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Lu X, Yu X, Zhang Y, Pan J, Zhao B, Sun Y, Chen X. Longitudinal associations between early-life adversity and accelerated molar eruption: the dimensional and cumulative approach. BMC Oral Health 2025; 25:524. [PMID: 40217287 PMCID: PMC11987340 DOI: 10.1186/s12903-025-05910-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2024] [Accepted: 03/31/2025] [Indexed: 04/14/2025] Open
Abstract
BACKGROUND Early-life adversity (ELA) has been linked to accelerated biological development. This study aimed to explore the cumulative effects of different dimensions of early-life adversity (ELA) on accelerating biological aging, as indicated by the accelerated eruption of the second permanent molar (M2). METHODS Participants were drawn from an ongoing cohort of 1,448 children aged 7-12 years who were recruited following a 2-year follow-up and 1,191 children were ultimately included in this study. A multi-informant assessment of exposure to threat-related, deprivation-related, and unpredictability-related ELA was performed at baseline. Statistical analyses were performed via an accelerated failure time (AFT) model. RESULTS The analysis revealed that parents of 1,558 children (mean [SD] age, 9.2 [1.3] years) reported exposure to different types of ELA dimensions (threat, deprivation, and unpredictability) in their offspring. During a 2-year follow-up, three waves of physical and dental examinations were administered to the participants. The M2 accelerated eruption rate was 13.4% (209/1,558) at baseline and increased to 34.7% (444/1,280) at wave 3, with no significant sex difference (boys: 25.8%, girls: 26.3%). Deprivation-related (HR = 1.07, 95%CI: 1.12-2.29, P = 0.046) and unpredictability-related ELA (HR = 1.15, 95%CI: 1.06-1.25, P = 0.001) were found to be associated with M2 accelerated eruption over a two-year follow-up period, whereas threat-related ELA showed no such association. Notably, high ELA exposure in each dimension resulted in an increased risk of M2 accelerated eruption. These associations remained stable after controlling for covariates. CONCLUSIONS The findings suggest that ELA-induced acceleration of biological aging can be detected at the time of molar eruption in a dimension-specific and dose-specific manner. These results emphasize the importance of considering the different dimensions and levels of ELA exposure when evaluating its impact on biological aging.
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Affiliation(s)
- Xiuzhen Lu
- College & Hospital of Stomatology, Key Lab. of Oral Diseases Research of Anhui Province, Anhui Medical University, Hefei, 230032, China
| | - Xiao Yu
- College & Hospital of Stomatology, Key Lab. of Oral Diseases Research of Anhui Province, Anhui Medical University, Hefei, 230032, China
| | - Yi Zhang
- College & Hospital of Stomatology, Key Lab. of Oral Diseases Research of Anhui Province, Anhui Medical University, Hefei, 230032, China
| | - Jin Pan
- College & Hospital of Stomatology, Key Lab. of Oral Diseases Research of Anhui Province, Anhui Medical University, Hefei, 230032, China
| | - Binbin Zhao
- College & Hospital of Stomatology, Key Lab. of Oral Diseases Research of Anhui Province, Anhui Medical University, Hefei, 230032, China
| | - Ying Sun
- College & Hospital of Stomatology, Key Lab. of Oral Diseases Research of Anhui Province, Anhui Medical University, Hefei, 230032, China.
- Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, 81st Meishan Road, Hefei, 230032, Anhui Province, China.
| | - Xin Chen
- College & Hospital of Stomatology, Key Lab. of Oral Diseases Research of Anhui Province, Anhui Medical University, Hefei, 230032, China.
