Social Interaction Clinical Trial
Official title:
Does Resilience to Childhood Adversity Improve With Social Intelligence Training
Childhood adversity leads to social difficulties, chronic illness, and early mortality for many, but not all adults: Some are resilient. The investigators will test whether an on-line program focused on enhancing social relationships for people in mid-life can increase the odds that those with a history of a troubled childhood will not suffer a greater loss in mental and physical health than those without those histories. The investigators findings will bring the field significantly closer to the day when low cost interventions can be offered that work to strengthen the capacities of people to overcome the challenges that arise from adverse treatment early in life.
It is indisputable that health declines with age, and that the rate of decline is not the
same for everyone. Many sources of accelerated risk of illness have been identified in prior
research, and among the most reliable predictors of ill health are social stressors,
including abusive social relations in childhood. Early life adversity may lead to poorer
mental health and physical functioning in midlife through various pathways; among the most
likely paths are social in origin, including troubled family relationships, heightened
sensitivity to interpersonal stressors, and social isolation. Is it possible to interrupt
this cause-effect pairing between early adversity and illness in later life? The
investigators examine that question. Specifically, the investigators address whether the
individual differences in risk attributable to childhood adversity are reversible through a
social intelligence (SI) intervention for an established cohort of community residents who
were part of a comprehensive study of biopsychosocial markers of resilience at Mid-Life. The
investigators have three primary objectives in this research:
1. To examine whether an SI intervention can enhance the capacity for rewarding social
relations, especially for individuals with a history of early life adversity.
2. To examine evidence for the investigator's hypothesis that intervention-related gains in
the quality of social relationship will be responsible for the improvements in
psychological, and physical functioning, and influence two bio-markers of health risk
and resilience: interleukin 6 (IL-6) and DHEA-S.
3. To probe for individual differences in age, gender, history of abuse, personality, and
genetic markers of risk that identify participants most responsive to the intervention.
To address these questions, an SI intervention will be delivered to a random-selected half of
220 middle-aged participants: Half with a history of child abuse and half who did not report
abuse. The program is an on-line self-instructional series of videos with awareness exercises
and behavioral practices designed to enhance fund of knowledge about relationships, increase
skills, and enhance motivation to engage socially. In addition to charting social relations
with daily diaries, the investigators will assess participants' social, psychological, and
physical functioning at pre-test, post-test, three months, and six months following the
intervention. The investigators hypothesize that the SI intervention will prompt lasting
improvement in the ability to establish, maintain, and benefit from social relations in
comparison to controls, which will lead to better psychological and physical functioning. The
investigators will examine evidence for the hypothesis that the benefits of the intervention
will be largest for individuals who have experienced greater early childhood adversity, as
well as probe other individual differences in receptivity to the SI program that will inform
future efforts to refine, test and disseminate this innovative program.
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