =0,653), y en varones una concordancia moderada (kappa pond =0,464). La única variable con una influencia significativa sobre la capacidad de acuerdo fue el sexo; la probabilidad de desacuerdo en los varones fue 63% mayor que en las mujeres, independiente de edad, talla y peso (IC 95%:1,18-2,26). Conclusiones. La autoevaluación no fue lo suficientemente precisa para reemplazar el examen médico, sobre todo en los varones. Se requieren más estudios en relación con este tema, reconociendo el impacto que podría llegar a tener la autoevaluación del desarrollo sexual.

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Comparison of Clinical, Maternal, and Self Pubertal Assessments: Implications for Health Studies

Abstract: Most epidemiologic studies of puberty have only 1 source of pubertal development information (maternal, self or clinical). Interpretation of results across studies requires data on reliability and validity across sources.

Cited by 38 publications

References 54 publications

Correspondence of Pubertal Neuroendocrine and Tanner Stage Changes in Boys and Associations With Substance Use

Correspondence of Pubertal Neuroendocrine and Tanner Stage Changes in Boys and Associations With Substance Use

Pubertal influences on neural activation during risky decision-making in youth with ADHD and disruptive behavior disorders

Concordancia de la evaluación del desarrollo puberal mediante la escala de Tanner entre adolescentes y un médico entrenado

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