Pubertal stage, sex and behaviour in neurodevelopmental disorders versus typical development: a cross-sectional study
Objective To determine the association between pubertal stage, sex and behavioural profile across and within neurodevelopmental disorders (NDDs) compared with typically developing (TD) youth.Methods This was a cross-sectional study from the Province of Ontario Neurodevelopmental Disorders network, i...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-10-01
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| Series: | BMJ Paediatrics Open |
| Online Access: | https://bmjpaedsopen.bmj.com/content/6/1/e001469.full |
| _version_ | 1797777509254692864 |
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| author | Stelios Georgiades Muhammad Ayub Robert Nicolson Russell Schachar Annie Dupuis Melanie Penner Paul Arnold Jennifer Crosbie Elizabeth Kelley Evdokia Anagnostou |
| author_facet | Stelios Georgiades Muhammad Ayub Robert Nicolson Russell Schachar Annie Dupuis Melanie Penner Paul Arnold Jennifer Crosbie Elizabeth Kelley Evdokia Anagnostou |
| author_sort | Stelios Georgiades |
| collection | DOAJ |
| description | Objective To determine the association between pubertal stage, sex and behavioural profile across and within neurodevelopmental disorders (NDDs) compared with typically developing (TD) youth.Methods This was a cross-sectional study from the Province of Ontario Neurodevelopmental Disorders network, including children/youth with various NDDs and TD controls. Caregivers completed the Child Behavior Checklist (CBCL). Participants were grouped into three puberty stages: prepuberty (Tanner stage 1), early puberty (Tanner stages 2–3) and late puberty (Tanner stages 4–5). The association between pubertal stage and CBCL scores was assessed controlling for sex and diagnosis.Results The analysis included 1043 participants (male=733; 70.3%). A three-way interaction between pubertal status, sex and diagnosis was not significant for internalising or externalising behaviour. Diagnosis was significantly associated with CBCL scores for both internalising (p<0.0001) and externalising (p<0.0001) behaviours, with lower scores for TD children than for NDD groups. Late pubertal females showed higher levels of internalising behaviour compared with prepubertal females (p=0.001); males showed no differences. Early pubertal males showed lower levels of externalising behaviour compared with prepubertal males (p=0.01); early pubertal females trended towards higher levels compared with prepubertal females (p=0.051).Conclusions Internalising/externalising patterns of behaviours across pubertal stages did not differ based on diagnosis. Pubertal females are at higher risk for internalising behaviours. |
| first_indexed | 2024-03-12T23:05:57Z |
| format | Article |
| id | doaj.art-a832ac5f1ac7469dab66add1a339f5f9 |
| institution | Directory Open Access Journal |
| issn | 2399-9772 |
| language | English |
| last_indexed | 2024-03-12T23:05:57Z |
| publishDate | 2022-10-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Paediatrics Open |
| spelling | doaj.art-a832ac5f1ac7469dab66add1a339f5f92023-07-18T23:00:07ZengBMJ Publishing GroupBMJ Paediatrics Open2399-97722022-10-016110.1136/bmjpo-2022-001469Pubertal stage, sex and behaviour in neurodevelopmental disorders versus typical development: a cross-sectional studyStelios Georgiades0Muhammad Ayub1Robert Nicolson2Russell Schachar3Annie Dupuis4Melanie Penner5Paul Arnold6Jennifer Crosbie7Elizabeth Kelley8Evdokia Anagnostou9Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, CanadaPsychiatry, Queen`s University, Kingston, Ontario, CanadaPsychiatry, Western University, London, Ontario, CanadaPsychiatry, The Hospital for Sick Children, Toronto, Ontario, CanadaDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, CanadaAutism Research Centre, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, CanadaHotchkiss Brain Institute, University of Calgary, Calgary, Alberta, CanadaPsychiatry, The Hospital for Sick Children, Toronto, Ontario, CanadaPsychology, Queen`s University, Kingston, Ontario, CanadaAutism Research Centre, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, CanadaObjective To determine the association between pubertal stage, sex and behavioural profile across and within neurodevelopmental disorders (NDDs) compared with typically developing (TD) youth.Methods This was a cross-sectional study from the Province of Ontario Neurodevelopmental Disorders network, including children/youth with various NDDs and TD controls. Caregivers completed the Child Behavior Checklist (CBCL). Participants were grouped into three puberty stages: prepuberty (Tanner stage 1), early puberty (Tanner stages 2–3) and late puberty (Tanner stages 4–5). The association between pubertal stage and CBCL scores was assessed controlling for sex and diagnosis.Results The analysis included 1043 participants (male=733; 70.3%). A three-way interaction between pubertal status, sex and diagnosis was not significant for internalising or externalising behaviour. Diagnosis was significantly associated with CBCL scores for both internalising (p<0.0001) and externalising (p<0.0001) behaviours, with lower scores for TD children than for NDD groups. Late pubertal females showed higher levels of internalising behaviour compared with prepubertal females (p=0.001); males showed no differences. Early pubertal males showed lower levels of externalising behaviour compared with prepubertal males (p=0.01); early pubertal females trended towards higher levels compared with prepubertal females (p=0.051).Conclusions Internalising/externalising patterns of behaviours across pubertal stages did not differ based on diagnosis. Pubertal females are at higher risk for internalising behaviours.https://bmjpaedsopen.bmj.com/content/6/1/e001469.full |
| spellingShingle | Stelios Georgiades Muhammad Ayub Robert Nicolson Russell Schachar Annie Dupuis Melanie Penner Paul Arnold Jennifer Crosbie Elizabeth Kelley Evdokia Anagnostou Pubertal stage, sex and behaviour in neurodevelopmental disorders versus typical development: a cross-sectional study BMJ Paediatrics Open |
| title | Pubertal stage, sex and behaviour in neurodevelopmental disorders versus typical development: a cross-sectional study |
| title_full | Pubertal stage, sex and behaviour in neurodevelopmental disorders versus typical development: a cross-sectional study |
| title_fullStr | Pubertal stage, sex and behaviour in neurodevelopmental disorders versus typical development: a cross-sectional study |
| title_full_unstemmed | Pubertal stage, sex and behaviour in neurodevelopmental disorders versus typical development: a cross-sectional study |
| title_short | Pubertal stage, sex and behaviour in neurodevelopmental disorders versus typical development: a cross-sectional study |
| title_sort | pubertal stage sex and behaviour in neurodevelopmental disorders versus typical development a cross sectional study |
| url | https://bmjpaedsopen.bmj.com/content/6/1/e001469.full |
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