Cited by 1,389Child Abuse and TraumaStress Responses and CortisolMemory and Neural Mechanisms

Childhood adversity and neural development: Deprivation and threat as distinct dimensions of early experience

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McLaughlin, Katie A., Sheridan, Margaret A., Lambert, Hilary K.·2014·Neuroscience & Biobehavioral Reviews

Abstract

A growing body of research has examined the impact of childhood adversity on neural structure and function. Advances in our understanding of the neurodevelopmental consequences of adverse early environments require the identification of dimensions of environmental experience that influence neural development differently and mechanisms other than the frequently-invoked stress pathways. We propose a novel conceptual framework that differentiates between deprivation (absence of expected environmental inputs and complexity) and threat (presence of experiences that represent a threat to one’s physical integrity) and make predictions grounded in basic neuroscience principles about their distinct effects on neural development. We review animal research on fear learning and sensory deprivation as well as human research on childhood adversity and neural development to support these predictions. We argue that these previously undifferentiated dimensions of experience exert strong and distinct influences on neural development that cannot be fully explained by prevailing models focusing only on stress pathways. Our aim is not to exhaustively review existing evidence on childhood adversity and neural development, but to provide a novel framework to guide future research.

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Crossref · 10.1016/j.neubiorev.2014.10.012

Cites

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Claims the paper makes

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  • Interpretationreasoning

    Alternative mechanisms likely explain the effects of childhood adversity on neural development.

    “it is also possible—and we argue, likely—that alternative mechanisms explain these effects of childhood adversity on neural development.”
    Quote in the paperNot a substantial claim
  • Interpretationreasoning

    Threat is a primary dimension for children exposed to physical and sexual abuse, domestic violence, and other interpersonal violence.

    “Threat is a primary dimension of experience for children exposed to physical and sexual abuse, domestic violence, and other types of interpersonal violence (Figure 1).”
    Quote in the paperSubstantial claim
  • Premisecitation

    Children exposed to institutional rearing show widespread cortical thinning in superior and inferior parietal cortex.

    “children exposed to institutional rearing exhibit widespread cortical thinning in the superior and inferior parietal cortex (McLaughlin et al., 2013)”
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    Activation of the HPA axis releases glucocorticoids, which can produce structural and functional changes in the hippocampus, amygdala, and prefrontal cortex.

    “activation of the hypothalamic-pituitary-adrenal (HPA) axis results in the release of glucocorticoids, which can lead to structural and functional changes in brain regions with high concentrations of glucocorticoid receptors, including the hippocampus, amygdala, and prefrontal cortex (PFC) (McEwen, 2012).”
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    Early exposure to adverse environments can disrupt the development and functioning of the HPA axis.

    “Extensive evidence suggests that early exposure to adverse environments can disrupt the development and functioning of the HPA axis (Gunnar and Quevedo, 2007)”
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    Premisecitation

    Children exposed to neglect and poverty often have language deficits and accompanying differences in neural function supporting language.

    “children exposed to neglect and poverty often have deficits in language abilities (Farah et al., 2006; Hildyard and Wolfe, 2002) and accompanying differences in neural function supporting language function (Raizada, Richards, Meltzoff, & Kuhl, 2008).”
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    Interpretationreasoning

    Deprivation and threat exposures usually co-occur, but they can be measured separately and have unique effects on neurodevelopment.

    “we do not propose that exposure to deprivation and threat experiences occurs independently for children, as most of the exposures described above co-occur. Instead we propose that they can be measured separately and have unique effects on neurodevelopment.”
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    Interpretationreasoning

    Deprivation and threat can be assessed across different forms of childhood adversity and will differentially predict aspects of neurodevelopment and behavior.

    “We suggest that these dimensions of experience can be assessed across different forms of childhood adversity (e.g., physical and sexual abuse, domestic violence, institutionalization, neglect) and will differentially predict aspects of neurodevelopment and ultimately behavior.”
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    Premisecitation

    Different types of adverse experiences often co-occur, so most individuals exposed to childhood adversity have experienced multiple adverse experiences.

