Edith Chen

John D. and Catherine T. MacArthur Chair and Professor of Psychology | IPR Fellow


Edith Chen’s research seeks to understand why poverty is associated with poor physical health outcomes in children, with a focus on the psychological and biological mechanisms that explain these relationships. She is also interested in questions of resilience—that is, why some children who come from adversity manage to thrive and maintain good profiles of health.

For her research, Chen has received honors including the American Psychological Association’s Distinguished Scientific Award for Early Career Contribution to Health Psychology, the Young Investigator Award from the Society of Behavioral Medicine, and the Donald K. Routh Early Career Award from the Society of Pediatric Psychology.

Prior to coming to Northwestern, Chen was the Canada Research Chair in Health and Society at the University of British Columbia, and she has also been a fellow at the Center for Advanced Study in the Behavioral Sciences at Stanford University.

Current Research

Foundations of Health Research Center. Low socioeconomic status (SES) has consistently been linked to poor physical health outcomes for both children and adults—they are two times more likely to be hospitalized, 1.8 times more likely to be in poor health, and 1.5 times more likely to die than their higher- SES peers. These are not just an effect of poverty: Across the SES spectrum as SES declines, health outcomes worsen. A team led by Edith Chen and Greg Miller is investigating the relationship between SES and health effects. To this end, Chen and Miller have established the Foundations of Health Research Center at Northwestern, to explore the relationship between social factors and physical health across the life span in children and adults. The center conducts numerous studies that link the social world to disease outcomes, several of which are described below. 

Socioeconomic Status and Asthma. This project seeks to identify multilevel contributors to asthma disparities in youth. Specifically, Chen and her colleagues seek to explain why youth with low socioeconomic status (SES) experience worse asthma outcomes through identifying both social and physical environment factors at the neighborhood and family levels, as well as individual psychological factors that contribute to asthma morbidity. Simultaneously, the researchers are attempting to link these factors to multiple levels biologically—at the organ, cellular, and genomic levels—to create plausible explanations of how broader contextual factors can alter biological pathways that lead to worse cases of clinical asthma in youth.

Resilience in Youth. Confronting adversity typically leads to worse health outcomes, so how is it that some youth who confront adverse events such as growing up in low-SES circumstances remain in good health? Chen and her colleagues are interested in understanding this subgroup of youth by characterizing the youths’ psychosocial environments and qualities that could contribute to the promotion of long-term resilience in their physical health. In this research, she focuses on factors such as coping strategies and social networks.

Mentoring and Health. At-risk youth benefit from having mentors, but these effects have largely been studied in the academic and behavioral domains. Chen and her team are interested in expanding this focus to physical health and testing whether mentors can improve cardiovascular risk profiles among low-SES mentees. In addition, helping others has been found to have benefits for physical health as well.  The researchers are investigating whether serving as a mentor can have benefits for cardiovascular profiles among low-SES youth mentors.

Skin-Deep Resilience. Chen and her colleagues find that there are some limits to resilience. For minority youth exposed to high levels of economic hardship but who show high levels of striving, positive academic and behavioral profiles are noted, but at the same time these youth also show risky physiological profiles, a phenomenon these researchers have labeled “skin-deep resilience.” Chen and her colleagues are developing studies to better understand the factors that contribute to skin-deep resilience.

Selected Publications

Journal Articles and Book Chapters

Chen, E., G. Miller, T. Yu and G. Brody. 2018. Unsupportive parenting moderates the effects of family psychosocial intervention on metabolic syndrome in African American youthInternational Journal of Obesity 42(4): 634–40. 

Gaydosh, L., K. Schorpp, E. Chen, G. Miller, and K. Harris. 2018. College completion predicts lower depression but higher metabolic syndrome among disadvantaged minorities in young adulthoodProceedings of the National Academy of Sciences 115(1): 109–14. 

Chen, E., G. Brody, and G. Miller. 2017. Childhood close family relationships and healthAmerican Psychologist 72(6): 555–66.

Chen, E., M. Shalowitz, R. Story, K. Ehrlich, E. Manczak, P. Ham, V. Le, and G. Miller. 2017. Parents’ childhood socioeconomic circumstances are associated with their children’s asthma outcomesJournal of Allergy and Clinical Immunology 140(3): 828–35.

Brody, G., T. Yu, E. Chen, and G. Miller. 2017. Family-centered prevention ameliorates the association between adverse childhood experiences and prediabetes status in young Black adults. Preventive Medicine 100:117–22.

