What life course theoretical models best explain the relationship between exposure to childhood adversity and psychopathology symptoms: recency, accumulation, or sensitive periods?

Psychological Medicine
Erin C DunnEzra S Susser

Abstract

Although childhood adversity is a potent determinant of psychopathology, relatively little is known about how the characteristics of adversity exposure, including its developmental timing or duration, influence subsequent mental health outcomes. This study compared three models from life course theory (recency, accumulation, sensitive period) to determine which one(s) best explained this relationship. Prospective data came from the Avon Longitudinal Study of Parents and Children (n = 7476). Four adversities commonly linked to psychopathology (caregiver physical/emotional abuse; sexual/physical abuse; financial stress; parent legal problems) were measured repeatedly from birth to age 8. Using a statistical modeling approach grounded in least angle regression, we determined the theoretical model(s) explaining the most variability (r2) in psychopathology symptoms measured at age 8 using the Strengths and Difficulties Questionnaire and evaluated the magnitude of each association. Recency was the best fitting theoretical model for the effect of physical/sexual abuse (girls r2 = 2.35%; boys r2 = 1.68%). Both recency (girls r2 = 1.55%) and accumulation (boys r2 = 1.71%) were the best fitting models for caregiver physical/emotional abu...Continue Reading

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Citations

Oct 7, 2019·Journal of Epidemiology and Community Health·Carly MolloySharon Goldfeld
Nov 7, 2019·Journal of Epidemiology and Community Health·Ute BültmannBenjamin C Amick Iii
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Sep 30, 2021·Biodemography and Social Biology·Adolfo G CuevasShervin Assari
May 1, 2019·Pediatrics·Meredith O'ConnorSharon Goldfeld

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