Reduced nucleus accumbens reactivity and adolescent depression following early-life stress
Open accessAbstract
Depression is a common outcome for those having experienced early-life stress (ELS). For those individuals, depression typically increases during adolescence and appears to endure into adulthood, suggesting alterations in the development of brain systems involved in depression. Developmentally, the nucleus accumbens (NAcc), a limbic structure associated with reward learning and motivation, typically undergoes dramatic functional change during adolescence; therefore, age-related changes in NAcc function may underlie increases in depression in adolescence following ELS. The current study examined the effects of ELS in 38 previously institutionalized children and adolescents in comparison to a group of 31 youths without a history of ELS. Consistent with previous research, the findings showed that depression was higher in adolescents than children with a history of ELS. Additionally, functional magnetic resonance imaging results showed atypical NAcc development, where the ELS group did not show a typical increase in NAcc reactivity during adolescence. Consequently, the ELS group showed NAcc hypoactivation during adolescence, and lower NAcc reactivity was correlated with higher depression scores. The results have important implications for understanding how ELS may influence increases in depression via neural development during the transition to adolescence and highlight the importance of identifying at-risk individuals in childhood, a potential critical period for depression-targeted intervention.
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- Findingown data
In the early-life stress group only, positive affect scores were significantly lower in adolescence than in childhood.
“for the ELS group only, positive affect scores were significantly lower in adolescence than in childhood t(35)=2.13, p<.05”
Quote in the paperSubstantial claim - Findingown data
There was a significant ELS group by age group interaction for RCADS-P depression scores.
“There was a two-way interaction of ELSGroup×AgeGroup (F(1,63)=5.46, p<.025, partial η2=.08)”
Quote in the paperSubstantial claim - Findingown data
The early-life stress group had significantly higher RCADS-P MDD T-scores than the comparison group.
“the average RCADS-P MDD T-score was significantly higher for the ELS group (mean(SD);range=45.74(9.09);31.0-70.6) than for the comparison group (mean(SD); range=35.28(3.96); 30.4-46.5)”
Quote in the paperSubstantial claim - Findingown data
Among the early-life stress group, depression scores differed significantly between age groups.
“post hoc tests showed that for the ELS group only, depression scores were significantly different between age groups (F(1,36)=6.25, p<.025)”
Quote in the paperSubstantial claim - Findingown data
The early-life stress group reported significantly higher negative affect than the comparison group.
“the ELS group reported significantly higher levels of negative affect than the comparison group”
Quote in the paperSubstantial claim
- Findingown data
Pubertal status had no effect on RCADS-P depression scores when age and group were controlled.
“there were no effects of pubertal status on depression scores (p>.25)”
Quote in the paperNot a substantial claim - Findingown data
The early-life stress group had significantly higher RCADS-P Total Anxiety T-scores than the comparison group.
“anxiety scores were significantly higher for the ELS group(mean(SD); range=43.54(9.37); 28.9-72.9) than for the comparison group (mean(SD); range=35.03(5.41); 25.2-49.1)”
Quote in the paperNot a substantial claim - Findingown data
In the early-life stress group, there were no significant age group differences in nucleus accumbens activation.
“while no significant age group differences were seen in the ELS group (t(36)=.79, ps>.05)”
Quote in the paperSubstantial claim - Findingown data
A voxel-wise whole-brain analysis that regressed BOLD response to happy faces on depression scores, with age and ELS group as covariates, confirmed an inverse relationship between nucleus accumbens activity and depression scores.
“This analysis confirmed the inverse association between NAcc activity and depression scores, as shown in Table 2.”
Quote in the paperSubstantial claim - Findingown data
When only the early-life stress group was examined, the association between nucleus accumbens response to happy faces and depression scores remained.
“When only the ELS group was examined, the association between NAcc response to happy faces and depression scores remained (beta = -.30, p<.05).”
Quote in the paperSubstantial claim - Findingown data
Adolescents with a history of early-life stress had significantly lower nucleus accumbens activation than comparison adolescents.
“Adolescents with a history of ELS exhibited significantly lower NAcc activation relative to the comparison adolescents (t(27)=2.26, p<.05)”
Quote in the paperSubstantial claim - Findingown data
In a regression controlling for age, nucleus accumbens response to happy faces versus baseline was not associated with time spent with family.
“Similarly, regression analyses controlling for age showed that there were no associations between NAcc response to happy faces > BL and age placed in institutional care (beta=.04, ns), age of adoption (beta=-.12, ns), or time with family (beta=.18, ns).”
Quote in the paperNot a substantial claim - Findingown data
Child and adolescent self-reports of recent mood showed that adolescents, but not children, with a history of early-life stress had more negative affect and less positive affect than any other group.
“Parent-report was corroborated by child and adolescent self-report measures of recent mood showing that adolescents, and not children, with a history of ELS experienced more negative affect in the absence of positive affect than any other group.”
Quote in the paperSubstantial claim - Findingown data
In a regression controlling for age, nucleus accumbens response to happy faces versus baseline was not associated with age of adoption.
