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A long-term study from the University of Virginia suggests that hostile relationships during adolescence — especially repeated conflict with fathers and aggressive interactions with close friends — may speed up biological aging and increase health risks in adulthood.
How the 17-year study tracked young lives into adulthood
Researchers led by Dr. Joseph Allen followed 123 young people from age 13 across 17 years, beginning in 1998. The sample included 46 males and 75 females. Participating teens were repeatedly evaluated along with their close friends and parents to measure interpersonal behavior and ongoing conflict patterns. At age 30, researchers assessed biological health using a composite index that combined biomarkers: cholesterol, blood pressure, glucose, white blood cell counts, markers of inflammation, and certain proteins linked to chronic disease risk.
Key findings: father conflict and persistent aggression matter
The team found a clear association: teens who experienced frequent conflict with close friends and, more strongly, those who had continued struggles in communicating with their fathers showed signs of accelerated biological aging by their 30s. According to the university, a paper describing these results will appear in the Journal of Health Psychology in late November. Dr. Allen summarized the pattern, noting that two consistent behaviors — ongoing conflict with fathers in late adolescence and repeated punitive or aggressive behavior toward friends during the twenties — correlated with the biological risk index used by the study.

Why father-child conflict can have a bigger impact
Investigators suggest several mechanisms. Chronic interpersonal stress can trigger prolonged activation of the body’s stress systems, driving inflammatory processes and metabolic changes that raise cardiovascular risk over time. Dr. Allen pointed out that arguments with fathers sometimes carry more intense emotional or physical threat for adolescents than similar conflicts with mothers. Even when physical harm does not occur, a loud, intimidating paternal presence may produce stronger fear responses and longer-lasting physiological effects.
Implications for families, clinicians and public health
The findings reinforce earlier research linking early-life relational stress to adult heart and metabolic disease. They imply that improving communication in the family and addressing aggressive patterns among peers are potential targets for interventions aimed at reducing long-term health risk. For clinicians, screening for chronic family conflict and adolescent aggression could help identify individuals at higher risk for future cardiovascular and inflammatory conditions. For parents, the study is a reminder that emotional climate and conflict resolution during teenage years can shape more than behavior — they can shape long-term health.
Practical takeaways
- Persistent interpersonal conflict in adolescence is associated with measurable biological risk by age 30.
- Conflict with fathers showed particularly strong links to later health markers in this cohort.
- Early interventions that reduce aggressive behavior and improve family communication could lower adult disease risk.
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