The impact of stress at different life stages on physical health and the buffering effects of maternal sensitivity.
Many studies indicate that early life stress leads to negative health outcomes in adulthood, and some suggest that high-quality parenting might buffer these effects. Most prior research, however, has relied on cross-sectional retrospective reports of stress and parenting. Our study tests how coder-rated stress and parenting quality assessed at different life stages predict adult health outcomes in a prospective, longitudinal study.



Participants were 163 individuals in the Minnesota Longitudinal Study of Risk and Adaptation studied since birth. Physical health was assessed at age 32 with body mass index, self-reports of symptoms and illnesses experienced, and self-ratings of overall physical health. Stress was assessed by coder-rated interviews involving participants or their mothers at 16 time points partitioned into 5 life stages: early childhood, middle childhood, adolescence, young adulthood, and at age 32 (when health was assessed). Parenting quality was measured by coder ratings of each mother's provision of sensitive, responsive support at 7 time points between birth and age 13.



Early childhood, adolescent, and concurrent stress predicted adult health outcomes at age 32. Early childhood and adolescent stress, and adolescent and concurrent stress, both showed a "dual-risk" pattern, such that experiencing higher stress at both of these life stages predicted the worst health outcomes. Higher maternal sensitivity, however, buffered these deleterious effects.



Our prospective data reveal that early childhood and adolescence are important developmental periods during which stress is influential for adult physical health. However, parenting interventions that promote greater sensitivity may help children in high-stress environments avoid negative adult health outcomes. (PsycINFO Database Record
Department of Psychology, University of Minnesota.
Allison K
AK
Farrell
Department of Psychology, University of Minnesota.
Jeffry A
JA
Simpson
Institute of Child Development, University of Minnesota.
Elizabeth A
EA
Carlson
Institute of Child Development, University of Minnesota.
Michelle M
MM
Englund
Department of Psychology, University of Minnesota.
Sooyeon
S
Sung
D000293:Adolescent; D000328:Adult; D002648:Child; D003430:Cross-Sectional Studies; D004644:Emotions; D005260:Female; D006304:Health Status; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D009034:Mother-Child Relations / Q000523:psychology*; D009035:Mothers / Q000523:psychology*; D016487:Parenting / Q000523:psychology; D011446:Prospective Studies; D012189:Retrospective Studies; D057566:Self Report; D013315:Stress, Psychological / Q000523:psychology*; D055815:Young Adult
J Pers Soc Psychol. 1988 Mar;54(3):486-95
3361420
Brain Cogn. 2010 Feb;72(1):73-85
19616355
J Public Health (Oxf). 2006 Mar;28(1):10-6
16473923
Nat Rev Neurosci. 2009 Jun;10(6):434-45
19401723
Ann Epidemiol. 2006 Feb;16(2):91-104
16257232
PLoS One. 2012;7(6):e39385
22761778
JAMA. 2007 Oct 10;298(14):1685-7
17925521
J Pers Soc Psychol. 1995 Oct;69(4):736-43
7473028
Psychol Sci. 2011 Dec;22(12):1591-9
22123777
Circulation. 2004 Sep 28;110(13):1761-6
15381652
Dialogues Clin Neurosci. 2005;7(2):103-23
16262207
Ann N Y Acad Sci. 2006 Dec;1094:248-58
17347356
Psychol Bull. 2011 Nov;137(6):959-97
21787044
Dev Psychol. 2013 Jan;49(1):109-26
22448982
Headache. 2001 Jan;41(1):1-10
11168598
Psychol Bull. 2014 Jan;140(1):140-87
23527470
Dev Psychopathol. 2016 Feb;28(1):127-38
25851449
Dev Psychopathol. 2011 Nov;23(4):1039-58
22018080
Prev Med. 2003 Oct;37(4):375-81
14507496
J Child Psychol Psychiatry. 2005 Mar;46(3):235-45
15755300
Annu Rev Psychol. 2007;58:145-73
16903808
Child Dev. 2015 May-Jun;86(3):695-708
25521785
Psychol Rev. 1989 Apr;96(2):234-54
2710874
Child Dev. 2002 Jul-Aug;73(4):1204-19
12146743
Psychol Sci. 2014 Jun;25(6):1268-74
24760142
Proc Natl Acad Sci U S A. 2009 Aug 25;106(34):14716-21
19617551
Mol Psychiatry. 2011 Jul;16(7):729-37
20479762
Mem Cognit. 1998 Jan;26(1):3-19
9519693
Proc Natl Acad Sci U S A. 2014 Aug 5;111(31):11287-92
25049403
Biol Psychiatry. 2006 Oct 15;60(8):819-24
16712805
Psychol Bull. 1996 May;119(3):488-531
8668748