“Similarly, regression analyses controlling for age showed that there were no associations between NAcc response to happy faces > BL and age placed in institutional care (beta=.04, ns), age of adoption (beta=-.12, ns), or time with family (beta=.18, ns).”
Quote in the paperNot a substantial claim - Findingown data
Low nucleus accumbens activation while viewing happy faces predicted higher depression scores, controlling for age group and early-life stress group.
“low NAcc activation while viewing happy faces predicted higher depression scores (beta= -.16, p<.05)”
Quote in the paperSubstantial claim - Findingown data
Parent-reported depression was significantly higher in adolescents with a history of early-life stress than in children.
“Findings revealed that parent-reported depression was significantly greater in adolescents with a history of ELS than in children.”
Quote in the paperSubstantial claim - Findingown data
In a regression controlling for current age, RCADS-P depression T-scores were not associated with age of adoption.
“Regression analyses controlling for current age showed that there were no associations between RCADS-P depression T-scores and age placed in institutional care (beta=.06, ns), age of adoption (beta=.18, ns), or time with family (beta=-.28, ns).”
Quote in the paperNot a substantial claim - Findingown data
Pubertal status had no effect on nucleus accumbens reactivity when age and group were controlled.
“There were no effects of pubertal status on NAcc activity (p>.91).”
Quote in the paperNot a substantial claim - Findingown data
In the typically developing comparison group, mean nucleus accumbens activation significantly differed between children and adolescents.
“for the typically developing comparison group, mean NAcc activation significantly differed between child and adolescent groups (t(29)=2.33, p<.01)”
Quote in the paperSubstantial claim - Findingown data
Nucleus accumbens response to fearful faces was not associated with depression.
“NAcc response to fearful face was not associated with depression (beta=.02, ns)”
Quote in the paperNot a substantial claim - Findingown data
In the whole-brain analysis, brain regions other than the nucleus accumbens also showed significant inverse associations with depression scores.
“Other regions that showed significant inverse associations with depression scores are listed in Table 2.”
Quote in the paperNot a substantial claim - Findingown data
There was a significant ELS group by age group interaction for nucleus accumbens activation.
“There was a significant ELSGroup×AgeGroup interaction (F(1,65)=7.03, p=.01, partial η2=.10).”
Quote in the paperSubstantial claim - Findingown data
In a regression controlling for current age, RCADS-P depression T-scores were not associated with time spent with family.
“Regression analyses controlling for current age showed that there were no associations between RCADS-P depression T-scores and age placed in institutional care (beta=.06, ns), age of adoption (beta=.18, ns), or time with family (beta=-.28, ns).”
Quote in the paperNot a substantial claim - Findingown data
Nucleus accumbens activation to happy or fearful faces was not significantly associated with PANAS positive or negative affect.
“linear regression analyses on the dependent measures of PANAS positive and negative affect z-scores and the independent variables of NAcc activation to happy faces > BL and fear faces >BL did not reveal a significant association between the variables (p>.05).”
Quote in the paperNot a substantial claim - Findingown data
In a regression controlling for current age, RCADS-P depression T-scores were not associated with the age at which institutional care began.
“Regression analyses controlling for current age showed that there were no associations between RCADS-P depression T-scores and age placed in institutional care (beta=.06, ns), age of adoption (beta=.18, ns), or time with family (beta=-.28, ns).”
Quote in the paperNot a substantial claim - Findingown data
In a regression controlling for age, nucleus accumbens response to happy faces versus baseline was not associated with the age at which institutional care began.
“Similarly, regression analyses controlling for age showed that there were no associations between NAcc response to happy faces > BL and age placed in institutional care (beta=.04, ns), age of adoption (beta=-.12, ns), or time with family (beta=.18, ns).”
Quote in the paperNot a substantial claim - Findingown data
In adolescents, nucleus accumbens function did not significantly mediate the association between early-life stress and depressive symptoms.
“Tests of mediation in the adolescents did not show a significant mediating effect of NAcc function on the association between ELS and depressive symptoms (beta weight of NAcc indirect effect = -.12, ns).”
Quote in the paperSubstantial claim - Findingown data
Lower nucleus accumbens activity was associated with higher levels of depression.
“Importantly, lower NAcc activity was associated with higher levels of depression, consistent with the notion that hypoactivity in the NAcc and depressive behaviors are correlated.”
Quote in the paperSubstantial claim - Findingown data
No association was found between self-reported affect and nucleus accumbens reactivity.
“Though we did not find an association between self-reported affect and NAcc reactivity, the limited response range of our child-appropriate positive affect measure most likely precluded our ability to find significant associations with neural activity.”
Quote in the paperNot a substantial claim - Findingreasoning
The study did not find significant mediation.
“Our inability to find significant mediation was most likely predicated on the fact that group differences were only evident in the adolescents (not the children), and the adolescent sample alone may have been underpowered to test for indirect effects.”
Quote in the paperSubstantial claim - Findingcitation
In the typically raised comparison group, nucleus accumbens activity increased with age across the transition from childhood to adolescence.
