The neurobiological correlates of childhood adversity and implications for treatment
Open accessAbstract
Objective: This article provides an overview of research on the neurobiological correlates of childhood adversity and a selective review of treatment implications. Method: Findings from a broad array of human and animal studies of early adversity were reviewed. Results: Topics reviewed include neuroendocrine, neurotrophic, neuroimaging, and cognitive effects of adversity, as well as genetic and epigenetic influences. Effects of early‐life stress on treatment outcome are considered, and development of treatments designed to address the neurobiological abnormalities is discussed. Conclusion: Early adversity is associated with abnormalities of several neurobiological systems that are implicated in the development of psychopathology and other medical conditions. Early‐life stress negatively impacts treatment outcome, and individuals may require treatments that are specific to this condition.
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Childhood environments and experiences play a role in epigenetic regulation of many components of physiological stress response systems.
“Yet, in the past decade we have developed a much stronger appreciation for the role childhood environments and experiences in the epigenetic regulation of many components of physiological stress response systems (Anacker et al., 2014; Tyrka et al., 2013).”
From Developmental psychoneuroendocrine and psychoneuroimmune pathways from childhood adversity to disease (2017) · cites this paper as Tyrka et al., 2013
Evidence supports that specific genetic risk factors can predispose an individual to psychopathology when life stress increases.
“there is evidence to support that specific genetic risk factors can predispose an individual to psychopathology in the presence of increasing life stress”
From Developmental psychoneuroendocrine and psychoneuroimmune pathways from childhood adversity to disease (2017) · cites this paper as Tyrka et al., 2013
Candidate genetic risk factors have functional roles in serotonin transport, HPA-axis activation via CRH, glucocorticoid sensitivity, and BDNF production.
“Candidate genetic risk factors play functional roles in serotonin transport, activation of the HPA-axis via corticotropin releasing hormone (CRH), glucocorticoid sensitivity, and production of brain derived neurotrophic factors (BDNF).”
From Developmental psychoneuroendocrine and psychoneuroimmune pathways from childhood adversity to disease (2017) · cites this paper as Tyrka et al., 2013
Each of these genetic risk factors has distinct connections to HPA-axis function and inflammatory activity.
“It is notable that each of these identified risk factors has distinct links to functioning of the HPA-axis and inflammatory activity.”
From Developmental psychoneuroendocrine and psychoneuroimmune pathways from childhood adversity to disease (2017) · cites this paper as Tyrka et al., 2013
Early life stress alters the hypothalamic-pituitary-adrenal axis.
“perhaps one of the most well-known effects of ELS is alteration of the hypothalamic-pituitary-adrenal (HPA) axis (for reviews, see McCrory et al., 2010; Strüber et al., 2014; Tyrka et al., 2013).”
From The effects of early life stress on reward processing (2018) · cites this paper as Tyrka et al., 2013
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“, histone deacetylase (HDAC) inhibitors) for the treatment of cancer and other disorders (99, 100).”
BackgroundHoge, E. A., Worthington, J. J., Nagurney, J. T., Chang, Y., Kay, E. B., Feterowski, C. M., Katzman, A. R., Goetz, J. M., Rosasco, M. L., Lasko, N. B., et al. (2012) · CNS Neuroscience & Therapeutics · doi:10.1111/j.1755-5949.2010.00227.x · Cited by 174 · cited 1× · see citing works
“received only limited support as a preventative treatment for the development of PTSD (86).”
BackgroundEarly psychological interventions to treat acute traumatic stress symptoms
Roberts, N. P., Kitchiner, N., Kenardy, J. A., & Bisson, J. I. (2010) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007944.pub2 · Cited by 170 · cited 1× · see citing works
“In comparison with supportive therapy, TF-CBT is more effective for symptoms of PTSD and depression (73).”
MethodProgress in corticotropin-releasing factor-1 antagonist development
Zorrilla, E. P., & Koob, G. F. (2010) · Drug Discovery Today · doi:10.1016/j.drudis.2010.02.011 · Cited by 167 · cited 1× · see citing works
“Clinical trials for depression have not been successful or have found problems with safety or efficacy (88), but studies of other disorders, including PTSD, are ongoing.”
BackgroundLanius, R. A., Bluhm, R. L., & Frewen, P. A. (2011) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2011.01755.x · Cited by 158 · cited 1× · see citing works
“Decreased connectivity within this network has been linked to early-life stress and PTSD, suggesting a link between stress exposure and disrupted processing of internal experiences, which may contribute to the pathophysiology of stress-related illnesses (28, 29).”
