Abstract
Background
Dysregulation in physiological responses to stress may provide a mechanism through which low socioeconomic status (SES) in childhood negatively impacts health. Evidence linking early life SES to physiological stress responses is inconsistent. Exposure to childhood trauma may be an important source of heterogeneity accounting for mixed findings. Guided by the adaptive calibration model, we examined whether childhood SES and childhood trauma jointly predict ambulatory measures of cardiovascular responses to daily life stressors.
Method
A sample of 377 healthy, middle-aged adults (62% female, 80% White, 64% college-educated, Mage = 52.59 ± 7.16) completed a 4-day ecological momentary assessment protocol that measured task strain, social conflict, and ambulatory systolic and diastolic blood pressure (SBP and DBP, respectively) at hourly intervals throughout the day. Average ambulatory blood pressure responses to stress were calculated by regressing momentary SBP and DBP on momentary measures of stress within the multilevel models. Early life SES and childhood trauma were measured retrospectively by self-report questionnaire.
Results
Multilevel models controlling for momentary influences on blood pressure and age, sex, and race showed no main effects of early life SES or childhood trauma on ambulatory measures of cardiovascular responses to daily life stress. An interaction emerged for DBP responses to social conflict, where individuals raised in middle SES families who experienced trauma showed a blunted response relative to those who did not (\({\gamma }_{14}=\)−0.93, 95% CI: [−1.62, −0.24], p = .008). There was no significant SES-trauma interaction in predicting SBP responses to social conflict or blood pressure responses to task strain.
Conclusion
Results do not provide support for our predictions that were derived from the adaptive calibration model, but do suggest that the impacts of early childhood experiences on cardiovascular responses may vary by type of daily stress experience.
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References
Ferraro KF, Schafer MH, Wilkinson LR. Childhood disadvantage and health problems in middle and later life: early imprints on physical health? Am Sociol Rev. 2016;81(1):107–33.
Galobardes B, Lynch JW, Smith GD. Is the association between childhood socioeconomic circumstances and cause-specific mortality established? Update of a systematic review. J Epidemiol Community Health. 2008;62(5):387–90.
Pollitt RA, Rose KM, Kaufman JS. Evaluating the evidence for models of life course socioeconomic factors and cardiovascular outcomes: a systematic review. BMC Public Health. 2005;5(1):7.
Cohen S, Janicki-Deverts D, Chen E, Matthews KA. Childhood socioeconomic status and adult health. Ann N Y Acad Sci. 2010;1186(1):37–55.
Repetti RL, Taylor SE, Seeman TE. Risky families: family social environments and the mental and physical health of offspring. Psychol Bull. 2002;128(2):330.
Del Giudice M, Ellis BJ, Shirtcliff EA. The adaptive calibration model of stress responsivity. Neurosci Biobehav Rev. 2011;35(7):1562–92.
Krantz DS, Manuck SB, Wing RR. Psychological stressors and task variables as elicitors of reactivity. Handbook of stress, reactivity, and cardiovascular disease. 1986:85–107.
Chida Y, Steptoe A. Greater cardiovascular responses to laboratory mental stress are associated with poor subsequent cardiovascular risk status: a meta-analysis of prospective evidence. Hypertension. 2010;55(4):1026–32.
Carroll D, Ginty AT, Der G, Hunt K, Benzeval M, Phillips AC. Increased blood pressure reactions to acute mental stress are associated with 16-year cardiovascular disease mortality. Psychophysiology. 2012;49(10):1444–8. https://doi.org/10.1111/j.1469-8986.2012.01463.x.
Carroll D, Ginty AT, Whittaker AC, Lovallo WR, de Rooij SR. The behavioural, cognitive, and neural corollaries of blunted cardiovascular and cortisol reactions to acute psychological stress. Neurosci Biobehav Rev. 2017;77:74–86.
Chen E, Langer DA, Raphaelson YE, Matthews KA. Socioeconomic status and health in adolescents: the role of stress interpretations. Child Dev. 2004;75(4):1039–52.
Chen E, Matthews KA. Cognitive appraisal biases: an approach to understanding the relation between socioeconomic status and cardiovascular reactivity in children. Ann Behav Med. 2001;23(2):101–11.
