000			03438nab a22003977a 4500
999			_c8048 _d8048
005			20250625151632.0
008			230316s2022 -nz|| |||| 00| 0 eng d
040			_aAFVC
100			_aBourassa, Kyle J. _911711
245			_aChildhood adversity and midlife health : _cKyle J. Bourassa, Terrie E. Moffitt, HonaLee Harrington, Renate Houts, Richie Poulton, Sandhya Ramrakha, Line J. H. Rasmussen, Jasmin Wertz and Avshalom Caspi _bshining a light on the black box of psychosocial mechanisms
260			_bSpringer, _c2022
500			_aPrevention Science, 2022, First published online, 9 September 2022
520			_aAdverse childhood experiences (ACEs) are associated with poorer health, which has spurred public health efforts to reduce the number of adverse events children experience. Unfortunately, it is unlikely that all ACEs can be prevented. For adults who already experienced ACEs in childhood, what psychological, social, and behavioral intervention targets might reduce risk for negative health outcomes? To provide insight into the “black box” of psychosocial mechanisms linking ACEs to poor health, our study used data from the Dunedin Study, a longitudinal cohort assessed from birth to age 45. Mediation models (N = 859) were used to examine whether candidate psychosocial variables in adulthood explained the association between childhood ACEs and health in midlife. Potential psychosocial mediators included stressful life events, perceived stress, negative emotionality, and health behaviors. Children who experienced more ACEs had poorer health in midlife. They also had significantly more stressful life events, more perceived stress, more negative emotionality, and unhealthier behaviors as adults. These mediators were each independently associated with poorer health in midlife and statistically mediated the association between ACEs and midlife health. Health behaviors evidenced the strongest indirect effect from ACEs to midlife health. Together, these psychosocial mediators accounted for the association between ACEs in childhood and health three decades later. Public health efforts to mitigate the health consequences of ACEs could aim to reduce the stressful life events people experience, reduce negative emotionality, reduce perceived stress, or improve health behaviors among adults who experienced childhood adversity. (Authors' abstract). Record #8048
650		4	_aADULT SURVIVORS OF SEXUAL ABUSE _946
650		4	_aADULT SURVIVORS OF CHILD ABUSE _945
650		4	_aADVERSE CHILDHOOD EXPERIENCES _94089
650		0	_94056 _aDunedin Multidisciplinary Health and Development Study
650			_aHEALTH _9283
650			_aINTERPERSONAL RELATIONSHIPS _9325
650		4	_9351 _aLONGITUDINAL STUDIES
650		4	_aRISK FACTORS _9505
650		4	_aSTRESS _9582
651		4	_aNEW ZEALAND _92588
700			_aMoffitt, Terrie E. _91743
700			_aHarrington, HonaLee _95651
700			_aHouts, Renate _95652
700			_aPoulton, Richie _91937
700			_aRamrakha, Sandhya _95653
700			_aRasmussen, Line J. H. _911712
700			_aWertz, Jasmin _911713
700			_aCaspi, Avshalom _9897
773	0		_tPrevention Science, 2022, First published online, 9 September 2022
830			_aPrevention Science _94975
856			_uhttps://doi.org/10.1007/s11121-022-01431-y _zDOI: 10.1007/s11121-022-01431-y
942			_2ddc _cARTICLE _hnews118