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Oct 13, 2023 134 likes •515 views

The Foundation Years Professor George Patton Professor George Patton Middle Years of Childhood Seminar, Middle Years of Childhood Seminar, Perth June 2011 Perth June 2011 Scope of Talk Scope of Talk 1. Shifting Shape of Shifting Shape of

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The Foundation Years

Professor George Patton Professor George Patton Middle Years of Childhood Seminar, Middle Years of Childhood Seminar, Perth June 2011 Perth June 2011

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Scope of Talk Scope of Talk

1.

1. Shifting Shape of

Shifting Shape of Development Development 2.

2. Puberty Matters

Puberty Matters 3.

3. The Middle Years Focus

The Middle Years Focus

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10 years 20 years 30 years

Industrial revolutio n Agricultura l settlement Mid 20th Century

Menarche Psychosocial maturation

M i s m a t c h

b i

i c a l a n d p s y c h

i a l t r a n s i t i

s *

Hunter gatherers

Menarche & social transitions in high income world Adapted from Gluckman

Present Day

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10 years 20 years 30 years

Industrial revolutio n Agricultura l settlement Mid 20th Century

Menarche Psychosocial maturation

M i s m a t c h

b i

i c a l a n d p s y c h

i a l t r a n s i t i

s *

Hunter gatherers

Menarche & social transitions in high income world Adapted from Gluckman

Present Day

Adolescence

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Other changes…..

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50 100 150 200 250 300 350 400 1955 1962 1969 1976 1983 1990 1997 2004 Deaths/100,000

1-4yr 5-9yr 10-14yr 15-19yr 20-24yr

Age at death

Introduction of EEC data

Adolescent vs Childhood Mortality: 50-year trends in 50 countries

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Scope of Talk

1. Shifting Shape of

Development

2. Puberty Matters
3. The Middle Years Focus

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8 9 10 11 12 13 14 15 16 17 18 years

Pubertal Cascade

Adrenarche

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8 9 10 11 12 13 14 15 16 17 18 years

Pubertal Cascade

Gonadarche Adrenarche

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8 9 10 11 12 13 14 15 16 17 18 years

Pubertal Cascade

Gonadarche Growth spurt Oxytocin system Adrenarche

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But that’s not all…..

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Developmental imbalance in brain systems

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Puberty and adolescent brain development

Prefrontal cortex maturation

extends into the third

decade

impulse control
planning
emotional regulation

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And what else?

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I II III IV V

Early Mid Late

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‘Child’ problems change

Attention deficit hyperactivity
Conduct disorder
Bed-wetting
Chronic constipation
Gender identity disorder
Asthma
Eczema
Epilepsy

Social aggression by pubertal stage

3 6 9 12 15 I-II III IV-V I-II III IV-V %

Males Females

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Mental disorders commoner from puberty

Depression - anxiety syndromes
Deliberate self-harm
Substance abuse
Eating disorders
Dysmorphophobia
Psychotic symptoms
Functional somatic disorders
Pain syndromes eg migraine

Self harm by pubertal stage

2 4 6 8 10 I-III IV/V I-III IV/V %

Males Females

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Mental disorders commoner from puberty

Depression - anxiety syndromes
Deliberate self-harm
Substance abuse
Eating disorders
Dysmorphophobia
Psychotic symptoms
Functional somatic disorders
Pain syndromes eg migraine

5 10 15 20 25 30 35 I/II III IV/V 12 yrs 13 yrs 14 yrs 15 yrs

Substance abuse by pubertal stage

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Scope of Talk

1. Shifting Shape of

Development

2. Puberty Matters
3. The Middle Years Focus

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“ “For a dozen For a dozen formative formative years years children children spend almost spend almost half their half their waking hours waking hours in schools in schools” ”

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Baseline: year 8 students (13-14 yo)

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2 years: year 8 students (13-14 yo)

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4 years: year 8 students (13-14 yo)

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What do we need to know?

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‘Kids having fun, laughing, having a game, being healthy and happy – and this makes strong kids.’

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