Cited by 341Child Abuse and TraumaPsychopathy, Forensic Psychiatry, Sexual OffendingChild Welfare and Adoption

Corticostriatal-limbic gray matter morphology in adolescents with self-reported exposure to childhood maltreatment

Open access
Edmiston, Erin E.·2011·Archives of Pediatrics & Adolescent Medicine

Abstract

OBJECTIVE: To study the relationship between self-reported exposure to childhood maltreatment (CM) and cerebral gray matter (GM) morphology in adolescents without psychiatric diagnoses. DESIGN: Associations were examined between regional GM morphology and exposure to CM (measured using a childhood trauma self-report questionnaire for physical, emotional, and sexual abuse and for physical and emotional neglect). SETTING: University hospital. PARTICIPANTS: Forty-two adolescents without psychiatric diagnoses. MAIN OUTCOME MEASURES: Correlations between childhood trauma self-report questionnaire scores and regional GM volume were assessed in voxel-based analyses of structural magnetic resonance images. Relationships among GM volume, subtypes of exposure to CM, and sex were explored. RESULTS: Childhood trauma self-report questionnaire total scores correlated negatively (P < .005) with GM volume in prefrontal cortex, striatum, amygdala, sensory association cortices, and cerebellum. Physical abuse, physical neglect, and emotional neglect were associated with rostral prefrontal reductions. Decreases in dorsolateral and orbitofrontal cortices, insula, and ventral striatum were associated with physical abuse. Decreases in cerebellum were associated with physical neglect. Decreases in dorsolateral, orbitofrontal, and subgenual prefrontal cortices, striatum, amygdala, hippocampus, and cerebellum were associated with emotional neglect. Decreases in the latter emotion regulation regions were also associated with childhood trauma self-report questionnaire scores in girls, while caudate reductions (which may relate to impulse dyscontrol) were seen in boys. CONCLUSIONS: Exposure to CM was associated with corticostriatal-limbic GM reductions in adolescents. Even if adolescents reporting exposure to CM do not present with symptoms that meet full criteria for psychiatric disorders, they may have corticostriatal-limbic GM morphologic alterations that place them at risk for behavioral difficulties. Vulnerabilities may be moderated by sex and by subtypes of exposure to CM.

Integrity signals

Registry

Crossref · 10.1001/archpediatrics.2011.565

Cites

123 of 123 references verified0 citation errors · 0 not checkable

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Claims the paper makes

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  • Findingown data

    In females, emotion regulation regions were associated with Childhood Trauma Questionnaire scores.

    “These latter emotion regulation regions were also associated with childhood trauma questionnaire scores in females”
    • Also stated in: § RESULTS · plain
      “In females, CTQ total scores were inversely correlated with volume in right RPFC (BA10), bilateral OFC (BA11/47), bilateral sgPFC (BA25/32), bilateral amygdala and hippocampus, right insula, bilateral temporal association cortex (BA20/21/38), bilateral fusiform gyrus (BA20)”
    Quote in the paperSubstantial claim
  • Findingown data

    In males, total Childhood Trauma Questionnaire scores were inversely correlated with gray matter volume in bilateral caudate, bilateral temporoparietal cortex, and left temporo-occipital association cortex.

    “In males, CTQ total scores were inversely correlated with volume in bilateral caudate, bilateral temporoparietal cortex (BA37/40) and left temporo-occipital association cortex (BA37/19)”
    Quote in the paperSubstantial claim
  • Findingown data

    All but six participants reported some form of childhood maltreatment, defined as a score of five or more on any of the five Childhood Trauma Questionnaire subtype scores.

    “All but six participants reported some form of CM, defined as a score of five or more on any of the five CM subtype scores.”
    Quote in the paperSubstantial claim
  • Findingown data

    Physical abuse was associated with gray matter volume decreases in dorsolateral prefrontal cortex, orbitofrontal cortex, insula, and ventral striatum.

