Evidence map›Paper›PMID 26170291›Full record

Trial reportProceedings of the National Academy of Sciences of the United States of America2015

Self-control forecasts better psychosocial outcomes but faster epigenetic aging in low-SES youth.

Gregory E Miller, Tianyi Yu, Edith Chen, Gene H Brody

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Proceedings of the National Academy of Sciences of the United States of America, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 102 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed, 2 pooled it
16.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

102 citing papers in PubMed, 2 syntheses or guidelines pooled it, 266 citations in OpenAlex.

  1. Pooled it
  2. A Systematic Review and Meta-analysis of Environmental, Lifestyle, and Health Factors Associated With DNA Methylation Age.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020
    Pooled it
  3. Trial
  4. The costs and benefits of striving: Subclinical cardiovascular disease, depression, and hostility as children navigate adversity.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Epigenetics, Resilience, Protective Factors and Factors Promoting Positive Outcomes: A Scoping Review.International journal of developmental neuroscience : the official journal of the International Society for Developmental Neuroscience · 2025
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Socioeconomic disadvantage and high-effort coping in childhood: evidence of skin-deep resilience.Journal of child psychology and psychiatry, and allied disciplines · 2024
    Article
  18. Article
  19. Article
  20. Article

42 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Gregory E MillerDepartment of Psychology and Institute for Policy Research, Northwestern University, Evanston, IL 60208; greg.miller@northwestern.edu.
Tianyi YuCenter for Family Research, University of Georgia, Athens, GA 30602.
Edith ChenDepartment of Psychology and Institute for Policy Research, Northwestern University, Evanston, IL 60208;
Gene H BrodyCenter for Family Research, University of Georgia, Athens, GA 30602.
Northwestern University · USUniversity of Georgia · US

Funding

RURAL AFRICAN AMERICAN YOUNG ADULTS' PATHWAYS TO PSYCHOSOCIAL AND PHYSICAL HEALTHR01HD030588 · NICHD · UNIVERSITY OF GEORGIA (UGA) · PI EHRLICH, KATHERINE BABCOCK · 1993 to 2023
$12.0M
Vulnerability to Drug Use & HIV: Advancing Prevention for Rural African AmericansP30DA027827 · NIDA · UNIVERSITY OF GEORGIA · PI BRODY, GENE H. · 2009 to 2018
$10.2M
Preventing Drug Use in Rural African AmericanR01DA019230 · NIDA · UNIVERSITY OF GEORGIA (UGA) · PI BRODY, GENE H. · 2004 to 2008
$3.2M
Childhood Origins of CHD Disparities: Neural & Immune PathwaysR01HL122328 · NHLBI · NORTHWESTERN UNIVERSITY · PI MILLER, GREGORY EVAN · 2015 to 2018
$3.1M
Multi-Level Understanding of Social Contributors to SES Disparities in AsthmaR01HL108723 · NHLBI · NORTHWESTERN UNIVERSITY · PI CHEN, EDITH · 2012 to 2016
$2.0M
NHLBI NIH HHS HL108723NHLBI NIH HHS HL122328NHLBI NIH HHS R01 HL108723NHLBI NIH HHS R01 HL122328NICHD NIH HHS HD030588NICHD NIH HHS R01 HD030588NIDA NIH HHS DA027827NIDA NIH HHS DA19230NIDA NIH HHS P30 DA027827NIDA NIH HHS R01 DA019230
6 · The paper itself

Abstract

There are persistent socioeconomic disparities in many aspects of child development in America. Relative to their affluent peers, children of low socioeconomic status (SES) complete fewer years of education, have a higher prevalence of health problems, and are convicted of more criminal offenses. Based on research indicating that low self-control underlies some of these disparities, policymakers have begun incorporating character-skills training into school curricula and social services. However, emerging data suggest that for low-SES youth, self-control may act as a "double-edged sword," facilitating academic success and psychosocial adjustment, while at the same time undermining physical health. Here, we examine this hypothesis in a five-wave study of 292 African American teenagers from rural Georgia. From ages 17 to 20 y, we assessed SES and self-control annually, along with depressive symptoms, substance use, aggressive behavior, and internalizing problems. At age 22 y, we obtained DNA methylation profiles of subjects' peripheral blood mononuclear cells. These data were used to measure epigenetic aging, a methylation-derived biomarker reflecting the disparity between biological and chronological aging. Among high-SES youth, better mid-adolescent self-control presaged favorable psychological and methylation outcomes. However, among low-SES youth, self-control had divergent associations with these outcomes. Self-control forecasted lower rates of depressive symptoms, substance use, aggressive behavior, and internalizing problems but faster epigenetic aging. These patterns suggest that for low-SES youth, resilience is a "skin-deep" phenomenon, wherein outward indicators of success can mask emerging problems with health. These findings have conceptual implications for models of resilience, and practical implications for interventions aimed at ameliorating social and racial disparities.

Indexed as

AgingDNA MethylationEpigenesis, GeneticInternal-External ControlSelf ConceptAdaptation, PsychologicalAdolescentAdolescent BehaviorAggressionBlack or African AmericanFemaleGeorgiaHealth PolicyHealth StatusHealth Status DisparitiesHumansaginghealth disparitiespovertyresiliencestress

Identifiers

PMID26170291
PMCPMC4547243
OpenAlexW2170164456

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.