BackgroundSepanjnia, K., Modabbernia, A., Ashrafi, M., Modabbernia, M.-J., & Akhondzadeh, S. (2012) · Neuropsychopharmacology · doi:10.1038/npp.2012.58 · Cited by 153 · cited 1× · see citing works
“Other drugs, such as thiazolidinediones with anti-inflammatory effects, are being re-examined for their potential role in the treatment of mood disorders (105).”
BackgroundDecreased Prefrontal Cortical Volume Associated with Increased Bedtime Cortisol in Traumatized Youth
Carrión, V. G., Weems, C. F., Richert, K., Hoffman, B. C., & Reiss, A. L. (2010) · Biological Psychiatry · doi:10.1016/j.biopsych.2010.05.010 · Cited by 150 · cited 8× · see citing works
“In rodents, chronic stress and glucocorticoid administration result in remodeling and inhibition of cell proliferation in the PFC and hippocampus (17).”
InfluentialTherapygenetics: the 5HTTLPR and response to psychological therapy
Eley, T. C., Hudson, J. L., Creswell, C., Tropeano, M., Lester, K. J., Cooper, P., FARMER, A. E., Lewis, C. M., Lyneham, H. J., Rapee, R. M., et al. (2011) · Molecular Psychiatry · doi:10.1038/mp.2011.132 · Cited by 145 · cited 1× · see citing works
“Building on this work, Eley and colleagues (98) recently conducted the first study to examine genetic predictors of response to CBT and found that individuals with two copies of the 5-HTTLPR s allele have a better response to treatment.”
BackgroundEarly adverse events, HPA activity and rostral anterior cingulate volume in MDD
Treadway, M. T., Grant, M. M., Ding, Z., Hollon, S. D., Gore, J. C., & Shelton, R. C. (2009) · PLoS ONE · doi:10.1371/journal.pone.0004887 · Cited by 142 · cited 1× · see citing works
“While studies of this effect in healthy adults have yielded mixed findings, cortisol has been linked to smaller volumes of PFC (31), hippocampus (32), and anterior cingulate (33) in adults and children with early adversity.”
Veer, I. M., Oei, N. Y. L., Spinhoven, P., van Buchem, M. A., Elzinga, B. M., & Rombouts, S. A. R. B. (2012) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2011.12.001 · Cited by 140 · cited 1× · see citing works
“Increased cortisol concentrations have also been associated with diminished functional connectivity between the PFC and amygdala (34).”
BackgroundMartins, J. G., Bentsen, H., & Puri, B. K. (2012) · Molecular Psychiatry · doi:10.1038/mp.2012.25 · Cited by 139 · see citing works
Interventions for foster parents: Implications for developmental theory
Dozier, M., Albus, K. E., Fisher, P. A., & Sepulveda, S. (2002) · Development and Psychopathology · doi:10.1017/s0954579402004091 · Cited by 133 · cited 1× · see citing works
“The consequences of stress exposures occurring in early development are especially profound because i) young children are entirely dependent on caregivers for their basic physical, social, and emotional needs and ii) this period involves rapid and largescale developmental changes in neural pathways that regulate emoti…”
BackgroundElzinga, B. M., Molendijk, M. L., Voshaar, R. C. O., Bus, B. A. A., Prickaerts, J., Spinhoven, P., & Penninx, B. W. J. H. (2010) · Psychopharmacology · doi:10.1007/s00213-010-1961-1 · Cited by 125 · see citing works
Duman, C. H., Schlesinger, L., Terwilliger, R., Russell, D. S., Newton, S. S., & Duman, R. S. (2009) · Behavioural Brain Research · doi:10.1016/j.bbr.2008.11.016 · Cited by 123 · cited 2× · see citing works
“Importantly, chronic treatment with exercise, antidepressants, and electroconvulsive shock has been shown to increase BDNF levels and hippocampal neurogenesis in rodents (19).”
BackgroundWulsin, A. C., Herman, J. P., & Solomon, M. B. (2010) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2010.01.011 · Cited by 120 · see citing works
NMDA receptors and fear extinction: implications for cognitive behavioral therapy
Davis, M. (2011) · Dialogues in Clinical Neuroscience · doi:10.31887/dcns.2011.13.4/mdavis · Cited by 118 · cited 1× · see citing works
“D-cycloserine, a partial agonist at n-methyl-d-aspartate (NMDA) receptors which are involved in synaptic remodeling and memory function, is known to enhance cognition and has been found to facilitate both fear extinction in animals and exposure therapy in humans with some anxiety disorders (83).”