    “Additionally, decreases in dorsolateral and orbitofrontal cortices, insula, and ventral striatum were associated with physical abuse”
    • Also stated in: § RESULTS · plain
      “physical abuse with left DLPFC (BA46/9), left RPFC (BA10), right orbitofrontal cortex (OFC) (BA47), and right ventral striatum, right insula and right temporal association cortex (BA20/21)”
    Quote in the paperSubstantial claim
  • Findingown data

    Total Childhood Trauma Questionnaire scores were inversely correlated with gray matter volume in prefrontal cortex, striatum, amygdala, sensory association cortices, and cerebellum at a significance level of p<0.005.

    “Total childhood trauma questionnaire scores correlated negatively (p<0.005) with gray matter volumes in prefrontal cortex, striatum, amygdala, sensory association cortices and cerebellum.”
    • Also stated in: § RESULTS · plain
      “Total CTQ scores showed a significant inverse correlation with GM volume in bilateral dorsolateral prefrontal cortex (DLPFC) [Brodmann's Area (BA) 46/9], bilateral rostral prefrontal cortex (RPFC) (BA10), left subgenual PFC (sgPFC) (BA25), bilateral striatum and right amygdala”
    Quote in the paperSubstantial claim
  • May combine two claims. 23
  • The quote only partly states this claim. 3
  • Classified as probably not a substantial claim. 14
  • May combine two claims.

    Findingown data

    In males, there was a trend toward an inverse association between total Childhood Trauma Questionnaire scores and left rostral prefrontal cortex volume, with a cluster size of 44 voxels below the study threshold.

    “There was a trend towards an inverse association with left RPFC (BA10); the cluster size was beneath the study threshold at 44 voxels.”
    Quote in the paperNot a substantial claim
  • May combine two claims. The quote only partly states this claim.

    Findingown data

    In females, total Childhood Trauma Questionnaire scores were inversely correlated with gray matter volume in right rostral prefrontal cortex, bilateral orbitofrontal cortex, bilateral subgenual prefrontal cortex, bilateral amygdala and hippocampus, right insula, bilateral temporal association cortex, bilateral fusiform gyrus, right temporo-occipital association cortex, left occipital association

    “In females, CTQ total scores were inversely correlated with volume in right RPFC (BA10), bilateral OFC (BA11/47), bilateral sgPFC (BA25/32), bilateral amygdala and hippocampus, right insula, bilateral temporal association cortex (BA20/21/38), bilateral fusiform gyrus (BA20)”
    Quote in the paperSubstantial claim
  • May combine two claims. The quote only partly states this claim.

    Findingown data

    Emotional neglect subscale scores were inversely associated with gray matter volumes in bilateral dorsolateral prefrontal cortex, bilateral rostral prefrontal cortex, bilateral dorsal anterior cingulate cortex, right superior frontal gyrus, right orbitofrontal cortex, bilateral subgenual prefrontal cortex, bilateral striatum, bilateral amygdala and hippocampus, left parietal association cortex,

    “emotional neglect with bilateral DLPFC (BA46/9), bilateral RPFC (BA10), bilateral dorsal anterior cingulate cortex (BA24/32), right superior frontal gyrus (BA8), right OFC (BA47), bilateral sgPFC (BA25), bilateral striatum, bilateral amygdala and hippocampus”
    Quote in the paperSubstantial claim
  • The quote only partly states this claim.

    Findingown data

    Total Childhood Trauma Questionnaire scores showed significant inverse correlations with gray matter volume in bilateral dorsolateral prefrontal cortex, bilateral rostral prefrontal cortex, left subgenual prefrontal cortex, bilateral striatum, right amygdala, left parietal association cortex, right temporoparietal association cortex, bilateral temporal cortex, right fusiform gyrus, bilateral occip

    “Total CTQ scores showed a significant inverse correlation with GM volume in bilateral dorsolateral prefrontal cortex (DLPFC) [Brodmann's Area (BA) 46/9], bilateral rostral prefrontal cortex (RPFC) (BA10), left subgenual PFC (sgPFC) (BA25), bilateral striatum and right amygdala”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Physical abuse, physical neglect, and emotional neglect were each associated with reductions in rostral prefrontal cortex gray matter.

