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Child Maltreatment and Inflammatory Response to Mental Stress Among Adults Who Have Survived a Myocardial Infarction

Bibliographic Data

ID19309346
AuthorsShakira F Suglia (0000-0002-5634-9290, Emory University, corresponding author), Shakia T Hardy (0000-0001-9211-0474, Emory University), Alison L Cammack (0000-0003-3707-2158, Emory University), Ye Ji Kim (0000-0003-1583-1408, Emory University), Bradley D Pearce (Emory University), Amit Shah (0000-0001-9099-9687, Emory University), Amit J Shah, Samaah Sullivan (0000-0001-9427-7235, Emory University), Matthew T Wittbrodt (0000-0002-9533-8041, Emory University), Matthew Wittbrodt, J Douglas Bremner (0000-0003-1633-6433, Emory University), Viola Vaccarino (0000-0002-9054-0654, Emory University)
Year2022
Volume84
Issue9
Pages1013-1020
Publication date2022-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenuePsychosomatic Medicine (JOURNAL)
Journal identifiersISSN: 0033-3174 • E-ISSN: 1534-7796
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/psy.0000000000001114
PMID35980788
OpenAlexW4292246523
LanguageEN
References cited62

OBJECTIVE: Experiences of child maltreatment are associated with cardiovascular risk and disease in adulthood; however, the mechanisms underlying these associations are poorly understood. METHODS: We examined associations between retrospectively self-reported exposure to child maltreatment (Early Trauma Inventory Self-Report Short Form) and inflammatory responses to mental stress among adults (mean age = 50 years) who recently had a myocardial infarction ( n = 227). Inflammation was assessed as blood interleukin-6 (IL-6), matrix metalloproteinase-9 (MMP-9), and monocyte chemoattractant protein-1 concentrations, measured before and after a standardized public speaking stress task. We used mixed linear regression models adjusting for cardiovascular disease severity, medication usage, and psychosocial, demographic, and life-style factors. RESULTS: In women, increases in IL-6 levels and MMP-9 levels with stress were smaller in those exposed to sexual abuse, relative to those unexposed (IL-6 geometric mean increases = 1.6 [95% confidence interval {CI} = 1.4-1.9] pg/ml versus 2.1 [95% CI = 1.8-2.4] pg/ml; MMP-9 geometric mean increases = 1.0 [95% CI = 0.9-1.2] ng/ml versus 1.2 [95% CI = 1.1-1.4] ng/ml). No differences were noted for emotional or physical abuse. By contrast in men, individuals exposed to sexual abuse had larger IL-6 responses than those not exposed to abuse. CONCLUSIONS: These findings suggest sex differences in stress response among survivors of a myocardial infarction exposed to abuse early in life. They also underscore the importance of examining sex as an effect modifier of relationships between exposure to early life adversity and inflammatory responses to mental stressors in midlife

Child abuse · Confidence interval · Injury prevention · Myocardial infarction · Poison control · Psychiatry · Psychosocial · Sexual abuse · Child Abuse and Trauma · Clinical Psychology · Internal Medicine · Medicine · Posttraumatic Stress Disorder Research · Stress Responses and Cortisol

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