Adolescent development and social media use Dr Hayley van Zwanenberg September 2015 A REAL AND LASTING DIFFERENCE FOR EVERYONE WE SUPPORT Quiz 1. How is adolescence defined? 2. What stage of development did Piaget state adolescents were in? 3. At what age does the brain stop developing? 4. Are there any brain changes during adolescence? 5. Do hormones cause them to be moody and defiant, if so how? 6. Is social media helpful in assisting teenagers develop their identity? 7. Is there any link between social media use and depression and anxiety in adolescents? Piaget – Formal operational stage • Starts around the age of 12 to approximately 20 • Abstract thought and hypothetical reasoning and systematic planning emerges. • They can start to use logic and come out with creative solutions to problems. • Start to consider past experiences, present demands and future consequences. At what age does the brain stop developing? • Most studies show that abstract reasoning, memory and formal capacity for planning are fully developed by age 15 or 16. • Adolescents do find it more difficult to interrupt an interaction underway, to think before acting or chose between safer and risky alternatives. At what age does the brain stop developing? Are there any brain changes during adolescence? - Human brain circuits are not mature until the early 20’s. - Some of last connections are between prefrontal cortex (used for judgement and problem solving) and the amygdala and the “emotional centres” in the limbic system. Critical for high level self regulation and emotional learning. Are there any brain changes during adolescence? • White matter volume increases in the first 2 or 3 decades of life. (Many psychiatric illness that appear in adolescence show frontal white matter changes). • Grey matter peaks in late childhood and decreases in adolescence (synaptic density decreases in the prefrontal cortex in adolescents). More intelligent individuals tend to show greater changes in the prefontal cortex thickness during adolescents At what age does the brain stop developing? • Adolescents judgement can be overwhelmed by the urge for new experiences, thrill seeking, and sexual and aggressive impulses. • Resisting social pressure is harder for teenagers – adolescents take more chances when their friends are watching. Are there any brain changes during adolescence? • Brain is reshaped at puberty. Proliferation and pruning, especially in frontal lobe. • Myelination of axons continues into early 20’s especially in corpus callosum (connects right and left hemispheres) • The circuit linking the prefrontal cortex to the midbrain region is still developing: Hormones in high levels in the adolescent brain: • Adrenal stress hormones • Sex hormones (testosterone increases 30X in adolescent boys). • Growth hormone • Sex hormones act in the limbic system and raphe nucleus (where serotonin is produced). Does this impact on mood and behaviour? Maturational changes in the serotonin system occur throughout adolescence. Identity development • Identity development is a central task of adolescence, research suggests social media may be helpful. • Adolescents can reveal different aspects of themselves anonymously or not, and test out real, ideal and false selves. It can help them develop meaning about the complex areas of their life. • Similarly social media may be positive for intimacy development. • They can access a diverse group of peers who can help them understand the it affective states, providing emotional support even through emojis. Does social media effect adolescent wellbeing? • Most adolescents use social media positively to extend friendships. • Research has shown social media use is linked to depression, stress and anxiety. However the relationship is complex. • It is unclear if the frequency of use is associated with anxiety or if the online presentation of a false self is the issue. • Peer rejection and a lack of close friends are among the strongest predictors of depression and negative self views. • Cyberbullying>depression/anxiety than traditional bullying. Does social media effect adolescent wellbeing? • Conscientiousness has been shown to be protective for adolescence in internet use and a hostile classroom contexts increase vulnerability, especially for girls. - What should our role be as inpatient clinicians? - Should young people have social media access on the inpatient wards? - “In no other stage of the life cycle, are the promise of finding oneself and the threat of losing oneself so closely allied” – Erik H Erikson, Identity Youth and Crisis. Recommendations: • Include questions about internet use in our assessments • In a unique position to educate families about the complexities of the digital world and issues that can arise for teenagers. • Teenagers whose parents talk to them “a lot”, have: - Greater concern about their internet safety and sharing of personal information - Lower incidence public online profiles - Lower incidence of meeting people from the online world Recommendations: • Help inpatients understand issues of bulling, risk taking, depression, social anxiety and sexual risks. • Consider having media literacy guidelines Any questions?
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