“Unlike the normative increase in NAcc activity during the transition from childhood to adolescence (Galvan et al., 2006; Ernst et al., 2005; van Leijenhorst et al., 2009; Geier et al., 2009) observed in the typically-raised comparison group, NAcc reactivity did not increase with age in the ELS group, and as a consequence, was hypoactive in the ELS adolescents.”
Quote in the paperSubstantial claim - Findingown data
The whole-brain analysis showed associations between depression scores and activity in the superior parietal lobule and parahippocampal gyrus.
“This analysis also showed associations between depression scores and superior parietal lobule and parahippocampal gyrus activity, two regions that have shown depression related phenotypes in previous studies (Fallucca et al., 2011; Milne et al., 2012).”
Quote in the paperNot a substantial claim - Findingown data
In the early-life stress group, nucleus accumbens reactivity did not increase with age.
“Unlike the normative increase in NAcc activity during the transition from childhood to adolescence (Galvan et al., 2006; Ernst et al., 2005; van Leijenhorst et al., 2009; Geier et al., 2009) observed in the typically-raised comparison group, NAcc reactivity did not increase with age in the ELS group, and as a consequence, was hypoactive in the ELS adolescents.”
Quote in the paperSubstantial claim - Findingown data
Nucleus accumbens function was observed to be hypoactive during adolescence following early-life stress.
“Consistent with previous research associating stress-induced dysfunction in the ventral striatum, in particular the NAcc, with depressive behaviors, we observed that NAcc function is hypoactive during adolescence following ELS.”
Quote in the paperSubstantial claim - Premisecitation
Depression is a frequent consequence for people who have experienced early-life stress.
“Depression is a common outcome for those individuals with a history of ELS”
Quote in the paperSubstantial claim0 of 2 sources checked - Premisecitation
Depression usually appears in adolescence rather than earlier, despite early environmental adversity, in both human and animal models of early-life stress.
“Depression typically does not emerge until the adolescent period despite early environmental insults, and this relatively late onset of depression has been documented in both human and non-human animal models of ELS”
Quote in the paperSubstantial claim0 of 3 sources checked - Premisecitation
The amount of childhood adversity predicts how severe lifetime depression will be.
“with the magnitude of childhood adversity predicting the severity of lifetime depression”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Kessler, 1997 source
Not checked in the free run.
- Interpretationreasoning
Early-life stress changes the development of brain systems that are involved in depression.
“suggesting that ELS alters the development of brain systems involved in depression”
Quote in the paperSubstantial claim - Premisecitation
The effects of early-life stress appear to persist into adulthood.
“the effects appear to endure into adulthood”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Johnson, 2002 source
Not checked in the free run.
- cites Loman and Gunnar, 2010
Not checked in the free run.
- Premisecitation
The nucleus accumbens response to pleasurable stimuli increases significantly during the transition from childhood into adolescence, when it reaches a developmentally normative peak.
“the NAcc response to pleasurable stimuli shows relatively late functional development, increasing significantly during the transition from childhood into adolescence, when it reaches a developmentally-normative peak in functional activity”
Quote in the paperSubstantial claim0 of 3 sources checked - Premisecitation
Depression is associated with altered neural activity in the ventral striatum, which includes the nucleus accumbens.
“depression has been associated with altered neural activity in the ventral striatum (Epstein et al., 2006; Eshel and Roiser, 2010; Forbes et al., 2009; Monk et al., 2008.; Pizzagalli et al., 2009; Price and Drevets, 2010; Teicher et al., 2009), which includes the nucleus accumbens (NAcc)”
Quote in the paperSubstantial claim0 of 3 sources checked - Interpretationreasoning
Deviation from the typical nucleus accumbens developmental trajectory coincides with the emergence of depressive behaviors in adolescence.
“We present findings to argue that deviation from this developmental trajectory coincides with the emergence of depressive behaviors in adolescence.”
Quote in the paperNot a substantial claim - Interpretationcitation
The link between stress and depression may be mediated by stress-related changes in the nucleus accumbens.
“suggesting that the association between stress and depression may be mediated by stress-related changes in the NAcc”
Quote in the paperSubstantial claim - Interpretationown data
Self-reported mood scores were consistent with parent-reported higher depression during adolescence after early-life stress.
“These self-reported mood scores were consistent with parent reports of higher depression during adolescence following ELS.”
Quote in the paperNot a substantial claim - Interpretationown data
The early-life stress group did not show the typical increase in nucleus accumbens reactivity during adolescence.
“the ELS group did not show a typical increase in NAcc reactivity during adolescence”
Quote in the paperSubstantial claim - Interpretationown data
Early-life stress may increase depression during adolescence through altered development of the nucleus accumbens.
“The results have important implications for understanding how ELS may influence increases in depression via neural development during the transition to adolescence”
Quote in the paperSubstantial claim - Premisecitation
Reduced nucleus accumbens activity has been linked to the anhedonic aspects of depression.
“Hypoactivity of the NAcc has been associated with the anhedonic aspects of depression (Wacker et al., 2009); therefore the NAcc hypoactivity observed in the current study may have contributed to the depressive behaviors in adolescents with ELS by increasing anhedonic states, a notion supported by the self-reported mood ratings in ELS adolescents (low positive affect, high negative affect).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Wacker et al., 2009 source
Not checked in the free run.
