Early adolescence

青春期早期
  • 文章类型: Journal Article
    背景:初入加拿大的青少年经历了导航发展变化和多种文化的双重挑战。这项研究调查了9至12岁青少年早期情绪健康的变化与移民背景有何不同,以及同伴归属感和支持性学校氛围在多大程度上保护或促进了他们的情绪健康。
    方法:本研究采用了相互关联的自我报告和管理数据。在不列颠哥伦比亚省的10个学区,加拿大,N=4479非移民,移民,难民青少年报告了他们的同伴归属,学校气候,和情绪健康(生活满意度,乐观,自尊,悲伤,担忧)在4年级和7年级,使用中世纪发展工具。移民背景包括移民类(经济,家庭,难民)和世代身份(第一,第二)是从有关联的移民局获得的,难民,加拿大公民身份数据。多层次建模评估了时间的影响(年级),移民团体,以及同伴归属感和学校氛围的变化与自我报告的情绪健康的变化有关。分析进行了性别调整,英语第一语言,家庭收入低。
    结果:与非移民相比,4年级的移民和难民青少年的情绪健康状况较差。非移民和移民青少年的情绪健康状况从4年级下降到7年级。相比之下,第一代难民青少年报告生活满意度有了显著改善,第一代和第二代难民报告说,这一时期的担忧有所改善。同伴归属感和学校氛围的改善与所有青少年情绪健康的积极变化有关。
    结论:从4年级到7年级的青少年情绪健康变化在移民之间有所不同,难民,非移民。进入青春期的移民和难民的情绪健康状况低于非移民同龄人,可能特别受益于文化敏感的学校和基于社区的干预措施。
    BACKGROUND: Early adolescents who are new to Canada experience dual challenges of navigating developmental changes and multiple cultures. This study examined how changes in early adolescents\' emotional health from ages 9 to 12 differed by immigration background, and to what extent peer belonging and supportive school climate protected or promoted their emotional health.
    METHODS: This study drew upon linked self-report and administrative data. Across 10 school districts in British Columbia, Canada, N = 4479 non-immigrant, immigrant, and refugee adolescents reported on their peer belonging, school climate, and emotional health (life satisfaction, optimism, self-esteem, sadness, worries) in Grades 4 and 7, using the Middle Years Development Instrument. Immigration background including immigration class (economic, family, refugee) and generation status (first, second) were obtained from linked Immigration, Refugees, and Citizenship Canada data. Multi-level modeling assessed the effect of time (grade level), immigration group, and changes in peer belonging and school climate on changes in self-reported emotional health. Analyses were adjusted for gender, English first language, and low family income.
    RESULTS: Immigrant and refugee adolescents reported worse emotional health in Grade 4 compared to non-immigrants. Non-immigrant and immigrant adolescents reported declines in emotional health from Grades 4 to 7. In contrast, first-generation refugee adolescents reported significant improvements in life satisfaction, and first- and second-generation refugees reported improvements in worries over this period. Perceived improvements in peer belonging and school climate were associated with positive changes in emotional health for all adolescents.
    CONCLUSIONS: Changes in adolescents\' emotional health from Grades 4 to 7 differed between immigrants, refugees, and non-immigrants. Immigrants and refugees who enter adolescence with lower emotional health than their non-immigrant peers may particularly benefit from culturally responsive school and community-based interventions.
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  • 文章类型: Journal Article
    A 15-year-old female with Hodgkin\'s lymphoma underwent ovarian tissue cryopreservation for preserving fertility in Reproductive Department of Sir Run Run Shaw Hospital, Zhejiang University School of Medical after receiving one course of chemotherapy. During the ovarian tissue cryopreservation, one MⅡmature oocyte and three germinal vesicle oocytes were found. The three immature oocytes underwent in vitro maturation but failed. Ultimately, one mature oocyte and 12 ovarian cortex slices were cryopreserved using vitrification. This case indicates that for patients with established gonadal axis feedback, ovarian tissue cryopreservation may not be the only method for fertility preservation. It is advisable to consider ovarian stimulation and oocyte retrieval for oocyte cryopreservation. Alternatively, for individuals in the ovulation phase of their menstrual cycle, attempting oocyte retrieval before ovarian tissue cryopreservation to obtain mature oocytes from the natural cycle, followed by oocyte cryopreservation, may enhance the likelihood of successful fertility preservation.