    “Physical abuse, physical neglect and emotional neglect were associated with rostral prefrontal reductions.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Study design and conductown data

    Females and males did not differ significantly in age, Childhood Trauma Questionnaire total scores, or Childhood Trauma Questionnaire subscale scores.

    “Females and males did not differ significantly in age, CTQ total or CTQ subscale scores.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    These morphological changes are associated with behavioral changes, including increased impulsive, anxious, and depressive behaviors.

    “These morphological changes are associated with behavioral changes, including increased impulsive, anxious and depressive behaviors.49,55–57”
    Quote in the paperNot a substantial claim0 of 4 sources checked
    • cites [49] Sciolino NR Bortolato M Eisenstein SA Social isolation and chronic handling alter endocannabinoid signaling and behavioral reactivity to context in adult rats Neuroscience 2010 168 371 386 20394803 PMC2882942

      Not checked in the free run.

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      Not checked in the free run.

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      Not checked in the free run.

    • cites [57] Kikusui T Mori Y Behavioural and neurochemical consequences of early weaning in rodents J Neuroendocrinol 2009 21 427 431 19207810

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    Findings in females were in regions associated with emotional regulation, while findings in males were in regions subserving impulse control.

    “Findings in females were in regions associated with emotional regulation, whereas in males with regions subserving impulse control.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    The rostral prefrontal cortex is associated with behavioral control functions including directing attention, decision-making, response inhibition, and emotional regulation.

    “The RPFC is associated with behavioral control functions including directing attention, decision-making, response inhibition and emotional regulation.60–63”
    Quote in the paperSubstantial claim0 of 4 sources checked
    • cites [60] Christoff K Prabhakaran V Dorfman J Rostrolateral prefrontal cortex involvement in relational integration during reasoning NeuroImage 2001 14 1136 1149 11697945

      Not checked in the free run.

    • cites [61] Burgess PW Gilbert SJ Dumontheil I Function and localization within rostral prefrontal cortex (area 10) Philos Trans R Soc Lond B Biol Sci 2007 362 887 899 17403644 PMC2430004

      Not checked in the free run.

    • cites [62] Miller EK Cohen JD An integrative theory of prefrontal cortex function Annu Rev Neurosci 2001 24 167 202 11283309

      Not checked in the free run.

    • cites [63] Wager TD Davidson ML Hughes BL Lindquist MA Ochsner KN Prefrontal-subcortical pathways mediating successful emotion regulation Neuron 2008 59 1037 1050 18817740 PMC2742320

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Dorsolateral prefrontal cortex functions overlap with rostral prefrontal cortex functions and include working memory, cognitive reappraisal of affective experience, and behavioral planning.

    “DLPFC functions overlap RPFC functions, and include working memory, cognitive reappraisal of affective experience and behavioral planning.64–68”
    Quote in the paperNot a substantial claim0 of 5 sources checked
    • cites [64] Levy R Goldman-Rakic PS Segregation of working memory functions within the dorsolateral prefrontal cortex Exp Brain Res 2000 133 23 32 10933207

      Not checked in the free run.

    • cites [65] Goldin PR McRae K Ramel W Gross JJ The neural bases of emotion regulation: reappraisal and suppression of negative emotion Biol Psychiatry 2008 63 577 586 17888411 PMC2483789

      Not checked in the free run.

    • cites [66] Koechlin E Corrado G Pietrini P Grafman J Dissociating the role of the medial and lateral anterior prefrontal cortex in human planning Proc Natl Acad Sci U S A 2000 97 7651 7656 10852964 PMC16600

      Not checked in the free run.

