Bone mass, depressive, and anxiety symptoms in adolescent girls: variation by smoking and alcohol use.

PURPOSE: The purpose of the study was to examine (a) the association between depressive and anxiety symptoms with bone health, (b) the association of smoking or alcohol use with bone health, and, in turn (c) whether the association between depressive and anxiety symptoms with bone health varied by smoking or alcohol use individually or by combined use. Bone health included total body bone mineral content (TB BMC) and bone mineral density (BMD) of the lumbar spine, total hip, and femoral neck. Previously published data have not examined these issues in adolescence, a period when more than 50% of bone mass is accrued. METHODS: An observational study enrolled 262 healthy adolescent girls by age cohort (11, 13, 15, and 17 years). Participants completed questionnaires and interviews on substance use, depressive symptoms, and anxiety. BMC and BMD were measured by dual-energy X-ray absorptiometry. RESULTS: Higher depressive symptoms were associated with lower TB BMC and BMD (total hip, femoral neck). Those with the lowest level of smoking had higher BMD of the hip and femoral neck, whereas no main effect differences were noted by alcohol use. Regular users of both cigarettes and alcohol demonstrated a stronger negative association between depressive symptoms and TB BMC as compared with nonusers/experimental users and regular alcohol users. Findings were parallel for anxiety symptoms. CONCLUSION: Depressive and anxiety symptoms may negatively influence bone health in adolescent girls. Consideration of multiple substances, rather than cigarettes or alcohol separately, may be particularly informative with respect to the association of depression with bone health.

The role of peer stress and pubertal timing on symptoms of psychopathology during early adolescence.

Stress is known to amplify the link between pubertal timing and psychopathology. However, few studies have examined the role of peer stress as a context for this link. The present study examined the interaction between perceived pubertal timing and peer stress on symptoms of psychopathology in early adolescence. The sample consisted of 264 students (63% female; M (age) = 12.40, SD = 1.00; 55% Caucasian, 23% African American, 7% Latino, 11% biracial and 4% other). Higher peer stress was associated with symptoms of anxiety/depression; this effect did not vary by timing or gender. However, early-maturing girls with high peer stress demonstrated higher rates of relational and overt aggression compared to other girls. Findings also suggested that late-maturing boys with high stress are at risk for aggression problems; however, due to the small number of boys, analyses were exploratory. Overall, results suggest that developmentally salient contexts as indicated by stressful peer experiences may pose unique threats to early maturing girls and possibly late-maturing boys.

Traditional and cyber aggressors and victims: a comparison of psychosocial characteristics.

To date, relatively little is known about differences between perpetrators and victims of cyber and traditional forms of aggression. Hence, this study investigated differences among traditional and cyber aggressors and victims on psychosocial characteristics typically examined in research on traditional aggression and victimization, specifically effortful control, manipulativeness, remorselessness, proactive and reactive aggression, and anxious/depressive symptoms. Participants (N = 300; 63.2% female; M age = 12.89, SD = .95; 52% Caucasian, 27% African American, 11% Latino, and 10% other) were categorized based on aggressor type (non/low aggressor, traditional-only, cyber-only, and combined traditional and cyber) and victim type (non-victim, traditional-only, cyber-only, and combined traditional and cyber). Cyber aggressors reported lower levels of reactive aggression compared to traditional-only and combined aggressors. Combined aggressors demonstrated the poorest psychosocial profile compared to all other aggressor groups. For victimization, cyber-only and combined victims reported higher levels of reactive aggression and were more likely to be cyber aggressors themselves compared to traditional-only victims and non-victims. Findings suggest that there may be unique aspects about cyber aggression and victimization that warrant further investigation.

Coping with perceived peer stress: gender-specific and common pathways to symptoms of psychopathology.

This study investigated gender differences in the moderating and mediating effects of responses to stress on the association between perceived peer stress and symptoms of psychopathology. A sample of 295 middle school students (63.7% female; M(age) = 12.39 years, SD = 0.99) completed self-report surveys on stress, coping, and behavioral problems. Involuntary responses to stress (e.g., physiological arousal, intrusive thoughts, impulsive action) mediated the association between perceived stress and anxiety/depression and aggression for girls and for boys. Disengagement coping (e.g., denial, avoidance) partially mediated the association between peer stress and anxiety/depression for boys and for girls. In contrast, disengagement coping mediated the association between peer stress and overt aggression for boys only. Finally, engagement coping (e.g., problem solving, emotion regulation, cognitive restructuring) buffered the indirect effect of peer stress on symptoms of psychopathology for girls only. Implications for prevention and intervention efforts are discussed.

Coping with social stress: implications for psychopathology in young adolescent girls.

This study investigated the impact of social stress on symptoms of psychopathology at the entry into adolescence (111 girls, Mage = 11.84, SD = 0.77). We examined whether peer stress and pubertal timing were associated with internalizing distress and aggression, and whether responses to stress and cortisol reactivity mediated or moderated these associations. Cortisol samples were collected from saliva samples during in-home visits, and the YSR was used to assess psychopathology. Interestingly, pubertal timing demonstrated a trend association with cortisol. Responses to stress mediated the association between social stress and symptoms of internalizing distress and aggression. Specifically, early maturers and girls with higher levels of peer stress exhibited more problematic responses to stress, in turn demonstrating higher levels of internalizing distress and aggression. Significant moderation effects also emerged. For example, early maturers who experienced higher levels of emotional/cognitive numbing in response to peer stress were at greater risk for aggression. Findings identify coping strategies that may be used in evidence-based programming to help girls transition more successfully into adolescence will be discussed.