    一例15岁霍奇金淋巴瘤患者行一个疗程化疗后来浙江大学医学院附属邵逸夫医院生殖中心进行生育力保存。在卵巢组织冷冻保存期间发现1枚MⅡ成熟卵母细胞和3枚生发泡期卵母细胞。3枚未成熟卵母细胞行体外成熟培养未获得成熟卵子,最终玻璃化冷冻1枚成熟卵母细胞和12片卵巢皮质。提示对于青春期性腺轴反馈已建立患者,卵巢组织冷冻不是唯一的生育力保存方式,可考虑促排卵取卵冻存卵母细胞,或根据月经周期判断处于排卵期者,在卵巢组织冷冻前尝试穿刺取卵获得自然周期成熟卵母细胞行卵母细胞冷冻,从而提高患者生育力保存概率。.
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  • 文章类型: Journal Article
    这项研究考察了早期与早期的贡献。同时母亲指导与孩子的情感对话,以确保孩子作为青少年的依恋表现的安全性和连贯性。当参与者是学龄前儿童(大约4岁)和青少年(大约12.5岁)时,从母婴情感对话中评估产妇敏感性指导,以及使用朋友和家庭访谈(FFI)对青少年依恋陈述的评估。母亲在学龄前的敏感指导预测青少年在FFI中的连贯性,确保母亲(但不是父亲)陈述,和兄弟姐妹关系的积极表现。相比之下,母亲并发的敏感性指导仅与青少年的兄弟姐妹关系有关。这些结果突出了母亲在早期情感对话的敏感指导对孩子后期依恋表征的重要性,并指出,当母亲指导与青少年的情感对话时,需要进一步检查母亲的角色。
    This study examined the contribution of early vs. concurrent maternal guidance of emotion dialogues with their children to the security and coherence of the children\'s attachment representations as adolescents. Maternal Sensitive Guidance was assessed from mother-child emotion dialogues when participants were preschoolers (approximate age 4 years) and young adolescents (approximate age 12.5 years), along with an assessment of adolescents\' attachment representations using the Friends and Family Interview (FFI). Mothers\' Sensitive Guidance in preschool predicted adolescents\' coherence in the FFI, secure maternal (but not paternal) representations, and a positive representation of sibling relationships. In contrast, mothers\' concurrent Sensitive Guidance was related only to adolescents\' sibling relationships. These results highlight the significance of mothers\' sensitive guidance of emotion dialogues during the early years for their children\'s later attachment representations, and point to the need for further examination of mothers\' role when they guide emotion dialogues with their adolescents.
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  • 文章类型: Journal Article
    目的:越来越多的研究强调睡眠问题对青少年心理健康的负面影响。然而,青春期睡眠问题的发展轨迹及其与心理健康困难的关系,包括内化和外化症状,仍然不清楚。此外,睡眠问题和心理健康困难之间的影响方向尚未确定。这项研究旨在确定睡眠问题的发展轨迹,并检查它们与内在化和外在化领域的心理健康困难的关联。
    方法:该研究涉及1,281名中国中学生(645名男性,初始评估时的平均年龄=12.73,SD=0.68)。在大约6个月的间隔内,在四个时间点(T1,T2,T3,T4)收集数据。从七年级第一学期到八年级第二学期。
    结果:潜在增长模型显示睡眠问题总体呈增加趋势。并行潜在增长模型表明,睡眠问题的轨迹与心理健康困难的发展趋势呈正相关。如截距-截距和斜率-斜率关联所示。交叉滞后面板模型显示了睡眠问题和内在化症状之间的显着双向关联。相比之下,我们观察到睡眠问题和外化症状之间的单向关联.因此,睡眠问题是随后外化症状的重要预测因子,没有观察到显著的逆转效应。
    结论:这些研究结果表明,未来的研究应该探索针对睡眠问题的干预措施是否可以降低内在化和外在化症状的发生率。此外,旨在内化症状的干预措施可能会改善青少年睡眠,而那些针对外化症状的人可能没有同样的效果。
    OBJECTIVE: Growing research highlights the negative impact of sleep problems on adolescent mental health. However, the developmental trajectory of sleep problems during adolescence and their relationship with mental health difficulties, including both internalizing and externalizing symptoms, remain unclear. Additionally, the direction of the effects between sleep problems and mental health difficulties is not well established. This study aims to identify the developmental trajectories of sleep problems and examine their association with mental health difficulties in both internalizing and externalizing domains.
