Human Development II Flashcards

1
Q

What are the trends in Brain Development?

A

Brain is ~95% of adult size by age 6 – Importance of early intervention when
neurodevelopmental disorders are identified

• Two major changes occur throughout childhood, adolescence, and young adulthood:

1) Synaptic density shows an inverted U-shaped trajectory: Density increases until puberty then steady pruning throughout adolescence and adulthood
2) Continued myelination of certain brain regions

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2
Q

What’s the significance of synaptic density?

A

1) SYNAPTIC DENSITY

• Inverted U-shaped trajectory for gray matter volume
― Frontal and parietal gray matter peaks at age 12 in boys and 10 in girls (panels A & B)
― Later peak for temporal gray matter at age 16

White Matter
• Linear increase in white matter
volume (Panel D)
   ― Axons, myelin, glial cells
   ― Decline in white matter starts in ~40s
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3
Q

What’s the significance of myelination?

A

MYELINATION
• White matter myelination proceeds in a regionally-specific manner

― Earliest areas: primary motor and sensory

― Latest regions: prefrontal, temporal, and parietal association areas (up through at least 3rd decade)

― The development of more complex
cognitive functioning is supported by
regions with ongoing myelination
(particularly long-range association pathways and the frontal lobes)

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4
Q

What are the features of physical development in early childhood?

A
  • Slow down in physical growth
  • Decreased appetite

• Sphincter control (age3-5yrs)
– Bowel control problems ≥ age 4: Encopresis
– Bladder control problems ≥ age 5: Enuresis

• Improved gross motor and fine motor development
– Stacks blocks – age x 3

• 18 mos (3 blocks); 2 yrs (6 blocks); 3 yrs (9 blocks)
– Hops on one foot (age 4)
– Self-grooms and self-dresses (age 4-5)

• Handedness established (by age 6-7)

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5
Q

Summarize the pre-operational (Pre-logical)of Piaget stages

A

2-7 years

Representations – objects represented by words or images
• Ability to pretend

• Egocentric thought processes predominate
– Difficulty taking other’s perspectives

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6
Q

What is the pre-operational stage?

A

Pre-operational:
• Basic mental reasoning
• Law of conservation (compensation
abilities) not yet achieved

  • Symbolic thinking expands
    * The use of symbols or internal images to represent objects, persons, and events (e.g., a child using a stick as a pretend sword)
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7
Q

What are the features of cognitive development in early childhood?

A

Longer attention span; 5-15 minutes
• Organize objects by size and shape
• Visuospatial Skills (e.g., drawing shapes)

Expansion of language skills (especially from ages 3-5)
– Uses 900 words (age 3) – Sentences

 • Sentence Lengths: 3-words (3 years); 4-words (4 years); 5-word (5 yrs)
 • Uses plurals, pronouns, and compound sentences  – Can tell stories and name colors – Asks the meaning of words – 90% intelligible by age 5
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8
Q

Describe emotional development in early childhood

A

• Struggle for autonomy and separateness from parents (separation/individuation)

• Development of secondary emotions (3 years)
– embarrassment, jealousy, pride, shame, guilt, envy

• Development of basic emotion regulation
– through observing others, talking about
emotion, self-soothing techniques

• Nightmares, fears (e.g., monsters)

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9
Q

What are the social development features of the early childhood?

A

Gender identity (by age 3)
• Increased interaction (especially from
ages 3-4)
– Understands turn-taking, sharing, and other social rules
– Cooperative play
– Imaginary play and imaginary friends

• Influence of Peers (age 5)
– Social conformity
– Romantic feelings for other

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10
Q

Describe physical development in middle childhood?

A

• Slow and steady height/weight increase (6 cm/3 kg per year)
– Boys start to weigh more than girls

• Permanent teeth (most by 11 years)

• Refined motor dexterity, speed, coordination
– Ride bicycle
– Write in print and cursive

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11
Q

Describe the cognitive development of middle childhood

A

PIAGET’s STAGES: Concrete operational stage
(logical thinking) 7-12 years
– Law of conservation: Compensation abilities achieved
– Seriation: Ability to sort stimuli by a characteristic (e.g.,
size)
– Transitivity: Ability to infer relations among elements in a serial order (e.g., If I am taller than Jane, and Jane is taller than Sue, then I am taller than Sue)

• Mental manipulation of objects and processes

• Logical thinking about objects and events but it is still
concrete logic

• Less egocentric and more relational

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12
Q

Summarize cognitive development of middle childhood

A

Understanding of death (age 8)

• Mnemonic strategies (e.g., rehearsal,
categorization)

• Language
– Shift from egocentric to social speech
– Vocabulary expansion (50,000 words by age 12)

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13
Q

Describe emotional development in middle childhood

A

• Languagedevelopmentfacilitates:
– Cognitive regulation of emotion (i.e., using
words rather than behavior to express self)

– Behavioral control (through self-talk)
• Internalization of social “display rules” guiding emotion expression (e.g., boys don’t show sadness; girls don’t show anger)

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14
Q

Describe social development in middle childhood

A

Perspective-taking
– Takes another perspective
– Simultaneously understands multiple perspectives on the same situation

• Understands fairness, generosity

• Competency/competition
– Children start to compare themselves to others

• Organized sport possible
– Focus is on learning “rules of the game”
– Understands value of being a team player

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15
Q

Explain physical development in adolescence

A

Puberty
– Increase in gonadal hormones
– Second “critical period” in sexual differentiation
– Secondary sex characteristics: breasts, pubic hair, facial hair, larynx enlargement/voice changes