    • cites [67] Mansouri FA Tanaka K Buckley MJ Conflict-induced behavioural adjustment: a clue to the executive functions of the prefrontal cortex Nat Rev Neurosci 2009 10 141 152 19153577

      Not checked in the free run.

    • cites [68] Ochsner KN Bunge SA Gross JJ Gabrieli JD Rethinking feelings: an FMRI study of the cognitive regulation of emotion J Cogn Neurosci 2002 14 1215 1229 12495527

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  • May combine two claims.

    Interpretationown data

    Exploratory analyses support prominent rostral prefrontal cortex volume reductions common across physical abuse, physical neglect, and emotional neglect subtypes, plus additional regional decreases in the subtypes.

    “Results of exploratory analyses, while preliminary, support prominent reductions in RPFC volume common across physical abuse, physical neglect and emotional neglect CM subtypes, as well as patterns of additional regional volume decreases in the CM subtypes.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The prefrontal cortex is one of the brain regions most vulnerable to stress in animal models, showing stress-related decreases in dendritic length, branching, and spine densities.

    “The PFC is one of the brain regions most vulnerable to stress in animal models, showing stress-related decreases in dendritic length, branching and spine densities.3, 48,50.59”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites 3, 48,50.59

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Acute effects of stress on corticostriatal-limbic morphology in basic models include epigenetic effects on the hypothalamic-pituitary-adrenal axis, dysregulated neurotransmitter and intracellular signaling, and reductions in neurotrophic factors and neurogenesis.

    “acute effects of stress on corticostriatal-limbic morphology demonstrated in the basic models include epigenetic effects on the hypothalamic-pituitary-adrenal (HPA) axis, dysregulated functioning of neurotransmitter and intracellular signaling pathways, as well as reductions in neurotrophic factors and neurogenesis.3,50–54”
    Quote in the paperNot a substantial claim0 of 6 sources checked
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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Timing and duration of childhood maltreatment exposure may influence gray matter differences.

    “Timing and duration of CM exposure may influence GM differences.110”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [110] Tottenham N Sheridan MA A review of adversity, the amygdala and the hippocampus: a consideration of developmental timing Frontiers in Human Neuroscience 2010 3 1 18 PMC2813726 20161700

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Adolescence is a particularly vulnerable time for the development of mood, anxiety, and addictive disorders, and childhood maltreatment has been linked to increased vulnerability to these disorders.

    “Adolescence is a particularly vulnerable time for the development of mood, anxiety and addictive disorders and CM has been linked to increased vulnerability to these disorders.25,69,117–119”
    Quote in the paperSubstantial claim0 of 5 sources checked
    • cites [25] Spinhoven P Elzinga BM Hovens JG The specificity of childhood adversities and negative life events across the life span to anxiety and depressive disorders J Affect Disord 2010 In Press 20304501

      Not checked in the free run.

    • cites [69] Ferry AT Ongur D An X Price JL Prefrontal cortical projections to the striatum in macaque monkeys: evidence for an organization related to prefrontal networks J Comp Neurol 2000 425 447 470 10972944

      Not checked in the free run.

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      Not checked in the free run.

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      Not checked in the free run.

    • cites [119] Colvert E Rutter M Beckett C Emotional difficulties in early adolescence following severe early deprivation: findings from the English and Romanian adoptees study Dev Psycopathol 2008 20 547 567 18423094

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Premisecitation

    It has been theorized that an individual's perception of neglect and/or maltreatment may be especially relevant in psychological and neuropsychological development.

    “it has been theorized that an individual's perception of the neglect and/or maltreatment may be especially relevant in the psychological and neuropsychological development of the child.116”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [116] Browne C Winkelman C The effect of childhood trauma on later psychological adjustment J Interpers Violence 2007 22 684 697 17515430

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Self-reports of childhood maltreatment have been shown previously to be reliable and may be sensitive to maltreatment that does not reach clinical awareness.

