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Childhood poverty and psychological well-being: The mediating role of cumulative risk exposure

Published online by Cambridge University Press:  02 February 2021

Gary W. Evans Open the ORCID record for Gary W. Evans [Opens in a new window]  and
Kalee De France
Gary W. Evans*
Affiliation:
Cornell University, Ithaca, NY, USA
Kalee De France
Affiliation:
Concordia University, Montreal, Quebec, Canada
*
Author for Correspondence: Gary Evans, Human Ecology, Cornell University, Ithaca, NY14853-4401, USA; E-mail: [email protected].
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Abstract

The current study assessed whether the proportion of childhood (age 0–9 years) in poverty altered the developmental trajectories (ages 9–24) of multimethodological indicators of psychological well-being. In addition, we tested whether exposure to cumulative risk over time mediated the association between poverty exposure and psychological well-being. Measures of psychological well-being included internalizing and externalizing symptoms, a behavioral index of learned helplessness (task persistence), and chronic physiological stress (allostatic load). Exposure to poverty during childhood predicted the trajectory of each development outcome: individuals with more poverty exposure during childhood showed (a) relatively high levels of internalizing symptoms that diminished more slowly with maturation, (b) relatively high levels of externalizing symptoms that increased faster over time, (c) less task persistence indicative of greater learned helplessness, and (d) higher levels of chronic physiological stress which increased faster over time relative to persons with less childhood poverty exposure. Trajectories of cumulative risk exposure from physical and psychosocial surroundings from 9–24 years accounted for the association between childhood poverty and the growth curves of internalizing and externalizing symptoms but not for learned helplessness or chronic physiological stress. Additional sensitivity analyses indicate that early childhood disadvantage is particularly problematic for each outcome, except for internalizing symptoms which seem sensitive to the combination of early and lifetime poverty exposure. We also explored whether domains of cumulative risk as well as two alternatives, maternal sensitivity or family cohesion, functioned as mediators. Little evidence emerged for any of these alternative mediating constructs.

Keywords

alternative mediatorsbehavior problemschildhood povertychronic physiological stresscumulative risklearned helplessness
Type
Regular Article
Information
Development and Psychopathology , Volume 34 , Issue 3 , August 2022 , pp. 911 - 921
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Achenbach, T. M. (1991). Manual for the youth slf report. Burlington, VT: University of Vermont.Google Scholar
Achenbach, T. M., & Rescorla, L. A. (2003). Manual for the ASEBA adult forms and profiles. Burlington, VT: University of Vermont.Google Scholar
Adler, N. E., Bush, N. R., & Pantell, M. S. (2012). Rigor, vigor, and the study of health disparities. Proceedings of the National Academy of Sciences, 109, 17154–17159. doi:10.1073/pnas.1121399109CrossRefGoogle Scholar
Averill, J. R. (1973). Personal control over aversive stimuli and its relationship to stress. Psychological Bulletin, 80, 286–303. doi:10.1037/h0034845CrossRefGoogle Scholar