- Interpretationown data
Depression associated with early-life stress is associated with reduced nucleus accumbens activity.
“Taken together, these findings replicate earlier reports showing that depression associated with ELS is associated with NAcc hypoactivity.”
Quote in the paperSubstantial claim - Interpretationcitation
The reduced nucleus accumbens activity observed in this study may have contributed to depressive behaviors in adolescents with early-life stress by increasing anhedonic states.
“Hypoactivity of the NAcc has been associated with the anhedonic aspects of depression (Wacker et al., 2009); therefore the NAcc hypoactivity observed in the current study may have contributed to the depressive behaviors in adolescents with ELS by increasing anhedonic states, a notion supported by the self-reported mood ratings in ELS adolescents (low positive affect, high negative affect).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Wacker et al., 2009 source
Not checked in the free run.
- Interpretationreasoning
As a consequence of the age-related patterns, nucleus accumbens activity was reduced in adolescents with early-life stress.
“Unlike the normative increase in NAcc activity during the transition from childhood to adolescence (Galvan et al., 2006; Ernst et al., 2005; van Leijenhorst et al., 2009; Geier et al., 2009) observed in the typically-raised comparison group, NAcc reactivity did not increase with age in the ELS group, and as a consequence, was hypoactive in the ELS adolescents.”
Quote in the paperSubstantial claim - Study design and conductreasoning
The limited response range of the child-appropriate positive affect measure most likely prevented detection of significant associations with neural activity.
“Though we did not find an association between self-reported affect and NAcc reactivity, the limited response range of our child-appropriate positive affect measure most likely precluded our ability to find significant associations with neural activity.”
Quote in the paperSubstantial claim - Study design and conductreasoning
The adolescent sample alone may have been underpowered to test for indirect effects.
“Our inability to find significant mediation was most likely predicated on the fact that group differences were only evident in the adolescents (not the children), and the adolescent sample alone may have been underpowered to test for indirect effects.”
Quote in the paperSubstantial claim - Interpretationown data
The findings support the hypothesis that early-life stress is associated with reduced nucleus accumbens activity during adolescence.
“Our findings support the hypothesis that ELS would be associated with hypoactivity of the NAcc during adolescence.”
Quote in the paperSubstantial claim - Premisecitation
Intervention studies suggest that many mental health effects of institutionalization are likely related to institutionalization itself rather than to preexisting genetic or prenatal conditions.
“Importantly, intervention studies suggest that many of the mental health effects of institutionalization are likely to be related to institutionalization itself rather than preexisting genetic or prenatal conditions of the child (Bos et al., 2011; Nelson et al., 2007; The St. Petersburg-USA Orphanage Research Team, 2008).”
Quote in the paperNot a substantial claim0 of 3 sources checked - Premisecitation
Previously institutionalized children show an increased rate of internalizing and externalizing emotion regulation disorders such as anxiety, depression, and attention deficit hyperactivity disorder.
“Diagnostically, previously institutionalized children demonstrate an increased rate of internalizing and externalizing emotion regulation disorders such as anxiety, depression, and attention deficit hyperactivity disorder (Zeanah et al., 2009).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Zeanah et al., 2009 source
Not checked in the free run.
- Premisecitation
Previously institutionalized infants are removed from stress exposure through adoption into stable caregiving environments, which temporally isolates the stress exposure to the infant period.
“Unlike most other studied populations with a history of ELS, previously institutionalized infants are removed from stress exposure through an adoption process into stable caregiving environments, thereby temporally isolating the duration of the stress exposure to the infant period.”
Quote in the paperSubstantial claim - Premisecitation
Socio-emotional difficulties may remain or even worsen into adolescence following international adoption.
“Despite this beneficial and dramatic “intervention” through international adoption, socio-emotional difficulties may remain or even exacerbate into adolescence (Colvert et al., 2008; Verhulst et al., 1990) suggesting that there may be long-term changes in neural systems associated with emotional processes following orphanage care.”
Quote in the paperSubstantial claim0 of 2 sources checked - Premisecitation
Maternal deprivation is a potent stressor for the human infant.
“Maternal deprivation is a potent stressor for the human infant (as reviewed in Tottenham, 2012), and not surprisingly, emotional health is at significant risk in previously institutionalized children (reviewed in Gunnar et al., 2000).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Tottenham, 2012 source
Not checked in the free run.
- Interpretationcitation
There may be long-term changes in neural systems associated with emotional processes following orphanage care.
“Despite this beneficial and dramatic “intervention” through international adoption, socio-emotional difficulties may remain or even exacerbate into adolescence (Colvert et al., 2008; Verhulst et al., 1990) suggesting that there may be long-term changes in neural systems associated with emotional processes following orphanage care.”
Quote in the paperSubstantial claim0 of 2 sources checked - Interpretationcitation
The present results replicate Mehta et al. (2009), who used a reward-learning task and showed reduced nucleus accumbens activity in previously institutionalized adolescents.
