Objective: Early life experiences, including attachment-related experiences, inform internal working models that guide adult relationship behaviors. Few studies have examined the association between adolescent attachment and adult relationship behavior on a neural level. The current study examined attachment in adolescence and its longitudinal associations with relationship behaviors in adulthood neurally.

Method:

85 participants completed the Adult Attachment Interview (AAI) at age 14. Ten years later, at age 24, participants underwent functional brain image when participants were under the threat of electric shock alone, holding the hand of a stranger, or their partner.

Results:

We found that adolescents who were securely attached at age 14 showed increased activation in regions commonly associated with cognitive, affective, and reward processing when they held the hand of their partner and stranger compared to being alone. Adolescents with dismissing attachment at age 14 showed decreased activation in similar regions during partner and stranger handholding compared to being alone. On the other hand, adolescents with preoccupied attachment showed decreased activation in similar regions only during the stranger handholding condition compared to being alone.

Conclusions:

These findings suggest that adolescent attachment predicts adult social relationship behaviors on a neural level, in regions largely consistent with previous literature. Broadly, this study has implications for understanding long-term links between attachment and adult relationship behaviors and has potential for informing intervention.

ORIGINAL ARTICLE

Social Regulation of the Neural Threat Response Predicts Subsequent Markers of Physical Health

Lin, Jingrun MA; Namaky, Nauder PhD; Costello, Meghan MA; Uchino, Bert N. PhD; Allen, Joseph P. PhD; Coan, James A. PhD

From the Department of Psychology (Lin, Costello, Allen, Coan), University of Virginia, Charlottesville, Virginia; Department of Psychiatry and Human Behavior (Namaky), Alpert Medical School of Brown University; RR&D Center for Neurorestoration and Neurotechnology, Providence VA Medical Center (Namaky), Providence, Rhode Island; Department of Psychology (Uchino), University of Utah, Salt Lake City, Utah.

Address correspondence to Jingrun Lin, MA, Department of Psychology, University of Virginia, 240D Gilmer Hall, Charlottesville, VA 22904. E-mail: jl5xg@virginia.edu

Received for publication March 16, 2023; revision received June 25, 2023.

Article Editor: Daryl O'Connor

Supplemental Digital Content

Psychosomatic Medicine 85(9):p 763-771, 11/12 2023. | DOI: 10.1097/PSY.0000000000001238

• SDC

Abstract

Objective 

Social support has been linked to a vast range of beneficial health outcomes. However, the physiological mechanisms of social support are not well characterized. Drawing on functional magnetic resonance imaging and health-related outcome data, this study aimed to understand how neural measures of “yielding”—the reduction of brain activity during social support—moderate the link between social support and health.

Methods 

We used a data set where 78 participants around the age of 24 years were exposed to the threat of shock when holding the hand of a partner. At ages 28 to 30 years, participants returned for a health visit where inflammatory activity and heart rate variability were recorded.

Results 

Findings showed a significant interaction between dorsal anterior cingulate cortex–related yielding and perceived social support on C-reactive protein levels (β = −0.95, SE = 0.42, z = −2.24, p = .025, 95% confidence interval = −1.77 to −0.12). We also found a significant interaction between hypothalamus-related yielding and perceived social support on baseline heart rate variability (β = 0.51, SE = 0.23, z = 2.19, p = .028, 95% confidence interval = 0.05 to 0.97).

Conclusions 

Greater perceived social support was associated with lower C-reactive protein levels and greater baseline heart rate variability among individuals who were more likely to yield to social support in the dorsal anterior cingulate cortex and hypothalamus years earlier. The current study highlights the construct of yielding in the link between social support and physical health.

Adolescent success providing satisfying support in response to a close friend's call in a caregiving task was examined as a potentially fundamental developmental competence likely to predict future social functioning, adult caregiving security, and physical health. Adolescents (86 males, 98 females; 58% White, 29% African American, 8% mixed race/ethnicity, 5% other) were followed from ages 13 to 33 (1998–2021) using multiple methods and reporters. Early caregiving success was found to predict greater self- and partner-reported caregiving security, lower negativity in adult relationships, and higher adult vagal tone. Results are interpreted as advancing our understanding beyond simply recognizing that adolescent friendships have long-term import, to now identifying specific capacities within friendships that are linked to longer-term outcomes.

This study examined development of emotional support competence within close friendships across adolescence. A sample of 184 adolescents (53% girls, 47% boys; 58% White, 29% Black, 14% other identity groups) participated in seven waves of multimethod assessments with their best friends and romantic partners from age 13 to 24. Latent change score models identified coupled predictions over time from emotional support competence to increasing friendship quality and decreasing support received from friends. Friend-rated emotional support competence in adolescence predicted supportiveness in adult romantic relationships, over and above supportiveness in adolescent romantic relationships. Teen friendships may set the stage for developing emotional support capacities that progress across time and relationships into adulthood.

