期刊
BIOLOGICAL PSYCHIATRY
卷 60, 期 8, 页码 819-824出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.biopsych.2006.03.016
关键词
stress; family; health; SES; comorbidities; HPA
资金
- NHLBI NIH HHS [N01-HC-95095, N01-HC-48050, N01-HC-48049, N01-HC-48048, N01-HC-45134, N01-HC-48047, N01-HC-05187] Funding Source: Medline
- NIMH NIH HHS [MH15750, R01-MH56880-05] Funding Source: Medline
Background: Low socioeconomic status (SES) and a harsh family environment in childhood have been linked to mental and physical health disorders in adulthood. The objective of the present investigation was to evaluate a developmental model of pathways that may help explain these links and to relate them to C-reactive protein (CRP) in the Coronary Artery Risk Development in Young Adults (CARDIA) dataset. Methods: Participants (n = 3248) in the CARDLA study, age 32 to 47 years, completed measures of childhood SES(CSES), early family environment (risky families [RF]), adult psychosocial functioning (PsyF, a latent factor measured by depression, mastery, and positive and negative social contacts), body mass index (BMI), and C-reactive protein. Results: Structural equation modeling indicated that CSES and RF are associated with C-reactive protein via their association with PsyF (standardized path coefficients: CSES to RF, RF to PsyF, PsyF to CRP, CSES to CRI all p < .05), with good overall modelfit. The association between PsyF and CRP was partially mediated by BMI (PsyF to BMI, BMI to CRP, both p < .05). Conclusions: Low childhood SES and a harsh early family environment appear to be related to elevated C-reactive protein in adulthood through pathways involving psychosocial dysfunction and high body mass index.
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