ArticleProceedings of the National Academy of Sciences of the United States of America2021
Psychological resilience predicting cardiometabolic conditions in adulthood in the Midlife in the United States Study.
Article in Proceedings of the National Academy of Sciences of the United States of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Dimensions of early life adversity and cardiometabolic health in adulthood: A systematic review and meta-analysis.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026Pooled it
- Psychological Resilience to Trauma and Risk of Metabolic Syndrome in Women.Biopsychosocial science and medicine · 2026Article
- Swimming exercise during early-life starvation enhances adult stress resistance inmicroPublication biology · 2026Article
- Psychological resilience to trauma and longitudinal sleep outcomes among current and former nurses.Journal of psychosomatic research · 2025Article
- Low Psychological Resilience Predict the Risk for Alcohol Use Disorder in General Population: National Mental Health Survey of Korea 2021.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2025Article
- Lifetime Trauma Exposure and Arthritis in Older Adults.Psychosomatic medicine · 2024Article
- Psychogenic Aging: A Novel Prospect to Integrate Psychobiological Hallmarks of Aging.Translational psychiatry · 2024Review
- Article
- Social causation, social selection, and economic selection in the health outcomes of Chinese older adults and their gender disparities.SSM - population health · 2023Article
- Psychological resilience to lifetime trauma and risk for cardiometabolic disease and mortality in older adults: A longitudinal cohort study.Journal of psychosomatic research · 2023Article
- Pre-pandemic resilience to trauma and mental health outcomes during COVID-19.Social psychiatry and psychiatric epidemiology · 2023Article
- A life course approach to understanding stress exposures and cognitive function among middle-aged and older adults.Social science & medicine (1982) · 2022Article
- Resilience and Its Association With Activities of Daily Living 3 Months After Stroke.Frontiers in neurology · 2022Article
- Psychological Resilience to Trauma and Risk of COVID-19 Infection and Somatic Symptoms Across 2 Years.Psychosomatic medicineArticle
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Authors and funding
5 authors at 2 institutions in 1 country.
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Abstract
Early adversity is associated with poor cardiometabolic health, potentially via psychological distress. However, not everyone exposed to adversity develops significant distress. Psychological resilience and positive psychological health despite adversity may protect against unfavorable cardiometabolic outcomes that are otherwise more likely. We examined early adversity, psychological resilience, and cardiometabolic risk among 3,254 adults in the Midlife in the United States Study. Psychological resilience was defined according to both early psychosocial adversity and adult psychological health (characterized by low distress and high wellbeing) at Wave 1 (1994 to 1995). Categorical resilience was derived by cross-classifying adversity (exposed versus unexposed) and psychological health (higher versus lower). We also assessed count of adversities experienced and psychological symptoms as separate variables. Incident cardiometabolic conditions (e.g., heart attack, stroke, and diabetes) were self-reported at Waves 2 (2004 to 2005) and 3 (2013 to 2014). Secondary analyses examined biological cardiometabolic risk using a composite of biomarkers available within a Wave-2 subsample. Logistic and Poisson regressions evaluated associations of resilience with cardiometabolic health across 20 follow-up y, adjusting for relevant covariates. In this initially healthy sample, nonresilient (adversity-exposed, lower psychological health) versus resilient (adversity-exposed, high psychological health) individuals had 43% higher odds of cardiometabolic conditions (95% CI 1.10 to 1.85). Odds of cardiometabolic conditions were similar among resilient versus unexposed, psychologically healthy individuals. More adversity experiences were associated with increased odds, while better psychological health with decreased odds of cardiometabolic conditions, and effects were largely independent. Patterns were similar for objectively assessed cardiometabolic risk. Psychological resilience in midlife may protect against negative cardiometabolic impacts of early adversity.
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