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Published on: August 7, 2017
Observed parent-child relationship quality predicts antibody response to vaccination in children
Thomas G O'Connor1, Hongyue Wang2, Jan A Moynihan3
1Wynne Center for Family Research, University of Rochester Medical Center, 300 Crittenden Blvd, Rochester, NY 14642, United States; Department of Psychiatry, University of Rochester Medical Center, 300 Crittenden Blvd, Rochester, NY 14642, United States.
Insights
Parent-child relationship conflict negatively impacts children's immune response to vaccines. This study links relationship quality to antibody response, cortisol reactivity, and BMI in children.
Area of Science:
- Child Psychology
- Immunology
- Pediatric Health
Background:
- Parent-child relationship quality significantly influences child and adolescent behavioral and emotional health.
- The impact of parent-child relationships on children's physical health, particularly immune function, is less understood.
Purpose of the Study:
- To investigate the association between observed parent-child relationship quality during an interaction task and antibody response to meningococcal conjugate vaccine.
- To examine the links between relationship quality, cortisol reactivity, body mass index (BMI), and somatic illness in children.
Main Methods:
- A longitudinal study involving 164 ambulatory 10-11 year-old children.
- Observed parent-child interactions were analyzed for relationship quality (conflict).
- Antibody response to meningococcal conjugate vaccine, cortisol reactivity, BMI, and somatic illness were measured.
Main Results:
- Higher observed parent-child conflict predicted a weaker antibody response to meningococcal serotype C vaccine over six months.
- Conflict also correlated with increased cortisol reactivity post-interaction and higher BMI.
- These physiological factors did not fully explain the relationship between conflict and antibody response.
Conclusions:
- Parent-child relationship conflict, a significant stressor, is associated with altered immune system development in children.
- These findings highlight the potential public health implications of family dynamics on child immunity.
Background:
Quality of the parent-child relationship is a robust predictor of behavioral and emotional health for children and adolescents; the application to physical health is less clear.
Methods:
We investigated the links between observed parent-child relationship quality in an interaction task and antibody response to meningococcal conjugate vaccine in a longitudinal study of 164 ambulatory 10-11 year-old children; additional analyses examine associations with cortisol reactivity, BMI, and somatic illness.
Results:
Observed Negative/Conflict behavior in the interaction task predicted a less robust antibody response to meningococcal serotype C vaccine in the child over a 6 month-period, after controlling for socio-economic and other covariates. Observer rated interaction conflict also predicted increased cortisol reactivity following the interaction task and higher BMI, but these factors did not account for the link between relationship quality and antibody response.
Conclusions:
The results begin to document the degree to which a major source of child stress exposure, parent-child relationship conflict, is associated with altered immune system development in children, and may constitute an important public health consideration.
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