Brain-derived neurotrophic factor and suicide pathogenesis
Dwivedi, Y. (2010) · Annals of Medicine · doi:10.3109/07853890903485730 · Cited by 113 · cited 1× · see citing works
“Postmortem brains of suicide victims show reduced BDNF expression in hippocampal and cortical brain regions (21), and this corresponds to neuroimaging findings of decreased volumes of hippocampus and PFC in adults with a history of childhood maltreatment, MDD, or PTSD (4).”
BackgroundGrabe, H. J., Schwahn, C., Appel, K., Mahler, J., Schulz, A., Spitzer, C., Fenske, K., Barnow, S., Lucht, M. J., Freyberger, H. J., et al. (2010) · American Journal of Medical Genetics Part B Neuropsychiatric Genetics · doi:10.1002/ajmg.b.31131 · Cited by 111 · see citing works
Cicchetti, D., Rogosch, F., & Oshri, A. (2011) · Development and Psychopathology · doi:10.1017/s0954579411000599 · Cited by 111 · cited 1× · see citing works
“For example, the gene for the type I CRH receptor (CRHR1) interacts with childhood maltreatment to increase risk of depressive symptoms or diagnoses (44–46), as well as abnormal diurnal or provoked cortisol concentrations in children and adults (47, 48).”
BackgroundPhilip, N. S., Sweet, L. H., Tyrka, A. R., Price, L. H., Bloom, R. F., & Carpenter, L. L. (2012) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2012.10.008 · Cited by 102 · see citing works
Self-citationBehavioral immunization: immunity to self-antigens contributes to psychological stress resilience
Lewitus, G. M., & Schwartz, M. (2008) · Molecular Psychiatry · doi:10.1038/mp.2008.103 · Cited by 98 · see citing works
The use of mifepristone in the treatment of neuropsychiatric disorders
DeBattista, C., & Belanoff, J. K. (2006) · Trends in Endocrinology and Metabolism · doi:10.1016/j.tem.2006.02.006 · Cited by 96 · see citing works
Shamseddeen, W. A., Asarnow, J. R., Clarke, G. N., Vitiello, B., Wagner, K. D., Birmaher, B. B., Keller, M. B., Emslie, G. J., Iyengar, S., Ryan, N. D., et al. (2011) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2010.11.019 · Cited by 95 · see citing works
Gene–Environment Interaction in Major Depression and Antidepressant Treatment Response
Keers, R., & Uher, R. (2012) · Current Psychiatry Reports · doi:10.1007/s11920-011-0251-x · Cited by 94 · cited 3× · see citing works
“FKBP5, a gene that regulates sensitivity of the glucocorticoid receptor, has been shown to interact with childhood maltreatment to predict PTSD and depression (49).”
BackgroundResultInfluentialBarbe, R., Bridge, J. A., Birmaher, B. B., Kolko, D. J., & Brent, D. A. (2004) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v65n0113 · Cited by 88 · see citing works
Karg, K., Burmeister, M., Shedden, K., & Sen, S. (2011) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2010.189 · Cited by 87 · see citing works
Lotrich, F. E., Sears, B., & McNamara, R. K. (2012) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2012.08.007 · Cited by 86 · see citing works
Keers, R., Uher, R., Huezo-Diaz, P., Smith, R. G., Jaffee, S. R., Rietschel, M., Henigsberg, N., Kozel, D., Mors, O. N., Maier, W., et al. (2010) · The Pharmacogenomics Journal · doi:10.1038/tpj.2010.14 · Cited by 86 · cited 1× · see citing works
“Several studies have now shown that this allele interacts with early-life stress to increase risk of depression in children and adults (44, 50).”
BackgroundPerceived early-life maternal care and the cortisol response to repeated psychosocial stress
Engert, V. (2010) · Journal of Psychiatry & Neuroscience · doi:10.1503/jpn.100022 · Cited by 86 · cited 1× · see citing works
“Methodological differences between studies of adults and children may account for divergent findings regarding IQ (discussed below), or some deficits may resolve over time, perhaps in response to environmental enrichment (27, 37).”
BackgroundPitman, R. K., Milad, M. R., Igoe, S. A., Vangel, M. G., Orr, S. P., Tsareva, A., Gamache, K., & Nader, K. (2011) · Behavioral Neuroscience · doi:10.1037/a0024364 · Cited by 84 · see citing works
Griebel, G., Beeské, S., & Stahl, S. M. (2012) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.12m07804 · Cited by 81 · see citing works
Long-term neuroendocrine effects of childhood maltreatment
Sjöberg, R. L. (2000) · JAMA · doi:10.1001/jama.284.18.2317 · Cited by 79 · see citing works
Efficacy and Safety of Mifepristone for the Treatment of Psychotic Depression
Blasey, C. M., Block, T. S., Belanoff, J. K., & Roe, R. L. (2011) · Journal of Clinical Psychopharmacology · doi:10.1097/jcp.0b013e3182239191 · Cited by 73 · see citing works
Trauma systems therapy: 15-month outcomes and the importance of effecting environmental change.