Gump BB, Matthews KA, Räikkönen K. Modeling relationships among socioeconomic status, hostility, cardiovascular reactivity, and left ventricular mass in African American and White children. Health Psychol. 1999;18(2):140.
Kapuku GK, Treiber FA, Davis HC. Relationships among socioeconomic status, stress induced changes in cortisol, and blood pressure in African American males. Ann Behav Med. 2002;24(4):320–5.
Wilson DK, Kliewer W, Plybon L, Sica DA. Socioeconomic status and blood pressure reactivity in healthy black adolescents. Hypertension. 2000;35(1):496–500.
Evans GW, Kim P. Childhood poverty and health: cumulative risk exposure and stress dysregulation. Psychol Sci. 2007;18(11):953–7.
Musante L, Treiber FA, Kapuku G, Moore D, Davis H, Strong WB. The effects of life events on cardiovascular reactivity to behavioral stressors as a function of socioeconomic status, ethnicity, and sex. Psychosom Med. 2000;62(6):760–7.
Boylan JM, Jennings JR, Matthews KA. Childhood socioeconomic status and cardiovascular reactivity and recovery among Black and White men: mitigating effects of psychological resources. Health Psychol. 2016;35(9):957.
Evans GW, Exner-Cortens D, Kim P, Bartholomew D. Childhood poverty and late adolescents’ blood pressure reactivity to and recovery from an acute stressor: the mediating role of family conflict. Psychosom Med. 2013;75(7):691.
Jackson RW, Treiber FA, Turner JR, Davis H, Strong WB. Effects of race, sex, and socioeconomic status upon cardiovascular stress responsivity and recovery in youth. Int J Psychophysiol. 1999;31(2):111–9.
Heim C, Newport DJ, Heit S, et al. Pituitary-adrenal and autonomic responses to stress in women after sexual and physical abuse in childhood. JAMA. 2000;284(5):592–7.
Luecken LJ, Kraft A, Appelhans BM, Enders C. Emotional and cardiovascular sensitization to daily stress following childhood parental loss. Dev Psychol. 2009;45(1):296.
Brindle RC, Pearson A, Ginty AT. Adverse childhood experiences (ACEs) relate to blunted cardiovascular and cortisol reactivity to acute laboratory stress: a systematic review and meta-analysis. Neuroscience & Biobehavioral Reviews. 2022:104530.
Goodman RD, Miller MD, West-Olatunji CA. Traumatic stress, socioeconomic status, and academic achievement among primary school students. Psychol Trauma Theory Res Pract Policy. 2012;4(3):252.
DeLongis A, Folkman S, Lazarus RS. The impact of daily stress on health and mood: psychological and social resources as mediators. J Pers Soc Psychol. 1988;54(3):486.
Bernstein DP, Stein JA, Newcomb MD, et al. Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse Negl. 2003;27(2):169–90.
Felitti VJ, Anda RF, Nordenberg D, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the Adverse Childhood Experiences (ACE) Study. Am J Prev Med. 1998;14(4):245–58.
Shiffman S, Stone AA, Hufford MR. Ecological momentary assessment. Annu Rev Clin Psychol. 2008;4:1–32.
Stepanikova I, Oates GR. Perceived discrimination and privilege in health care: the role of socioeconomic status and race. Am J Prev Med. 2017;52(1):S86–94.
Karasek Jr RA. Job demands, job decision latitude, and mental strain: implications for job redesign. Administrative science quarterly. 1979:285–308.
Kamarck TW, Shiffman S, Sutton-Tyrrell K, Muldoon MF, Tepper P. Daily psychological demands are associated with six-year progression of carotid artery atherosclerosis: the Pittsburgh Healthy Heart Project. Psychosom Med. 2012;74(4):432.
Kamarck TW, Li X, Wright AG, Muldoon MF, Manuck SB. Ambulatory blood pressure reactivity as a moderator in the association between daily life psychosocial stress and carotid artery atherosclerosis. Psychosom Med. 2018;80(8):774–82.
Joseph NT, Kamarck TW, Muldoon MF, Manuck SB. Daily marital interaction quality and carotid artery intima medial thickness in healthy middle aged adults. Psychosom Med. 2014;76(5):347.
De Vogli R, Chandola T, Marmot MG. Negative aspects of close relationships and heart disease. Arch Intern Med. 2007;167(18):1951–7.
