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Published on: November 21, 2013
Early childhood risk exposures and inflammation in early adolescence
Thomas G O'Connor1, Michael T Willoughby2, Jan A Moynihan1
1Department of Psychiatry, University of Rochester Medical Center, United States.
Insights
Early life stress, including caregiver depression, can predict inflammation in adolescence. This suggests a pathway linking childhood adversity to long-term physical health problems.
Area of Science:
- Psychoneuroimmunology
- Developmental Psychology
- Pediatric Health
Background:
- Early psychosocial stress is linked to child behavioral health.
- The impact of early stress on physical health, particularly immune function, requires further investigation.
Purpose of the Study:
- To examine the association between early childhood adversity (economic, family, caregiving stress) and immune markers in early adolescence.
- To identify potential mechanisms linking early life stress to later physical health outcomes.
Main Methods:
- Prospective longitudinal study (Family Life Project) of at-risk families.
- Assessment of socio-demographic and psychosocial risks from infancy.
- In-depth health assessment in early adolescence, including blood collection for inflammatory markers (interleukin-6, Tumor Necrosis Factor-alpha, C-reactive protein) and glucocorticoid resistance.
Main Results:
- Limited but reliable evidence of association between early risk exposure and adolescent inflammation.
- Caregiver depressive symptoms in early childhood significantly predicted elevated C-reactive protein (CRP) in early adolescence.
- This association remained significant after controlling for covariates like socio-economic status, health behaviors, and body mass index.
Conclusions:
- Early life stress exposures, specifically caregiver depression, may be linked to inflammation in adolescence.
- Inflammation represents a potential biological mechanism connecting early adversity to compromised behavioral and somatic health.
- Findings highlight the long-term physical health implications of early psychosocial stress.
Abstract:
There is now reliable evidence that early psychosocial stress exposures are associated with behavioral health in children; the degree to which these same kinds of stress exposures predict physical health outcomes is not yet clear. We investigated the links between economic adversity, family and caregiving stress in early childhood and several markers of immune function in early adolescence. The sample is derived from the Family Life Project, a prospective longitudinal study of at-risk families. Socio-demographic and psychosocial risks have been assessed at regular intervals since the children were first assessed at 2 months of age. When the children were early adolescents, we conducted an in-depth health assessment of a subsample of families; blood samples were collected from venipuncture for interleukin(IL)-6, Tumor Necrosis Factor (TNF)-alpha, and C-reactive protein (CRP), as well as glucocorticoid resistance. Results indicated limited but reliable evidence of an association between early risk exposure and inflammation in adolescence. Specifically, caregiver depressive symptoms in early childhood predicted elevated CRP almost a decade later, and the prediction was significant after accounting for multiple covariates such as socio-economic adversity, health behaviors and body mass index. Our findings provide strong but limited evidence that early stress exposures may be associated with inflammation, suggesting one mechanism linking early stress exposure to compromised behavioral and somatic health.
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