    “self-reports have been shown previously to be reliable and may be sensitive to CM that may not reach clinical awareness.41,42,114,115”
    Quote in the paperSubstantial claim0 of 4 sources checked
    • cites [41] Bernstein DP Stein JA Newcomb MD Development and validation of a brief screening version of the Childhood Trauma Questionnaire Child Abuse Negl 2003 27 169 190 12615092

      Not checked in the free run.

    • cites [42] Scher CD Stein MB Asmundson GJ McCreary DR Forde DR The childhood trauma questionnaire in a community sample: psychometric properties and normative data J Trauma Stress 2001 14 843 857 11776429

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    • cites [114] Fink LA Bernstein D Handelsman L Foote J Lovejoy M Initial reliability and validity of the childhood trauma interview: a new multidimensional measure of childhood interpersonal trauma Am J Psychiatry 1995 152 1329 1335 7653689

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    • cites [115] Bernstein DP Fink L Handelsman L Initial reliability and validity of a new retrospective measure of child abuse and neglect Am J Psychiatry 1994 151 1132 1136 8037246

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductreasoning

    Emotional neglect was the most frequently reported subtype; findings seen only within this subgroup may have resulted from greater power to detect differences.

    “emotional neglect was the most frequently reported subtype; findings seen only within this subgroup may have resulted from greater power to detect differences.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Pubertal hormones have organizing effects on the development of this system, and its development is sexually dimorphic.

    “Pubertal hormones have organizing effects on the development of this system, and its development has been shown to be sexually dimorphic.31,32,102”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites [31] Lenroot RK Gogtay N Greenstein DK Sexual dimorphism of brain developmental trajectories during childhood and adolescence NeuroImage 2007 36 1065 1073 17513132 PMC2040300

      Not checked in the free run.

    • cites [32] McEwen BS Permanence of brain sex differences and structural plasticity of the adult brain Proc Natl Acad Sci U S A 1999 96 7128 7130 10377379 PMC33584

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    • cites [102] McCormick CM Mathews IZ HPA function in adolescence: role of sex hormones in its regulation and the enduring consequences of exposure to stressors Pharmacol Biochem Behav 2007 86 220 233 16901532

      Not checked in the free run.

  • May combine two claims.

    Study design and conductreasoning

    Childhood Trauma Questionnaire ratings are limited by retrospective self-report and do not assess ages at which maltreatment occurred, making exploration of timing effects on brain development difficult.

    “CTQ ratings are limited by the use of retrospective self-reports and do not assess ages at which maltreatment occurred, making exploration of possible differential effects of the timing of maltreatment on brain development difficult.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationcitation

    Findings in sensory association regions are consistent with parietal alterations in adults reporting childhood maltreatment and borderline personality disorder and parietal/occipital alterations in PTSD, suggesting childhood maltreatment may alter perceptual integration through adulthood via gray matter changes.

    “Findings in these sensory association regions are consistent with parietal alterations found in adults reporting CM exposure and borderline personality disorder86 and parietal and occipital alterations in PTSD,87 suggesting CM may alter perceptual integration through adulthood via GM changes.”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [86] Irle E Lange C Sachsse U Reduced size and abnormal asymmetry of parietal cortex in women with borderline personality disorder Biol Psychiatry 2005 57 173 182 15652877

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    • cites [87] Bremner JD Vermetten E Vythilingam M Neural correlates of the classic color and emotional stroop in women with abuse-related posttraumatic stress disorder Biol Psychiatry 2004 55 612 620 15013830

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Animal models suggest estrogen may mediate stress sensitivity in prefrontal cortex and hippocampus.

    “Animal models suggest that estrogen may mediate stress sensitivity in PFC103 and hippocampus.104”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [103] Shansky RM Glavis-Bloom C Lerman D Estrogen mediates sex differences in stress-induced prefrontal cortex dysfunction Mol Psychiatry 2004 9 531 538 14569273

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    • cites [104] Dalla C Whetstone AS Hodes GE Shors TJ Stressful experience has opposite effects on dendritic spines in the hippocampus of cycling versus masculinized females Neurosci Lett 2009 449 52 56 18952150 PMC3289544

      Not checked in the free run.