Ellis, B. H., Fogler, J., Hansen, S., Forbes, P., Navalta, C. P., & Saxe, G. (2012) · Psychological Trauma: Theory, Research, Practice, and Policy · doi:10.1037/a0025192 · Cited by 64 · cited 1× · see citing works
“A recent uncontrolled study found improvements over 15 months of treatment (74), but controlled studies have yet to be conducted.”
BackgroundKranzler, H. R., Feinn, R., Nelson, E. C., Covault, J., Anton, R. F., Farrer, L. A., & Gelernter, J. E. (2011) · American Journal of Medical Genetics Part B Neuropsychiatric Genetics · doi:10.1002/ajmg.b.31243 · Cited by 56 · see citing works
Zobel, I., Kech, S., van Calker, D., Dykierek, P., Berger, T., Schneibel, R., & Schramm, E. (2011) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2010.01671.x · Cited by 55 · cited 1× · see citing works
“A study of inpatients with major depression found that for those with a history of childhood maltreatment, the combination of interpersonal therapy and antidepressants was significantly more effective than antidepressants without psychotherapy (76).”
BackgroundKling, M. A., Coleman‐Cowger, V. H., & Schulkin, J. A. (2009) · Depression and Anxiety · doi:10.1002/da.20546 · Cited by 52 · see citing works
Schulkin, J. (2006) · Dialogues in Clinical Neuroscience · doi:10.31887/dcns.2006.8.4/jschulkin · Cited by 49 · see citing works
Jeon, H. J., Kang, E., Lee, E. H., Jeong, E.-G., Jeon, J.-R., Mischoulon, D., & Lee, D. (2012) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2012.04.006 · Cited by 26 · see citing works
Tyrka, A., Walters, O., Price, L. H., Anderson, G., & Carpenter, L. L. (2012) · Hormone and Metabolic Research · doi:10.1055/s-0032-1306342 · Cited by 25 · cited 1× · see citing works
“The metabolic syndrome has been associated with HPA axis dysregulation, and our group recently found that indices of the metabolic syndrome were linked to blunted cortisol responses to the dexamethasone (Dex)/CRH test, consistent with the allostatic load hypothesis (62).”
ResultSelf-citation
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Childhood maltreatment and inflammatory markers: a systematic review.
Coelho, R., Viola, T. W., Walss‐Bass, C., Brietzke, E., & Grassi‐Oliveira, R. (2014) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.12217 · Cited by 426 · see citing works
“Adults who experienced abuse or neglect as children appear to have alterations in hypothalamic– pituitary–adrenal (HPA) axis functioning (9).”
Traumatic Childhood Events and Autism Spectrum Disorder
Kerns, C. M., Newschaffer, C. J., & Berkowitz, S. J. (2015) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-015-2392-y · Cited by 312 · see citing works
Psychotropic effects of Lactobacillus plantarum PS128 in early life-stressed and naïve adult mice
Liu, Y.-W., Liu, W., Wu, C.-C., Juan, Y.-C., Wu, Y.-C., Tsai, H.-P., Wang, S. Z., & Tsai, Y.-C. (2015) · Brain Research · doi:10.1016/j.brainres.2015.11.018 · Cited by 290 · see citing works
“Furthermore, ELS is a well-known risk factor for psychopathology, including major depressive disorder and anxiety disorders (Green et al., 2010; McCrory et al., 2010; Tyrka et al., 2013).”
Neurobiological development in the context of childhood trauma.
Cross, D., Fani, N., Powers, A. D., & Bradley, B. (2017) · Clinical Psychology Science and Practice · doi:10.1111/cpsp.12198 · Cited by 227 · see citing works
Kuhlman, K. R., Chiang, J. J., Horn, S., & Bower, J. E. (2017) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2017.05.020 · Cited by 208 · see citing works
“Yet, in the past decade we have developed a much stronger appreciation for the role childhood environments and experiences in the epigenetic regulation of many components of physiological stress response systems (Anacker et al., 2014; Tyrka et al., 2013).”
