[News release] Researchers identify mechanisms linking early adversity, disease later in life
Researchers identify mechanisms linking early adversity, disease later in life.
From the 20 May 2015 University of Georgia news release
May 20th, 2015 Author: Cal Powell | 706-542-3536 | More about Cal
Contact: Kandauda Wickrama | 706-542-4926 | More about KandaudaAthens, Ga. – Early socioeconomic adversity, such as poverty, low education and disadvantaged community, has both direct and indirect long-term effects on young adults’ cardio-metabolic disease risk, according to researchers within the University of Georgia College of Family and Consumer Sciences.
K.A.S. Wickrama, the Athletic Association Endowed Professor in human development and family science, and his research team explored a “resource focused model” examining the positive psychosocial resources—self-esteem, personality and educational attainment—linking adolescents’ early life experiences to young adults’ health outcomes as measured by nine bio-markers including blood pressure, blood glucose level and body mass index.
The research showed that in addition to early adversity’s direct impact on cardio-metabolic health, it also negatively influenced the development of these psychosocial resources, which, in turn, proved detrimental to disease risk, including diseases such as diabetes, heart disease or stroke.
The study included data from more than 12,000 young adults currently aged 25-34 who participated in the National Longitudinal Study of Adolescent to Adult Health over a 13-year period. Wickrama has published extensively from this data set.
“Youth in a poor family or poor community likely feel less valuable, have lower self-worth and lower self-esteem than youth in families with more socioeconomic capital,” Wickrama said. “Also, early socioeconomic adversity manifests itself directly in the form of impaired cognitive development and educational attainment.”
This connection between psychosocial resources and disease risk is likely due to multiple factors, researchers said, including neurological pathways and poor health behaviors.
Researchers also found gender differences relative to the association between psychosocial resources and cardio-metabolic risk.
The association was statistically significant for women but not for men, they noted. For men, researchers said, early adversity impairs development of psychosocial resources, but those impaired resources do not seem to lead to cardio-metabolic risk for young adults as it does for women.
The paper, “Early socioeconomic adversity, youth positive development and young adults’ cardio-metabolic disease risk,” appeared in the March issue of Health Psychology and is one of three recent papers on the subject produced by Wickrama’s research team.
Co-authors include Catherine Walker O’Neal, a postdoctoral research associate, and Tae Kyoung Lee, a doctoral candidate, both in the human development and family science department within the college.
Another paper, “Stressful life experiences in adolescence and cardio-metabolic risk factors in young adulthood,” was published online in February by the Journal of Adolescent Health.
Using a stress-focused model, the paper links early adversity to poor physical health outcomes based on stressful events that can lead to a rush into adulthood, such as teenage pregnancy or dropping out of high school.
“There is a physical effect on your body from being in these stressful environments,” O’Neal said. “This is a long-term effect that you really can’t easily overcome.”
Researchers refer to this phenomenon as a person’s allostatic load, or weathering.
“Think of a rock continually exposed to the elements day after day,” O’Neal said. “It gets weathered and worn down, and you can’t restore the rock to its original state. In the same way, recovering from the physical effects of these stressors is incredibly difficult.”
A third paper, “Stress and resource pathways connecting early socioeconomic adversity to young adults’ physical health risk,” was published in the Journal of Youth Adolescence late last year.
This paper shows that both the resource and stress pathways connecting early socioeconomic adversity to cardio-metabolic health operate independently.
Researchers suggested through these studies that vulnerable groups of children can be identified early for prevention and intervention efforts.
“I think our findings definitely could be very applicable to intervention and prevention work,” O’Neal said. “I think we show multiple intervening points and areas where you could step in and stop the cycle.”
An abstract of the Health Psychology paper is available at http://psycnet.apa.org/?&fa=main.doiLanding&doi=10.1037/hea0000208.
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[Press release] Losing a family member in childhood associated with psychotic illness
From the 21 January 2014 press release
Highest risk seen in children who experience suicide in close family members
Experiencing a family death in childhood is associated with a small but significant increase in risk of psychosis, suggests a paper published today on bmj.com.
The researchers say that the risks are highest for children who have experienced a suicide in the ‘nuclear family’ (brothers, sisters, parents).
Previous studies have concluded that the risk of adult disease can be influenced by genetics, lifestyle and environmental experience. There is also evidence that maternal psychological stress adversely affects the development of the fetus.
Population studies have so far provided weak support for an association between prenatal maternal psychological stress and later psychosis. Researchers from the UK, US and Sweden therefore set out to examine the association between deaths in the family as a form of severe stress to the individual and subsequent psychosis. Data were taken from Statistics Sweden and the Swedish National Board of Health and Welfare and children born between 1973 and 1985 in Sweden.
Definitions of psychosis were: non-affective psychosis (including schizophrenia) and affective psychosis (bipolar disorder with psychosis and unipolar depression with psychosis).
Exposure periods were divided into ‘any exposure’ (all pre and postnatal); ‘any prenatal’ (prior to birth) and ‘any postnatal’ (birth up to 13 years of age) and further subdivided by trimester (first, second, third) and by three year periods in childhood between birth and 13 years of age (0-2.9 years; 3-6.9 years and 7-12.9 years). If more than one exposure occurred during the study period, priority was given to the earliest exposure.
Death was categorised into suicide, fatal injury / accident and others (such as cancers and cardiac arrests).
Models were adjusted for year of birth, child sex, maternal and paternal age, maternal and paternal nationality, parental socioeconomic status and history of any psychiatric illness in the family.
The final number of children included in the study was 946,994. Altogether, 321,249 (33%) children were exposed to a family death before the age of 13. Of individuals exposed to any death during the study period, 1323 (0.4%) developed a non-affective psychosis while 556 (0.17%) developed an effective psychosis. 11,117 children were exposed to death from suicide, 15,189 from accidents and the majority, 280,172 to deaths due to natural causes.
No increased risk of psychosis was seen following exposure in any prenatal period. Postnatally, an increased risk of ‘all psychosis’ was associated with deaths in the nuclear family and risk increased the earlier in childhood the death occurred.
Risks associated with exposure to suicide were higher compared with exposure to deaths from accidents which in turn were higher than risks associated with other deaths from natural causes.
The largest risk was seen in children exposed ages 0-3 years and risks reduced as age of exposure increased.
Professor Kathryn Abel, from the Centre for Women’s Mental Health at The University of Manchester, said: “Our research shows childhood exposure to death of a parent or sibling is associated with excess risk of developing a psychotic illness later in life. This is particularly associated with early childhood exposure. Further investigation is now required and future studies should consider “the broader contexts of parental suicide and parental loss in non-western, ethnically diverse populations.”
###Research: Severe bereavement stress during the prenatal and childhood periods and risk of psychosis in later life: population based cohort study