Evidence map›Paper›PMID 37010223›Full record

ArticlePsychological medicine2023

Social engagement and allostatic load mediate between adverse childhood experiences and multimorbidity in mid to late adulthood: the Canadian Longitudinal Study on Aging.

Leslie Atkinson, Divya Joshi, Parminder Raina, Lauren E Griffith, Harriet MacMillan, Andrea Gonzalez

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In one paragraph

Article in Psychological medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Stress, Well-Being, and Reproduction in Wildlife.Advances in experimental medicine and biology · 2026
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  15. Allostasis, health, and development in Latin America.Neuroscience and biobehavioral reviews · 2024
    Review
  16. The Longitudinal Dyadic Associations Between Social Participation and Cognitive Function in Older Chinese Couples.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024
    Article
  17. Review
  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Leslie AtkinsonDepartment of Psychology, Ryerson University, Toronto, Canada.ORCID 0000-0003-1265-3298
Divya JoshiDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.
Parminder RainaDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.
Lauren E GriffithDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.
Harriet MacMillanDepartment of Psychiatry & Behavioural Neurosciences, McMaster University, Hamilton, Canada.
Andrea GonzalezDepartment of Psychiatry & Behavioural Neurosciences, McMaster University, Hamilton, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdverse childhood experiences (ACEs) are associated with multimorbidity in adulthood. This link may be mediated by psychosocial and biological factors, but evidence is lacking. The current study evaluates this mediation model.

methodWe analyzed data from the Canadian Longitudinal Study of Aging (

resultsIn the overall sample, ACEs were associated with multimorbidity, directly,

conclusionsACEs are related to multimorbidity, directly and via social engagement and allostatic load. This is the first study to show mediated pathways between early adversity and multimorbidity in adulthood. It provides a platform for understanding multimorbidity as a lifespan dynamic informing the co-occurrence of the varied disease processes represented in multimorbidity.

Indexed as

Adverse Childhood ExperiencesAllostasisAgedAged, 80 and overAgingCanadaFemaleHumansLongitudinal StudiesMaleMultimorbiditySocial ParticipationAdverse childhood experiencesallostatic loadmultimorbiditysocial engagement

Identifiers

PMID37010223
PMCPMC10009404

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LicenceCC BY
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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.