@article{ref1,
title="Early childhood adversity and later hypertension: data from the World Mental Health Survey",
journal="Annals of clinical psychiatry",
year="2010",
author="Stein, Dan J. and Scott, Kate and Haro Abad, Josep Maria and Aguilar-Gaxiola, Sergio and Alonso, Jordi and Angermeyer, Matthias and Demytteneare, Koen and de Girolamo, Giovanni and Iwata, Noboru and Posada-Villa, Jose and Kovess, Viviane and Lara, Carmen and Ormel, Johan and Kessler, Ronald C. and Von Korff, Michael",
volume="22",
number="1",
pages="19-28",
abstract="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.<p /> <p>Language: en</p>",
language="en",
issn="1040-1237",
doi="",
url="http://dx.doi.org/"
}