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Midlife reversibility of early-established biobehavioral risk factors: A research agenda

Reiss, D; Nielsen, L; Godfrey, K; McEwen, B; Power, C; Seeman, T; Suomi, S; Midlife reversibility of early-established biobehavioral risk factors: A research agenda. Developmental Psychology 10.1037/dev0000780. (In press). Green open access

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Abstract

Objectives: Epidemiological evidence links exposure to early life adversities --such as childhood maltreatment-- with impaired health and wellbeing in adulthood. Since these effects are usually unrecognized or untreated in childhood, preventive and remediating interventions in adults are needed. We asked, first, can we validly ascertain childhood adversity through retrospective assessments in adulthood? Second, what dimensions of childhood adversity have consequences for adult health? Third, is there enough plasticity in adult behaviors and neural function in mid-life to allow for interventions? Methods: Supported by the National Institute on Aging, the UK Economic and Social and the Biotechnology and Biological Sciences Research Councils, a network of researchers in human and animal development addressed these questions through meetings and literature review. Results: Widely-used adult ascertainments of childhood adversity are poorly related to prospective ascertainment A small number of dimensions may adequately distinguish among a range of co-occurring childhood adversities and early childhood periods of sensitivity to environmental influence might be reopened in adulthood to favor preventive interventions. Discussion: Prospective animal and human research is clarifying targets for intervention to prevent ill health while subgroups of adults who believe they had adverse childhoods, whether or not that was the case, may require special intervention for effective treatment of established illness.

Type: Article
Title: Midlife reversibility of early-established biobehavioral risk factors: A research agenda
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1037/dev0000780
Publisher version: https://doi.org/10.1037/dev0000780
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Preventive intervention, child maltreatment, retrospective ascertainment,
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10080211
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