“Importantly, our results replicate those of Mehta et al. (2009) who used a reward-learning task (i.e., a monetary incentive delay task) and showed NAcc hypoactivity in previously institutionalized adolescents.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Mehta et al. (2009) source
Not checked in the free run.
- Study design and conductnone given
The sample was rather underpowered for analyses of pubertal status.
“Lastly, while the present study did not find significant relationships between pubertal status and depression or NAcc activity, our sample was rather underpowered for these analyses.”
Quote in the paperSubstantial claim - Interpretationown data
Early-life stress can influence the emergence of depression during adolescence.
“The results from the current study have important implications for understanding how early-life stress can influence the emergence of depression during adolescence.”
Quote in the paperSubstantial claim
- Classified as probably not a substantial claim. 19
- May combine two claims. 28
Probably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataD-prime was higher in adolescents than in children.
“d-prime was higher in adolescents (mean(SD)=2.7(1.0)) than children (mean(SD)=1.9(1.1))”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn adolescents, d-prime was higher for the neutral/happy face condition than for the neutral/fear condition, while children showed no difference between conditions.
“d-prime was higher for the neutral/happy face condition (mean(SD)=2.95(.93)) than d-prime for the neutral/fear condition (mean(SD)=2.43(1.29)) in adolescents (t(27)=2.69, p<.015), but there was no difference between the two conditions in children, t(39)=.66, ns”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThere was no ELS group by age group interaction for RCADS-P anxiety scores, and anxiety scores remained constant across the two age groups.
“The ELSGroup×AgeGroup interaction that was observed in RCADS depression scores was not observed in RCADS anxiety scores (F(1,67)=2.47, ps>.05, partial η2=.04), showing that unlike the age-related differences in depression scores, anxiety scores remained constant over the two age groups”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataReported positive affect was high in all children and significantly lower in adolescents.
“reported positive affect was high in all children and was significantly lower for adolescents”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingown dataThere were no main effects or interactions for reaction time.
“There were no main effects or interactions for reaction time (ps>.05).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataEight participants in the early-life stress group scored in the clinical range on the CBCL or RCADS-P, while no comparison participants did.
“none of the comparison participants scored within clinical range, and eight of the participants form the ELS group exhibited mental health characteristics within the clinical range”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataAmong the early-life stress groups, only depression scores showed age-related change, while anxiety was elevated in both age groups.
“Although ELS was associated with depression and anxiety, only depression scores showed age-related change, whereas anxiety was elevated in both age groups.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataEarly-life stress was associated with both depression and anxiety.
“Although ELS was associated with depression and anxiety, only depression scores showed age-related change, whereas anxiety was elevated in both age groups.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThere was no observable effect of early-life stress on nucleus accumbens reactivity during childhood, and both groups of children had relatively low nucleus accumbens reactivity.
“That is, there was no observable effect of ELS on NAcc reactivity during childhood, as both groups of children demonstrated relatively low levels of NAcc reactivity.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe effect of early-life stress on nucleus accumbens reactivity was observed in the adolescent group, which also had the highest depression symptoms.
“In support of this hypothesis, the effect of ELS on NAcc reactivity in the current study was observed in the adolescent group, the same group with highest depression symptoms.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe present study did not find significant relationships between pubertal status and depression or nucleus accumbens activity.
“Lastly, while the present study did not find significant relationships between pubertal status and depression or NAcc activity, our sample was rather underpowered for these analyses.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationIn soldiers preparing for combat, nucleus accumbens activity declined after stress exposure and was associated with clinical depression symptoms.
“in a prospective examination of soldiers heading to combat, NAcc activity declined following stress exposure and was associated with clinical symptoms of depression”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Admon et al., in press
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationEarly-life stress effects have been observed after abuse and after maternal deprivation.
“Early-life stress effects have been found following both abuse (Anda et al., 2006; Maniglio, 2009; Raineki, et al., 2012) and maternal deprivation (Johnson, 2002; Loman and Gunnar, 2010)”
Quote in the paperNot a substantial claim0 of 3 sources checkedClassified as probably not a substantial claim. May combine two claims.
PremisecitationThe nucleus accumbens is a dopamine receptor-rich limbic structure linked to reward learning and motivation in response to pleasurable stimuli, such as happy faces for humans.
“The NAcc is a dopamine receptor-rich limbic structure associated with reward learning and motivation in response to pleasurable stimuli (Ikemoto and Panksepp, 1999) such as the visual presentation of happy faces for humans (Monk et al., 2008).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Ikemoto and Panksepp, 1999
Not checked in the free run.
- cites Monk et al., 2008 source
Not checked in the free run.
May combine two claims.
PremisecitationPeople with a history of early-life maltreatment show dampened behavioral reward responsiveness and reduced activation in striatal structures.
“Dillon et al., (2009) found that participants with a history of early-life maltreatment displayed dampened behavioral responsiveness to reward and reduced activation in striatal structures.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Dillon et al., (2009) source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationThe Petersen Physical Development Scale has good reliability and validity for classifying pubertal status.
“has been shown to have good reliability and validity”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Petersen et al., 1998
Not checked in the free run.
May combine two claims.
