TY - JOUR
T1 - Early childhood adversity and later hypertension
T2 - Data from the World Mental Health Survey
AU - Stein, Dan J.
AU - Scott, Kate
AU - Abad, Josep M.Haro
AU - Aguilar-Gaxiola, Sergio
AU - Alonso, Jordi
AU - Angermeyer, Matthias
AU - Demytteneare, Koen
AU - De Girolamo, Giovanni
AU - Iwata, Noboru
AU - Posada-Villa, José
AU - Kovess, Viviane
AU - Lara, Carmen
AU - Ormel, Johan
AU - Kessler, Ronald C.
AU - Von Korff, Michael
PY - 2010/2
Y1 - 2010/2
N2 - BACKGROUND: Although many studies have indicated that psychosocial factors contribute to hypertension, and that early childhood adversity is associated with long-term adverse mental and physical health sequelae, the association between early adversity and later hypertension is not well studied. METHOD: Data from 10 countries participating in the World Health Organization (WHO) World Mental Health (WHM) Surveys (N = 18,630) were analyzed to assess the relationship between childhood adversity and adult-onset hypertension, as ascertained by self-report. The potentially mediating effect of early-onset depression-anxiety disorders, as assessed by the WHM Survey version of the International Diagnostic Interview (WMH-CIDI), on the relationship between early adversity and hypertension was also examined. RESULTS: Two or more early childhood adversities, as well as early-onset depression-anxiety, were significantly associated with hypertension. A range of specific childhood adversities, as well as early-onset social phobia and panic/agoraphobia, were significantly associated with hypertension. In multivariate analyses, the presence of 3 or more childhood adversities was associated with hypertension, even when early-onset depression-anxiety or current depression-anxiety was included in the model. CONCLUSIONS: Although caution is required in the interpretation of self-report data on adult-onset hypertension, the results of this study further strengthen the evidence base regarding the role of psychosocial factors in the pathogenesis of hypertension.
AB - BACKGROUND: Although many studies have indicated that psychosocial factors contribute to hypertension, and that early childhood adversity is associated with long-term adverse mental and physical health sequelae, the association between early adversity and later hypertension is not well studied. METHOD: Data from 10 countries participating in the World Health Organization (WHO) World Mental Health (WHM) Surveys (N = 18,630) were analyzed to assess the relationship between childhood adversity and adult-onset hypertension, as ascertained by self-report. The potentially mediating effect of early-onset depression-anxiety disorders, as assessed by the WHM Survey version of the International Diagnostic Interview (WMH-CIDI), on the relationship between early adversity and hypertension was also examined. RESULTS: Two or more early childhood adversities, as well as early-onset depression-anxiety, were significantly associated with hypertension. A range of specific childhood adversities, as well as early-onset social phobia and panic/agoraphobia, were significantly associated with hypertension. In multivariate analyses, the presence of 3 or more childhood adversities was associated with hypertension, even when early-onset depression-anxiety or current depression-anxiety was included in the model. CONCLUSIONS: Although caution is required in the interpretation of self-report data on adult-onset hypertension, the results of this study further strengthen the evidence base regarding the role of psychosocial factors in the pathogenesis of hypertension.
UR - http://www.scopus.com/inward/record.url?scp=77953929124&partnerID=8YFLogxK
M3 - Article
C2 - 20196979
AN - SCOPUS:77953929124
SN - 1040-1237
VL - 22
SP - 19
EP - 28
JO - Annals of Clinical Psychiatry
JF - Annals of Clinical Psychiatry
IS - 1
ER -