    METHODS: The study involved 1,281 Chinese middle school students (645 males, mean age at initial assessment = 12.73, SD = 0.68). Data were collected at four time points (T1, T2, T3, T4) over approximately 6-month intervals, spanning from the first semester of seventh grade to the second semester of 8th grade.
    RESULTS: Latent growth modeling revealed an overall increasing trend in sleep problems. Parallel latent growth modeling indicated that trajectories of sleep problems were positively related to the developmental trends of mental health difficulties, as shown by intercept-intercept and slope-slope associations. The cross-lagged panel model demonstrated significant bidirectional associations between sleep problems and internalizing symptoms. In contrast, we observed unidirectional associations between sleep problems and externalizing symptoms. Hence, sleep problems were a significant predictor of subsequent externalizing symptoms, with no significant reverse effect observed.
    CONCLUSIONS: These findings suggest that future research should explore whether interventions targeting sleep problems can reduce the incidence of both internalizing and externalizing symptoms. Additionally, interventions aimed at internalizing symptoms may potentially improve adolescent sleep, while those targeting externalizing symptoms may not have the same effect.
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  • 文章类型: Journal Article
    本文调查了8至13岁的年轻学者的体育放弃现象。尽管人们越来越意识到运动和体育活动在童年和青春期的重要性,必须在科学文献中充分探讨这个主题。我们的研究通过横断面研究设计解决了这一差距,跟踪和分析一组超过一年的年轻运动员的数据。我们研究的主要目的是确定导致该特定年龄段体育辍学的决定因素。我们通过多变量分析研究了几种可能的原因,包括社会压力,父母的期望,时间冲突,身体和心理压力,缺乏享受。结果显示出显着的流失率,社会心理因素正在成为决定年轻人是否会继续或停止参与体育运动最有影响力的因素。此外,我们的研究强调了有针对性的干预措施和预防策略的重要性,包容性,和青少年均衡的运动环境。这些干预措施在教练实施时特别有效,父母和其他参与青少年体育教育的人。最后,本文讨论了这些发现对体育专业人士的影响,体育教育工作者,和公共政策制定者。它强调需要更有效的支持政策和创新的教学方法,以促进青春期运动的持久性。我们的发现可以作为该领域进一步研究的起点,帮助建立一个年轻人可以享受运动和体育锻炼带来的许多好处的未来。
    This article investigates the phenomenon of sports abandonment among young scholars aged between 8 and 13 years. Regardless of the growing awareness of the importance of sport and physical activity during childhood and adolescence, this theme must be adequately explored in the scientific literature. Our study addresses this gap through a cross-sectional research design, tracking and analyzing data from a cohort of young athletes over one year. The main objective of our study is to identify the determinants leading to sports dropout in this specific age group. We looked at several possible causes through a multivariate analysis, including social pressures, parental expectations, time conflicts, physical and psychological stress, and lack of enjoyment. The results show a significant attrition rate, with psychosocial factors emerging as the most influential in determining whether a young person will continue or stop their participation in sport. Furthermore, our study highlights the importance of targeted interventions and preventive strategies that promote a positive, inclusive, and balanced sports environment for adolescents. These interventions can be particularly effective when implemented by coaches, parents and others involved in youth sports education. Finally, this paper discusses the implications of the findings for sports professionals, physical educators, and public policy makers. It highlights the need for more effective support policies and innovative pedagogical approaches to promote sporting persistence during adolescence. Our findings can serve as a starting point for further research in this field, helping to build a future where young people can enjoy the many benefits of sport and physical activity.
