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Layland EK, Ram N, Caldwell LL, Smith EA, Wegner L. Leisure Boredom, Timing of Sexual Debut, and Co-Occurring Behaviors among South African Adolescents. ARCHIVES OF SEXUAL BEHAVIOR 2021; 50:2383-2394. [PMID: 34401994 PMCID: PMC8911384 DOI: 10.1007/s10508-021-02014-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/02/2019] [Revised: 09/01/2020] [Accepted: 04/16/2021] [Indexed: 06/13/2023]
Abstract
Sex during adolescence is normative; however, there are substantial individual differences in the timing and context of sexual debut. Leisure boredom is an underexplored correlate of sexual behavior that is associated with many adolescent health outcomes. We investigated if and how individual differences in leisure boredom may be associated with timing of sexual debut, and whether individuals engage in safe or risky behaviors at debut. Survival analysis, logistic regression, and Poisson regression were applied to eight-wave longitudinal data obtained from 3,088 South African adolescents (baseline Mage = 13.9 years) to examine associations between leisure boredom and cumulative hazard of sexual debut across adolescence, odds of co-occurring sexual behaviors, and incidence rate of co-occurring sexual risk behaviors at debut. Higher levels of leisure boredom were associated with elevated hazard cumulatively across adolescence. Higher levels of leisure boredom were also associated with lower odds of safe sex and higher odds of substance use during sex and transactional sex at sexual debut, but not casual sex or condom non-use at sexual debut. Although odds of singular risk behaviors were lower for girls than for boys, the association between leisure boredom and the number of risk behaviors at sexual debut was stronger for girls than boys. Higher trait leisure boredom was associated with elevated hazard of sexual debut, greater likelihood that risky behaviors accompanied sexual debut, and greater number of co-occurring risky behaviors at sexual debut. Results support leisure boredom as a potential target for preventing sexual risk behavior among South African adolescents.
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Affiliation(s)
- Eric K Layland
- Department of Human Development and Family Studies, The Pennsylvania State University, 119 Health and Human Development Building, University Park, PA, 16802, USA.
| | - Nilam Ram
- Department of Human Development and Family Studies, The Pennsylvania State University, 119 Health and Human Development Building, University Park, PA, 16802, USA
| | - Linda L Caldwell
- Department of Recreation, Park and Tourism Management, The Pennsylvania State University, University Park, PA, USA
- Faculty of Community and Health Sciences, University of Western Cape, Cape Town, South Africa
| | - Edward A Smith
- Faculty of Community and Health Sciences, University of Western Cape, Cape Town, South Africa
- Prevention Research Center, The Pennsylvania State University, University Park, PA, USA
| | - Lisa Wegner
- Department of Occupational Therapy, University of Western Cape, Cape Town, South Africa
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Ernst M, Benson B, Artiges E, Gorka AX, Lemaitre H, Lago T, Miranda R, Banaschewski T, Bokde ALW, Bromberg U, Brühl R, Büchel C, Cattrell A, Conrod P, Desrivières S, Fadai T, Flor H, Grigis A, Gallinat J, Garavan H, Gowland P, Grimmer Y, Heinz A, Kappel V, Nees F, Papadopoulos-Orfanos D, Penttilä J, Poustka L, Smolka MN, Stringaris A, Struve M, van Noort BM, Walter H, Whelan R, Schumann G, Grillon C, Martinot MLP, Martinot JL. Pubertal maturation and sex effects on the default-mode network connectivity implicated in mood dysregulation. Transl Psychiatry 2019; 9:103. [PMID: 30804326 PMCID: PMC6389927 DOI: 10.1038/s41398-019-0433-6] [Citation(s) in RCA: 36] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2018] [Revised: 10/11/2018] [Accepted: 01/01/2019] [Indexed: 01/03/2023] Open
Abstract
This study examines the effects of puberty and sex on the intrinsic functional connectivity (iFC) of brain networks, with a focus on the default-mode network (DMN). Consistently implicated in depressive disorders, the DMN's function may interact with puberty and sex in the development of these disorders, whose onsets peak in adolescence, and which show strong sex disproportionality (females > males). The main question concerns how the DMN evolves with puberty as a function of sex. These effects are expected to involve within- and between-network iFC, particularly, the salience and the central-executive networks, consistent with the Triple-Network Model. Resting-state scans of an adolescent community sample (n = 304, male/female: 157/147; mean/std age: 14.6/0.41 years), from the IMAGEN database, were analyzed using the AFNI software suite and a data reduction strategy for the effects of puberty and sex. Three midline regions (medial prefrontal, pregenual anterior cingulate, and posterior cingulate), within the DMN and consistently implicated in mood disorders, were selected as seeds. Within- and between-network clusters of the DMN iFC changed with pubertal maturation differently in boys and girls (puberty-X-sex). Specifically, pubertal maturation predicted weaker iFC in girls and stronger iFC in boys. Finally, iFC was stronger in boys than girls independently of puberty. Brain-behavior associations indicated that lower connectivity of the anterior cingulate seed predicted higher internalizing symptoms at 2-year follow-up. In conclusion, weaker iFC of the anterior DMN may signal disconnections among circuits supporting mood regulation, conferring risk for internalizing disorders.
