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Adolescent Maturity and the Brain: The Promise and Pitfalls of Neuroscience Research in Adolescent Health Policy
Open accessAbstract
Longitudinal neuroimaging studies demonstrate that the adolescent brain continues to mature well into the 20s. This has prompted intense interest in linking neuromaturation to maturity of judgment. Public policy is struggling to keep up with burgeoning interest in cognitive neuroscience and neuroimaging. However, empirical evidence linking neurodevelopmental processes and adolescent real-world behavior remains sparse. Nonetheless, adolescent brain development research is already shaping public policy debates about when individuals should be considered mature for policy purposes. With this in mind, in this article we summarize what is known about adolescent brain development and what remains unknown, as well as what neuroscience can and cannot tell us about the adolescent brain and behavior. We suggest that a conceptual framework that situates brain science in the broader context of adolescent developmental research would help to facilitate research-to-policy translation. Furthermore, although contemporary discussions of adolescent maturity and the brain often use a deficit-based approach, there is enormous opportunity for brain science to illuminate the great strengths and potentialities of the adolescent brain. So, too, can this information inform policies that promote adolescent health and well-being.
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“neuroimaging studies have shown that the brain continues to develop well into a person’s twenties”
From Effects of traumatic experiences on obsessive-compulsive and internalizing symptoms: The role of avoidance and mindfulness. (2018) · cites this paper as Johnson et al., 2009
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“the contradictory use of neuroscience and other psychological research to argue both for and against adolescent capacities for mature behavior [18]”
From Arrested development? Reconsidering dual-systems models of brain function in adolescence and disorders (2012) · cites this paper as [18]
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“the lack of selective structure-function mappings and brain-behavior mappings [18,56,75]”
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“These results are due to the exposure to stressful situations and social pressures during the late stage of adolescence, where individuals become more independent in their choices, accumulate more responsibility, and live in new environments [36].”
BackgroundMaruna, S. (2011) · International Journal of Offender Therapy and Comparative Criminology · doi:10.1177/0306624x11414401 · Cited by 53
The development of inhibitory control in adolescence and prospective relations with delinquency
Fosco, W. D., Hawk, L. W., Colder, C. R., Meisel, S. N., & Lengua, L. J. (2019) · Journal of Adolescence · doi:10.1016/j.adolescence.2019.08.008 · Cited by 66
“However, empirical evidence linking inhibitory control to adjustment during the teenage years is lacking (see Bjork et al., 2012; Johnson et al., 2009).”
BackgroundHartmann, M., McConnell, M. A., Bekker, L., Celum, C., Bennie, T., Zuma, J., & van der Straten, A. (2018) · AIDS and Behavior · doi:10.1007/s10461-018-2044-2 · Cited by 49
Choudhury, S., McKinney, K. A., & Kirmayer, L. J. (2015) · Social Science & Medicine · doi:10.1016/j.socscimed.2015.02.034 · Cited by 49
“…for translational applications is increasingly evident in areas of education (Ansari et al., 2012), psychiatry (Insel and Quirion, 2005) and, though controversial (Bonnie and Scott, 2013; Johnson et al., 2009) has been influential at the level of the US Supreme Court in the law (Steinberg, 2013).”
BackgroundIannotti, R. J., Chen, R., Kololo, H., Petronytė, G., Haug, E., & Roberts, C. (2012) · Journal of Physical Activity and Health · doi:10.1123/jpah.10.1.106 · Cited by 50
Abusive Sexting in Adolescence: Prevalence and Characteristics of Abusers and Victims
Barroso, R., Ramião, E., Figueiredo, P., & Araújo, A. M. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.610474 · Cited by 48
Parajuli, J., & Prangthip, P. (2025) · Current Nutrition Reports · doi:10.1007/s13668-025-00706-4 · Cited by 90
“Adolescents begin to form peer-based relationships and engage in experimentation, exploration, and risk-taking behaviors [3, 4].”
Cullen, A. E., Tappin, B. M., Zunszain, P. A., Dickson, H., Roberts, R. E., Nikkheslat, N., Khondoker, M. R., Pariante, C. M., Fisher, H. L., & Laurens, K. R. (2017) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2017.07.002 · Cited by 44
“Longitudinal MRI studies indicate that the brain continues to grow and reorganise throughout adolescence and that the frontal brain regions are among the last to fullymature (Johnson et al., 2009).”
BackgroundSocial Media and New Technology: A Primer
Hogan, M. J., & Strasburger, V. C. (2018) · Clinical Pediatrics · doi:10.1177/0009922818769424 · Cited by 55
van Noordt, S. J. R., & Willoughby, T. (2021) · Developmental Cognitive Neuroscience · doi:10.1016/j.dcn.2021.100945 · Cited by 45
Nikolic, M., Pezzoli, P., Jaworska, N., & Seto, M. C. (2022) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2022.110596 · Cited by 41
Ji, Z., Yuan, L., Lu, X., Ding, H., Luo, J., & Ke, Z. (2018) · Scientific Reports · doi:10.1038/s41598-018-21341-w · Cited by 41
Neurobiological mechanisms underlying the sleep-pain relationship in adolescence: A review
Christensen, J., Noel, M. E., & Mychasiuk, R. (2019) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2018.11.006 · Cited by 44
“The frontal cortex encompasses the neural networks that underlie higher cognitive functions or executive functions such as working memory, planning, abstract thought, and impulsivity regulation (Johnson et al., 2009; Arain et al., 2013).”
