Dr. Nadine Harris has been studying the effects of early childhood adversity on health outcomes later on in life. In her 30 years of studying research, the findings are clear. Childhood trauma dramatically affects health across a lifetime. These are not some new findings. We've known this for 30 years and yet our society has not made any serious effort to make life easier for working class families. By outsourcing good-paying jobs, imposing stiffer sentences for drug offenses, and failing to increase wages, life has become harder across the board. And this ultimately creates even more trauma within families who become overwhelmed by stress. And the question Dr. Harris asks is why.
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🌍 Story by Dr. Nadine Burke Harris
0:00 - The Long Term Health Effects of Childhood Trauma
0:52 - How Trauma Changes Our Physiology
2:11 - How Trauma Triggers Our Fight Or Flight Response
3:51 - Why Doctors Ignore Trauma
Transcript:
In the mid-'90s, the CDC and Kaiser Permanente discovered an exposure that dramatically increased the risk for seven out of 10 of the leading causes of death in the United States. Folks who are exposed in very high doses have triple the lifetime risk of heart disease and lung cancer and a 20-year difference in life expectancy. And yet, doctors today are not trained in routine screening or treatment. Now, the exposure I'm talking about is not a pesticide or a packaging chemical. It's childhood trauma.
I'm not talking about failing a test or losing a basketball game. I am talking about threats that are so severe or pervasive that they literally change our physiology: things like abuse or neglect, or growing up with a parent who struggles with mental illness or substance dependence.
We now understand better than we ever have before how exposure to early adversity affects the developing brains and bodies of children. It affects areas like the nucleus accumbens, the pleasure and reward center of the brain that is implicated in substance dependence. It inhibits the prefrontal cortex, which is necessary for impulse control and executive function, a critical area for learning. And on MRI scans, we see measurable differences in the amygdala, the brain's fear response center. So there are real neurologic reasons why folks exposed to high doses of adversity are more likely to engage in high-risk behavior,
Even if you don't engage in any high-risk behavior, you're still more likely to develop heart disease or cancer. The reason for this has to do with the brain's and body's stress response system that governs our fight-or-flight response.
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