Belsky, J., & Pluess, M. (2007). Beyond diathesis stress: Differential susceptibility to environmental influences. Psychological Bulletin, 135, 885–908. doi:10.1037/a0017376CrossRefGoogle Scholar
Blair, C. (2019). Developmental science and executive function. Current Directions in Psychological Science, 25, 3–7. doi:10.1177/0963721415622634CrossRefGoogle Scholar
Bolger, K. E., Patterson, C. J., Thompson, W. W., & Kupersmidt, J. B. (1995). Psychosocial adjustment among children experiencing persistent and intermittent family economic hardship. Child Development, 66, 1107–1129. doi:10.2307/1131802CrossRefGoogle Scholar
Bradley, R. H., & Corwyn, R. (2002). Socioeconomic status and child development. Annual Review of Psychology, 53, 371–399. doi:10.1146/annurev.psych.53.100901.135233CrossRefGoogle ScholarPubMed
Bradley, R. H., & Corwyn, R. (2003). Age and ethnic variations in family process mediators of SES. In Bornstein, M. H. & Bradley, R. H. (Eds.), Monographs in parenting series: Socioeconomic status, parenting, and child development (pp. 161–188). Mahwah, NJ: Erlbaum.Google Scholar
Brody, G. W., Lei, M. K., Chen, E., & Miller, G. E. (2014). Neighborhood poverty and allostatic Load in African American youth. Pediatrics, 134, e1362–e1368. doi:10.1542/peds.2014-1395CrossRefGoogle ScholarPubMed
Brody, G. H., Yu, T., Chen, Y. F., Kogan, S. M., et al. (2013). Cumulative socioeconomic status risk, allostatic load, and adjustment: A prospective latent profile analysis with contextual and genetic protective factors. Developmental Psychology, 49, 913–927. doi:10.1037/a0028847CrossRefGoogle ScholarPubMed
Bronfenbrenner, U., & Evans, G. W. (2000). Developmental science in the 21st century: Emerging theoretical models, research designs, and empirical findings. Social Development, 9, 115–125. doi:10.1111/1467-9507.00114CrossRefGoogle Scholar
Brown, E. D. (2009). Persistence in the face of academic challenge for economically disadvantaged children. Journal of Early Child Research, 7, 173–184. doi:10.1177/1476718X09102650CrossRefGoogle Scholar
Brown, E. D., Seyler, M., Knorr, A. M., Garnett, M. L., & Laurenceau, J. P. (2016). Daily poverty-related stress and parents’ efforts to help children cope: Associations with child learned helplessness. Journal of Family Relations, 65, 591–602. doi:10.1111/fare.12217CrossRefGoogle Scholar
Carlson, S. M., Zelazo, P. D., & Faja, S. (2013). Executive function. In Zelazo, P. D. (Ed.), The Oxford handbook of developmental psychology (pp. 706–743). New York: Oxford University Press.Google Scholar
Cicchetti, D., & Rogosch, F. A. (1996). Equifinality and multifinality in developmental psychopathology. Development and Psychopathology, 8, 597–600. doi:10.1017/S0954579400007318CrossRefGoogle Scholar
Cohen, S. (1980). Aftereffects of stress on human performance and social behaviors: A review of research and theory. Psychological Bulletin, 88, 82–108. doi:10.1037/0033-2909.88.1.82CrossRefGoogle ScholarPubMed
Cohen, S., Evans, G. W., Krantz, D. S., & Stokols, D. (1986). Behavior, health, and environmental stress. New York: Plenum.CrossRefGoogle Scholar
Compas, B. E. (1997). Responses to stress questionnaire. Burlington, VT: University of Vermont.Google Scholar
Conger, R. D., & Donnellan, M. B. (2007). An interactionist perspective on the socioeconomic context of human development. Annual Review of Psychology, 58, 175–199. doi:10.1146/annurev.psych.58.110405.085551CrossRefGoogle ScholarPubMed
Contreras, L. N., Hane, S., & Tyrrell, J. B. (1986). Urinary cortisol in the assessment of pituitary adrenal function: Utility of 24-hour spot determinations. Journal of Clinical Endocrinological Metabolism, 62, 965–969. doi:10.1210/jcem-62-5-965CrossRefGoogle ScholarPubMed
