Children's implicit understanding of the stress-illness link: Testing development of health cognitions.

Findings support a combination of developmental stage theory and the innate theory of children's understanding. Whilst sample size is small, this study is the first to apply the PSIAT to the context of implicit cognitive associations between stress and illness in children. Findings have potential implications for the delivery of interventions to facilitate health promotion and development of positive health behaviours in children and indicate that even children as young as 5-6 years have some ability to relate to the concept that stress may influence illness. Statement of contribution What is already known on this subject? The way in which children understand health and illness is commensurate with their developmental stage and experience of illness. Children also appear to have a degree of innate understanding of health and illness and their causes. Furthermore, recent work suggests children have some innate understanding and knowledge of the concept of stress. What does this study add? This is the first study to use an implicit association task to assess children's understanding of stress and illness. Implicit stress-illness associations were seen in children as young as 5-6 years of age. Whilst sample size was small, this proof-of-concept study bridges disciplines to further understanding of health.