The effects of early life stress on reward processing
Novick, A. M., Levandowski, M. L., Laumann, L. E., Philip, N. S., Price, L. H., & Tyrka, A. R. (2018) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2018.02.002 · Cited by 192 · see citing works
“, 2006; Pechtel and Pizzagalli, 2013) From a neurobiological perspective, perhaps one of the most well-known effects of ELS is alteration of the hypothalamic-pituitary-adrenal (HPA) axis (for reviews, see McCrory et al., 2010; Strüber et al., 2014; Tyrka et al., 2013).”
BackgroundSelf-citationAddressing Early Childhood Emotional and Behavioral Problems
Gleason, M. M., Goldson, E., Yogman, M. W., PEDIATRICS, S. O. D. A. B., Lieser, D. J., DelConte, B. A., Donoghue, E. A., Earls, M. F., Glassy, D. S., McFadden, T., et al. (2016) · PEDIATRICS · doi:10.1542/peds.2016-3025 · Cited by 163 · see citing works
Neuroinflammation in suicide: Toward a comprehensive model
Courtet, P., Giner, L., Seneque, M., Guillaume, S., Olie, E., & Ducasse, D. (2016) · The World Journal of Biological Psychiatry · doi:10.3109/15622975.2015.1054879 · Cited by 146 · see citing works
“…(Berman et al. 2000; Kudoh et al. 2002; Price et al. 2009; DiazGranados et al. 2010; Larkin and Beautrais 2011; Thakurta et al. 2012; Zarate et al. 2012; Adults who experienced childhood trauma exhibit HPA axis dysregulation leading to a systemic proinfl ammatory state (Tyrka et al. 2013).”
BackgroundDistinct intrinsic network connectivity patterns of post‐traumatic stress disorder symptom clusters
Tursich, M., Ros, T., Frewen, P. A., Kluetsch, R. C., Calhoun, V. D., & Lanius, R. A. (2015) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.12387 · Cited by 148 · see citing works
“Subsequently, for this study, we used the ICA mask from our previous studies (40, 47) that had corresponded most closely with the previously described Table 1.”
BackgroundMethodMehta, D., Kelly, A. B., Laurens, K. R., Haslam, D. M., Williams, K. E., Walsh, K., Baker, P., Carter, H. E., Khawaja, N. G., Zelenko, O., et al. (2021) · Child Psychiatry & Human Development · doi:10.1007/s10578-021-01258-8 · Cited by 171 · see citing works
Childhood adversities and depression in adulthood: Current findings and future directions.
Liu, R. T. (2017) · Clinical Psychology Science and Practice · doi:10.1111/cpsp.12190 · Cited by 147 · see citing works
Adversity exposure during sensitive periods predicts accelerated epigenetic aging in children
Marini, S., Davis, K. A., Soare, T. W., Zhu, Y., Suderman, M. J., Simpkin, A. J., Smith, A. D. A. C., Wolf, E. J., Relton, C. L., & Dunn, E. C. (2019) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2019.104484 · Cited by 140 · see citing works
Tyrka, A. R., Parade, S. H., Welch, E. S., Ridout, K. K., Price, L. H., Marsit, C., Philip, N. S., & Carpenter, L. L. (2016) · Translational Psychiatry · doi:10.1038/tp.2016.112 · Cited by 135 · see citing works
Self-citationModelling resilience in adolescence and adversity: a novel framework to inform research and practice
Malhi, G. S., Das, P., Bell, E., Mattingly, G. W., & Mannie, Z. N. (2019) · Translational Psychiatry · doi:10.1038/s41398-019-0651-y · Cited by 144 · see citing works
Cowan, C. S. M., Callaghan, B. L., Kan, J. M., & Richardson, R. (2015) · Genes Brain & Behavior · doi:10.1111/gbb.12263 · Cited by 127 · see citing works
“…(e.g. reductions in hippocampal volume) and functionally [e.g. alterations in neuroendocrine hypothalamic–pituitary–adrenal (HPA)-axis activity, neurotransmitter levels and cellular signaling; for reviews, see Gunnar & Quevedo 2007; Maccari et al. 2014; Marco et al. 2011; Tyrka et al. 2013].”