BackgroundIn the Long Run: Physical Activity in Early Life and Cognitive Aging
Greene, C., Lee, H. A., & Thuret, S. (2019) · Frontiers in Neuroscience · doi:10.3389/fnins.2019.00884 · Cited by 44
Interplay between hormones and exercise on hippocampal plasticity across the lifespan
Bettio, L. E. B., Thacker, J. S., Rodgers, S. P., Brocardo, P. S., Christie, B. R., & Gil-Mohapel, J. (2020) · Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease · doi:10.1016/j.bbadis.2020.165821 · Cited by 40
Resting-state connectivity and executive functions after pediatric arterial ischemic stroke
Kornfeld, S., Yuan, R., Biswal, B. B., Grunt, S., Kamal, S., Rodríguez, J. A. D., Regényi, M., Wiest, R., Weisstanner, C., Kiefer, C., et al. (2017) · NeuroImage Clinical · doi:10.1016/j.nicl.2017.10.016 · Cited by 40
“The age of stroke onset may serve as one explanation: peaks in frontal gray matter volumes occur around 11 to 12 years of age and are accompanied by changes in synaptic pruning and functional connectivity in the frontal lobes up into adolescence (Johnson et al., 2009; Lenroot and Giedd, 2006).”
Tobacco Use Topography and Etiology
Sussman, S. Y. (2019) · Heart and Mind · doi:10.4103/hm.hm_53_19 · Cited by 39
“mid-20s (particularly in terms of maturation of the frontal lobes/ prefrontal cortex).[49] Successful transition to adulthood, which”
BackgroundSolitary Confinement and the U.S. Prison Boom
Sakoda, R., & Simes, J. T. (2019) · Criminal Justice Policy Review · doi:10.1177/0887403419895315 · Cited by 38
“Long-term periods of isolation have been found to significantly affect neurological and psychological health (Arrigo & Jennifer, 2008; Grassian, 2006; Haney, 2003, 2018), and this is especially harmful for young people as the human brain continues to develop past age 20, specifically in areas of the brain associated w…”
BackgroundBeresford, B., & Stuttard, L. (2014) · Clinical medicine (London) · doi:10.7861/clinmedicine.14-4-404 · Cited by 43
Majowicz, S. E., Hammond, D. G., Dubin, J. A., Diplock, K. J., Jones‐Bitton, A., Rebellato, S., & Leatherdale, S. T. (2017) · Food Control · doi:10.1016/j.foodcont.2017.01.011 · Cited by 40
Late- and Typical-Onset Heroin Use Among Older Adults Seeking Treatment for Opioid Use Disorder
Lynch, A., Arndt, S. V., & Ación, L. (2020) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2020.12.005 · Cited by 37
Implementing the Convention on the Rights of the Child for ‘youth’: who and how?
Desmet, E. (2012) · The International Journal of Children s Rights · doi:10.1163/157181811x611045 · Cited by 36
“In the last decade, neuroimaging research has demonstrated that the brain is not fully matured by puberty, but continues to develop until the age of about 25 (Johnson et al. 2009).”
BackgroundOmega-3 and its domain-specific effects on cognitive test performance in youths: A meta-analysis
Emery, S., Häberling, I. S., Berger, G. E., Walitza, S., Schmeck, K., Albert, T., Baumgartner, N., Strumberger, M. A., Albermann, M., & Drechsler, R. (2020) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2020.02.016 · Cited by 39
Tai, H., Swartz, M. D., Marsden, D., & Perry, C. L. (2021) · Substance Use & Misuse · doi:10.1080/10826084.2020.1849305 · Cited by 36
Soutter, A. K., Gilmore, A. M., & O’Steen, B. (2010) · Journal of Happiness Studies · doi:10.1007/s10902-010-9219-5 · Cited by 47
Aligning human rights and social norms for adolescent sexual and reproductive health and rights
Buller, A. M., & Schulte, M.-C. (2018) · Reproductive Health Matters · doi:10.1080/09688080.2018.1542914 · Cited by 35
Brown, T. G., Ouimet, M. C., Eldeb, M., Tremblay, J., Vingilis, E. R., Nadeau, L., Pruessner, J. C., & Bechara, A. (2017) · Personality and Individual Differences · doi:10.1016/j.paid.2017.03.007 · Cited by 34
Metadata
- Authors
- Johnson, S. B., Blum, R. W., & Giedd, J. N.
- Affiliations
- Johns Hopkins University (US)
- National Institute of Mental Health (US)
- Venue
- Journal of Adolescent Health
- Publisher
- Elsevier BV
- Published
- 2009-09
- Volume
- 45
- Issue
- 3
- Pages
- 216-221
- ISSN
- 1054-139X (ISSN-L)
- PMC
- PMC2892678
- OpenAlex
- W2016854025
- Cited by
- 631
- References
- 47
- Citations by year
- 2026: 31 · 2025: 48 · 2024: 38 · 2023: 40 · 2022: 54 · 2021: 56 · 2020: 55 · 2019: 66 · 2018: 48 · 2017: 37 · 2016: 44 · 2015: 30 · 2014: 26 · 2013: 18 · 2012: 16
- FWCI
- 0.92
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Adolescent Health (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute of Mental Health (ZIAMH002794)
- National Institute on Drug Abuse (K01DA027229)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Adolescent Health and Behaviors
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- adolescent brain development, neuromaturation, adolescent maturity, adolescent health policy, research-to-policy translation, cognitive neuroscience, neuroimaging, judgment, deficit approach, youth welfare
- MeSH terms
- Adolescent, Brain, Female, Health Policy, Humans, Male, Neurosciences, Research, Adolescent Development
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