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Article
Relationship of early life stress and psychological functioning to blood pressure in the CARDIA study
Quantitative Health Sciences Publications and Presentations
  • Barbara J. Lehman
  • Shelley E. Taylor
  • Catarina I. Kiefe, University of Massachusetts Medical School
  • Teresa E. Seeman, University of California
UMMS Affiliation
Department of Quantitative Health Sciences
Date
5-20-2009
Document Type
Article
Medical Subject Headings
*Adaptation, Psychological; Adult; Affective Symptoms; *Blood Pressure; Child; Child Abuse; Child of Impaired Parents; Comorbidity; Coronary Disease; Female; Health Behavior; Health Surveys; Humans; Hypertension; *Life Change Events; Longitudinal Studies; Male; Middle Aged; Models, Psychological; Parenting; Personality Inventory; Poverty; Psychometrics; Risk Factors; *Social Environment
Abstract
OBJECTIVE: Low childhood socioeconomic status (CSES) and a harsh early family environment have been linked with health disorders in adulthood. In this study, the authors present a model to help explain these links and relate the model to blood pressure change over a 10-year period in the Coronary Artery Risk Development in Young Adults sample. DESIGN: Participants (N = 2,738) completed measures of childhood family environment, parental education, health behavior, and adult negative emotionality. MAIN OUTCOME MEASURES: These variables were used to predict initial systolic and diastolic blood pressure (SBP and DBP, respectively) and the rate of blood pressure change over 10 years. RESULTS: Structural equation modeling indicated that family environment was related to negative emotions, which in turn predicted baseline DBP and SBP and change in SBP. Parental education directly predicted change in SBP. Although African American participants had higher SBP and DBP and steeper increases over time, multiple group comparisons indicated that the strength of most pathways was similar across race and gender. CONCLUSION: Low CSES and harsh family environments help to explain variability in cardiovascular risk. Low CSES predicted increased blood pressure over time directly and also indirectly through associations with childhood family environment, negative emotionality, and health behavior.
Rights and Permissions
Citation: Health Psychol. 2009 May;28(3):338-46. Link to article on publisher's site
Related Resources
Link to Article in PubMed
Citation Information
Barbara J. Lehman, Shelley E. Taylor, Catarina I. Kiefe and Teresa E. Seeman. "Relationship of early life stress and psychological functioning to blood pressure in the CARDIA study" Vol. 28 Iss. 3 (2009) ISSN: 0278-6133 (Linking)
Available at: http://works.bepress.com/catarina_kiefe/70/