Cooper, K., & Stewart, K. (2013). Does money affect children's outcomes: A systematic review. York, UK: Joseph Roundtree Foundation. http://eprints.lse.ac.uk/54435/7/CASEreport80.pdfGoogle Scholar
Cooper, K., & Stewart, K. (2017). Does money affect children's outcomes: An update. York, UK: Joseph Roundtree Foundation. http://www.fsk.it/attach/Content/News/6367/o/news_170725_2.pdfGoogle Scholar
Dubow, E. F., & Ippolito, M. F. (1994). Effects of poverty and quality of the home environment on changes in the academic and behavioral adjustment of elementary school-age children. Journal of Clinical Child Psychology, 23, 401–412. doi:10.1207/s15374424jccp2304_6CrossRefGoogle Scholar
Ellis, B. J., & Boyce, W. T. (2008). Biological sensitivity to context. Current Directions in Psychological Science, 17, 183–187. doi:10.1111/j.1467-8721.2008.00571.xCrossRefGoogle Scholar
Evans, G. W. (2004). The environment of childhood poverty. American Psychologist, 59, 77–92. doi:10.1037/0003-066X.59.2.77CrossRefGoogle ScholarPubMed
Evans, G. W., & Cassells, R. C. (2014). Childhood poverty, cumulative risk exposure, and mental health in emerging adults. Clinical Psychological Science, 2, 287–296. doi:10.1177/2167702613501496CrossRefGoogle ScholarPubMed
Evans, G. W., Eckenrode, J., & Marcynyszyn, L. A. (2010). Poverty and chaos. In Evans, G. W. & Wachs, T. D. (Eds.), Chaos and its influence on children's development: An ecological perspective (pp. 225–238). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
Evans, G. W., & English, K. (2002). The environment of childhood poverty: Multiple stressor exposure, psychophysiological stress, and psychological well-being adjustment. Child Development, 73, 1238–1248. doi:10.1111/1467-8624.00469CrossRefGoogle ScholarPubMed
Evans, G. W., & Kim, P. (2007). Childhood poverty and health: Cumulative risk exposure and stress dysregulation. Psychological Science, 18, 953–957. doi:10.1111/j.1467-9280.2007.02008.xCrossRefGoogle ScholarPubMed
Evans, G. W., & Kim, P. (2010). Multiple risk exposure as a potential explanatory mechanism for the socioeconomic status-health gradient. Annals of the New York Academy of Sciences, 1186, 174–189. doi:10.1111/j.1749-6632.2009.05336.xCrossRefGoogle ScholarPubMed
Evans, G. W., & Kim, P. (2012). Childhood poverty and young adult allostatic load: The mediating role of cumulative risk exposure. Psychological Science, 23, 979–983. doi:10.1177/0956797612441218CrossRefGoogle Scholar
Evans, G. W., Li, D., & Whipple, S. S. (2013). Cumulative risk and child development. Psychological Bulletin, 139, 1342–1396. doi:10.1037/a0031808CrossRefGoogle ScholarPubMed
Evans, G. W., & Schamberg, M. A. (2009). Childhood poverty, chronic stress, and adult working memory. Proceedings of the National Academy of Sciences, 106, 6545–6549. doi:10.1073/pnas.0811910106CrossRefGoogle ScholarPubMed
Evans, G. W., & Stecker, R. (2004). The motivational consequences of environmental stress. Journal of Environmental Psychology, 24, 143–165. doi:10.1016/S0272-4944(03)00076-8CrossRefGoogle Scholar
Evans, G. W., Wells, N. M., Chan, E., & Saltzman, H. (2000). Housing and mental health. Journal of Consulting and Clinical Psychology, 68, 526–530. doi:10.1037/0022-006X.68.3.526CrossRefGoogle ScholarPubMed
Ganzel, B. L., Morris, P. A., & Wethington, E. (2010). Allostasis and the human brain: Integrating models of stress from the social and life sciences. Psychological Review, 117, 134–174.CrossRefGoogle ScholarPubMed