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Ma K, Zhu M, Zhang A, Zuo M, Huang Y, Wan Y, Tao F, Sun Y. Intergenerational continuation of parent-child separation and 1-year telomere length attrition among mother-offspring dyads in rural China: The moderating effects of resilience. J Affect Disord 2025; 368:599-606. [PMID: 39303890 DOI: 10.1016/j.jad.2024.09.098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2024] [Revised: 09/12/2024] [Accepted: 09/14/2024] [Indexed: 09/22/2024]
Abstract
BACKGROUND Although stressor exposure early in life was known risk factor for telomere length (TL) attrition, limited literature explored it across generations. Furthermore, the effects of resilience have rarely been examined. Here, we examined whether the effects of intergenerational parent-child separation on offspring 1-year TL attrition vary by the levels of resilience. METHOD In a sample of 342 mother-child dyads living in rural China, the intergenerational continuation of parent-child separation was defined as the two generations both experiencing parent-child separation from both parents for >6 months a year early in life assessed by the parent-reported questionnaire, whereas intergenerational discontinuity refers to parent-child separation exposed in one generation only. TL was measured at baseline (from June to November 2021) and 1-year later with children's buccal mucosa swabs, with resilience polygenic risk scores (PRS) evaluated based on 4 single-nucleotide variations in 4 resilience-related genes (OXTR, FKBP5, NPY, and TNF-α). RESULTS Among 342 mother-offspring dyads, 35 (10.2 %) experienced intergenerational continuation of parent-child separation, and 139 (40.6 %) were identified as discontinuous. Remarkably, a 0.12-point reduction in TL attrition was only associated with intergenerational continuation of parent-child separation (95 % CI: 0.04, 0.21, P < 0.01) but not discontinuity. Importantly, the association between intergenerational continuation of parent-child separation with accelerated TL attrition disappeared in offspring with high resilience PRS (β = 0.07, 95%CI: -0.06, 0.21). CONCLUSION Our findings highlight the importance of breaking the intergenerational cycle of parent-child separation and the moderating effects of resilience on TL attrition for children exposed to adversity.
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Affiliation(s)
- Kai Ma
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui Province, China; Key Laboratory of Population Health Across Life Cycle, Anhui Medical University, Ministry of Education of the People's Republic of China, No 81 Meishan Road, Hefei 230032, Anhui, China; Anhui Provincial Key Laboratory of Population Health and Aristogenics, Anhui Medical University, No 81 Meishan Road, Hefei 230032, Anhui, China
| | - Min Zhu
- Wuhu Maternity & Child Health Care Center, Wuhu 230001, Anhui, China
| | - Anhui Zhang
- Wuhu Maternity & Child Health Care Center, Wuhu 230001, Anhui, China
| | - Min Zuo
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui Province, China; Key Laboratory of Population Health Across Life Cycle, Anhui Medical University, Ministry of Education of the People's Republic of China, No 81 Meishan Road, Hefei 230032, Anhui, China; Anhui Provincial Key Laboratory of Population Health and Aristogenics, Anhui Medical University, No 81 Meishan Road, Hefei 230032, Anhui, China
| | - Yongling Huang
- Anhui Provincial Center for Woman and Child Health, Hefei 230061, Anhui, China
| | - Yuhui Wan
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui Province, China; Key Laboratory of Population Health Across Life Cycle, Anhui Medical University, Ministry of Education of the People's Republic of China, No 81 Meishan Road, Hefei 230032, Anhui, China; Anhui Provincial Key Laboratory of Population Health and Aristogenics, Anhui Medical University, No 81 Meishan Road, Hefei 230032, Anhui, China
| | - Fangbiao Tao
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui Province, China; Key Laboratory of Population Health Across Life Cycle, Anhui Medical University, Ministry of Education of the People's Republic of China, No 81 Meishan Road, Hefei 230032, Anhui, China; Anhui Provincial Key Laboratory of Population Health and Aristogenics, Anhui Medical University, No 81 Meishan Road, Hefei 230032, Anhui, China; Anhui Medical University, School of Public Health, Department of Maternal, Child and Adolescent Health, Center for Big Data and Population Health of IHM, China
| | - Ying Sun
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui Province, China; Key Laboratory of Population Health Across Life Cycle, Anhui Medical University, Ministry of Education of the People's Republic of China, No 81 Meishan Road, Hefei 230032, Anhui, China; Anhui Provincial Key Laboratory of Population Health and Aristogenics, Anhui Medical University, No 81 Meishan Road, Hefei 230032, Anhui, China; Anhui Medical University, School of Public Health, Department of Maternal, Child and Adolescent Health, Center for Big Data and Population Health of IHM, China.
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Jones-Mason K, Reyes V, Noriega M, Lieberman AF. Parent-child border separation and the road to repair: addressing a global refugee phenomenon. Attach Hum Dev 2024:1-36. [PMID: 39312200 DOI: 10.1080/14616734.2024.2401928] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2024] [Accepted: 09/04/2024] [Indexed: 02/06/2025]
Abstract
As a result of the Department of Homeland Security's zero-tolerance policy (ZTP), over 5,000 children were separated from their parents at the U.S. southern border from 2017-2021, with over 1,000 still lacking confirmed reunifications. Separations also occur daily due to immigration raids, chaotic processing, and changing immigration policies. This article addresses the most fundamental question faced by families enduring such separations; how to mend attachment bonds that have been suddenly severed, especially within a population likely already traumatized. The paper begins by updating readers about separation in the United States and offers a concise summary of the consequences of child-parent separation. The paper then introduces Child-Parent Psychotherapy (CPP) as an intervention for affected families. This paper also uniquely applies CPP to older children and provides three case examples of its use in treating separated families. Finally, the paper offers general suggestions for supporting these families.
