Stress of stoicism: Low emotionality and high control lead to increases in allostatic load

Doan, Stacey N.; Dich, Nadya; Evans, Gary W.

doi:10.1080/10888691.2016.1171716

Cited by 9 publications

(3 citation statements)

References 45 publications

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“…For example, future research should investigate whether sleep quality, supportive relationships with parents, and peers and other contextual factors could contribute to these differences. Moreover, given that recent work has shown that a combination of strategies (Chen et al, 2012;Dich et al, 2015;Doan et al, 2016) as opposed to individual ones are better at distinguishing different profiles of physiological dysregulation, future work should focus on how the interrelations between specific processes such as emotion regulation and negative affect can influence distinct profiles of mental and physical health outcomes.…”

Section: Limitations and Future Directionsmentioning

confidence: 99%

Profiles of Risk, Allostatic Load, and Mental Health in Low-Income Children

Tyrell

Rogosch

Cicchetti

2023

Clinical Psychological Science

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Most health disparities originate in childhood and extend across the life span. However, studies on health disparities have predominantly focused on adults. This study evaluated the biological and psychosocial consequences of exposure to chronic adversity among 491 low-income children aged 8 to 12 years ( Mage = 9.73, SD = 1.0; 52.1% male; 68.2% Black and 21.2% Latinx; 267 maltreated and 224 nonmaltreated). Latent profile analyses revealed six distinct profiles of cumulative socioeconomic risk, allostatic load, and mental health functioning. Childhood maltreatment, emotion regulation, affect, and personality characteristics were differentially associated with these latent profiles. Findings indicate differential effects of chronic adversity on adaptation, consistent with resilience theory. These findings also offer evidence that signs of physiological dysregulation emerge at earlier ages in development and suggest there may be a window of opportunity in childhood for interventions to reduce the detrimental effects of chronic adversity on health outcomes in children.

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Section: Limitations and Future Directionsmentioning

confidence: 99%

Profiles of Risk, Allostatic Load, and Mental Health in Low-Income Children

Tyrell

Rogosch

Cicchetti

2023

Clinical Psychological Science

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“…We used 10 physiological markers from venous blood samples, vital signs monitor, and quantitative magnetic resonance that were available from the cohort. Measures of allostatic load in existing studies of children are far less comprehensive than those in adults, either lacking blood samples ( 57 , 58 ) or missing either cardiac, metabolic, or inflammatory components of allostatic load ( 58 , 59 ). Moreover, there is no consensus on how allostatic load should be computed ( 60 , 61 ).…”

Section: Present Studymentioning

confidence: 99%

Allostatic load in children: The cost of empathic concern

Phua,

Chen,

Yap

et al. 2023

Proc. Natl. Acad. Sci. U.S.A.

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Early-life adversity affects long-term health outcomes but there is considerable interindividual variability in susceptibility to environmental influences. We proposed that positive psychological characteristics that reflect engagement with context, such as being concerned about people or performance on tasks (i.e., empathic concern), could moderate the interindividual variation in sensitivity to the quality of the early environment. We studied 526 children of various Asian nationalities in Singapore (46.6% female, 13.4% below the poverty line) with longitudinal data on perinatal and childhood experiences, maternal report on empathic concern of the child, and a comprehensive set of physiological measures reflecting pediatric allostatic load assessed at 6 y of age. The perinatal and childhood experiences included adversities and positive experiences. We found that cumulative adverse childhood experience was positively associated with allostatic load of children at 6 y of age at higher levels of empathic concern but not significantly associated at lower levels of empathic concern. This finding reveals evidence for the importance of empathic concern as a psychological characteristic that moderates the developmental impact of environmental influences, serving as a source for vulnerability to adversities in children.

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“…In particular, self-regulatory processes that involve stoicism and emotion suppression and enable persistence through challenge may be pernicious contributors to allostatic load amid cumulative stress. Children low in emotionality and who also showed high persistence on an impossible puzzle task evinced higher allostatic load in late adolescence as compared to those who are more emotional (Doan et al, 2016 ). These findings support the hypothesis that high self-regulatory persistence combined with a stoic emotional profile may lead to chronic arousal of the nervous system and increased allostatic load conferring risk for health problems.…”

Section: Mechanisms Driving the Cost Of Competence–under The Skin And...mentioning

confidence: 99%

Resilience and Family Socialization Processes in Ethnic Minority Youth: Illuminating the Achievement-Health Paradox

Doan

Wright

et al. 2022

Clin Child Fam Psychol Rev

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Youth in marginalized communities who “strive” to rise above adversity, including systemic racism and poverty, are considered “resilient.” African-American, Latinx, and Asian-American youth often achieve admirable academic success despite limited social capital and high early life stress by adopting a “striving persistent behavioral style” (SPBS). SPBS may be supported by family socialization processes that facilitate reliance on self-regulation processes. Unfortunately, a young person’s resilience in one domain (i.e., academic) can come at a cost in other domains, including physical and mental health morbidities that are under-identified and under-treated. Indeed, research suggests a link between SPBS in the face of adversity and later health morbidities among ethnic minority youth. Herein, we describe SPBS as an adaptation to minority stress that not only promotes social mobility but may also stoke physical and mental health disparities. We review how family processes related to academic, emotional, and ethnic-racial socialization can facilitate the striving persistent behavioral style. We emphasize the double bind that ethnic minority families are caught in and discuss directions for future research and clinical implications for individual and family-level interventions. While needed, we argue that individual and family-level interventions represent a near-term work around. Solutions and factors that shape the need for SPBS and its cost must be addressed structurally.

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Stress of stoicism: Low emotionality and high control lead to increases in allostatic load

Cited by 9 publications

References 45 publications

Profiles of Risk, Allostatic Load, and Mental Health in Low-Income Children

Profiles of Risk, Allostatic Load, and Mental Health in Low-Income Children

Allostatic load in children: The cost of empathic concern

Resilience and Family Socialization Processes in Ethnic Minority Youth: Illuminating the Achievement-Health Paradox

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