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Mental & Physical Health20255 min read

The Long Shadow of Childhood on Adult Suffering

Childhood predictors of suffering in adulthood across 22 countries

Notable finding

Childhood abuse linked to a 27% higher likelihood of suffering.

By
Cowden, Richard G. et al.
Participants
202,898
Countries
22
Journal
Communications Medicine
DOI
10.1038/s43856-025-00913-8
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§1

Key Takeaways

01

A person's experiences during childhood, including family relationships, health, and financial stability, are associated with their likelihood of suffering as an adult.

02

Experiencing physical or sexual abuse as a child is one of the strongest and most consistent predictors of suffering later in life across nearly all 22 countries studied.

03

While some childhood risk factors are nearly universal, the specific childhood predictors of adult suffering and the strength of their effects vary significantly across different countries and cultures.

§2

Why It Matters

Creating safe and nurturing environments for children is one of our most effective long-term strategies for a healthier society.

This research matters because it points to where we might prevent suffering before it starts. If childhood abuse, feeling like an outsider, and poor childhood health are connected to adult suffering across so many different cultures, then early-life interventions — protecting kids from abuse, helping families feel connected, supporting children's health — could reduce suffering for millions of people down the road. For policymakers, public health leaders, and anyone who works with children, this study suggests that investing in kids' safety, health, and family relationships isn't just about childhood well-being. It may be one of the most practical ways to reduce suffering in the adult population. The findings also highlight the need for country-specific approaches, since the pattern of risk and protective factors varied somewhat across nations.

This research matters because it points to where we might prevent suffering before it starts. If childhood abuse, feeling like an outsider, and poor childhood health are connected to adult suffering across so many different cultures, then early-life interventions — protecting kids from abuse, helping families feel connected, supporting children's health — could reduce suffering for millions of people down the road. For policymakers, public health leaders, and anyone who works with children, this study suggests that investing in kids' safety, health, and family relationships isn't just about childhood well-being. It may be one of the most practical ways to reduce suffering in the adult population. The findings also highlight the need for country-specific approaches, since the pattern of risk and protective factors varied somewhat across nations.

Creating safe and nurturing environments for children is one of our most effective long-term strategies for a healthier society.

§3

The Story

What happens to us as kids doesn't just stay in childhood. Researchers looked at data from over 200,000 adults across 22 countries to see if certain childhood experiences were connected to suffering later in life. They asked people about things like their family life, health, finances, and whether they experienced abuse growing up — and then asked how much they were suffering now.

The pain and security we experience as children do not just disappear; they echo throughout our lives, shaping our adult well-being.

The results were striking. People who were abused as children were 27% more likely to report suffering as adults. Those who felt like outsiders in their own families were 20% more likely to suffer later. On the flip side, people who had excellent health as kids, a good relationship with their father, or a family that lived comfortably financially were less likely to suffer in adulthood.

The childhood abuse connection was especially powerful — it showed up in 20 out of 21 countries studied. That's about as close to universal as you get in research spanning cultures this diverse. The study also found that women were slightly more likely to report suffering than men. While the patterns were generally similar across countries, there were some differences, suggesting that local culture and context matter too. The big takeaway?

Childhood experiences — both the painful ones and the supportive ones — leave a mark that can be felt decades later.

Figure
1.27x
Childhood Abuse and Adult Suffering

Individuals who experienced abuse during childhood were 1.27 times more likely to report suffering in adulthood.

Figure
20/21
Cross-National Consistency of Abuse

Childhood abuse was associated with higher adult suffering in 20 of the 21 countries where it was assessed.

Figure
1.20x
Family Outsider and Adult Suffering

Those who felt like an outsider in their family when growing up were 1.20 times more likely to suffer in adulthood.

Figure
14%
Prevalence of Childhood Abuse

About 14% of participants across the 22 countries reported experiencing physical or sexual abuse when growing up.

Figures
1.27x
Childhood Abuse and Adult Suffering

Individuals who experienced abuse during childhood were 1.27 times more likely to report suffering in adulthood.

20/21
Cross-National Consistency of Abuse

Childhood abuse was associated with higher adult suffering in 20 of the 21 countries where it was assessed.

1.20x
Family Outsider and Adult Suffering

Those who felt like an outsider in their family when growing up were 1.20 times more likely to suffer in adulthood.

14%
Prevalence of Childhood Abuse

About 14% of participants across the 22 countries reported experiencing physical or sexual abuse when growing up.

§4

Reader Questions

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Research Details
& Citation

Chat with this paper
Published
2025
Journal
Communications Medicine
Participants
202,898
Countries
22
Cite this paper
Cowden, R. G., Chen, Z. J., Wilkinson, R., Weziak-Bialowolska, D., Breedlove, T., Gundersen, C., Shiba, K., Padgett, R. N., Johnson, B. R., & VanderWeele, T. J. (2025). Childhood predictors of suffering in adulthood across 22 countries. Communications Medicine, 5(1). https://doi.org/10.1038/s43856-025-00913-8
Tags
sufferingchildhoodrelationship-qualitymental-healthchildhood-health
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