  • May combine two claims.

    Interpretationreasoning

    Early emotional neglect may alter the development of the emotional regulation system, conferring increased risk for mood disorders.

    “These findings suggest that early emotional neglect may alter the development of this emotional regulation system, conferring increased risk for the development of mood disorders.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    Caudate and rostral prefrontal cortex are key components in the neural circuitry underlying impulse control.

    “these regions are key components in the neural circuitry that underlies impulse control.69,70”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [69] Ferry AT Ongur D An X Price JL Prefrontal cortical projections to the striatum in macaque monkeys: evidence for an organization related to prefrontal networks J Comp Neurol 2000 425 447 470 10972944

      Not checked in the free run.

    • cites [70] Sinha R Chronic stress, drug use, and vulnerability to addiction Ann N Y Acad Sci 2008 1141 105 130 18991954 PMC2732004

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Development of this circuitry is sexually dimorphic; estrogen has a neuroprotective effect in the striatum, suggesting reduced vulnerability in females.

    “Development of this circuitry is also sexually dimorphic;31,105 estrogen has been demonstrated to have a neuroprotective effect in the striatum, suggesting reduced vulnerability in this region in females.106”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites [31] Lenroot RK Gogtay N Greenstein DK Sexual dimorphism of brain developmental trajectories during childhood and adolescence NeuroImage 2007 36 1065 1073 17513132 PMC2040300

      Not checked in the free run.

    • cites [105] Filipek PA Richelme C Kennedy DN Caviness VS Jr The young adult human brain: an MRI-based morphometric analysis Cereb Cortex 1994 4 344 360 7950308

      Not checked in the free run.

    • cites [106] Dluzen DE Neuroprotective effects of estrogen upon the nigrostriatal dopaminergic system J Neurocytol 2000 29 387 399 11424955

      Not checked in the free run.

  • May combine two claims.

    Interpretationreasoning

    The regional distribution of volume decreases with childhood maltreatment is similar to those found in psychiatric and behavioral difficulties; the authors interpreted the volume decreases as vulnerability factors.

    “As the regional distribution of the volume decreases with CM are similar to those found in psychiatric and behavioral difficulties, we interpreted the volume decreases to represent vulnerability factors.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Study design and conductnone given

    Participants were without history of neurological illness, head trauma with loss of consciousness, or major medical disorder.

    “Subjects were without history of neurological illness, head trauma with loss of consciousness or major medical disorder.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Study design and conductnone given

    Statistical significance was defined as p<0.005 uncorrected with clusters larger than 50 voxels.

    “Results were considered significant at p<0.005 (uncorrected) and clusters >50voxels.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Study design and conductreasoning

    Participants were recruited from a high-risk birth cohort and the greater New Haven community to allow a sample reporting a spectrum of childhood maltreatment severity.

    “Subjects were recruited from a sample of children identified at birth to be at high risk for CM and followed longitudinally (by LCM). Participants were also recruited from the greater New Haven Connecticut community, allowing for a sample of adolescents reporting a spectrum of CM severity.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    Written informed consent was obtained from parents or guardians, and assent from minors, in accordance with the institutional review board of the Yale School of Medicine.

    “Written informed consent was obtained from parents/guardians, and assent from minors, in accordance with the institutional review board of the Yale School of Medicine.”
    Quote in the paperNot a substantial claim
30 of 30
  • The paper relies on this without support.

    Childhood maltreatment exposure precedes and contributes to the observed gray matter volume differences rather than being a consequence of them or sharing a common cause.

    “suggesting that in the absence of known psychiatric disorders CM may alter corticostriatal-limbic GM”
    “This study suggests that corticostriatal-limbic brain changes may mediate increased risk for these disorders in association with self-reported CM.”
  • The paper relies on this without support.