BackgroundTyrka, A. R., Ridout, K. K., & Parade, S. H. (2016) · Development and Psychopathology · doi:10.1017/s0954579416000870 · Cited by 119 · see citing works
Self-citationChildhood maltreatment and methylation of FK506 binding protein 5 gene (<i>FKBP5</i>)
Tyrka, A. R., Ridout, K. K., Parade, S. H., Paquette, A., Marsit, C. J., & Seifer, R. (2015) · Development and Psychopathology · doi:10.1017/s0954579415000991 · Cited by 118 · see citing works
“(Morris, Compas, & Garber, 2012; Tyrka et al., 2013) and increased sensitivity of the GR has been shown in some studies”
BackgroundResultInfluentialSelf-citationDepression: Biological markers and treatment
Erjavec, G. N., Šagud, M., Perković, M. N., Štrac, D. Š., Konjevod, M., Tudor, L., Uzun, S., & Pivac, N. (2020) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2020.110139 · Cited by 120 · see citing works
Parade, S. H., Ridout, K. K., Seifer, R., Armstrong, D. A., Marsit, C. J., McWilliams, M. A., & Tyrka, A. R. (2016) · Child Development · doi:10.1111/cdev.12484 · Cited by 109 · see citing works
“The HPA axis regulates the neuroendocrine response to stress and has been implicated as an important component in the development of psychopathology in studies of both animals and humans (Tyrka et al., 2013; Buitelaar 2013).”
BackgroundSelf-citationMeyer, J. S., & Hamel, A. F. (2014) · ILAR Journal · doi:10.1093/ilar/ilu023 · Cited by 96 · see citing works
Allostatic load and comorbidities: A mitochondrial, epigenetic, and evolutionary perspective
Juster, R., Russell, J. J., Almeida, D., & Picard, M. (2016) · Development and Psychopathology · doi:10.1017/s0954579416000730 · Cited by 87 · see citing works
Barzilay, R., Calkins, M. E., Moore, T. M., Wolf, D. H., Satterthwaite, T. D., Scott, J. C., Jones, J. D., Benton, T. D., Gur, R. C., & Gur, R. E. (2018) · Psychological Medicine · doi:10.1017/s0033291718000880 · Cited by 92 · see citing works
Honeycutt, J. A., Demaestri, C., Peterzell, S., Silveri, M. M., Cai, X., Kulkarni, P. P., Cunningham, M. G., Ferris, C. F., & Brenhouse, H. C. (2020) · eLife · doi:10.7554/elife.52651 · Cited by 93 · see citing works
Rumball, F., Brook, L., Happe, F. G. E., & Karl, A. (2021) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2020.103848 · Cited by 89 · see citing works
Acosta, H., Tuulari, J. J., Scheinin, N. M., Hashempour, N., Rajasilta, O., Lavonius, T. I., Pelto, J., Saunavaara, V., Parkkola, R., Lähdesmäki, T., et al. (2019) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2019.00175 · Cited by 80 · see citing works
Tiwari, A., & Gonzalez, A. (2018) · Clinical Psychology Review · doi:10.1016/j.cpr.2018.01.006 · Cited by 71 · see citing works
Parent, J., Parade, S. H., Laumann, L. E., Ridout, K. K., Yang, B.-Z., Marsit, C. J., Seifer, R., & Tyrka, A. R. (2017) · Development and Psychopathology · doi:10.1017/s0954579417001298 · Cited by 72 · see citing works
Self-citationPredictors of student resilience in higher education
Robbins, A. L., Kaye, E., & Catling, J. C. (2018) · Psychology Teaching Review · doi:10.53841/bpsptr.2018.24.1.44 · Cited by 73 · see citing works
Attachment in Schizophrenia--Implications for Research, Prevention, and Treatment
Harder, S. K. (2014) · Schizophrenia Bulletin · doi:10.1093/schbul/sbu133 · Cited by 72 · see citing works
Cotter, J., Kaess, M., & Yung, A. R. (2014) · Irish Journal of Psychological Medicine · doi:10.1017/ipm.2014.74 · Cited by 70 · see citing works
“Childhood trauma can have a number of detrimental effects on the developing brain (Read et al. 2001; Neigh et al. 2009; Tyrka et al. 2013).”
BackgroundPhilip, N. S., Sweet, L. H., Tyrka, A. R., Carpenter, S. L., Albright, S. E., Price, L. H., & Carpenter, L. L. (2015) · Brain Imaging and Behavior · doi:10.1007/s11682-015-9373-9 · Cited by 67 · see citing works
“ELS is associated with decreased memory, attention, working memory, and inhibitory control and lower academic performance (for extensive reviews, see (Teicher and Samson 2013; Hart and Rubia 2012; Pechtel and Pizzagalli 2011; Tyrka et al. 2013).”