Braveman PA, Cubbin C, Egerter S, et al. Socioeconomic status in health research: one size does not fit all. JAMA. 2005;294(22):2879–88.
Phillips JE, Marsland AL, Flory JD, Muldoon MF, Cohen S, Manuck SB. Parental education is related to C-reactive protein among female middle aged community volunteers. Brain Behav Immun. 2009;23(5):677–83.
Schmeer KK, Yoon A. Socioeconomic status inequalities in low-grade inflammation during childhood. Arch Dis Child. 2016;101(11):1043–7.
Walker EA, Unutzer J, Rutter C, et al. Costs of health care use by women HMO members with a history of childhood abuse and neglect. Arch Gen Psychiatry. 1999;56(7):609–13.
Matthews KA, Chang Y-F, Thurston RC, Bromberger JT. Child abuse is related to inflammation in mid-life women: role of obesity. Brain Behav Immun. 2014;36:29–34.
Semsar N, Mousavi Z, Tran M-LM, Kuhlman KR. Dysregulated arousal as a pathway linking childhood neglect and clinical sleep disturbances in adulthood. Child Abuse & Neglect. 2021;122:105306.
Marler MR, Jacob RG, Lehoczky JP, Shapiro AP. The statistical analysis of treatment effects in 24-hour ambulatory blood pressure recordings. Stat Med. 1988;7(6):697–716.
Kamarck TW, Shiffman SM, Smithline L, et al. Effects of task strain, social conflict, and emotional activation on ambulatory cardiovascular activity: daily life consequences of recurring stress in a multiethnic adult sample. Health Psychol. 1998;17(1):17.
R Core Team. R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. 2022. https://www.R-project.org/.
Pinheiro J, Bates D, DebRoy S, et al. Package ‘nlme’. Linear and Nonlinear Mixed Effects Models, version. 2017:3–1.
Enders CK, Tofighi D. Centering predictor variables in cross-sectional multilevel models: a new look at an old issue. Psychol Methods. 2007;12(2):121.
Aiken LS, Stephen G. Multiple regression: testing and interpreting interactions. Newbury Park, CA: Sage; 1991.
McLaughlin KA, Sheridan MA, Lambert HK. Childhood adversity and neural development: deprivation and threat as distinct dimensions of early experience. Neurosci Biobehav Rev. 2014;47:578–91.
Boylan JM, Cundiff JM, Matthews KA. Socioeconomic status and cardiovascular responses to standardized stressors: a systematic review and meta-analysis. Psychosom Med. 2018;80(3):278–93.
Hosseini-Kamkar N, Lowe C, Morton JB. The differential calibration of the HPA axis as a function of trauma versus adversity: a systematic review and p-curve meta-analyses. Neurosci Biobehav Rev. 2021;127:54–135.
Muscatell KA, Dedovic K, Slavich GM, et al. Neural mechanisms linking social status and inflammatory responses to social stress. 2016;11(6):915–22.
Piff PK, Kraus MW, Côté S, Cheng BH, Keltner D. Having less, giving more: the influence of social class on prosocial behavior. J Pers Soc Psychol. 2010;99(5):771.
Kirschbaum C, Pirke K-M, Hellhammer DH. The ‘Trier Social Stress Test’–a tool for investigating psychobiological stress responses in a laboratory setting. Neuropsychobiology. 1993;28(1–2):76–81.
Kamarck TW, Schwartz JE, Janicki DL, Shiffman S, Raynor DA. Correspondence between laboratory and ambulatory measures of cardiovascular reactivity: a multilevel modeling approach. Psychophysiology. 2003;40(5):675–83.
Acknowledgements
We would like to express our gratitude to the participants who committed their time and shared their daily life experiences with us over the course of this study. We would also like to acknowledge Dr. Barbara Anderson for her contribution to data collection.
Funding
This research is funded by the Heart Lung and Blood Institute (4T32HL007560) and the National Institutes of Aging (AG041778).
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Dickman, K.D., Votruba-Drzal, E., Matthews, K.A. et al. Early Life SES, Childhood Trauma Exposures, and Cardiovascular Responses to Daily Life Stressors in Middle-aged Adults. Int.J. Behav. Med. 30, 801–813 (2023). https://doi.org/10.1007/s12529-022-10141-2
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DOI: https://doi.org/10.1007/s12529-022-10141-2