Glass, D. C., & Singer, J. E. (1972). Urban stress. New York: Academic.Google Scholar
Grant, K. E., Compas, B. E., Stuhlmacher, A. F., Thurm, A. E., McMahon, S. D., & Halpert, J. A. (2003). Stressors and child and adolescent psychopathology: Moving from markers to mechanisms of risk. Psychological Bulletin, 129, 447–466. doi:10.1037/0033-2909.129.3.447CrossRefGoogle ScholarPubMed
Hackman, D. H., Gallop, R., Evans, G. W., & Farah, M. J. (2015). Socioeconomic status and executive function: Developmental trajectories and mediation. Developmental Science, 18, 686–702. doi:10.1111/desc.12246CrossRefGoogle ScholarPubMed
Juster, R. P., McEwen, B. S., & Lupien, S. J. (2010). Allostatic load biomarkers of chronic stress and impact on health and cognition. Neuroscience and Biobehavioral Reviews, 35, 2–16.CrossRefGoogle ScholarPubMed
Kamarck, T., Jennings, R., Debski, T., Glicksman-Weis, E., Johnson, P., Eddy, M., … Manuck, S. (1992). Reliable measures of behaviorally evoked cardiovascular reactivity from a PC-based test battery. Psychophysiology, 29, 17–28. doi:10.1111/j.1469-8986.1992.tb02006.xCrossRefGoogle ScholarPubMed
Keiley, M. K., Bates, J. E., Dodge, K. A., & Pettit, G. S. (2000). A cross-domain growth analysis: Externalizing and internalizing behaviors during 8 years of childhood. Journal of Abnormal Child Psychology, 28, 161–179. doi:10.1023/A:1005122814723CrossRefGoogle ScholarPubMed
Kim, P., Evans, G. W., Chen, E., Miller, G. E., & Seeman, T. E. (2018). How socioeconomic disadvantages get under the skin and into the brain across the lifespan. In Halfon, N., Lerner, R., & Faustman, E. (Eds.), The handbook of life course health development (pp. 463–497). New York: Springer.CrossRefGoogle ScholarPubMed
Kraemer, H. C., Lowe, K. K., & Kupfer, D. J. (2005). To your health. New York: Oxford.Google Scholar
Krantz, D. S., & Falconer, J. (1995). Measurement of cardiovascular responses. In Cohen, S., Kessler, R. C. & Gordon, L. (Eds.), Measuring stress (pp. 193–212). New York: Oxford.Google Scholar
Lawson, G. M., Hook, C. J., & Farah, M. J. (2018). A meta-analysis of the relationship between socioeconomic status and executive function performance among children. Developmental Science, 21, e12529. doi:10.1111/desc.12529CrossRefGoogle ScholarPubMed
Little, R. J. A. (1988). A test of missing completely at random for multivariate data with missing values. Journal of the American Statistical Association, 83, 1198–1202. doi:10.1080/01621459.1988.10478722CrossRefGoogle Scholar
McEwen, B. S. (1998). Protective and damaging effects of stress mediators. New England Journal of Medicine, 338, 171–179.CrossRefGoogle ScholarPubMed
McEwen, B. W., & Gianaros, P. J. (2010). Central role of the brain in stress and adaptation: Links to socioeconomic status, health, and disease. Annals of the New York Academy of Sciences, 1186, 190–222.CrossRefGoogle ScholarPubMed
McEwen, C. A., & McEwen, B. S. (2017). Social structure, adversity, toxic stress, and intergenerational poverty: An early childhood model. Annual Review of Sociology, 43, 445–472. doi:10.1146/annurev-soc-060116-053252CrossRefGoogle Scholar
McLaughlin, K. A., Breslau, J., Green, J. G., Lakoma, M. D., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2011). Childhood socio-economic status and the onset, persistence, and severity of DSM-IV mental disorders in a US national sample. Social Science & Medicine, 73, 1088–1096. doi:10.1016/j.socscimed.2011.06.011CrossRefGoogle Scholar
