Child Abuse May Lead to Early Puberty
Rick Nauert PhD
New research establishes that child abuse can influence physical development as well as psychological maturity.
Pennsylvania State University investigators discovered young girls who are exposed to sexual abuse are likely to physically mature and hit puberty earlier than non-abused peers.
While it has long been known that maltreatment can affect a child’s psychological development, the new study shows that the stress of abuse can impact the physical growth and maturation of adolescents as well.
Drs. Jennie Noll, director of the Child Maltreatment Solutions Network, and Idan Shalev, assistant professor of biobehavioral health, found that young girls who are exposed to childhood sexual abuse are likely to physically mature and hit puberty at rates eight to twelve months earlier than their non-abused peers.
Their findings appear in the Journal of Adolescent Health.
“Though a year’s difference may seem trivial in the grand scheme of a life, this accelerated maturation has been linked to concerning consequences, including behavioral and mental health problems and reproductive cancers,” said Noll.
The body is timed so that physical and developmental changes occur in tandem, assuring that as a child physically changes, they have adequate psychological growth to cope with mature contexts. “High-stress situations, such as childhood sexual abuse, can lead to increased stress hormones that jump-start puberty ahead of its standard biological timeline,” Noll explained.
“When physical maturation surpasses psychosocial growth in this way, the mismatch in timing is known as maladaptation.”
In the past, there have been studies loosely linking sexual abuse to maladaptation and accelerated maturation, but the longitudinal work completed by Noll and her team has been the most conclusive and in-depth to date, beginning in 1987 and following subjects throughout each stage of puberty.
Researchers used statistical methods to control for race, ethnicity, family makeup, obesity, socioeconomic status, and nonsexual traumatic experiences. They then compared the pubescent trajectories of 84 females with a sexual abuse history and 89 of their non-abused counterparts. Working closely with nurses and Child Protective Services, the subjects were tracked from pre-puberty to full maturity based on a system known as Tanner staging.
Tanner staging is a numeric index of ratings that corresponds with the physical progression of puberty. The study’s researchers focused on breast and pubic hair development as two separate mile markers for pubescent change. Subjects were placed somewhere from one (prepubescent) to five (full maturity) on the Tanner index and their Tanner number and age were mapped out and recorded over time.
“We found that young women with sexual abuse histories were far more likely to transition into higher puberty stages an entire year before their non-abused counterparts when it came to pubic hair growth, and a full eight months earlier in regards to breast development,” Noll stated.
“Due to increased exposure to estrogens over a longer period of time, premature physical development such as this has been linked to breast and ovarian cancers. Additionally, early puberty is seen as a potential contributor to increased rates of depression, substance abuse, sexual risk taking, and teenage pregnancy.”
The researchers believe they were able to accurately rule out other variables that may have aided in accelerated puberty, pinpointing child sexual abuse and the stress hormones associated with it as a cause for early maturation in young girls.
Their findings add to the body of work highlighting the role of stress in puberty, and it is the hope that the research will lead to increased preventative care and psychosocial aid to young women facing the effects of early maturation.
Source: Pennsylvania State
About Rick Nauert PhD
Dr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.
The Childhelp National Child Abuse Hotline 1-800-4-A-CHILD (1-800-422-4453) is dedicated to the prevention of child abuse.
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