Pubertal Development Scale (Carskadon & Acebo, 1993)

Physical development related to puberty in adolescents; 5 Items, ages 11-17
  • Populations: 11-17
  • Age ranges: Children and Adolescents
  • Languages: English, French
  • Countries: France; United States

Items

Subscales:

  • Boys
  • Girls

Items by subscale

Items presented on both measure versions:

  • Would you say that your growth in height:
  • And how about the growth of your body hair? (“Body hair+ means hair any place other than your head, such as under your arms.) Would you say that your body hair growth: [for clarity, this question and the one above represent one item as reported]
  • Have you noticed any skin changes, especially pimples?

Boys measures

  • Have you noticed a deepening of your voice?
  • Have you begun to grow hair on your face?

Girls measures

  • Have you noticed that your breasts have begun to grow?
  • Have you begun to menstruate (started to have your
    period)?
    • If yes, how old were you when you started to menstruate?

Responses

All boys’ version and numbers 1-4 on the girls’ version items used a 5 Item ordinal response format: not yet started, barely started. definitely started, seems complete, and I don’t know. The menstruation item used a yes / no response format.

(Carskadon & Acebo, 1993)

Scoring

Responses were scored thus:

  • not yet started (1 point);
  • barely started (2 points);
  • definitely started (3 points);
  • seems complete (4 points);
  • I don’t know (missing)
  • Menstruation Yes  (4 points)
  • Menstruation No (1 point)

Points are then averaged across responses for the Pubertal Development Scale score.

Further, Carskadon and Acebo (1993) describe “Puberty Category Scores” by measure version: 

“Boys” used body hair growth, voice change, and facial hair growth to score individuals using this version:

  • Prepubertal (3)
  • Early Pubertal (4 or 5 with no 3 point responses)
  • Midpubertal (6, 7, or 8 with no 4 point responses)
  • Latepubertal (9-11)
  • Postpubertal (12)

“Girls” used body hair growth, breast development, and menarche to score individuals using this version:

  • Prepubertal (3)
  • Early Pubertal (3 and no menarche)
  • Midpubertal (4 and no menarche)
  • Late Puberty (≤7 and menarche)
  • Postpubertal (8 and menarche)

(Carskadon & Acebo, 1993)

Citations

Carskadon, M. A., & Acebo, C. (1993). A self-administered rating scale for pubertal development. Journal of Adolescent Health, 14(3), 190-195. https://doi.org/10.1016/1054-139X(93)90004-9

Potard, C., Courtois, R., Clarisse, R., Le Floc’h, N., Thomine, M., & Réveillère, C. (2016). Influence de la maturation pubertaire et de l’estime de soi corporelle sur la sexualité à l’adolescence. L’Encéphale, 42(2), 138–143. https://doi.org/10.1016/j.encep.2015.12.015

Team comments

Please note that this scale is presented as reported, and that some sexual development terminology may not accurately represent populations or contemporary terminology.

Scoring breakdown

Measure development

  • Significant design input from young people
  • Cognitive interviews with young people
  • Expert input

Validity

  • Unknown: Face validity
  • Green: Convergent validity
  • Unknown: Construct validity

Reliability

  • Green: Internal consistency
  • Unknown: Test-retest

Ease of use

  • Unknown: Readability

Definitions

Face validity: How well a measure appears to represent the construct it is supposed to be measuring.

Convergent validity: How well a measure correlates with other hypothetically-related measures.

Construct validity: The extent to which a measure reflects the construct it was designed to evaluate.

Internal consistency: The extent to which items in a scale capture aspects of the same construct.

Test-retest: The degree to which measurement scores are consistent over a short period of time (usually 2 weeks).

Readability: The ease with which a reader can understand the questionnaire items.

Key

  • Green: Meets validation criteria
  • Red: Does not meet validation criteria
  • Unknown: Evidence not available

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