“…Children who experience high levels of unpredictability learn to focus on short-term rather than long-term rewards (Frankenhuis & Nettle, 2020 ; Frankenhuis et al, 2016 ) and this focus can cause people who were exposed to unpredictable childhood environments to make impulsive decisions (Ellis et al, 2012 ; Hartman et al, 2018 ; Martinez et al, 2022 ), and to engage in health risk behaviors such as substance use (Doom et al, 2016 ; Simpson et al, 2012 ), risky sexual behavior (Ellis et al, 2012 ), and unhealthy dietary choices (Maner et al, 2017 ). Neuroendocrine pathways include influences on corticolimbic circuitry (Gee & Cohodes, 2021 ; Liu & Fisher, 2022 ) and the hypothalamic-pituitary adrenal axis (Zakreski & Pruessner, 2019 ), chronic alterations of which are associated with chronic disease risk, anxiety, and mortality (Schoorlemmer et al, 2009 ). Future work would benefit from assessing more directly the pathways through which childhood unpredictability may affect adult health outcomes.…”