PremisecitationAnimal models show that early adverse experiences reduce responsiveness to reward and affect dopaminergic pathways, including the nucleus accumbens.
“electrophysiological and lesion studies have demonstrated a sensitivity of dopaminergic pathways (Powell et al., 2003; Hall et al., 1998; Jones et al., 1992), including the NAcc (Fulford and Marsden, 1998; Jones et al., 1992), and reduced responsiveness to reward (Lapiz et al., 2000) to early adverse experiences”
Quote in the paperSubstantial claim0 of 3 sources checkedMay combine two claims.
PremisecitationAdolescents who experienced early maternal deprivation show ventral striatum hyporesponsivity to reward and no modulation of ventral striatum activity by reward value.
“As adolescents, these individuals showed hyporesponsivity in the ventral striatum in response to reward, and unlike in typical adolescents, ventral striatum activity was not modulated by reward value.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Mehta et al., (2009) source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataThe abbreviated Positive and Negative Affect Schedule for Children had acceptable internal consistency in this sample.
“We also obtained acceptable alpha coefficients for the abbreviated version of the questionnaire (PA alpha=.77, NA alpha=.75).”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationcitationEarly-life stress affects ventral striatum development, producing hyporeactivity that harms reward and motivational processing.
“Collectively, these findings suggest that ELS impacts the development of the ventral striatum, resulting in hyporeactivity, which adversely impacts reward and motivational processing.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationLow ventral striatum activity predicts an association between recent stressful events and low positive affect in emergent adults.
“low ventral striatum activity predicts an association between recent stressful events and low positive affect in a group of emergent adults”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Nikolova et al. (2012) source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationThe Revised Child Anxiety and Depression Scales - Parent form is valid and reliable for assessing childhood anxiety and depression in developing samples.
“which has been shown to be valid and reliable in developing samples”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Chorpita et al., 2005
Not checked in the free run.
May combine two claims.
Interpretationown dataAdolescents with a history of early-life stress had the combination of low positive affect and high negative affect.
“adolescents with a history of ELS had the unique combination of low positive affect and high negative affect, based on visual inspection of the statistical main effects”
Quote in the paperSubstantial claimClassified as probably not a substantial claim. May combine two claims.
Study design and conductown dataFunctional imaging data were analyzed after excluding volumes with motion greater than 2.5 mm, and all participants had fewer than 15% of TRs censored.
“All analyzed data were free of motion greater than 2.5 mm in any direction. TRs with motion greater than 2.5 mm in any direction were excluded (via censoring), and all participants had fewer than 15% of total TRs censored”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationAnxiety and depression have different developmental patterns, with depression being uncommon in childhood and appearing in early adolescence.
“These differential developmental patterns for anxiety and depression have been characterized previously (Angold and Rutter, 1992; Cole et al., 1998), with depression being infrequent in childhood and emerging in early adolescence.”
Quote in the paperNot a substantial claim0 of 2 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Study design and conductnone givenfMRI does not have enough resolution to identify the nucleus accumbens with confidence.
“Although fMRI does not have enough resolution to identify the NAcc with confidence”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationDepression is most pronounced among early adolescents and increases sharply after age 10.
“showing that depression is most pronounced among early adolescents (Brooks-Gunn and Petersen, 1991; Petersen et al., 1993), showing a sharp increase after age 10 (Kessler and Magee, 1993; Angold and Rutter, 1992)”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Brooks-Gunn and Petersen, 1991
Not checked in the free run.
- cites Petersen et al., 1993 source
Not checked in the free run.
- cites Kessler and Magee, 1993
Not checked in the free run.
May combine two claims.
Interpretationown dataDepression typically emerges after childhood because group differences in nucleus accumbens activity emerge after childhood, with the early-life stress group failing to show the developmentally typical rise in nucleus accumbens reactivity seen in the comparison group.
“Moreover, the data suggest that depression typically emerges after childhood because it is after this point that group differences emerge in NAcc activity, with the ELS group failing to show the developmentally-typical rise in NAcc reactivity shown by the comparison group.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationIn institutional care, health care, nutrition, and safety needs are often met, but necessary maternal input is lacking.
“Several research groups have observed that in institutional care, health care, nutrition, and safety needs are often met; however, necessary maternal input is lacking (Groark and McCall, 2011; Groark et al., 2011; Smyke et al., 2007; The St. Petersburg-USA Orphanage Research Team, 2008; Tirella et al., 2008; Vorria et al., 2003; Zych, 2006).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Groark and McCall, 2011
Not checked in the free run.
- cites Groark et al., 2011
Not checked in the free run.
- cites Smyke et al., 2007 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe superior parietal lobule and parahippocampal gyrus have shown depression-related phenotypes in previous studies.
“This analysis also showed associations between depression scores and superior parietal lobule and parahippocampal gyrus activity, two regions that have shown depression related phenotypes in previous studies (Fallucca et al., 2011; Milne et al., 2012).”
Quote in the paperNot a substantial claim0 of 2 sources checkedMay combine two claims.
PremisecitationInstitutional care is sparse, unstable, and regimented, and is a naturally occurring example of early-life stress in humans.