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  • 文章类型: Journal Article
    朋友是青少年社会支持的主要来源。这种支持有时可能会导致共同思考,当问题被详尽地讨论时,重点放在负面情绪上。共同思考与某些形式的焦虑有关,包括临床症状.需要进一步的研究来调查这种关联是否扩展到青年焦虑的其他和非临床形式。本研究旨在探讨共思与特质焦虑的关系,考试焦虑,和使用次要数据的焦虑敏感性。
    在这项2019年的横断面研究中,1204(59%的女孩)加拿大6年级早期青少年(11-12岁)和11年级晚期青少年(16-17岁)完成了自我报告问卷,测量共同反省,特质焦虑,考试焦虑,和焦虑敏感性。
    共同反思与早期青少年的焦虑敏感性和特质焦虑有关,考试焦虑,和青少年晚期的焦虑敏感性。
    发育因素可能在共同思考与不同形式的焦虑之间的关联中起作用。在青春期早期,焦虑敏感性可能与共同反省一起出现,并可能在青春期后期扩展到特质和测试焦虑。这些结果扩展了我们对共同反省和焦虑之间关系的理解,并为未来的纵向研究提供假设。
    UNASSIGNED: Friends are major sources of social support for adolescents. This support may sometimes lead to co-rumination when the problem is discussed exhaustively with a focus on negative feelings. Co-rumination has been associated with some forms of anxiety, including clinical symptoms. Further studies are needed to investigate whether this association extends to additional and non-clinical forms of anxiety in youth. This study aimed to explore the relationship between co-rumination and trait anxiety, test anxiety, and anxiety sensitivity using secondary data.
    UNASSIGNED: In this 2019 cross-sectional study, 1204 (59% girls) Canadian 6th-grade early adolescents (ages 11-12) and 11th-grade late adolescents (ages 16-17) completed self-report questionnaires measuring co-rumination, trait anxiety, test anxiety, and anxiety sensitivity.
    UNASSIGNED: Co-rumination was associated with anxiety sensitivity in early adolescents and with trait anxiety, test anxiety, and anxiety sensitivity in late adolescents.
    UNASSIGNED: Developmental factors may play a role in the association between co-rumination and different forms of anxiety. Anxiety sensitivity may appear alongside co-rumination in early adolescence and may broaden to trait and test anxiety in late adolescence. These results extend our understanding of the relationship between co-rumination and anxiety, as well as generate hypotheses for future longitudinal studies.
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  • 文章类型: Journal Article
    双胎分娩与母体和胎儿的不良结局有关。对认知的可比性知之甚少,青春期早期双胞胎和单胎之间的行为发育和大脑结构。这项回顾性队列研究基于美国以人口为基础的数据,prospective,纵向观察性青少年脑认知发育研究.有完整双胞胎状态信息的儿童被登记,暴露变量是双胞胎状态。主要结果是认知,青春期早期的行为发育和大脑结构。认知和行为结果通过使用NIH工具箱和儿童行为清单进行评估,分别。通过皮质厚度评估大脑结构,area,和从磁共振成像(MRI)数据提取的体积。亚组分析按早产进行,出生体重,有兄弟姐妹,遗传概况,和双胞胎类型(接合性)。从2016年9月1日至2018年11月15日,纳入了11545名9-10岁儿童(9477名单胎和2068名双胞胎)。双胞胎表现出轻度较低的认知表现(|t|>5.104,P值<0.001,错误发现率[FDR]<0.001),更好的行为结果(|t|>2.441,P值<0.015,FDR<0.042),比如多种精神疾病和行为问题的得分较低,和较小的皮质体积(t=-3.854,P值<0.001,FDR<0.001)和皮质面积(t=-3.872,P值<0.001,FDR<0.001)。当对早产进行分层时,观察到的差异仍然存在,出生体重,兄弟姐妹的存在,遗传概况,和双胞胎类型(接合性)。此外,对2年随访数据的分析显示结果与基线数据一致.双生子状态与青春期早期认知能力降低和行为发育良好相关,并伴有大脑结构改变。临床医生在将青少年双胞胎样本的结果推广到单胎时应该意识到可能的差异。
    Twin births are related with maternal and fetal adverse outcomes. Little was known about the comparability of the cognitive, behavioral development and brain structure between twins and singletons in early adolescence. This retrospective cohort study was based on data from the United States population-based, prospective, longitudinal observational Adolescent Brain Cognitive Development study. Children with complete twin status information were enrolled, and the exposure variable was twin status. Primary outcomes were cognitive, behavioral development and brain structure in early adolescence. Cognitive and behavioral outcomes were assessed by using the NIH Toolbox and Child Behavioral Checklist, respectively. Brain structure was evaluated by the cortical thickness, area, and volume extracted from the magnetic resonance imaging (MRI) data. Subgroup analyses were conducted by prematurity, birth weight, with sibling, genetic profiles, and twin types (zygosity). From 1st September 2016 to 15th November 2018, 11545 children (9477 singletons and 2068 twins) aged 9-10 years were enrolled. Twins showed mildly lower cognitive performance (|t|> 5.104, P-values < 0.001, False Discovery Rate [FDR] < 0.001), better behavioral outcome (|t|> 2.441, P-values < 0.015, FDR < 0.042), such as lower scores for multiple psychiatric disorders and behavioral issues, and smaller cortical volume (t = - 3.854, P-values < 0.001, FDR < 0.001) and cortical area (t = - 3.872, P-values < 0.001, FDR < 0.001). The observed differences still held when stratified for prematurity, birth weight, presence of siblings, genetic profiles, and twin types (zygosity). Furthermore, analyses on the two-year follow-up data showed consistent results with baseline data. Twin status is associated with lower cognitive and better behavioral development in early adolescence accompanied by altered brain structure. Clinicians should be aware of the possible difference when generalizing results from adolescent twin samples to singletons.
