JGZ Tijdschrift voor jeugdgezondheidszorg

, Volume 51, Issue 6, pp 174–176 | Cite as

Strong children and adolescents: healthy nation! About Early Life Stress and Prevention

The 2019 Rotterdam EUSUHM Declaration on youth health care in Europe
  • Y. VannesteEmail author
  • F. Pijpers
  • H. Sachse
  • W. Mulder
  • M. Kamphuis

We, the representatives of the member organisations of the European Union for School and University Health and Medicine (EUSUHM), participating in the 20th European Congress of EUSUHM, entitled ‘Changing contexts: influencing youth and their surroundings’ in Rotterdam, Netherlands, from 11–13 September 2019, recognize that: To prevent physical and mental illnesses later in life, Youth Health Care (YHC) is committed to detecting and reducing chronic stress during childhood development, referred to as Early Life Stress.

Stress is necessary, chronic stress is harmful

Stress is a necessary response to a challenge or a threat (stressor) that could disturb our internal balance. In that way, stress is functional and even a necessity for the growth and development of children and adolescents. Stress is the ‘Spice of Life’, as Selye wrote already 70 years ago [1]. However, if the stress system is activated repeatedly and never gets the chance to settle, chronic stress will arise. Chronic...


  1. 1.
    Selye H. Stress without distress. New York: Signet; 1975.Google Scholar
  2. 2.
    Shonkoff JP, Garner AS, Committee on Psychosocial Aspects of Child and Family Health, & Committee on Early Childhood, Adoption, and Dependent Care. The lifelong effects of early childhood adversity and toxic stress. Pediatrics. 2012;129:e232–46.CrossRefGoogle Scholar
  3. 3.
    McEwen BS. Redefining neuroendocrinology: epigenetics of brain-body communication over the life course. Front Neuroendocrinol. 2018;4:8–30.CrossRefGoogle Scholar
  4. 4.
    National Scientific Council on the Developing Child. Excessive stress disrupts the architecture of the developing brain. Working Paper 3. 2014.Google Scholar
  5. 5.
    Middlebrooks JS, Audage NC. The effects of childhood stress on health across the lifespan. Atlanta: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control; 2008.Google Scholar
  6. 6.
    McEwen BS. Central role of the brain in stress and adaptation: allostasis, biological embedding, and cumulative change. In: Fink G, editor. Stress: concepts, cognition, emotion, and behavior. Handbook of stress vol. 1. Amsterdam: Academic Press; 2017.Google Scholar
  7. 7.
    Shalev I, Moffit TE, Sugden K, Williams B, Houts RM, Danese A, et al. Exposure to violence during childhood is associated with telomere erosion from 5 to 10 years of age: longitudinal study. Mol Psychiatry. 2013;18:576–81.CrossRefGoogle Scholar
  8. 8.
    Britto PR, Lye SJ, Proulx K, Yousafza AK, Matthews SG, Vaivada T. The early childhood development interventions review group, for the lancet early childhood development series steering committee. Nurturing care: promoting early childhood development. Lancet. 2017;389:91–102.CrossRefGoogle Scholar
  9. 9.
    Roseboom T. De eerste 100 dagen. Utrecht: De Tijdstroom; 2018.Google Scholar
  10. 10.
    Shonkoff JP, Garner AS. Committee on psychosocial aspects of child and family health, committee on early childhood, adoption, and dependent care. The lifelong effects of early childhood adversity and toxic stress. Pediatrics. 2012;129:e232–46.CrossRefGoogle Scholar
  11. 11.
    Smyth E. Pupil performance, absenteeism and school drop-out: a multi-dimensional analysis. Sch Eff Sch Improv. 1999;10:480–502.CrossRefGoogle Scholar
  12. 12.
    Morrow AS, Villodas MT. Direct and indirect pathways from adverse childhood experiences to high school dropout among high-risk adolescents. J Res Adolesc. 2018;28:327–41.CrossRefGoogle Scholar
  13. 13.
    Pasco Fearon RM, Groh AM, Bakermans-Kranenburg MJ, van IJzendoorn MH, Roisman GI. Attachment and developmental psychopathology. In: Cicchetti D, editor. Developmental Psychology. New York: Wiley; 2016. pp. 325–85.Google Scholar