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Affiliation(s)
- Karen Jones-Mason
- Department of Psychiatry and Behavioral Sciences, Center for Health and Community, University of California, San Francisco, CA, USA
| | - Vilma Reyes
- Department of Psychiatry and Behavioral Sciences, Child Trauma Research Program, University of California, San Francisco, CA, USA
| | - Monica Noriega
- Department of Psychiatry and Behavioral Sciences, Child Trauma Research Program, University of California, San Francisco, CA, USA
| | - Alicia F Lieberman
- Department of Psychiatry and Behavioral Sciences, Child Trauma Research Program, University of California, San Francisco, CA, USA
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Coe JL, Daniels T, Huffhines L, Seifer R, Marsit CJ, Kao HT, Porton B, Parade SH, Tyrka AR. Examining the Biological Impacts of Parent-Child Relationship Dynamics on Preschool-Aged Children who have Experienced Adversity. Dev Psychobiol 2024; 66:e22463. [PMID: 38601953 PMCID: PMC11003752 DOI: 10.1002/dev.22463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Accepted: 01/11/2024] [Indexed: 04/12/2024]
Abstract
Parent-child relationship dynamics have been shown to predict socioemotional and behavioral outcomes for children, but little is known about how they may affect biological development. The aim of this study was to test if observational assessments of parent-child relationship dynamics (cohesion, enmeshment, and disengagement) were associated with three biological indices of early life adversity and downstream health risk: (1) methylation of the glucocorticoid receptor gene (NR3C1), (2) telomere attrition, and (3) mitochondrial biogenesis, indexed by mitochondrial DNA copy number (mtDNAcn), all of which were measured in children's saliva. We tested hypotheses using a sample of 254 preschool-aged children (M age = 51.04 months) with and without child welfare-substantiated maltreatment (52% with documented case of moderate-severe maltreatment) who were racially and ethnically diverse (17% Black, 40% White, 23% biracial, and 20% other races; 45% Hispanic) and from primarily low-income backgrounds (91% qualified for public assistance). Results of path analyses revealed that: (1) higher parent-child cohesion was associated with lower levels of methylation of NR3C1 exon 1D and longer telomeres, and (2) higher parent-child disengagement was associated with higher levels of methylation of NR3C1 exon 1D and shorter telomeres. Results suggest that parent-child relationship dynamics may have distinct biological effects on children.
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Affiliation(s)
- Jesse L. Coe
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA
- Bradley/Hasbro Children’s Research Center, E.P. Bradley Hospital, East Providence, RI, USA
- Initiative on Stress, Trauma, and Resilience (STAR Initiative), Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA
| | - Teresa Daniels
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA
- Initiative on Stress, Trauma, and Resilience (STAR Initiative), Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA
- Mood Disorders Research Program and Laboratory for Clinical and Translational Neuroscience, Butler Hospital, Providence, RI, USA
| | - Lindsay Huffhines
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA
- Bradley/Hasbro Children’s Research Center, E.P. Bradley Hospital, East Providence, RI, USA
- Initiative on Stress, Trauma, and Resilience (STAR Initiative), Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA
| | - Ronald Seifer
- Frank Porter Graham Child Development Institute, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Carmen J. Marsit
- Gangarosa Department of Environmental Health, Emory Rollins School of Public Health, Atlanta, GA, USA
- Department of Epidemiology, Emory Rollins School of Public Health, Atlanta, GA, USA
| | - Hung-Teh Kao
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA
| | - Barbara Porton
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA
| | - Stephanie H. Parade
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA
- Bradley/Hasbro Children’s Research Center, E.P. Bradley Hospital, East Providence, RI, USA
- Initiative on Stress, Trauma, and Resilience (STAR Initiative), Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA
| | - Audrey R. Tyrka
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA
- Initiative on Stress, Trauma, and Resilience (STAR Initiative), Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA
- Mood Disorders Research Program and Laboratory for Clinical and Translational Neuroscience, Butler Hospital, Providence, RI, USA
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