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  • 文章类型: Journal Article
    我们调查了儿童自我报告阳性的发展(陪伴和娱乐,验证和关怀,帮助和指导,亲密披露,使用国家儿童健康与发展研究所(NICHD)早期儿童保育和青年发展数据研究(NICHDSECCYD;n=1,364;M年龄=9.03岁;招募时男孩占51.70%),从三年级到六年级的负面(冲突和背叛)友谊质量。与期望一致,生长模型表明,儿童报告的积极程度更高,较低的负值,友谊质量随年龄增长。男孩在三年级时的积极友谊质量明显低于女孩,并且增长缓慢。男孩的负面友谊质量下降速度比女孩慢。不同的社会取向可能解释了友谊质量轨迹中的性别差异。需要进一步的研究来探索可能解释友谊质量轨迹中个体差异的其他因素。
    We investigated the development of children\'s self-reported positive (Companionship and Recreation, Validation and Caring, Help and Guidance, Intimate Disclosure, and Conflict Resolution) and negative (Conflict and Betrayal) friendship quality from the third to sixth grades using The National Institute of Child Health and Development (NICHD) Study of Early Child Care and Youth Development data (NICHD SECCYD; n = 1,364; M age = 9.03 years; 51.70% boys at recruitment). Consistent with expectations, growth models suggested that children reported higher positive, and lower negative, friendship quality with age. Boys had significantly lower positive friendship quality at third grade and slower increases than girls. Boys had slower decreases in negative friendship quality than girls. It is possible that different social orientations explain sex differences in friendship quality trajectories. Further research is needed to explore other factors that might account for individual differences in friendship quality trajectories.
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  • 文章类型: Journal Article
    目的:睡眠对青少年发育至关重要。性别和性别少数(SGM;例如,拉拉,同性恋,双性恋,跨性别)成年人睡眠不良的风险很高,部分是由于少数族裔的压力(例如,歧视)。然而,在SGM青少年中很少研究睡眠。在全国早期青少年样本中,我们分析了性少数(SM)和性别少数(GM)身份,性别不一致,和性别不一致与睡眠有关,并测试少数群体和一般压力源作为中介。
    方法:我们对10,070名10-14岁青少年大脑认知发育的数据进行了横断面分析。使用逻辑回归模型,我们分析了身份(SM和GM)之间的关联,性身份歧视,少数群体和一般压力源(性身份歧视,戏弄,和与父母的冲突)和睡眠健康(持续时间,延迟,和干扰)。我们使用男爵和肯尼的方法来测试调解。
    结果:参与者报告了性认同(4%SM,4%的提问)和性别认同(0.4%的GM,0.6%的询问);65%是白人,20%是西班牙裔,52%出生时被分配为男性。与异性恋相比,SM参与者睡眠时间短的几率更高,长睡眠潜伏期,和睡眠障碍。转基因参与者和那些报告性别不一致和不一致的人有较高的机会长睡眠潜伏期和睡眠障碍。性身份歧视和一般社会压力源部分介导了某些关联。
    结论:SGM参与者报告睡眠较差。少数族裔和一般社会压力源部分造成了一些差异。政策需要解决SGM基于身份的歧视,并挑战给SGM早期青少年带来少数群体压力的社会规范。
    OBJECTIVE: Sleep is essential to adolescent development. Sexual and gender minority (SGM; e.g., lesbian, gay, bisexual, transgender) adults are at high risk for poor sleep, partially due to minority stress (e.g., discrimination). However, sleep has rarely been studied among SGM adolescents. In a national sample of early adolescents, we analyzed sexual minority (SM) and gender minority (GM) identity, gender incongruence, and gender nonconformity in association with sleep and tested minority and general stressors as mediators.
