The proposed study tests the hypothesis that relationship qualities in adolescence ultimately have substantial implications for two important domains of adult physical health: cardiovascular health and metabolic functioning. We address these questions using repeated assessments with multi-reporter, multi-method data from a demographically diverse final sample of 172 individuals followed from age 13 to 32. We focus on two key social relationship pathways that we hypothesize to have substantial long-term physical health ramifications: 1. from the adolescent struggle to establish autonomy adaptively when negotiating disagreements to hostile conflict in future relationships;and, 2. from failure to establish supportive social connections in family and peer relationships to future social isolation We will pursue the following aims:
Aim 1 : Direct Prediction of Adult Health Indicators from Adolescent Relationship Characteristics We begin with the most basic, yet important epidemiological task of seeking to identify adolescent relational qualities that may directly predict substantial future risks for long-term health difficulties.
Aim 2 : Intervening Psychosocia Mediators of Links from Adolescence to Adult Health - After identifying key adolescent psychosocial risk factors, we next examine the hypothesized intervening pathways that may explain these risks and can thus suggest further potential arenas for intervention. To properly temporally assess these mediated pathways, we assess direct predictions from adolescence to adult social functioning and cross-lagged predictions between social functioning and health outcomes in adulthood.
Aim 3 : The Role of Temporal and Contextual Effects - We next seek to distinguish the long-term effects of chronic vs. intermittent social functioning difficulties (e.g. are there lingering effects when a prior pattern of social isolation or hostile conflict eventually resolves?) as well as considering the mediating and moderating roles of key contextual transitions and demographic factors.
Aim 4 : Interplay of Relational Functioning, Mental Health, and Physical Health - Finally, we assess the interplay of social functioning and mental health in predicting physical health outcomes both from adolescence to adulthood and within adulthood, considering both unique and conjoint effects of relational factors and mental health symptoms as they work together to predict health outcomes. Overall, the proposed study has the potential: a. to open up an entirely new arena for potential screening tools and preventive interventions to improve lifelong health outcomes and suggest specific relational characteristics to target;b. to provide guidance to parents, educators, and clinicians seeking to distinguish transient adolescent relationship difficulties from difficulties with greatest long-term import for health;ad c. to dramatically advance developing theories of the link between adolescent social relationship qualities and major health outcomes into this critical, relatively unexplored portion of the lifespan.

Public Health Relevance

This proposal follows a unique sample from age 13 to 32 to examine adolescent peer and family experiences as long-term predictors of key physical health outcomes in adulthood. The project has strong relevance to public health in that it will allow us to identify adolescent-era roots of key outcomes in adulthood ranging from cardiovascular disease processes to indicators of risk for metabolic illness. Results are expected: a. to identify an entire new arena for potential interventions to improve lifelong health outcomes and suggest specific relational characteristics to target;b. to provide guidance to parents, educators, and clinicians seeking to distinguish transient adolescent relationship difficulties from difficulties ith greatest long-term import;and c. to dramatically advance developing theories of the link between adolescent social relationship qualities and major health outcomes into this critical, relatively unexplored portion of the lifespan.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Research Project (R01)
Project #
5R01HD058305-18
Application #
8690924
Study Section
Psychosocial Development, Risk and Prevention Study Section (PDRP)
Program Officer
Esposito, Layla E
Project Start
2008-07-10
Project End
2018-06-30
Budget Start
2014-07-01
Budget End
2015-06-30
Support Year
18
Fiscal Year
2014
Total Cost
Indirect Cost
Name
University of Virginia
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
City
Charlottesville
State
VA
Country
United States
Zip Code
22904
Kansky, Jessica; Allen, Joseph P; Diener, Ed (2016) Early Adolescent Affect Predicts Later Life Outcomes. Appl Psychol Health Well Being 8:192-212
Gonzalez, Marlen Z; Allen, Joseph P; Coan, James A (2016) Lower neighborhood quality in adolescence predicts higher mesolimbic sensitivity to reward anticipation in adulthood. Dev Cogn Neurosci 22:48-57
Szwedo, David E; Hessel, Elenda T; Allen, Joseph P (2016) Supportive Romantic Relationships as Predictors of Resilience Against Early Adolescent Maternal Negativity. J Youth Adolesc :
Gonzalez, Marlen Z; Beckes, Lane; Chango, Joanna et al. (2015) Adolescent neighborhood quality predicts adult dACC response to social exclusion. Soc Cogn Affect Neurosci 10:921-8
Szwedo, David E; Chango, Joanna M; Allen, Joseph P (2015) Adolescent romance and depressive symptoms: the moderating effects of positive coping and perceived friendship competence. J Clin Child Adolesc Psychol 44:538-50
Mikami, Amori Yee; Schad, Megan M; Teachman, Bethany A et al. (2015) Implicit versus Explicit Rejection Self-Perceptions and Adolescents' Interpersonal Functioning. Pers Individ Dif 86:390-393
Oudekerk, Barbara A; Allen, Joseph P; Hessel, Elenda T et al. (2015) The cascading development of autonomy and relatedness from adolescence to adulthood. Child Dev 86:472-85
Hare, Amanda L; Szwedo, David E; Schad, Megan M et al. (2015) Undermining Adolescent Autonomy With Parents and Peers: The Enduring Implications of Psychologically Controlling Parenting. J Res Adolesc 25:739-752
Hafen, Christopher A; Allen, Joseph P; Schad, Megan M et al. (2015) Conflict with Friends, Relationship Blindness, and the Pathway to Adult Disagreeableness. Pers Individ Dif 81:7-12
Niolon, Phyllis Holditch; Kuperminc, Gabriel P; Allen, Joseph P (2015) AUTONOMY AND RELATEDNESS IN MOTHER-TEEN INTERACTIONS AS PREDICTORS OF INVOLVEMENT IN ADOLESCENT DATING AGGRESSION. Psychol Violence 5:133-143

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