BackgroundSelf-citationEarly adversity, neural development, and inflammation
Chiang, J. J., Taylor, S. E., & Bower, J. E. (2015) · Developmental Psychobiology · doi:10.1002/dev.21329 · Cited by 65 · see citing works
Tyrka, A. R., Parade, S. H., Eslinger, N. M., Marsit, C. J., Lesseur, C., Armstrong, D. A., Philip, N. S., Josefson, B., & Seifer, R. (2015) · Development and Psychopathology · doi:10.1017/s0954579415000176 · Cited by 60 · see citing works
Self-citationMarqués-Feixa, L., Palma‐Gudiel, H., Romero, S., Moya, J., Rapado‐Castro, M., Castro-Quintas, Á., Zorrilla, E. P., Muñoz, M. J., Ramírez, M., Mayoral, M., et al. (2021) · Psychological Medicine · doi:10.1017/s003329172100249x · Cited by 59 · see citing works
“Moreover, since dysfunction in neurobiological systems negatively impacts treatment outcomes, youth with CM may also require specific treatment adapted to their condition (Tyrka, Burgers, Philip, Price, & Carpenter, 2013).”
Childhood Trauma Is Associated With Poorer Cognitive Performance in Older Adults
Petkus, A. J., Lenze, E. J., Butters, M. A., Twamley, E. W., & Wetherell, J. L. (2017) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.16m11021 · Cited by 59 · see citing works
Cancel, A., Comte, M., Truillet, R., Boukezzi, S. C., Rousseau, P., Zendjidjian, X. Y., Sage, T., Lazerges, P., Guedj, É., Khalfa, S., et al. (2015) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.12455 · Cited by 57 · see citing works
“In fact, it could be argued that childhood trauma could predispose to almost all adolescent and adult psychiatric disorders (97).”
BackgroundAdverse childhood experiences and leukocyte telomere maintenance in depressed and healthy adults
Chen, S. H., Epel, E. S., Mellon, S. H., Lin, J., Reus, V. I., Rosser, R., Kupferman, E., Burke, H., Mahan, L., Blackburn, E. H., et al. (2014) · Journal of Affective Disorders · doi:10.1016/j.jad.2014.07.035 · Cited by 55 · see citing works
“…may become “biologically embedded” throughout the lifespan (Shalev et al., 2013; Shalev, 2012), including excessive oxidative stress and inflammation (Tyrka et al., 2013; Fagundes, Glaser, & Kiecolt-Glaser, 2013; Danese & McEwen, 2012) and dysfunction of the HPA and noradrenergic stress response…”
BackgroundAdverse Childhood Experiences and Building Resilience With the JoyPop App: Evaluation Study
MacIsaac, A., Mushquash, A. R., Mohammed, S., Grassia, E., Smith, S., & Wekerle, C. (2020) · JMIR mhealth and uhealth · doi:10.2196/25087 · Cited by 54 · see citing works
“Investigating the relationship between sex, adversity, and intervention response is important because there may be several potential sex differences, including rates of childhood adversity [81], neuroendocrine and brain responses to stress and trauma [82,83], susceptibility to certain psychological responses to advers…”
BackgroundResultChen, X., Zeng, C., Gong, C., Zhang, L., Wan, Y., Tao, F., & Sun, Y. (2019) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2019.01.021 · Cited by 51 · see citing works
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“Of note, a relationship between childhood trauma and cognitive impairments, including decreased memory, has been well documented outside of the neuroimaging literature (Tyrka et al., 2013).”
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“Long-term activation of the HPA axis may result in dysregulated cortisol secretion, which can have long-lasting effects on HPA axis basal activity and responsivity to episodic challenges (Agorastos et al., 2019; Russell & Lightman, 2019; Tyrka et al., 2013).”
BackgroundGenetic Moderation of Stress Effects on Corticolimbic Circuitry
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“Similar associations (ie, elevated ACTH and cortisol and reduced GR expression in the hippocampus) have been found in non-human primates and humans exposed to adversity in early life suggesting that these effects are conserved across species (Miller et al, 2007; Tyrka et al, 2013).”
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Self-citationChildhood maltreatment and stress-related psychopathology: the epigenetic memory hypothesis
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“Many previous studies have suggested that gene expression, abnormal epigenetic changes, abnormal brain structure and function, and hypothalamic-pituitary-adrenal (HPA) axis dysfunction may be the essential biological basis for the relationship between childhood trauma and physical and PH problems in later life [60, 61…”
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“Such exposure is generally associated with poor outcomes, including increased resistance to pharmacologic treatment (Heim et al., 2010; Tyrka et al., 2013).”
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The Neuroscience of Suicidal Behavior
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“Third, our data suggest that ELS-related mechanisms (e.g., Carpenter et al. 2010, 2011; Irwin and Cole 2011; Johnson et al. 2013; Taylor 2010; Tyrka et al. 2013) might provide valuable targets for intervention when developing therapeutic strategies for neuropsychiatric disorders in HIV+ adults with high ELS.”
