Cited by 142Child Abuse and TraumaStress Responses and CortisolPosttraumatic Stress Disorder Research

The neurobiological correlates of childhood adversity and implications for treatment

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Tyrka, A. R., Burgers, D. E., Philip, N. S., Price, L. H., Carpenter, L. L.·2013·Acta Psychiatrica Scandinavica

Abstract

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).”
  • 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”
  • 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).”
  • 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.”
  • 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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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
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
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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