McLeod, J. S., & Shanahan, S. (1996). Trajectories of poverty and children's mental health. Journal of Health and Social Behavior, 37, 207–220. doi:10.2307/2137292CrossRefGoogle ScholarPubMed
McLoyd, V. C. (1998). Socioeconomic disadvantage and child development. American Psychologist, 53, 185–204. doi:10.1037/0003-066X.53.2.185CrossRefGoogle ScholarPubMed
Melchior, M., Chastang, J. F., Walburg, V., Arsenault, L., Galera, C., & Fombonne, E. (2010). Family income and youths’ symptoms of depression and anxiety: A longitudinal study of the French GAZEL youth cohort. Depression and Anxiety, 27, 1095–1103. doi:10.1002/da.20761CrossRefGoogle ScholarPubMed
Miller, G. E., & Chen, E. (2013). The biological residue of childhood poverty. Child Development Perspectives, 7, 67–73.CrossRefGoogle ScholarPubMed
Milligan, R. A., Thompson, C., Vandongen, R., Beilin, L. J., & Burke, V. (1995). Clustering of cardiovascular risk factors in Australian adolescent: Association with dietary excesses and deficiencies. Journal of Cardiovascular Risk, 2, 515–523. doi:10.1097/00043798-199512000-00006CrossRefGoogle ScholarPubMed
Moos, R. H., & Moos, B. S. (2009). Family environment scale. Menlo Park, CA: Mind Garden.Google Scholar
Muller, U., & Kerns, K. (2015). The development of executive function. In Lerner, R. M. (Ed.), The handbook of child psychology and developmental science (7th ed., Vol. 2. pp. 1–53). New York: Wiley.Google Scholar
Muthen, L. K., & Muthen, B. O. (2011). Mplus user's guide. Los Angeles: Muthen & Muthen.Google Scholar
Najman, J. M., Hayatbakhsh, M. R., Clavarino, A., Bor, W., O'Callaghan, M. J., & Williams, G. M. (2010). Family poverty over the early life course and recurrent adolescent and young adult anxiety and depression: A longitudinal study. American Journal of Public Health, 100, 1719–1723. doi:10.2105/AJPH.2009.180943CrossRefGoogle Scholar
National Academy of Sciences. (2019). A roadmap to reducing child poverty. Washington, DC: National Academy Press.Google Scholar
National Center for Children in Poverty. (2018). Basic facts about low-income children. New York: National Center for Children in Poverty, Columbia University.Google Scholar
Obradovic, J., Shaffer, J. A., & Masten, A. S. (2012). Risk and adversity in developmental psychopathology: Progress and future directions. In Mayes, L. C. & Lewis, M. (Eds.), The Cambridge handbook of environment in human development (pp. 35–57). New York: Cambridge.CrossRefGoogle Scholar
Peterson, C., Maier, R., & Seligman, M. E. P. (1993). Learned helplessness. New York: Oxford.Google Scholar
Pressman, A. W., Klebanov, P. K., & Brooks-Gunn, J. (2012). New approaches to the notion of environmental risk. In Mayes, L. C. & Lewis, M. (Eds.), The Cambridge handbook of environment in human development (pp. 152–172). New York: Cambridge.CrossRefGoogle Scholar
Rainisch, B. K., & Upchurch, D. M. (2013). Sociodemographic correlates of allostatic load among a national sample of adolescents: Findings from the National Health and Nutrition Examination Survey, 1999–2008. Journal of Adolescent Health, 53, 506–511. doi:10.1016/j.jadohealth.2013.04.020CrossRefGoogle ScholarPubMed
Repetti, R. L., Taylor, S. E., & Seeman, T. E. (2002). Risky families: Family social environments and the mental and physical health of offspring. Psychological Bulletin, 128, 330–366. doi:10.1037/0033-2909.128.2.330CrossRefGoogle ScholarPubMed
Riggin, R., & Kissinger, P. (1977). Determination of catecholamines in urine by reverse phase liquid chromatography with electrochemical detection. Analytic Chemistry, 49, 2109–2111. doi:10.1021/ac50021a052CrossRefGoogle ScholarPubMed
