Psychosomatic Medicine
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Published online before print February 5, 2009
Psychosom Med 2009, doi:10.1097/PSY.0b013e3181921b1f
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© 2009 by American Psychosomatic Society

Original Article


Received January 18, 2008
Returned for revision October 3, 2008

A Preliminary Study of Daily Interpersonal Stress and C-Reactive Protein Levels Among Adolescents From Latin American and European Backgrounds

Andrew J. Fuligni , PhD, Eva H. Telzer , MA, Julienne Bower , PhD, Steve W. Cole , PhD, Lisa Kiang , PhD, Michael R. Irwin , MD


Address correspondence and reprint requests to: Andrew J. Fuligni, PhD, E-mail: afuligni{at}ucla.edu.


   Abstract

Objective: To examine the association between the experience of daily interpersonal stress and levels of C-reactive protein (CRP), an inflammatory marker that is a key indicator of cardiovascular risk, during the teenage years. Methods: A total of 69 adolescents (Mage = 17.78 years) completed daily diary checklists each night for 14 days in which they reported their experience of negative interpersonal interactions in the domains of family, peers, and school (e.g., conflict with family and friends, peer harassment, punishment by parents and teachers). Blood samples were obtained an average of 8.63 months later and assayed for circulating levels of CRP, using enzyme-linked immunosorbent assay. Measures of body mass index (BMI), socioeconomic status (SES), substance use, stressful life events, rejection sensitivity, and psychological distress were obtained. Results: A greater frequency of daily interpersonal stress was associated with higher levels of CRP, even after controlling for BMI, SES, substance use, life events, rejection sensitivity, psychological distress, and frequency of daily interpersonal stress 2 years earlier. Conclusions: Experiencing a high frequency of interpersonal stressors that are typical of adolescent life is associated with higher levels of inflammation even among a normative, healthy sample of adolescents. Additional work should focus on other daily experiences during the adolescent period and their implications for elevated risk for later cardiovascular disease.

Key Words: C-reactive protein, inflammation, daily interpersonal stress, adolescence







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Copyright © 2009 by the American Psychosomatic Society