Childhood Adversity and Midlife Health: Shining a Light on the Black Box of Psychosocial Mechanisms.
Adverse childhood experiences
Health
Health behaviors
Perceived stress
Personality
Stressful life events
Journal
Prevention science : the official journal of the Society for Prevention Research
ISSN: 1573-6695
Titre abrégé: Prev Sci
Pays: United States
ID NLM: 100894724
Informations de publication
Date de publication:
07 2023
07 2023
Historique:
accepted:
25
08
2022
pmc-release:
01
07
2024
medline:
9
8
2023
pubmed:
10
9
2022
entrez:
9
9
2022
Statut:
ppublish
Résumé
Adverse childhood experiences (ACEs) are associated with poorer health, which has spurred public health efforts to reduce the number of adverse events children experience. Unfortunately, it is unlikely that all ACEs can be prevented. For adults who already experienced ACEs in childhood, what psychological, social, and behavioral intervention targets might reduce risk for negative health outcomes? To provide insight into the "black box" of psychosocial mechanisms linking ACEs to poor health, our study used data from the Dunedin Study, a longitudinal cohort assessed from birth to age 45. Mediation models (N = 859) were used to examine whether candidate psychosocial variables in adulthood explained the association between childhood ACEs and health in midlife. Potential psychosocial mediators included stressful life events, perceived stress, negative emotionality, and health behaviors. Children who experienced more ACEs had poorer health in midlife. They also had significantly more stressful life events, more perceived stress, more negative emotionality, and unhealthier behaviors as adults. These mediators were each independently associated with poorer health in midlife and statistically mediated the association between ACEs and midlife health. Health behaviors evidenced the strongest indirect effect from ACEs to midlife health. Together, these psychosocial mediators accounted for the association between ACEs in childhood and health three decades later. Public health efforts to mitigate the health consequences of ACEs could aim to reduce the stressful life events people experience, reduce negative emotionality, reduce perceived stress, or improve health behaviors among adults who experienced childhood adversity.
Identifiants
pubmed: 36083434
doi: 10.1007/s11121-022-01431-y
pii: 10.1007/s11121-022-01431-y
pmc: PMC9995600
mid: NIHMS1835992
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
817-828Subventions
Organisme : NICHD NIH HHS
ID : P2C HD065563
Pays : United States
Organisme : Medical Research Council
ID : MR/P005918/1
Pays : United Kingdom
Organisme : NIA NIH HHS
ID : T32-AG000029
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG032282
Pays : United States
Organisme : NIA NIH HHS
ID : T32 AG000029
Pays : United States
Organisme : NIA NIH HHS
ID : R01AG032282
Pays : United States
Informations de copyright
© 2022. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.
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