  14. 14.
    Kok R, Thijssen S, Bakermans-Kranenburg MJ, Jaddoe VWV, Verhulst FC, White T, et al. Normal variation in early parental sensitivity predicts child structural brain development. J Am Acad Child Adolesc Psychiatry. 2015;54:824–31.CrossRefGoogle Scholar
  15. 15.
    Turecki G, Meaney MJ. Effects of the social environment and stress on glucocorticoid receptor gene methylation: a systematic review. Biol Psychiatry. 2016;79(2):87–96.CrossRefGoogle Scholar
  16. 16.
    Stevens G, van Dorsselaer S, Boer M, de Roos S, Duinhof E, ter Bogt T, et al. HBSC 2017: gezondheid en welzijn van jongeren in Nederland. Utrecht: Universiteit Utrecht; 2018.Google Scholar
  17. 17.
    Kavanaugh B, Holler K, Selke G. A neuropsychological profile of childhood maltreatment within an adolescent inpatient sample. Appl Neuropsychol Child. 2015;4(1):9–19.CrossRefGoogle Scholar
  18. 18.
    De Bellis MD, Zisk A. The biological effects of childhood trauma. Child Adolesc Psychiatr Clin N Am. 2014;23(2):185–222.CrossRefGoogle Scholar
  19. 19.
    Gunnar MR, Brodersen L, Nachmias M, Buss K, Rigatuso J. Stress reactivity and attachment security. Dev Psychobiol. 1996;29(3):191–204.CrossRefGoogle Scholar
  20. 20.
    Zeegers MAJ, Colonnesi C, Stams GJM, Meins E. Mind matters: a meta-analysis on parental mentalization and sensitivity as predictors of infant-parent attachment. Psychol Bull. 2017;143(12):1245–72.CrossRefGoogle Scholar
  21. 21.
    Zeegers MAJ, de Vente W, Nikolić M, Majdandžić M, Bögels SM, Colonnesi C. Mothers’ and fathers’ mind-mindedness influences physiological emotion regulation of infants across the first year of life. Dev Sci. 2018;21(6):e12689.CrossRefGoogle Scholar
  22. 22.
    van IJzendoorn MH. Opvoeding over de grens. Gehechtheid, trauma en veerkracht. Meppel: Boom; 2008.Google Scholar
  23. 23.
    Alvord MK, Grados JJ. Enhancing resilience in children: a proactive approach. Prof Psychol. 2005;36(3):238–45.CrossRefGoogle Scholar
  24. 24.
    Arslan G. Psychological maltreatment, emotional and behavioral problems in adolescents: the mediating role of resilience and self-esteem. Child Abuse Negl. 2016;52:200–9.CrossRefGoogle Scholar
  25. 25.
    Dumont M, Provost MA. Resilience in adolescents: protective role of social support, coping strategies, self-esteem, and social activities on experience of stress and depression. J Youth Adolesc. 1999;28(3):343–63.CrossRefGoogle Scholar
  26. 26.
    Luthar SS. Resilience at an early age and its impact on child psychosocial development. In: Masten AS, Tremblay RE, Barr RG, Peters R, editors. Encyclopedia on early childhood development. 2nd ed. Montreal: Centre of Excellence for Early Childhood Development; 2013. pp. 1–5.Google Scholar
  27. 27.
    Luthar SS, Crossman EJ, Small PJ. Resilience and adversity. In: Lerner RM, Lamb ME, editors. Handbook of child psychology and developmental science. 7th ed. New York: Wiley; 2015. pp. 247–86.Google Scholar
  28. 28.
    Tiet QQ, Bird HR, Davies M, Hoven C, Cohen P, Jensen PS, et al. Adverse life events and resilience. J Am Acad Child Adolesc Psychiatry. 1998;37(11):1191–200.CrossRefGoogle Scholar
  29. 29.
    Fonagy P, Gergely G, Jurist EL, Target M. Affect regulation, mentalization and the development of the self. New York: Other Press; 2002.Google Scholar
  30. 30.
    Center on the Developing Child at Harvard University. From best practices to breakthrough impacts: a science-based approach to building a more promising future for young children and families. Cambridge: Center on the Developing Child; 2016.Google Scholar

Copyright information

© Bohn Stafleu van Loghum is een imprint van Springer Media B.V., onderdeel van Springer Nature 2019

Authors and Affiliations

  • Y. Vanneste
    • 1
    Email author
  • F. Pijpers
  • H. Sachse
  • W. Mulder
  • M. Kamphuis
  1. 1.Nederlands Centrum JeugdgezondheidUtrechtThe Netherlands

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