What is it about?

Persistent exposure to adversities, such as parental hostility, neighborhood crime, racial discrimination, and socioeconomic risks, throughout childhood and adolescence is linked to health problems in adulthood among Black Americans. Moreover, this relationship is mediated by factors such as low self-esteem, depressive symptoms, and a lack of self-control

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Why is it important?

The current study builds on previous research in several ways: by confirming the construct of childhood and adolescent adversity, identifying trajectories of adversity, modeling both subjective and objective health outcomes, and examining the social-psychological processes that may mediate the link between early adversity and adult health.

Perspectives

We believe that our research has multiple important implications. From a theoretical perspective, the findings highlight the importance of constructing integrated models that unite social, psychological, and biological variables, and adopting a biopsychosocial perspective (e.g. the allostatic load model and weathering hypothesis) to enhance scientific knowledge of the social determinants of health. From a methodological perspective, the present study develops an alternative measure of childhood adversity involving multiple dimensions and time effects. From a clinical practice perspective, our results potentially inform the development of clinical practices that focus on improving psychosocial adjustment (i.e. improving self-esteem, reducing negative affect, enhancing self-control) through family and neighborhood resilience mechanisms to mitigate the consequences of early adversities on health outcomes.

Dr Man Kit Lei
University of Georgia

Read the Original

This page is a summary of: Specifying the psychosocial pathways whereby child and adolescent adversity shape adult health outcomes, Psychological Medicine, October 2022, Cambridge University Press,
DOI: 10.1017/s003329172200318x.
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