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Affiliation(s)
| | | | - Eric Artiges
- INSERM, UMR 1000, Research unit "Neuroimaging and Psychiatry", DIGITEO Labs, University Paris-Saclay, and University Paris Descartes, Gif sur Yvette, France
- INSERM, UMR 1000, Faculté de médecine, University Paris-Saclay, DIGITEO Labs, Gif sur Yvette, France
- University Paris Descartes, Paris, France
- Center for Neuroimaging Research (CENIR), Brain & Spine Institute, Paris, France
- Psychiatry Department 91G16, Orsay Hospital, Paris, France
| | | | - Herve Lemaitre
- INSERM, UMR 1000, Research unit "Neuroimaging and Psychiatry", DIGITEO Labs, University Paris-Saclay, and University Paris Descartes, Gif sur Yvette, France
- INSERM, UMR 1000, Faculté de médecine, University Paris-Saclay, DIGITEO Labs, Gif sur Yvette, France
| | | | - Ruben Miranda
- INSERM, UMR 1000, Research unit "Neuroimaging and Psychiatry", DIGITEO Labs, University Paris-Saclay, and University Paris Descartes, Gif sur Yvette, France
| | - Tobias Banaschewski
- Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany
| | - Arun L W Bokde
- Discipline of Psychiatry, School of Medicine and Trinity College Institute of Neurosciences, Trinity College, Dublin, Ireland
| | - Uli Bromberg
- University Medical Centre Hamburg-Eppendorf, House W34, 3.OG, Hamburg, Germany
| | - Rüdiger Brühl
- Physikalisch-Technische Bundesanstalt, Abbestr. 2 - 12, Berlin, Germany
| | - Christian Büchel
- University Medical Centre Hamburg-Eppendorf, House W34, 3.OG, Hamburg, Germany
| | - Anna Cattrell
- Medical Research Council - Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom
| | - Patricia Conrod
- Department of Psychological Medicine and Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom
- Department of Psychiatry, Université de Montréal, CHU Ste Justine Hospital, Montréal, QC, Canada
| | - Sylvane Desrivières
- Medical Research Council - Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom
| | - Tahmine Fadai
- University Medical Centre Hamburg-Eppendorf, House W34, 3.OG, Hamburg, Germany
| | - Herta Flor
- Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany
- Department of Psychology, School of Social Sciences, University of Mannheim, 68131, Mannheim, Germany
| | - Antoine Grigis
- Neurospin, Commissariat à l'Energie Atomique, CEA-Saclay Center, Saclay, France
| | - Juergen Gallinat
- Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany
| | - Hugh Garavan
- Departments of Psychiatry and Psychology, University of Vermont, 05405, Burlington, VT, USA
| | - Penny Gowland
- Sir Peter Mansfield Imaging Centre School of Physics and Astronomy, University of Nottingham, University Park, Nottingham, United Kingdom
| | - Yvonne Grimmer
- Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany
| | - Andreas Heinz
- Department of Psychiatry and Psychotherapy, Campus CharitéMitte, Charité-Universitätsmedizin Berlin, Charitéplatz 1, Berlin, Germany
| | - Viola Kappel
- Department of Child and Adolescent Psychiatry Psychosomatics and Psychotherapy, Campus CharitéMitte, Charité-Universitätsmedizin Berlin, Charitéplatz 1, Berlin, Germany
| | - Frauke Nees
- Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany
- Department of Psychology, School of Social Sciences, University of Mannheim, 68131, Mannheim, Germany
| | | | - Jani Penttilä
- Department of Social and Health Care, Psychosocial Services Adolescent Outpatient Clinic, University of Tampere, Kauppakatu 14, Lahti, Finland
| | - Luise Poustka
- Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany
- Department of Child and Adolescent Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria
| | - Michael N Smolka
- Department of Psychiatry and Neuroimaging Center, Technische Universität Dresden, Dresden, Germany
| | - Argyris Stringaris
- NIMH/NIH, Bethesda, MD, USA
- Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom
| | - Maren Struve
- Department of Psychology, University College, Dublin, Ireland
| | - Betteke M van Noort
- Department of Child and Adolescent Psychiatry Psychosomatics and Psychotherapy, Campus CharitéMitte, Charité-Universitätsmedizin Berlin, Charitéplatz 1, Berlin, Germany
| | - Henrik Walter
- Department of Psychiatry and Psychotherapy, Campus CharitéMitte, Charité-Universitätsmedizin Berlin, Charitéplatz 1, Berlin, Germany
| | - Robert Whelan
- Department of Psychology, University College, Dublin, Ireland
| | - Gunter Schumann
- Medical Research Council - Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom
| | | | - Marie-Laure Paillère Martinot
- INSERM, UMR 1000, Research unit "Neuroimaging and Psychiatry", DIGITEO Labs, University Paris-Saclay, and University Paris Descartes, Gif sur Yvette, France
- University Paris Descartes, Paris, France
- AP-HP, Department of Child and Adolescent Psychiatry, Pitié-Salpêtrière Hospital, Paris, France
- Sorbonne Universités, Paris, France
| | - Jean-Luc Martinot
- INSERM, UMR 1000, Research unit "Neuroimaging and Psychiatry", DIGITEO Labs, University Paris-Saclay, and University Paris Descartes, Gif sur Yvette, France
- INSERM, UMR 1000, Faculté de médecine, University Paris-Saclay, DIGITEO Labs, Gif sur Yvette, France
- University Paris Descartes, Paris, France
- Center for Neuroimaging Research (CENIR), Brain & Spine Institute, Paris, France
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