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Adolescence
Valerie F. Reyna
Cornell University
1994-2003
25–34 years, new HIV diagnoses down 49%
But the leading cause of death for African-American
women aged d 25
25-34
34 years
13–24 years, new HIV diagnoses remained stable
during this time period
period.
Mental, physical, and economic toll (Reyna & Farley,
2006)
Risk Takingg in Adolescence: Pregnancy
g y
Despite
p a 1/3 decline since early
y 1990s,, the
teen pregnancy rate in the U.S is still the
highest among comparable countries.
3 iin 10 tteens b
becomes pregnantt b
by age 20
20.
750,000 teen pregnancies annually
51% of Latina teens become pregnant
Some evidence that the progress in preventing
teen p
pregnancy
g y and childbearing
g has begun
g to
slow or, in some cases, to reverse.
National
N ti lCCampaign
i tto P
Preventt T
Teen P
Pregnancy. WhWhy It Matters:
M tt Linking
Li ki T Teen
Pregnancy Prevention to Other Critical Social Issues. Washington, DC:
National Campaign to Prevent Teen Pregnancy, 2007.
Impact on Educational Outcomes
Parenthood is the leading cause of school drop out among
t
teen girls.
il
Only 40% of teen mothers ever graduate from high school
Compared to 75% of young women who wait until age 20-21.
http://www.psychologicalscience.org/pdf/pspi/pspi7_1.pdf
Descriptive Reality
In p
principle,
p , capable
p of rational decision
making.
In practice…developmental differences.
Heat of passion
Presence of peers
B h i l iinhibition
Behavioral hibiti required
i d (i
(impulsivity)
l i it )
Prefrontal cortex and connections to
Brain maturation incomplete
However, more pruning occurs and less logical
thinking as the brain matures
Thinking
Thi ki process: T
Trading
di off
ff vs. categorical
t i l
gist
Decision Processes Develop
Literature shows perceptions of risks and
benefits predict risk taking in adolescence.
Rational calculation
Do not believe that they are invulnerable!
Overestimate key risks (lung cancer from
smoking; HIV risk; death)
Fischhoff (2008)
Jamieson & Romer (2008)
But nevertheless take risks because perceived
p
benefits outweigh risks
STD/STI Risks Overestimated
70
60
50
40
30 ADOL
20 PUBLISHED
10
0
mydi
a
rrhea AIDS HPV philis
r D. y
. Chla Gono HIV o
E. S
A B. C.
Other Risks Overestimated
Perceived Risk Predicts Behavior:
12thh graders Marijuana: MTF Study
60
50
40
RCENT
30
PER
20
10
0
75 77 79 81 83 85 87 89 91 93 95 97 99 01 03
YEARS
CONTROL SCENARIO
1.6
1.4
1.2
1
0.8 BENEFITS
0.6
0.4
0.2
0
MALE Ss FEMALE Ss
Ethnicity Affects Gist: Perceived Benefits
1.8
1.6
1.4
1.2
1 MALE Ss
0.8 FEMALE Ss
0.6
0.4
0.2
0
ANGLO MIXED HISP
Perceptions Differ
CONTROL SCENARIO
2.1
2
1.9
1.8 RISK
1.7
1.6
14 16
14-16 17 19
17-19
AGE
If Risk Preference Decreases and Risk
Perception Increases…
Increases
Why do teenagers take more risks
than younger kids?
Greater access to risks:
Opportunity
Supervision/monitoring is key,
especially for younger teens
Does the brain change
in adolescence?
Thinning of Gray Matter: Less is
More
Images Insula vs.
Images, vs Effortful Reasoning
Images Insula vs.
Images, vs Effortful Reasoning
Brain Results
Adult brain: Pruning,
g, not more connections
Adolescents: More deliberation, effortful
g about risky
reasoning y decisions ((swim with
sharks)
Baird & Fugelsang, 2004; Baird,
Fugelsang, & Bennett, 2005)
PFC also develops
Steinberg (2008)
Casey,
y Getz, & Galvan (2008)
( )
Prolonged development
Luna et al., 2004
Laboratory and Public Health
Research: Converging Evidence
Adolescents are more logical than adults.
Quantitatively trade off risks and benefits.
Example: Russian roulette is justified if payoff
large enough.
Adults avoid risks because of increase in gist
g
processing.
Process risk information qualitatively (often
categorically).
Even if benefits bigger than risks, don’t take risks
Adolescents
Ad l t who
h think
thi k like
lik adults
d lt more lik
likely
l
to avoid risk
Mills, Reyna, & Estrada (2008): Method
Overall,
Overall for YOU which of the
following best describes the RISKS
off having
h i sex? ?