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Childhood Bereavement and Lower Stress Resilience in Late Adolescence
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Molecular epidemiology. Uppsala University, Science for Life Laboratory, SciLifeLab. Örebro Univ, Clin Epidemiol & Biostat, Sch Med Sci, Örebro, Sweden.ORCID iD: 0000-0002-0066-4814
Örebro Univ, Clin Epidemiol & Biostat, Sch Med Sci, Örebro, Sweden; Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.
Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden; Univ Iceland, Ctr Publ Hlth Sci, Fac Med, Sch Hlth Sci, Reykjavik, Iceland; Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA USA.
Örebro Univ, Clin Epidemiol & Biostat, Sch Med Sci, Örebro, Sweden; UCL, Dept Epidemiol & Publ Hlth, London, England; Karolinska Inst, Clin Epidemiol Unit, Karolinska Univ Hosp, Stockholm, Sweden.
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2018 (English)In: Journal of Adolescent Health, ISSN 1054-139X, E-ISSN 1879-1972, Vol. 63, no 1, p. 108-114Article in journal (Refereed) Published
Abstract [en]

Purpose: Although childhood traumatic experiences are recognized as important determinants for adolescent psychiatric health in general, our objective was to explore the specific influence of childhood bereavement on the stress resilience development trajectory.

Methods: In this national register-based cohort study, we identified 407,639 men born in Sweden between 1973 and 1983, who underwent compulsory military enlistment examinations in late adolescence, including measures of psychological stress resilience. We defined exposure as loss of a first-degree family member in childhood, and estimated relative risk ratios (RRRs) for reduced (moderate or low), compared with high, stress resilience with 95% confidence intervals (CIs) using multinomial logistic regression.

Results: Loss of a parent or sibling in childhood conferred a 49% increased risk of subsequent low stress resilience (RRR, 1.49, 95% CI, 1.41–1.57) and an 8% increased risk of moderate stress resilience (RRR, 1.08, 95% CI, 1.03–1.13) in late adolescence. There was also a graded increase in risk with increasing age at loss; teenagers were at higher risk for low resilience (RRR, 1.64, 95% CI, 1.52–1.77) than children aged 7–12 (RRR, 1.47, 95% CI, 1.34–1.61) and 6 years (RRR, 1.16 95% CI, 1.02–1.32). The excess risk was observed for all causes of death, including suicide and unexpected deaths as well as deaths due to other illnesses. The associations remained after exclusion of parents with a history of hospitalization for psychiatric diagnoses.

Conclusions: The long-term consequences of childhood bereavement may include lower stress resilience in late adolescence.

Place, publisher, year, edition, pages
2018. Vol. 63, no 1, p. 108-114
Keywords [en]
Adolescent health, Childhood bereavement, Stress resilience
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:uu:diva-364509DOI: 10.1016/j.jadohealth.2018.02.002ISI: 000439962200021PubMedID: 29724669OAI: oai:DiVA.org:uu-364509DiVA, id: diva2:1260766
Funder
Swedish Society for Medical Research (SSMF)Available from: 2018-11-05 Created: 2018-11-05 Last updated: 2020-01-22Bibliographically approved

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Kennedy, Beatrice

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Molecular epidemiologyScience for Life Laboratory, SciLifeLab
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