Chen, E., N. Turiano, D. Mroczek, and G. Miller. 2016. Reports of childhood abuse associated with all-cause mortality rates in womenJAMA Psychiatry 73(9): 920–27.          

Brody, G., T. Yu, G. Miller, and E. Chen. 2016.  Resilience in adolescence, health, and psychosocial outcomesPediatrics 138: e20161042.

Chen, E., G. Miller, T. Yu, and G. Brody. 2016. The Great Recession and health risks in African American youthBrain, Behavior, and Immunity 53: 234-241.

Manczak, E., A. DeLongis, and E. Chen. 2016. Does empathy have a cost? Diverging psychological and physiological effects within familiesHealth Psychology 35: 211-218.

Miller, G., T. Yu, E. Chen, and G. Brody. 2015. Self-control forecasts better psychosocial outcomes but faster epigenetic aging in low-SES youthProceedings of the National Academy of Sciences 112(33): 10325–30.

Chen, E., K. McLean, and G. Miller. 2015. Shift-and-persist strategies: Associations with socioeconomic status and the regulation of inflammation among adolescents and their parentsPsychosomatic Medicine 77:371–82.

Chen, E., G. Miller, G. Brody, and M. Lei. 2015. Neighborhood poverty, college attendance, and diverging profiles of substance use and allostatic load in rural, African American youthClinical Psychological Science 3: 675-685.

Miller, G., G. Brody, T. Yu, and E. Chen. 2014.  Mitigating the effects of childhood disadvantage: Family-oriented intervention reduces inflammation in low-SES African American youth. Proceedings of the National Academy of Sciences 111(31):11287–92.

Schreier, H., L. Roy, L. Frimer, and E. Chen. 2014.  Family chaos and adolescent inflammatory profiles: The moderating role of socioeconomic status. Psychosomatic Medicine 76(6): 460–67.    

Schreier, H., and E. Chen. 2013. Socioeconomic status and the health of youth: A multi-level multi-domain approach to conceptualizing pathways. Psychological Bulletin 139(3): 606–54.

Schreier, H., K. Schonert-Reichl, and E. Chen. 2013. Effect of volunteering on risk for cardiovascular disease in adolescents: A randomized control trial. JAMA Pediatrics 167(4): 327–32.

Chen, E., W. Lee, L. Cavey, and A. Ho. 2013. Role models and the psychological characteristics that buffer low socioeconomic status youth from cardiovascular risk. Child Development 84(4): 1241–52.

Brody, G., T. Yu, E. Chen, G. Miller, S. Kogan, and S. Beach. 2013. Is resilience only skin deep?  Rural African Americans’ socioeconomic status-related risk and competence in preadolescence and psychological adjustment and allostatic load at age 19. Psychological Science 24(6): 1285–93.

Chen, E., and G. Miller. 2012. "Shift-and-persist” strategies: Why being low in socioeconomic status isn’t always bad for health. Perspectives on Psychological Science 7(2): 135–58.

Chen, E. 2012. Protective factors for health among low socioeconomic status individuals. Current Directions in Psychological Science 21(3): 189–93.

Chen, E., R. Strunk, A. Trethewey, H. Schreier, N. Maharaj, and G. Miller. 2011. Resilience in low socioeconomic status children with asthma: Adaptations to stressJournal of Allergy and Clinical Immunology 128(5): 970–76.

Chen, E., G. E. Miller, M. Kobor, and S. Cole. 2011. Maternal warmth buffers the effects of low early life socioeconomic status on pro-inflammatory signaling in adulthoodMolecular Psychiatry 16(7): 729–37.

Miller, G. E., E. Chen, and K. Parker. 2011. Psychological stress in childhood and susceptibility to the chronic diseases of aging: Moving towards a model of behavioral and biological mechanismsPsychological Bulletin 137(6):959–97.

Chen, E., S. Cohen, and G. E. Miller. 2010. How low socioeconomic status affects 2-year hormonal trajectories in childrenPsychological Science 21(1): 31–37.

Chen, E., R. Strunk, L. Bacharier, M. Chan, and G. E. Miller 2010. Socioeconomic status associated with exhaled nitric oxide responses to acute stress in children with asthmaBrain, Behavior, and Immunity 24(3): 444-50.

Schreier, H. M., and E. Chen. 2010. Longitudinal relationships between family routines and biological profiles among youth with asthmaHealth Psychology 29(1): 82-90.