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Puberty and adolescence as a time of vulnerability to stressors that alter neurobehavioral processes
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Puberty and adolescence are major life transitions during which an individual's physiology and behavior changes from that of a juvenile to that of an adult. Here we review studies documenting the effects of stressors during pubertal and adolescent development on the adult brain and behavior. The experience of complex or compound stressors during puberty/adolescence generally increases stress reactivity, increases anxiety and depression, and decreases cognitive performance in adulthood. These behavioral changes correlate with decreased hippocampal volumes and alterations in neural plasticity. Moreover, stressful experiences during puberty disrupt behavioral responses to gonadal hormones both in sexual performance and on cognition and emotionality. These behavioral changes correlate with altered estrogen receptor densities in some estrogen-concentrating brain areas, suggesting a remodeling of the brain's response to hormones. A hypothesis is presented that activation of the immune system results in chronic neuroinflammation that may mediate the alterations of hormone-modulated behaviors in adulthood.
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Fjerdingstad, N., Rakotobé, M., Leboulenger, C., Chopin, A., Lamonerie, T., & D’Autréaux, F. (2025) · Neurobiology of Stress · doi:10.1016/j.ynstr.2025.100750 · Cited by 1
“In humans, it is suspected that stress during puberty can induce persistent changes in behavior and an increase in anxiety in adulthood, with a more marked incidence in women than in men (Holder and Blaustein, 2014).”
Schmahl, T., Steinhäuser, J., Wewetzer, L., & Goetz, K. (2025) · Patient Preference and Adherence · doi:10.2147/ppa.s509901 · Cited by 1
Yu, N., Gordon, D., Zou, H., Chen, Y., & Yu, L. (2025) · PLoS ONE · doi:10.1371/journal.pone.0321506
“Finite mixture modeling and Bayesian posterior probability of alcohol consumption in adolescent mice somewhat comparable to pre-adolescence in human development [5,6,16–19].”
Schneider, S. C. S., Paz, E. D. R., de Andrade, B. Z., Amaral, A. C., Bronczek, G. A., Koehler‐Santos, P., de Oliveira, J. R., Franci, C. R., Donadio, M. V. F., Holman, P. J., et al. (2025) · PLoS ONE · doi:10.1371/journal.pone.0313103
“Moreover, in the current study, the ADF regimen was employed from early adolescence to early adulthood [83], a period of intensive growth during which the organism requires a constant supply of large amounts of energy.”
Agrati, D., Marín, G., Rehermann, L., Uriarte, N., Antonelli, M. C., & Bedó, G. (2024) · Psychopharmacology · doi:10.1007/s00213-024-06741-3 · Cited by 1
“However, it is well documented that females begin to express sexual behavior during adolescence (Armas et al. 2021; Holder and Blaustein 2014; Södersten 1975).”
Kamsickas, L., Stephens, J. E., Jackson, K., Heard‐Garris, N., Chang, V. Y., Schoeps, K., Bussolari, C. J., Vo, D. X., Moskowitz, J. T., & Duncan, L. G. (2024) · Discover Education · doi:10.1007/s44217-024-00370-w · Cited by 4
Huang, J. H. J., Yang, W., Bao, L., & Yin, B. (2024) · Developmental Psychobiology · doi:10.1002/dev.22544 · Cited by 1
Gwizdala, K. L., Bazzano, L., Newton, R. L., & Carmichael, O. T. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1200415 · Cited by 2
“The results could be driven by the sensitivity of the brain during childhood and adolescence years to stressors such as impaired glucose markers (51).”
BackgroundPagliaccio, D. (2015) · Open Scholarship Institutional Repository (Washington University in St. Louis) · doi:10.7936/k7t151t3 · Cited by 1
“In addition, stress reactivity has a particularly strong effect on emotion processing during puberty (e.g. Natsuaki et al., 2009) and the brain is particularly sensitive to the effects of environmental stressors during this period (e.g. Holder and Blaustein, 2013).”
BackgroundRousan, M. J., McGonigle, T., Muscatello, R. A., Vandekar, S., & Corbett, B. (2026) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-026-07588-7
Lu, D., Kong, Y., & Tang, J. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1807335
“Pubertal timing, endocrine changes, social reorientation, and the ongoing maturation of prefrontal, limbic, hippocampal, and white-matter systems vary across early, middle, and late adolescence (Holder and Blaustein, 2014; Larsen and Luna, 2018; Baker et al., 2025).”
清田, 正., Shoji, E., Omileke, F., 森, 俊., Morita, K., Ikegame, T., Ando, S., Yamasaki, S., Nishida, A., Kasai, K., et al. (2026) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2026.108042
McCann, C. F., Byrne, M. L., Barendse, M. E. A., Shirtcliff, E. A., Herting, M. M., Bottenhorn, K. L., Dahl, R. E., Goddings, A., Williamson, V. G., Ladouceur, C. D., et al. (2026) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2026.101284
Luan, Y., Wang, S., Gao, Y., Kong, Q., Ma, Z., & Luan, C. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1915122
“Research on puberty and adolescence highlights that this phase is a critical period where stressors can change neurobehavioral paths instead of just causing temporary symptoms (35).”
