Abstract

Childhood adversity is a potent risk factor for mental health conditions via disruptions to stress response systems. Dysregulations in oxidative stress systems have been associated with both childhood adversity and several psychological disorders (e.g., major depressive disorder) in adult populations. However, few studies have examined associations between childhood adversity, oxidative stress, and mental health in pediatric populations. Childhood adversity (Adverse Childhood Events [ACE]), oxidative stress [F2t-isoprostanes (IsoPs)], and mental health pathology were assessed in 50 adolescent females recruited primarily through the Department of Youth Services. Standard ordinary least squares regression models were run co-varying for age, race/ethnicity, adolescent nicotine use, study condition, and parent history of ACEs. Adolescents who reported experiencing four or more ACEs had significantly elevated IsoP levels. Further, internalizing symptom scores across diagnoses were significantly associated with elevated IsoPs, whereas no externalizing symptoms scores, except Attention Deficit Hyperactivity Disorder, were related to altered oxidative stress. Results indicate that IsoPs may be a global marker of childhood adversity and mental health symptomatology, particularly within internalizing symptom domains. A limitation is that body mass index was not collected for this sample. Future studies are needed to replicate and extend these findings in larger, more diverse samples.

Highlights

  • Childhood adversity encompasses a range of exposures across infancy through adolescence, such as parental separation or divorce, abuse and neglect, parental substance use problems, family psychiatric illnesses, parental incarceration, and witnessing intimate partner violence

  • Depending upon the specific outcome evaluated, the findings generally indicate that childhood adversity is linked to the development of psychopathology across the lifespan [9], including adolescent-onset [9,10,11,12]

  • We aimed to explore the individual associations between childhood adversity, oxidative stress, and mental health in an adolescent sample of girls who were involved in the juvenile-justice system or receiving support services through schools or community agencies

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Summary

Introduction

Childhood adversity encompasses a range of exposures across infancy through adolescence, such as parental separation or divorce, abuse and neglect, parental substance use problems, family psychiatric illnesses, parental incarceration, and witnessing intimate partner violence. Childhood adversity has been linked to a range of maladaptive outcomes spanning across physical and mental health domains [1] and is a strong predictor of all classes of psychological disorders [2], even after accounting for poor health behaviors [3]. High levels of early life stress and childhood adversity place individuals at elevated risk of developing physical ailments, such as cardiovascular diseases, obesity, and diabetes mellitus [1, 4, 5].

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