“Institutional care, which is sparse, unstable, and regimented (Smyke et al., 2007), is unfortunately a naturally occurring example of early-life stress in humans.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Smyke et al., 2007 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductreasoningThe design did not use a reward learning paradigm, which might be better suited for examining the nucleus accumbens.
“Thus, a limitation of our design is that we did not employ a reward learning paradigm, which might be better suited for examination of the NAcc.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).
Study design and conductreasoningStudying this population provides knowledge of a discrete period of deprivation.
“However, an experimental benefit to studying this population is knowledge of a discrete period of deprivation.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationIn healthy youths and those at risk for depression, emotional faces such as happy faces have been effective in recruiting nucleus accumbens activity and in separating diagnostic groups.
“However, in both healthy youths (Somerville et al., 2011) and those at risk for depression (Monk et al., 2008), emotional faces like happy have been effective in recruiting NAcc activity and effective in separating out diagnostic groups.”
Quote in the paperSubstantial claim0 of 2 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationEmotional health is at significant risk in previously institutionalized children.
“Maternal deprivation is a potent stressor for the human infant (as reviewed in Tottenham, 2012), and not surprisingly, emotional health is at significant risk in previously institutionalized children (reviewed in Gunnar et al., 2000).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Gunnar et al., 2000 source
Not checked in the free run.
Classified as probably not a substantial claim.
PremisecitationLow ventral striatum reactivity in response to happy faces has been associated with clinical depression.
“Low ventral striatum reactivity in response to happy faces has been associated with clinical depression (Epstein et al., 2006).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Epstein et al., 2006 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationRandomized controlled intervention work suggests that institutionalization itself may be the most significant factor in children's developmental histories.
“However, randomized control intervention work suggests that institutionalization itself may be the most significant factor in children's developmental histories (Zeanah et al., 2009).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Zeanah et al., 2009 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductreasoningThe study did not have access to individual prenatal or developmental histories for previously institutionalized youths.
“First, due to the nature of international adoption, we do not have access to individual prenatal/developmental histories for previously-institutionalized youths.”
Quote in the paperNot a substantial claim
The authors state this as an assumption.
The anatomically defined region used in the analyses corresponds to the nucleus accumbens.
“Although fMRI does not have enough resolution to identify the NAcc with confidence, our analyses focused on an anatomically defined region consistent with the location of the NAcc. For brevity's sake, we refer to this region as the NAcc throughout the manuscript.”
The paper relies on this without support.
Institutional care in orphanages abroad constitutes early-life stress.
“We examined children and adolescents with and without a history of ELS (institutional care in orphanages abroad)”
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?
Children reared in institutions do not alter behavioral responses to stimuli based on reward value, whereas typically developing children are faster and more accurate for rewarded versus non-rewarded stimuli.
“Children reared in institutions do not alter behavioral responses to stimuli as a function of reward-value, whereas typically-developing children are faster and more accurate in responding to rewarded vs. non-rewarded stimuli.(99, 100)”
From Neglect as a violation of species-expectant experience: neurodevelopmental consequences (2017) · cites this paper as [100]
Children exposed to institutional deprivation were less likely to learn a pattern of numbers in a serial reaction time task, with slower reaction time and lower accuracy on patterned versus non-patterned trials.
“Children exposed to institutional deprivation were less likely to learn a pattern of numbers embedded in a serial reaction time task, as indicated by slower reaction time and lower accuracy than comparison children on patterned relative to non-patterned trials.(100)”
From Neglect as a violation of species-expectant experience: neurodevelopmental consequences (2017) · cites this paper as [100]
Intervention effects have been found for IQ, language development, reward learning, EEG neural function, and white matter volume and integrity.
“intervention effects have been found for IQ, language development, reward learning, neural function assessed with EEG, and white matter volume and integrity;(93, 100, 114, 129, 133, 135, 136)”
From Neglect as a violation of species-expectant experience: neurodevelopmental consequences (2017) · cites this paper as [100]
Findings on positive emotional stimuli diverge: institutionalized children show lower ventral striatal response to positive faces, whereas abused adolescents show greater reactivity to positive social cues.
“While institutionally reared children had decreased ventral striatal response to positive emotional faces (Goff et al., 2013), adolescents with a history of physical and sexual abuse demonstrated increased reactivity to positively valenced social stimuli (Dennison et al., 2016), suggesting a potential difference in the effects of neglect vs abuse.”
From The effects of early life stress on reward processing (2018) · cites this paper as Goff et al., 2013
In both groups, lower ventral striatum activation was tied to more depressive symptoms.
“Despite this difference, in both groups decreased activation of the ventral striatum correlated with increased depressive symptoms.”
From The effects of early life stress on reward processing (2018) · cites this paper as Goff et al., 2013
Many human studies link lower basal ganglia activation during reward anticipation or receipt to depressive symptoms, and this activation often mediates the ELS-depression relationship.
“in many of the human studies reviewed, decreased activation in regions of the basal ganglia to the anticipation or receipt of reward was not only associated with depressive symptoms (Dillon et al., 2009; Goff et al., 2013), but often found to mediate the relationship between ELS and depression (Corral-Frías et al., 2015; Hanson et al., 2015).”