Asadi, H., Kivi, H. G., & Sharifi, F. M. (2026) · Scientific Reports · doi:10.1038/s41598-026-54186-9
“Data analyses were performed using AMOS version 26, and model fit was assessed through multiple indices, including the Goodness-of-Fit Index (GFI), Comparative Fit Index (CFI), Tucker-Lewis Index (TLI), and Root Mean Square Error of Approximation (RMSEA), following established guidelines 28 .”
Smolker, H. R. (2026) · Developmental Cognitive Neuroscience · doi:10.1016/j.dcn.2026.101778
Canady, M. T., & Zalta, A. K. (2026) · Journal of Affective Disorders · doi:10.1016/j.jad.2026.122246
Yu, N., Buyske, S. G., Qureshi, U., & Yu, L. (2026) · PLoS ONE · doi:10.1371/journal.pone.0352197
“The original experiment with adolescent mice spanned 52 time points (experimental days) of alcohol consumption measurements, covering the developmental period from adolescence-to-adulthood [5,6,50–53].”
Kosugi, N., Takahashi, A., Sakagawa, N., Nishimaki, M., Morimoto, K., & Takamata, A. (2026) · Frontiers in Endocrinology · doi:10.3389/fendo.2026.1864440
“In addition, female rats generally undergo pubertal maturation earlier than males at 8 weeks of age (47, 48), which may in fl uence the maturation of food preference.”
Pholi, L., & Dixit, M. (2026) · International Journal of Community Medicine and Public Health · doi:10.18203/2394-6040.ijcmph20261462
Song, Z.-Q., Ruan, J., Wang, L.-Q., Cui, K., Wu, Z.-L., Chen, W.-Y., Tan, Y., Wang, Y.-Q., Zhang, G.-H., Zhang, G.-W., et al. (2026) · Toxics · doi:10.3390/toxics14050399
“ChIP-qPCR was performed as previously described with minor modifications [29].”
Kurbatfinski, S., Dewey, D., & Letourneau, N. L. (2026) · COVID · doi:10.3390/covid6040071
Belblidia, H., & Aroune, D. (2026) · Learning & Behavior · doi:10.3758/s13420-026-00716-4
Ku, B. S., Arrant, E. J., Yuan, Q. E., Aberizk, K., Addington, J., Bearden, C. E., Cadenhead, K. S., Cannon, T. D., Carrión, R. E., Keshavan, M. S., et al. (2026) · Schizophrenia Research · doi:10.1016/j.schres.2026.03.024
“This developmental stage is characterized by heightened exposure and sensitivity to stress due to rapid physiological, psychosocial, and cultural changes (Holder & Blaustein, 2014).”
Zhang, Y., Yan, J., Zhao, Z., & Wang, Y. (2026) · Sleep Health · doi:10.1016/j.sleh.2026.03.007
Soares, P. S. M. (2026) · Child Indicators Research · doi:10.1007/s12187-026-10364-9
“Symptoms of common mental health problems, such as depression and anxiety, are a significant public health concern among adolescents (Holder and Blaustein 2014), with onset typically around age 14 (Kessler et al., 2005).”
Determinants and outcomes of pubertal stress recalibration process: A scoping review
Kwon, E., Adekunle, D., Ginty, A. T., Vichaya, E. G., Carriveau, K. L., & Oshri, A. (2026) · Biological Psychology · doi:10.1016/j.biopsycho.2026.109238
Wang, P., Zhou, T., Gu, Y., Lan, X., Wei, W., & Wu, R. (2026) · Behavioural Brain Research · doi:10.1016/j.bbr.2026.116073
Qian, H., Zhang, J., Duan, X., Wu, T., Xie, Y.-F., Yang, B.-X., Luo, D., Liu, L.-Z., & Yu, P. (2026) · Psychology Research and Behavior Management · doi:10.2147/prbm.s570928
The Influence of early sexual debut on the formation of sexual behavior in adulthood
Bondarenko, Y. D., Murashkina, A. O., Mozghova, T. P., & Зеленська, К. О. (2025) · Psychiatry Neurology and Medical Psychology · doi:10.26565/2312-5675-2025-32-04
Children Raising Siblings: Parentification in Adolescents
Kanca, B. Ç., & Demircioğlu, H. (2025) · Ankara Universitesi Egitim Bilimleri Fakultesi Dergisi · doi:10.30964/auebfd.1677195
Luo, Q., Li, H., Wang, Y., Liu, D., & Ho, C. S. H. (2025) · Scientific Reports · doi:10.1038/s41598-025-27826-9
“The rats were 4 weeks old (puberty) at the start of the experiment, as this age is a critical period for the development of the prefrontal cortex, hippocampus and other emotional regulation centers in the brain, as well as the HPA axis 20–24 .”
