New understanding of adolescent brain development: relevance to transitional healthcare for young people with long term conditions.
Allan Colver,Sarah Longwell +1 more
TLDR
The changing brain may lead to abrupt behavioural change with attendant risks, but such a brain is flexible and can respond quickly and imaginatively to the challenges specific to that period of life.Abstract:
Whether or not adolescence should be treated as a special period, there is now no doubt that the brain changes much during adolescence. From an evolutionary perspective, the idea of an under developed brain which is not fit for purpose until adulthood is illogical. Rather, the adolescent brain is likely to support the challenges specific to that period of life. New imaging techniques show striking changes in white and grey matter between 11 and 25 years of age, with increased connectivity between brain regions, and increased dopaminergic activity in the pre-frontal cortices, striatum and limbic system and the pathways linking them. The brain is dynamic, with some areas developing faster and becoming more dominant until other areas catch up. Plausible mechanisms link these changes to cognitive and behavioural features of adolescence. The changing brain may lead to abrupt behavioural change with attendant risks, but such a brain is flexible and can respond quickly and imaginatively. Society allows adolescent exuberance and creativity to be bounded and explored in relative safety. In healthcare settings these changes are especially relevant to young people with long term conditions as they move to young adult life; such young people need to learn to manage their health conditions with the support of their healthcare providers.read more
Citations
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Apps and Adolescents: A Systematic Review of Adolescents' Use of Mobile Phone and Tablet Apps That Support Personal Management of Their Chronic or Long-Term Physical Conditions.
Rabiya Majeed-Ariss,Eileen Baildam,Malcolm Campbell,Alice Chieng,Debbie Fallon,Andrew Hall,Janet E. McDonagh,Stones,Wendy Thomson +8 more
TL;DR: Based on the available evidence, apps may be considered feasible health interventions, but more studies involving larger sample sizes, and with patient and health professional input at all stages, are needed to determine apps’ acceptability and effectiveness.
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The Impact of Exposure to Cannabinoids in Adolescence: Insights From Animal Models.
Tiziana Rubino,Daniela Parolaro +1 more
TL;DR: Modeling the adolescent phase in animals appears to be a useful approach to investigate the impact of cannabis use on the adolescent brain and suggests that it may represent, per se or in association with other hits, a risk factor for developing psychotic-like symptoms in adulthood.
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Neurocognitive dysfunction and grey matter density deficit in children with obstructive sleep apnoea
Kate Ching Ching Chan,Lin Shi,H.K. So,Defeng Wang,Alan Wee-Chung Liew,Darshana D. Rasalkar,C.W. Chu,Yun Kwok Wing,Albert M. Li +8 more
TL;DR: To compare neurocognitive function, regional grey matter density and cerebral volume in children with and without OSA, children with OSA showed significantly reduced attention and visual-fine motor coordination scores compared with controls.
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Research in the integration of behavioral health for adolescents and young adults in primary care settings: a systematic review
Laura P. Richardson,Laura P. Richardson,Carolyn A. McCarty,Carolyn A. McCarty,Ana Radovic,Ahna Ballonoff Suleiman +5 more
TL;DR: The current research literature for behavioral health integration in the adolescent and young adult population is reviewed and recommendations for needed research to move the field forward are made.
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Puberty: Normal physiology (brief overview).
TL;DR: This chapter is intended to outline the mechanisms underlying normal growth and development before and during puberty by understanding normality the pathological processes that give rise to abnormalities of pubertal development can be understood more easily.
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