    METHODS: We cross-sectionally analyzed data from 10,070 adolescents aged 10-14 in the Adolescent Brain Cognitive Development℠ Study. Using logistic regression models, we analyzed associations between identity (SM and GM), sexual identity discrimination, minority and general stressors (sexual identity discrimination, teasing, and conflict with parents) and sleep health (duration, latency, and disturbance). We used Baron and Kenny\'s method to test for mediation.
    RESULTS: Participants reported sexual identity (4% SM, 4% questioning) and gender identity (0.4% GM, 0.6% questioning); 65% were White, 20% were Hispanic, and 52% were assigned male at birth. Compared to heterosexual, SM participants had higher odds of short sleep duration, long sleep latency, and sleep disturbance. GM participants and those reporting gender incongruence and nonconformity had higher odds of long sleep latency and sleep disturbance. Sexual identity discrimination and general social stressors partially mediated some associations.
    CONCLUSIONS: SGM participants reported poorer sleep. Minority and general social stressors partially accounted for some disparities. Policies need to address SGM identity-based discrimination and challenge social norms that produce minority stress for SGM early adolescents.
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  • 文章类型: Journal Article
    人类的大脑经历了从童年到青春期的结构发育,感觉运动中的特定区域,社会,情感网络继续成长到成年。虽然遗传和环境因素导致这些大脑轨迹的个体差异,程度仍未得到充分研究。我们的纵向研究,利用多达三次两年一次的MRI扫描(n=485),旨在评估这些区域对大脑结构(7岁)和发育(7-14岁)的遗传和环境影响。遗传力估计因大脑区域而异,所有区域都显示出遗传影响(范围从18%到59%),还有其他共同的环境因素影响初级运动皮层(30%),体感皮层(35%),DLPFC(5%),TPJ(17%),STS(17%),precuneus(10%),海马体(22%),杏仁核(5%),和伏隔核(10%)。表面积比皮质厚度(14%)更受遗传驱动(38%)。纵向大脑变化主要是由遗传因素驱动的(范围从1%到29%)。尽管共享环境因素(额外)影响了体感皮层(11%),DLPFC(7%),小脑(28%),TPJ(16%),STS(20%),和海马(17%)。这些发现强调了进一步调查大脑行为关联以及从童年到青春期的丰富和贫困环境的影响的重要性。最终,我们的研究可以为旨在支持儿童发育的干预措施提供见解。
    The human brain undergoes structural development from childhood to adolescence, with specific regions in the sensorimotor, social, and affective networks continuing to grow into adulthood. While genetic and environmental factors contribute to individual differences in these brain trajectories, the extent remains understudied. Our longitudinal study, utilizing up to three biennial MRI scans (n=485), aimed to assess the genetic and environmental effects on brain structure (age 7) and development (ages 7-14) in these regions. Heritability estimates varied across brain regions, with all regions showing genetic influence (ranging from 18 % to 59 %) with additional shared environmental factors affecting the primary motor cortex (30 %), somatosensory cortex (35 %), DLPFC (5 %), TPJ (17 %), STS (17 %), precuneus (10 %), hippocampus (22 %), amygdala (5 %), and nucleus accumbens (10 %). Surface area was more genetically driven (38 %) than cortical thickness (14 %). Longitudinal brain changes were primarily driven by genetics (ranging from 1 % to 29 %), though shared environment factors (additionally) influenced the somatosensory cortex (11 %), DLPFC (7 %), cerebellum (28 %), TPJ (16 %), STS (20 %), and hippocampus (17 %). These findings highlight the importance of further investigating brain-behavior associations and the influence of enriched and deprived environments from childhood to adolescence. Ultimately, our study can provide insights for interventions aimed at supporting children\'s development.
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