Corpas, M., Blasco-Fontecilla, H., Gallego, L., Ramos, J. M., Moreno‐Torres, V., & Soriano, V. (2026) · The Journal of Precision Medicine Health and Disease · doi:10.1101/2025.08.06.25333108
“Hormonal changes during puberty, including shifts in oestrogen and testosterone levels, may further modulate vulnerability to psychiatric disorders and substance use [33,34].”
Karakuş, O. B., Doganer, M. Z., Turhan, İ. Y., Cesur, T. D., Çakır, E. Ö., Yüksel, A. S., Çek, D., Sevin, İ. B., ESİN, İ. S., & Rizvi, S. J. (2025) · Psychiatric Quarterly · doi:10.1007/s11126-025-10177-z · Cited by 1
Trejos-Castillo, E., Mastergeorge, A. M., Cogo-Moreira, H., Santana, V., Zugman, A., de Araújo, C. D., Pan, P., Picon, F., Rohde, L. A., & Jackowski, A. (2025) · Revista Brasileira de Psiquiatria · doi:10.47626/1516-4446-2025-4195
“7 11-16 Adolescents with low SES have less access to the resources and experiences of those with high SES, putting them at risk for developmental and behavioral problems.”
Espinoza, C. N., Goering, M., Dahlman, A. E., Patki, A., Tiwari, H. K., Richter, C. G., & Mrug, S. (2025) · Applied Psychology Health and Well-Being · doi:10.1111/aphw.70026
“…early adolescence is characterized by substantial neural, cognitive, and social – emotional changes, as well as heightened stress related to pubertal development, school transitions, and evolving family and peer relationships (Holder & Blaustein, 2014; Somerville, 2013; Stroud et al., 2009).”
Adolescent Cumulative Adversity, Mental Health, and Young Adult Sexual Health
Wickrama, T., Merten, M. J., & Terrell, A. (2025) · American Journal of Health Behavior · doi:10.5993/ajhb.49.1.7
Mahmoudi, E., Pourmotabbed, A., Khani, F., Salimi, Z., Veisi, M., Zeinivand, M., Valizadeh, M., & Nedaei, S. E. (2024) · Biology Bulletin · doi:10.1134/s1062359023606602 · Cited by 1
Rakotobé, M., Fjerdingstad, N., Ruiz-Reig, N., Lamonerie, T., & D’Autréaux, F. (2022) · Research Square · doi:10.21203/rs.3.rs-823079/v3
“Psychoneuroendocrinology 2013; 38(9): 1858-1873.”
IMMIGRANT ADOLESCENT DEPRESSION AS A FUNCTION OF PREFERENCE FOR AMERICAN WAY OF LIFE
Hatipoğlu, S. S., & Szaflarski, M. (2021) · Nevşehir Hacı Bektaş Veli Üniversitesi SBE Dergisi · doi:10.30783/nevsosbilen.980239
Parvin, P., Amiri, P., Jalali-Farahani, S., Karimi, M., Moeineslam, M., & Azizi, F. (2020) · doi:10.21203/rs.3.rs-50159/v1
MiR-505-3p is a Repressor of the Puberty Onset in Female Mice miR-505-3p and the puberty onsetPreprint
Zhou, Y., Tong, L., Wang, M., Chang, X., Wang, S., Li, K., & Xiao, J. (2018) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/402784 · Cited by 1
The Environmental Basis of Behavior
Ellenbroek, B. A., & Youn, J. (2016) · Elsevier eBooks · doi:10.1016/b978-0-12-801657-2.00004-5
Metadata
- Authors
- Holder, M. K., & Blaustein, J. D.
- Affiliations
- University of Massachusetts Amherst (US)
- Corresponding author
- Blaustein, Jeffrey D.
- Venue
- Frontiers in Neuroendocrinology
- Publisher
- Elsevier BV
- Published
- 2014-01
- Volume
- 35
- Issue
- 1
- Pages
- 89-110
- ISSN
- 0091-3022 (ISSN-L)
- PMC
- PMC3946873
- OpenAlex
- W2030185037
- Cited by
- 279
- References
- 344
- Citations by year
- 2026: 28 · 2025: 35 · 2024: 20 · 2023: 29 · 2022: 22 · 2021: 29 · 2020: 24 · 2019: 18 · 2018: 23 · 2017: 15 · 2016: 16 · 2015: 13 · 2014: 7
- FWCI
- 0.98
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Frontiers in Neuroendocrinology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (MH093854, R21MH093854)
- National Institute of Neurological Disorders and Stroke (R01NS019327, NS-19327)
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Neuroendocrine regulation and behavior
- Keywords
- puberty, adolescence, developmental stress, stress reactivity, anxiety, depression, cognitive performance, hippocampal volume, neuroplasticity, gonadal hormones, sexual behavior, estrogen receptor, neuroinflammation, immune activation, neurobehavioral development
- MeSH terms
- Adolescent, Adolescent Behavior, Animals, Cognition, Humans, Puberty, Sexual Maturation, Stress, Psychological, Gonadal Hormones
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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