    “different types of adverse experiences frequently co-occur, meaning that most individuals exposed to childhood adversity have experienced multiple adverse experiences (Dong et al., 2004; Finkelhor et al., 2007; Green et al., 2010; McLaughlin et al., 2012).”
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    Premisecitation

    The effects of stress are not fully mediated by cortisol, and cortisol actions alone do not explain how stress affects gene expression or neuronal plasticity.

    “it is important to acknowledge that the effects of stress are not fully mediated by cortisol (the most common marker of HPA axis activation in human research) and that cortisol actions on their own do not explain how stress affects gene expression or neuronal plasticity (Gray et al., 2013).”
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    Premisecitation

    Exposure to childhood adversity explains more than 30% of mental disorders in the U.S. population.

    “exposure to childhood adversity has been shown to explain more than 30% of mental disorders in the U.S. population (Green et al., 2010; McLaughlin et al., 2012)”
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    Interpretationreasoning

    Deprivation and threat are distinct dimensions of early experience that exert strong and distinct influences on neural development, and these influences cannot be fully explained by prevailing stress-pathway models.

    “We argue that these previously undifferentiated dimensions of experience exert strong and distinct influences on neural development that cannot be fully explained by prevailing models focusing only on stress pathways.”
    • Also stated in: § Abstract · boosted
      “we propose that these are two dimensions of experience that have not previously been clearly differentiated or explained by prevailing models focused on stress pathways and argue that these dimensions of experience exert strong and distinct influences on neural development.”
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    Premisecitation

    Childhood adversity is common and is strongly associated with later psychopathology in childhood, adolescence, and adulthood.

    “Evidence from population-based epidemiological studies indicates that childhood adversity is common and associated strongly with the subsequent onset of psychopathology not only in childhood, but also in adolescence and adulthood (Cohen et al., 2001; Green et al., 2010; Kessler et al., 1997; McLaughlin et al., 2012).”
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    Interpretationreasoning

    Focusing only on HPA-axis mechanisms is problematic because adversity sometimes has broad neurodevelopmental effects that are not obvious consequences of HPA activation or cortisol.

    “Focusing only on this mechanism is problematic as adversity sometimes appears to have a remarkably broad impact on neurodevelopment.”
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    Interpretationcitation

    Early threat exposure leads to novel learning that pairs threat cues with previously neutral stimuli, reduces the threshold for fear, and increases vigilance to potential threats.

    “We suggest that early threat exposure leads to novel learning, resulting in the pairing of threat cues with previous neutral stimuli, a reduced threshold for experiencing fear, and heightened vigilance to detect other potential threats”
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    • cites van Marle et al., 2009 source

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    The vmPFC is activated during retrieval of extinction learning and down-regulates the amygdala.

    “The vmPFC is activated during retrieval of extinction learning and down-regulates the amygdala”
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    Premisecitation

    Learned fear continues to be represented in the amygdala and hippocampus, and previously extinguished fear can be re-activated by various triggers.

    “learned fear continues to be represented in the amygdala and hippocampus, and previously extinguished fear can be re-activated following exposure to situations where fear learning initially occurred or to other threatening contexts”
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    Interpretationcitation

    Early threat exposure leads to changes in hippocampal morphology and function, including reduced dendritic spines and arborization and poor function in hippocampus-dependent learning and memory tasks.

    “First, we predict that early threat exposure leads to changes in hippocampal morphology and function, including reduced dendritic spines and arborization and poor function in hippocampus-dependent learning and memory tasks.”
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    Interpretationreasoning

    Behaviorally, early threat exposure results in heightened attention to threat-related cues, generalization of learned fear to neutral stimuli, and elevated emotional responses to a wide range of emotional cues.

    “Behaviorally, this results in heightened attention to threat-related cues, generalization of learned fear to previously neutral stimuli, and elevated emotional responses to a wide range of emotional cues.”
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    Premisecitation

    Extinguished fear can be re-activated through spontaneous recovery, exposure to novel threats, exposure to the CS in novel contexts, or re-exposure to the US.