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“However, not all children experience happiness throughout their development due to increased emotional distress, abuse, neglect, violence, and instability in the current scenario (Luking et al., 2011; Sandstrom & Huerta, 2013; Tyrka et al., 2013).”
BackgroundEstablishing Early Foundations to Promote Emotional Competence in Preschool Children
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“However, not all children would experience emotional stability and happiness throughout their period of development due to increased emotional distress, abuse, neglect, violence, and instability in the current scenario (Luking et al. 2011; Sandstrom and Huerta 2013; Tyrka et al. 2013).”
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“The size of the telomeres is influenced by stress and by inflammatory factors, and some studies have already shown that severe chronic diseases involve stressful and inflammatory states that can contribute to the association of the telomeres’ size and physical diseases [38], such as cancer.”
BackgroundSuicide Attempts among Those with Migraine: Findings from a Nationally Representative Canadian Study
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“This dysregulation would, in turn, result in increased dopamine release in mesolimbic brain areas, which has been frequently related to the expression of psychotic symptoms [39,42].”
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“Hypothalamic-pituitary-adrenal axis abnormalities have been identified in subjects with a history of early life stress but with some equivocal results (Tyrka et al., 2013).”
Mardini, V., Rohde, L. A., Ceresér, K. M. M., Gubert, C., da Silva, E. G., Xavier, F., Parcianello, R. R., Röhsig, L. M., Pechansky, F., Pianca, T. G., et al. (2016) · Trends in Psychiatry and Psychotherapy · doi:10.1590/2237-6089-2015-0081 · Cited by 11 · see citing works
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“The rate of telomere shortening is particularly rapid during childhood, which may mean that programming of the regulation of telomere length may be particularly affected by childhood maltreatment (Tyrka et al. 2013).”
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“…base of the mechanisms and processes of environmentally adaptive change via repetition [e.g., (15, 16, 45)] to speci fi c conditions, for example during the critical adolescent affect regulation developmental window [e.g., (56 – 59)], or following exposure to childhood adversity [e.g., (22)].”
BackgroundHow to Support Parents of Infants and Young Children in Mental Health Care: A Narrative Review
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“Importantly, not only acute or current psychosocial stress may lead to HPA dysfunction, but early childhood traumatic events may even cause long-term dysregulation and chronic proinflammatory states [107], including altered proinflammatory cytokine and CRP levels [108], and immune dysregulation has been shown to be as…”
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“This pathway indicates that childhood maltreatment could program psychoneuroendocrine systems, which may put an individual at a higher risk for impaired mental well-being, independent of being a mother (Carr et al. 2013; Kessler et al. 1997; Kim et al. 2010; McLaughlin et al. 2010; Tyrka et al. 2013).”
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“The association between adversity and poor mental health outcomes is thought to be mediated by deleterious neurobiological effects of adversity on the developing brain (Tyrka et al., 2013; Mclaughlin et al., 2021).”
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“Therefore, CUD and childhood trauma may have synergistic immunological effects by promoting inflammation and impairing cellular immunity to viral infections (Roth et al ., 2002; Slopen et al ., 2012; Tyrka et al ., 2013).”
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- Authors
- Tyrka, A. R., Burgers, D. E., Philip, N. S., Price, L. H., & Carpenter, L. L.
- Affiliations
- Brown University (US)
- Butler Hospital (US)
- Corresponding author
- Tyrka, A. R.
- Venue
- Acta Psychiatrica Scandinavica
- Publisher
- Wiley
- Published
- 2013-05-10
- Volume
- 128
- Issue
- 6
- Pages
- 434-447
- ISSN
- 0001-690X (ISSN-L)
- 1600-0447
- PMC
- PMC4467688
- OpenAlex
- W2139327589
- Cited by
- 142
- References
- 107
- Citations by year
- 2026: 8 · 2025: 5 · 2024: 4 · 2023: 5 · 2022: 4 · 2021: 12 · 2020: 10 · 2019: 12 · 2018: 23 · 2017: 14 · 2016: 15 · 2015: 19 · 2014: 10 · 2013: 1
- FWCI
- 2.21
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Acta Psychiatrica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- AstraZeneca
- H. Lundbeck A/S
- National Institutes of Health
- Health Resources and Services Administration
- National Institute of Mental Health (R01MH083704, R01MH068767, R21MH091508)
- 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
- childhood adversity, early life stress, neurobiological correlates, neuroendocrine system, neurotrophic factors, neuroimaging, cognitive effects, epigenetics, genetic factors, treatment outcomes, psychopathology, animal models
- MeSH terms
- Animals, Child, Child Abuse, Humans, Life Change Events, Stress, Psychological
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