    The observed regional gray matter volume reductions are not attributable to unmeasured confounding beyond age.

    “Whole-brain linear regression analysis was performed in SPM5, covarying for age, to investigate the relationship between total CTQ scores and GM volume.”
2 of 2

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • ELS/CT is associated with disruptive development and reduced volume of corpus callosum, insula, dorsolateral prefrontal cortex, orbitofrontal cortex, anterior cingulate gyrus, and caudate, as well as decreased cortical thickness of medial and lateral prefrontal and temporal lobe regions, and reduced overall brain volume in humans.

    “With respect to structural correlates, ELS/CT is associated with disruptive development and reduced volume of corpus callosum, insula, dorsolateral prefrontal cortex (PFC), orbitofrontal cortex (OFC), anterior cingulate gyrus, and caudate, as well as decreased cortical thickness of medial and lateral prefrontal and temporal lobe regions, and reduced overall brain volume in humans (416, 417, 425, 4”

    From Developmental Trajectories of Early Life Stress and Trauma: A Narrative Review on Neurobiological Aspects Beyond Stress System Dysregulation (2019) · cites this paper as [432]

    Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.

    Experimental — accuracy not yet measured
  • Human studies regarding the volumetric effect of ELS/CT on the amygdala are inconclusive, with some reporting reduced volume, some differential effects by type of ELS/CT, and some even greater amygdala volume in non-human primates.

    “With respect to amygdala, the results from human studies regarding the volumetric effect of ELS/CT are inconclusive, with some studies reporting reduced volume (416, 428, 430, 444), some differential effects according to specific type of ELS/CT (432, 445), and some even greater amygdala volume (in non-human primates) (446).”
  • Threat exposure in childhood is associated with reduced volume and/or thickness of the vmPFC.

    “threat exposure in childhood is associated with reduced volume and/or thickness of the vmPFC”
  • Age, gender, intellectual ability and depression were included as regressors to exclude their effects.

    “To exclude the effects of age, gender, intellectual ability and depression,31–33 we included these measures as regressors.”

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Maltreatment threshold classifies every participant as exposed

    Minor

    Each subtype score has a minimum of five, so every participant meets the stated criterion of five or more on any subtype. That contradicts the statement that six participants reported no maltreatment under this definition.

1 of 1

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Authors
Edmiston, E. E.
Venue
Archives of Pediatrics & Adolescent Medicine
Published
2011-12-01
Volume
165
Issue
12
Pages
1069
ISSN
1072-4710 (ISSN-L)
OpenAlex
W1977419693
Cited by
341
References
125
Citations by year
2026: 8 · 2025: 17 · 2024: 18 · 2023: 34 · 2022: 29 · 2021: 32 · 2020: 31 · 2019: 22 · 2018: 26 · 2017: 17 · 2016: 24 · 2015: 28 · 2014: 16 · 2013: 24 · 2012: 13
FWCI
18.99
Type
journal article
Language
en
Open access
Locations
  • Archives of Pediatrics and Adolescent Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health (5rl5da024858-05)
  • National Institute of Mental Health (K01MH086621, R01 MH69747, R01MH069747, R01MH070902)
  • National Institute on Drug Abuse (RL1DA024856, RL5-DA024858, PL1-DA24859, K05DA020091, PL1DA024859)
  • National Institute of Dental and Craniofacial Research (UL1DE019586, UL1DE19586)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
  • Social Sciences › Safety Research › Child Welfare and Adoption
Keywords
child abuse, gray matter morphology, adolescents, physical abuse, emotional neglect, physical neglect, sexual abuse, prefrontal cortex, striatum, amygdala, cerebellum, sex differences, emotion regulation, caudate nucleus, impulse dyscontrol
MeSH terms
Adolescent, Cerebral Cortex, Child, Child Abuse, Female, Humans, Limbic System, Magnetic Resonance Imaging, Male, Surveys and Questionnaires, Self Disclosure, Sex Factors, Linear Models

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-04.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-04.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

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