The role of limbic system irritability in linking history of childhood maltreatment and psychiatric outcomes in low-income, high-risk women: moderation by FK506 binding protein 5 haplotype
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Childhood maltreatment is associated with lasting changes in neuroendocrine regulation, alterations in brain structure and function, and symptoms of “limbic irritability.” Limbic irritability symptoms include somatic, sensory, and behavioral phenomena and may stem from increased excitatory neurotransmission following maltreatment. We tested the hypotheses that child maltreatment is indirectly associated with depressive and dissociative symptomatology via indicators of limbic irritability and that variation within the FK506 binding protein 5 gene (FKBP5), a gene involved in glucorticoid receptor functioning, moderates these effects. The sample consisted of high-risk, low-income women (N= 236) living in an inner-city environment. Child maltreatment, limbic irritability, and symptoms of depression and dissociation were measured cross-sectionally using self-report assessments. Haplotype analyses were conducted across four FKBP5 single nucleotide polymorphisms:rs3800373,rs9296158,rs1360870, and rs9470080. Path analysis using bootstrapping procedures was performed to test hypotheses regarding indirect and conditional indirect effects. We found significant indirect effects of maltreatment on depression (β = 0.088,p< .01) and dissociation (β = 0.105,p< .01) via limbic irritability. In addition, variation within FKBP5 moderated these significant indirect effects. For individuals with one to two copies of the CATT haplotype, the indirect effects of maltreatment on depression (β = 0.137,p <.01) and dissociation (β = 0.132,p< .01) via limbic irritability were significant, whereas the indirect paths were not significant for individuals with no copies of this haplotype (depression: β = 0.037,p >.05; dissociation: β = 0.002,p> .05). These results add to the growing evidence that child maltreatment may lead to symptoms of internalizing psychopathology through its impact on the limbic system. In addition, this study revealed a potential role of FKBP5 gene variants in contributing to risk for limbic system dysfunction.
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Limbic irritability symptoms were markedly higher in adults with maltreatment histories.
“In previous work, these ‘limbic irritability’ symptoms were dramatically elevated among adults with maltreatment histories (33, 63, 65, 118).”
From Disorganized attachment in infancy predicts greater amygdala volume in adulthood (2016) · cites this paper as [63]
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Self-citationDNA sequence variants of the FKBP5 gene are associated with unipolar depression
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Flagged first, then by citations
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Gene–Stress–Epigenetic regulation of FKBP5: clinical and translational implications
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Disorganized attachment in infancy predicts greater amygdala volume in adulthood
Lyons-Ruth, K., Pechtel, P., Yoon, S. A., Anderson, C. M., & Teicher, M. H. (2016) · Behavioural Brain Research · doi:10.1016/j.bbr.2016.03.050 · Cited by 142 · see citing works
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Wolf, E. J., Rasmusson, A. M., Mitchell, K. S., Logue, M. W., Baldwin, C. T., & Miller, M. W. (2014) · Depression and Anxiety · doi:10.1002/da.22260 · Cited by 75 · see citing works
Stevens, J. S., Ely, T. D., Sawamura, T., Guzman, D., Bradley, B., Ressler, K. J., & Jovanovic, T. (2016) · Depression and Anxiety · doi:10.1002/da.22506 · Cited by 40 · see citing works
- Authors
- Dackis, M. N., Rogosch, F. A., Oshri, A., & Cicchetti, D.
- Affiliations
- University of Rochester (US)
- University of Minnesota (US)
- Corresponding author
- Dackis, Melissa N.
- Rogosch, Fred A.
- Venue
- Development and Psychopathology
- Publisher
- Cambridge University Press (CUP)
- Published
- 2012-10-15
- Volume
- 24
- Issue
- 4
- Pages
- 1237-1252
- ISSN
- 0954-5794 (ISSN-L)
- 1469-2198
- PMC
- PMC3697116
- OpenAlex
- W2111150529
- Cited by
- 71
- References
- 165
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 2 · 2023: 3 · 2022: 5 · 2021: 3 · 2020: 7 · 2019: 3 · 2018: 3 · 2017: 4 · 2016: 14 · 2015: 12 · 2014: 5 · 2013: 2 · 2012: 1
- FWCI
- 7.27
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Development and Psychopathology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5r01mh083979-04)
- National Institute of Mental Health (R01‐MH083979, MH083979)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Keywords
- child abuse, FKBP5, depression, dissociation, glucocorticoid receptor, low-income women, inner-city women, internalizing psychopathology, gene-environment moderation, excitatory neurotransmission
- MeSH terms
- Tacrolimus Binding Protein 5, Adult, Depression, Depressive Disorder, Dissociative Disorders, Female, Genotype, Haplotypes, Humans, Limbic System, Poverty, Risk Factors, Women, Polymorphism, Single Nucleotide, Tacrolimus Binding Proteins, Adult Survivors of Child Abuse
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