From The effects of early life stress on reward processing (2018) · cites this paper as Goff et al., 2013
Statistics that don’t add up
Each reported p-value recomputed from its test statistic and degrees of freedom.
p-value fits an unstated one-tailed test: F(1,64)=7.66, p < .007
MinorThe paper reports p < .007 here; recomputing from the test statistic and its degrees of freedom gives p = .007. The reported value is what a one-tailed test gives, but the paper does not say near this result that a one-tailed test was used.
Reported p < .007 · recomputed p = .007
“F(1,64)=7.66, p<.007”
Inconsistent p-value: t(29)=2.33, p < .01
MinorThe paper reports p < .01 here; recomputing from the test statistic and its degrees of freedom gives p = .027 (two-tailed). The check cannot tell whether the statistic or the p-value is the misprint.
Reported p < .01 · recomputed p = .027
“t(29)=2.33, p<.01”
Statistics recomputed
Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.
- Doesn’t add upF(1, 64) = 7.66reported p < .007 · recomputed p = .007
“F(1,64)=7.66, p < .007”
- Doesn’t add upt(29) = 2.33reported p < .01 · recomputed p = .027
“t(29)=2.33, p < .01”
- ConsistentF(1, 63) = 38.66reported p < .001 · recomputed p < .001
“F(1,63)=38.66, p < .001”
- ConsistentF(1, 63) = 5.46reported p < .025 · recomputed p = .023
“F(1,63)=5.46, p < .025”
- ConsistentF(1, 36) = 6.25reported p < .025 · recomputed p = .017
“F(1,36)=6.25, p < .025”
- ConsistentF(1, 64) = 21.19reported p < .001 · recomputed p < .001
“F(1,64)=21.19, p < .001”
- ConsistentF(1, 59) = 6.77reported p < .015 · recomputed p = .012
“F(1,59) =6.77, p < .015”
- Consistentt(35) = 2.13reported p < .05 · recomputed p = .040
“t(35)=2.13, p < .05”
- ConsistentF(1, 59) = 5.96reported p < .025 · recomputed p = .018
“F(1,59)=5.96, p < .025”
- ConsistentF(1, 64) = 10.89reported p < .002 · recomputed p = .002
“F(1,64)=10.89, p < .002”
- Consistentt(27) = 2.69reported p < .015 · recomputed p = .012
“t(27)=2.69, p < .015”
- Consistentt(39) = 0.66reported n.s. · recomputed p = .513
“t(39)=.66, ns.”
- ConsistentF(1, 65) = 7.03reported p = .01 · recomputed p = .010
“F(1,65)=7.03, p = .01”
- Consistentt(27) = 2.26reported p < .05 · recomputed p = .032
“t(27)=2.26, p < .05”
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.
Child task comparison implies more children than enrolled
MinorA paired comparison with 39 degrees of freedom implies 40 children, but the final sample contained only 39 children. Excluding one child's responses could not increase that count.
“but there was no difference between the two conditions in children, t(39)=.66, ns.”
“our final sample of 69 participants, included 39 children between the ages of 5 and 10 years-old (24 ELS and 15 comparison)”
Anxiety ANOVA reports incompatible degrees of freedom
MinorThe reported main effect and interaction are from the same 2×2 anxiety analysis, but their denominator degrees of freedom are 64 and 67. They should have the same denominator degrees of freedom.
“analysis of RCADS-P Total Anxiety T-score yielded a main effect of ELS group (F(1,64)=21.19, p<.001, partial η2=.25)”
“The ELSGroup×AgeGroup interaction that was observed in RCADS depression scores was not observed in RCADS anxiety scores (F(1,67)=2.47, ps>.05, partial η2=.04)”
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- Authors
- Goff, B., Gee, D. G., Telzer, E. H., Humphreys, K. L., Gabard-Durnam, L., Flannery, J., & Tottenham, N.
- Affiliations
- University of California, Los Angeles (US)
- Corresponding author
- Tottenham, N.
- Venue
- Neuroscience
- Publisher
- Elsevier BV
- Published
- 2013-09
- Volume
- 249
- Pages
- 129-138
- ISSN
- 0306-4522 (ISSN-L)
- PMC
- PMC3646076
- OpenAlex
- W2008443876
- Cited by
- 234
- References
- 74
- Citations by year
- 2026: 12 · 2025: 10 · 2024: 12 · 2023: 14 · 2022: 18 · 2021: 25 · 2020: 36 · 2019: 20 · 2018: 17 · 2017: 19 · 2016: 21 · 2015: 15 · 2014: 9 · 2013: 5
- FWCI
- 9.73
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH091864)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- early life stress, adolescent depression, nucleus accumbens, institutionalized children, neural development, adolescence, reward processing, motivation, limbic system
- MeSH terms
- Adolescent, Age Factors, Child, Child, Preschool, Depression, Female, Humans, Magnetic Resonance Imaging, Male, Nucleus Accumbens, Photic Stimulation, Psychomotor Performance, Stress, Psychological
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 2026-10-05.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-05.
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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