Pubertal growth spurt
– Adolescents attain final 25% of adult height and 50% of adult weight
– Growth spurts earlier in girls than boys
– Different growth rates of body parts (e.g.,
limbs before torso)
– Association between early and delayed growth and behavioral/emotional problems

Sleep rhythms
– The need to sleep is delayed by ~2 hours (“sleep phase delay”)
– 9-hour sleep requirement
– Negative impact of cell phones/computers on sleep hygiene

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16
Q

Describe cognitive development of adolescence

A

PIAGET’S STAGES: Formal Operational Stage
12 years-adult

  • Ability to use abstract thought, consider theories, devise hypotheses, examine cause and effect
  • Problem-solving, planning, multi-tasking

• Improved ability to inhibit inappropriate behaviors in
favor of goal-oriented behaviors
– Impulse control and delayed gratification

• Regression to concrete thinking and disinhibited behavior are common under stress or heightened emotions in adolescence

17
Q

Describe social/emotional development in adolescence

A

• Formation of a self-identity and individuation
―Importance of peers and de-importance of parents

• Reward seeking and highly motivated by emotional incentives
―Peer approval
―Sensation seeking and novelty seeking

• High emotional reactivity
―Difficulty down-regulating emotional state
―Sharp increase in depression rate compared to
childhood

Emotional system matures earlier than prefrontal control system

• Control over emotions improves with maturation of prefrontal pathways (e.g., uncinate fasciculus) to amygdala (emotion center) and basal forebrain nucleus accumbens (reward processing

18
Q

Summarize adolescent risk-taking and brain maturation

A

• Risk-taking is higher in adolescence than in childhood and adulthood (non- linear trend)
– Cold reasoning (logical, cause-effect relationships) develops linearly from childhood to adulthood (prefrontal regions)
– Hot reasoning peaks in adolescence (limbic regions)

• Decision-making worsens in high- emotion contexts

19
Q

What are the types of decision making?

A

Risk-taking involves decision making based on emotional (hot) reasoning and cognitive (cold) reasoning
― Example Decision Making: Should I drive my scooter without a helmet

Pros:(hot reasoning) (emotional)

  • It will be more exciting
    • I won’t get ridiculed by my
    friends
    • I won’t have to carry it around all day

Cons: (cold reasoning)(cognitive)
I could get in an accident and become physically injured, brain injured, or die

20
Q

What are the special challenges to adolescent health?

A
  1. Weight
  2. Early Sexual Activity
  3. Mental Health Concerns – Depression
  4. Drug Use
  5. Violence
  6. Risk-Taking
21
Q

How does weight change in adolescent health?

A
  1. Weight
    ―~15.5% of U.S. high school students are obese based on body mass index (BMI)

―BMI (children and adolescents)
• BMI (kg/m2) is converted to a percentile rank based on age and gender
th
• Obese: BMI ≥95 percentile

―BMI (adults)
• Based on absolute value of BMI
• Obese: BMI ≥30

22
Q

How does early sexual activity change in adolescence?

A

EarlySexualActivity
– ~27% of US high school students are sexually active
• Linear decrease in sexual intercourse (1991-2019)
• 9% have had ≥4 sexual partners

– Sexually transmitted infections (STI)
       • Human Papillomavirus (HPV)
▪ HPV most common STI in the US
▪ # of sexual partners is risk factor
▪ Increased risk of genital/anal warts and cervical cancer
– Teen Pregnancy

• Rate in U.S. is declining (18.8 per 1000), but still high
worldwide

23
Q

Describe the mental health concerns of adolescent health

A

― Depressive symptoms in almost 1/3 of US high school students
― Strong female bias

24
Q

What are the drug use concerns of adolescent health?

A

DrugUse
– Decline in current use of tobacco, alcohol, and marijuana
– Decline in having a history of drug use (“ever used”)
– Apparent increase in prescription narcotic misuse

25
Q

Describe violence and risk taking acts

A

Violence
―Includes physical fights, threats of/or injury with a weapon, (cyber)bullying; sexual dating violence

  1. Risk-taking
    – Sense of invulnerability contributes to excessive risk-taking (e.g., reckless driving, not using contraceptives)
26
Q

What are the adolescent mortality in the US?

A
Top three leading causes of death (ages 15-19):
1. Accidents (unintentional injuries)
– Motor Vehicle Accidents 
2. Suicide
3. Homicide
27
Q

What are the predominant health issues in childhood ?

A

• Top 5 causes of death vary by age

• Themes
– Unintentional injuries (MVA, drowning)
– Congenital abnormalities
– Malignant neoplasms
– HeartDisease
– Suicide
– Homicide
– Unintentional injuries
• Relates to increased motor ability and physical
activity
– Exposure to communicable diseases
• Upon the age of school entry 

– Chronic medical conditions
• Asthma, diabetes

– Neurodevelopmental disorders
• Learning disorders, attention-deficit, and behavioral disorders

– Maltreatment/abuse
• Overuse of punishment in response to negativistic behavior

28
Q

What is the correlations of poverty and pediatric health?

A

One in 5 children in the US lives in poverty (one in 4 minority children)

• Powerful predictor of health status for young children - POVERTY (i.e., an underlying cause of preventable illness

US National Institute of Health MRI Study of Normal Brain Development: Children from families with limited financial resources show:
– Reduced academic achievement test scores
– Reduced gray matter in the frontal lobe, temporal lobe,
and hippocampus

• Developmental differences in the frontal and temporal lobes may explain as much as 20% of achievement deficits in low-income children

➢This suggests that the influence of poverty on academic delays is partly mediated by delays in brain maturation