This study examined struggles to establish autonomy and relatedness with peers in adolescence and early adulthood as predictors of advanced epigenetic aging assessed at age 30. Participants (N = 154; 67 male and 87 female) were observed repeatedly, along with close friends and romantic partners, from ages 13 through 29. Observed difficulty establishing close friendships characterized by mutual autonomy and relatedness from ages 13 to 18, an interview-assessed attachment state of mind lacking autonomy and valuing of attachment at 24, and self-reported difficulties in social integration across adolescence and adulthood were all linked to greater epigenetic age at 30, after accounting for chronological age, gender, race, and income. Analyses assessing the unique and combined effects of these factors, along with lifetime history of cigarette smoking, indicated that each of these factors, except for adult social integration, contributed uniquely to explaining epigenetic age acceleration. Results are interpreted as evidence that the adolescent preoccupation with peer relationships may be highly functional given the relevance of such relationships to long-term physical outcomes.

Although one goal of the use of autonomy restricting parenting behavior is to keep teens psychologically dependent on the parent, research has yet to examine whether such behavior actually predicts later parental dependency. Thus, the present longitudinal, multi-method study investigates at which points across adolescence this behavior predicts parental dependency in emerging adulthood, and whether this association differs based on which parent uses psychological control within a non-clinical and racially, ethnically, and socioeconomically diverse sample. Teens’ (N = 184) parents completed measures of perceived parental psychological control exhibited toward their teens during early (age 13) and late adolescence (age 18), as well as their teens’ parental dependency and functional independence during emerging adulthood (age 22). Additionally, interactions between teens and their parents during early and late adolescence were observed and coded to measure autonomy and relatedness restriction. Results indicated that autonomy restricting parenting behaviors were more predictive of parental dependence when used in early adolescence as compared to late adolescence, and revealed several cross-parent effects. Developmental implications for understanding parent-child relationships are discussed.

This study examined development of emotional support competence within close friendships across adolescence. A sample of 184 adolescents (53% girls, 47% boys; 58% White, 29% Black, 14% other identity groups) participated in seven waves of multimethod assessments with their best friends and romantic partners from age 13 to 24. Latent change score models identified coupled predictions over time from emotional support competence to increasing friendship quality and decreasing support received from friends. Friend-rated emotional support competence in adolescence predicted supportiveness in adult romantic relationships, over and above supportiveness in adolescent romantic relationships. Teen friendships may set the stage for developing emotional support capacities that progress across time and relationships into adulthood.

This 17-year prospective study applied a social-development lens to the challenge of identifying long-term predictors of adult depressive symptoms. A diverse community sample of 171 individuals was repeatedly assessed from age 13 to age 30 using self-, parent-, and peer-report methods. As hypothesized, competence in establishing close friendships beginning in adolescence had a substantial long-term predictive relation to adult depressive symptoms at ages 27–30, even after accounting for prior depressive, anxiety, and externalizing symptoms. Intervening relationship difficulties at ages 23–26 were identified as part of pathways to depressive symptoms in the late twenties. Somewhat distinct paths by gender were also identified, but in all cases were consistent with an overall role of relationship difficulties in predicting long-term depressive symptoms. Implications both for early identification of risk as well as for potential preventive interventions are discussed.

Understanding whether and how the absence of positive relationships may predict longer-term physical health outcomes is central to building a working conceptual model of the interplay of social and physical development across the lifespan. This study sought to examine the extent to which difficulties establishing positive social relationships from adolescence onward serve as long-term predictors of low adult vagal tone, which in turn has been linked to numerous long-term health problems. A diverse community sample of 141 individuals was followed via multiple methods and reporters from age 13 to 29. Across this span, social relationship quality was assessed via close friend and peer reports, observations of romantic interactions, and self-reported romantic relationship satisfaction. A range of potential personality and functional covariates was also considered. Vagal tone while at rest was assessed at age 29. Adult vagal tone was predicted across periods as long as 16 years by: adolescents' difficulty establishing themselves as desirable companions among peers; early adults' inability to establish strong close friendships; and lack of warmth in romantic relationships as an adult. Poor early adult friendship quality statistically mediated the link from adolescent peer difficulties to adult vagal tone. A range of potential confounding factors was examined but was not linked to vagal tone. Within the limits of the correlational design of the study, robust connections between adult vagal tone and social relationship quality from adolescence onward suggest at least a possible mechanism by which relationship difficulties may get 'under the skin' to influence future physiological functioning.

This randomized controlled trial examined the impact of The Connection Project, an experiential, relationship-focused intervention designed to improve school belongingness and decrease symptoms of depression and loneliness among new college students. Participants were 438 first-year and transfer students (232 treatment, 206 waitlist-control) at a medium-sized, 4years, predominantly White public university in the Southeastern United States. At postintervention, the treatment group reported significant relative increases in school belonging and significant relative reductions in levels of loneliness and depressive symptoms in comparison to waitlist-controls. Program effects were stronger for students from marginalized racial or ethnic backgrounds, students from lower socioeconomic status households, and transfer students. Results are interpreted as suggesting the utility of experiential, peer-support prevention programming to promote college students' well-being, particularly college students who hold identities that are traditionally disadvantaged in this context.