    “extinguished fear can be re-activated through a variety of processes, including spontaneous recovery, exposure to novel threats, exposure to the CS in novel contexts, or re-exposure to the US”
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    Interpretationreasoning

    Reductions in cortical thickness from deprivation should be most pronounced in association cortex regions recruited for complex social and cognitive inputs, including prefrontal, superior and inferior parietal, and superior temporal cortex.

    “We expect that reductions in cortical thickness should be most pronounced in regions of association cortex that are recruited for processing complex social and cognitive inputs, including prefrontal cortex (PFC), superior and inferior parietal cortex, and superior temporal cortex.”
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    Premisecitation

    Fear is a defensive mechanism that activates behavioral and neurobiological responses to danger, including freezing and sympathetic/HPA axis activation.

    “Fear is a defensive mechanism that activates behavioral and neurobiological responses to danger that promote survival, including freezing and activation of sympathetic nervous system and HPA axis”
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    Premisecitation

    When neglect is directly compared with abuse, children exposed to neglect are at greater risk for cognitive deficits than children exposed to abuse, and these deficits resemble those seen in severe poverty and institutionalization.

    “When neglect is directly compared to abuse, children exposed to neglect are at greater risk for cognitive deficits than children exposed to abuse (Hildyard & Wolfe, 2002) and these deficits are similar to those observed in severe poverty and institutionalization (Dubowitz et al., 2002; Spratt et al., 2012), consistent with our conceptualization of neglect as a form of deprivation.”
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    The vmPFC is essential for retention of extinction learning and inhibition of fear.

    “The vmPFC is thus essential for retention of extinction learning and inhibition of fear”
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    Interpretationreasoning

    These changes result in elevated amygdala activation to emotional stimuli due to increased salience and possibly CRH receptor up-regulation.

    “Together, these changes result in elevated amygdala activation to emotional stimuli due to the increased salience of such information, and potentially as a result of up-regulation of CRH receptors in the amygdala”
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    Premisecitation

    Low SES is associated with decreased performance on complex cognitive tasks, language ability, and overall cognitive and academic achievement.

    “low SES is associated with decreased performance on complex cognitive tasks, including those tapping executive function and long-term memory (Evans and Schamberg, 2009; Farah et al., 2006; Hackman et al., 2010; Kishiyama et al., 2009; Noble et al., 2007), language ability (Fernald et al., 2013; Weisleder and Fernald, 2013), and overall cognitive and academic achievement (Brooks-Gunn and Duncan, 1”
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    Premisecitation

    An extensive rodent literature has characterized the neural circuitry underlying fear learning using Pavlovian fear conditioning tasks.

    “An extensive literature in rodents has characterized the neural circuitry that underlies fear learning using Pavlovian fear conditioning tasks”
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    • cites Kim and Jung, 2006

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    Premisecitation

    Potential threats activate the HPA axis, leading to enhanced CRH expression in the hippocampus and damage to hippocampal neurons.

    “potential threats activate the hypothalamic-pituitary-adrenal (HPA) axis, leading to enhanced expression of corticotropin releasing hormone (CRH) in the hippocampus and damage to hippocampal neurons (Brunson et al., 2001; Ivy et al., 2010).”
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    Premisecitation

    Early threat exposure has consistently been associated with reduced hippocampal volume in adults, but studies of children have generally not found a relationship between threat exposure and hippocampal volume.

    “early threat exposure has consistently been associated with reduced hippocampal volume in adults (Andersen and Teicher, 2008; Hart and Rubia, 2012; Teicher et al., 2012), studies of children have generally not found a relationship between threat exposure and hippocampal volume”
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    Interpretationreasoning

    Taken together, the rodent literature suggests that early exposure to uncontrollable threat results in long-term changes in hippocampal and amygdala structure and function as well as deficits in inhibitory control of these regions by the mPFC.