Rutter, M. L., Tizard, J., & Whitmore, K. (1970). Education, health, and behavior. London: Longman.Google Scholar
Sacker, A., Schoon, I., & Bartley, M. (2002). Social inequality in educational achievement and psychological adjustment throughout childhood: Magnitude and mechanisms. Social Science & Medicine, 55, 863–880. doi:10.1016/S0277-9536(01)00228-3CrossRefGoogle ScholarPubMed
Sameroff, A. J. (2006). Identifying risk and protective factors for health development. In Clarke-Stewart, A. & Dunn J, J. (Eds.), Families count (pp. 53–76). New York: Cambridge.CrossRefGoogle Scholar
Schoon, I., Sacker, A., & Bartley, M. (2003). Socio-economic adversity and psychosocial adjustment: A developmental-contextual perspective. Social Science & Medicine, 57, 1001–1015. doi:10.1016/S0277-9536(02)00475-6CrossRefGoogle ScholarPubMed
Seeman, T. E., Epel, E., Gruenwald, T., Karlamangla, A., & McEwen, B. S. (2010). Socio-economic differentials in peripheral biology: Cumulative allostatic load. Annals of the New York Academy of Sciences, 1186, 223–239.CrossRefGoogle ScholarPubMed
Seeman, T. E., & McEwen, B. S. (1996). Impact of social environmental characteristics on neuroendocrine regulation. Psychosomatic Medicine, 58, 459–471.CrossRefGoogle ScholarPubMed
Seeman, T. E., McEwen, B. S., Row, J. W., & Singer, B. H. (2001). Allostatic load as a marker of cumulative biological risk: MacArthur studies of successful aging. Proceedings of the National Academy of Sciences, 98, 4770–4775.CrossRefGoogle ScholarPubMed
Slopen, N. B., Fitzmaurice, G., Williams, D. R., & Gilman, S. E. (2010). Poverty, food insecurity, and the behavior for childhood and externalizing disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 49, 444–452.Google ScholarPubMed
Stroschein, L. (2005). Household income histories and child mental health trajectories. Journal of Health and Social Behavior, 46, 359–375. doi:10.1177/002214650504600404CrossRefGoogle Scholar
Taylor, S. E., Repetti, R. L., & Seeman, T. E. (1997). Health psychology: What is an unhealthy environment and how does it get under the skin? Annual Review of Psychology, 48, 411–447. doi:10.1146/annurev.psych.48.1.411CrossRefGoogle ScholarPubMed
Votruba-Drzal, E. (2006). Economic disparities in middle childhood development: Does income matter? Developmental Psychology, 42, 1154–1167. doi:10.1037/0012-1649.42.6.1154CrossRefGoogle ScholarPubMed
Wachs, T. D., & Gruen, G. (1982). Early experience and human development. New York: Plenum.CrossRefGoogle Scholar
Wadsworth, M. E., & Achenbach, T. M. (2005). Explaining the link between low socioeconomic status and psychopathology: Testing two mechanisms of the social causation hypothesis. Journal of Consulting and Clinical Psychology, 73, 1146–1153. doi:10.1037/0022-006X.73.6.1146CrossRefGoogle ScholarPubMed
Wadsworth, M. E., Evans, G. W., Grant, K. E., Carter, J. S., & Duffy, S. (2016). Poverty and the development of psychopathology. In Cicchetti D, D. (Ed.), Developmental psychopathology (3rd ed., pp. 136–179). New York: Wiley.Google Scholar
Work, W., Cowen, E., Parker, G., & Wyman, P. (1990). Stress resilient children in an urban setting. Journal of Primary Prevention, 11, 3–17. doi:10.1007/BF01324858CrossRefGoogle Scholar
Worthman, C. M., & Panter-Brick, C. (2008). Homeless street children in Nepal: Use of allostatic load to assess the burden of childhood adversity. Development and Psychopathology, 20, 233–255. doi:10.1017/S0954579408000114CrossRefGoogle ScholarPubMed