    “Taken together, the rodent literature suggests that early exposure to uncontrollable threat results in long-term changes in hippocampal and amygdala structure and function as well as deficits in inhibitory control of these regions by the mPFC.”
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    Interpretationreasoning

    Threatening environments share the characteristic of being significant threats to survival and therefore activate the neural circuitry underlying fear learning.

    “These environments share the characteristic of being significant threats to survival and therefore activate the neural circuitry underlying fear learning.”
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    Premisecitation

    Extinction of conditioned fear initially requires the amygdala, whereas retrieval of extinction memory on subsequent days additionally requires the vmPFC.

    “Extinction of conditioned fear initially requires the amygdala, whereas retrieval of extinction memory on subsequent days additionally requires the vmPFC”
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27 of 27
  • The paper relies on this without support.

    Childhood adversity causally affects neural development and psychopathology, rather than being only correlated with them.

    “the pathways through which childhood adversity impacts neural development and, ultimately, psychopathology.”
1 of 1

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?

  • Neglect, particularly prevalent in those with a history of institutional care, has been linked to distinct stress physiology, including dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis, especially in ways that could affect metabolic regulation.

    “However, neglect, which is particularly prevalent in those with a history of institutional care, has been linked to distinct stress physiology, including dysregulation of the hypothalamic–pituitary–adrenal (HPA) axis (Humphreys et al., 2015; McLaughlin et al., 2014), especially in ways that could affect metabolic regulation.”

    From Long-term cardiometabolic effects of early institutionalization and foster care: Evidence from the Bucharest Early Intervention Project (2026) · cites this paper as McLaughlin et al., 2014

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

    Experimental — accuracy not yet measured
  • Deprivation is the core feature that distinguishes neglect from trauma and abuse.

    “Deprivation is the core feature of neglect that distinguishes it from other forms of adversity, such as trauma and abuse, where the most prominent feature is harm or threat of harm to the child.”
  • The developmental consequences of deprivation and threat are at least partially distinct.

    “Although experiences of deprivation often co-occur with experiences of threat (i.e., abuse), the developmental consequences of deprivation and threat are at least partially distinct.(7–9)”
  • Evidence is growing that ELA affects mental health by changing the developing brain.

    “evidence is accumulating that ELA influences mental health by altering the developing brain in ways that contribute to the onset of psychopathology,1,17,18”
  • Evidence is accumulating that different types of adversities have at least partially distinct associations with brain development.

    “Evidence is accumulating that different types of adversities have at least partially distinct associations with brain development. Threat and deprivation are two dimensions of ELA that provide a framework for conceptualizing the neural impact of these experiences.17,18”

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Authors
McLaughlin, K. A., Sheridan, M. A., & Lambert, H. K.
Affiliations
  • University of Washington (US)
  • Boston Children's Hospital (US)
Corresponding author
McLaughlin, Katie A.
Venue
Neuroscience & Biobehavioral Reviews
Publisher
Elsevier BV
Published
2014-11
Volume
47
Pages
578-591
ISSN
0149-7634 (ISSN-L)
OpenAlex
W2015671245
Cited by
1,389
References
218
Citations by year
2026: 247 · 2025: 184 · 2024: 175 · 2023: 177 · 2022: 157 · 2021: 126 · 2020: 118 · 2019: 67 · 2018: 56 · 2017: 39 · 2016: 27 · 2015: 11 · 2014: 1
FWCI
3.87
Type
journal article
Language
en
Open access
Locations
  • Neuroscience & Biobehavioral Reviews (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institutes of Mental Health (K01-MH092625, K01-MH092555)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Memory and Neural Mechanisms
Keywords
childhood adversity, neural development, deprivation, threats, early life experience, sensory deprivation, fear learning, stress response pathways, neurodevelopmental outcomes, conceptual framework
MeSH terms
Animals, Fear, Humans, Life Change Events, Maternal Deprivation, Sensory Deprivation, Stress, Psychological, Models, Animal, Neurogenesis

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