Research Review: The neurobiology and genetics of maltreatment and adversity
Abstract
The neurobiological mechanisms by which childhood maltreatment heightens vulnerability to psychopathology remain poorly understood. It is likely that a complex interaction between environmental experiences (including poor caregiving) and an individual's genetic make-up influence neurobiological development across infancy and childhood, which in turn sets the stage for a child's psychological and emotional development. This review provides a concise synopsis of those studies investigating the neurobiological and genetic factors associated with childhood maltreatment and adversity. We first provide an overview of the neuroendocrine findings, drawing from animal and human studies. These studies indicate an association between early adversity and atypical development of the hypothalamic-pituitary-adrenal (HPA) axis stress response, which can predispose to psychiatric vulnerability in adulthood. We then review the neuroimaging findings of structural and functional brain differences in children and adults who have experienced childhood maltreatment. These studies offer evidence of several structural differences associated with early stress, most notably in the corpus callosum in children and the hippocampus in adults; functional studies have reported atypical activation of several brain regions, including decreased activity of the prefrontal cortex. Next we consider studies that suggest that the effect of environmental adversity may be conditional on an individual's genotype. We also briefly consider the possible role that epigenetic mechanisms might play in mediating the impact of early adversity. Finally we consider several ways in which the neurobiological and genetic research may be relevant to clinical practice and intervention.
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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 McCrory et al., 2010
Adverse environments have differential, and sometimes opposite, effects on brain structure when assessed in childhood versus adulthood.
“adverse environments have differential (and sometimes opposite) effects on brain structure when assessed in childhood versus adulthood (see McCrory et al., 2010, Tottenham and Sheridan, 2010)”
From Positive parenting predicts the development of adolescent brain structure: a longitudinal study (2014) · cites this paper as McCrory et al., 2010
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“There has been a growing interest in understanding the neurobiological basis of resilience (Charney, 2004) and how this might fit within a multiple levels of analysis framework for understanding maltreatment and psychopathology (Curtis & Cicchetti, 2003; Cicchetti & Rogosch, 2007).”
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Early adverse events, HPA activity and rostral anterior cingulate volume in MDD
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An event-related potential study of the impact of institutional rearing on face recognition
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“…with no evident psychopathology; such work is of direct relevance to understanding possible neurobiological correlates of resilience (Carpenter et al., 2007, 2009; Elzinga et al., 2008; Gonzalez, Jenkins, Steiner, & Fleming, 2009; Heim et al., 2009; Klaassens et al., 2009; Tyrka et al., 2008).”
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Long-term effects of cognitive behavior therapy on brain activation in spider phobia
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Self-citationWho cares for a stressed brain? The mother, the kid or both?
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Mnemonic contributions of hippocampal place cells
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A Phylogenetic Perspective for Social Behavior in Primates
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Childhood Adversity and Neural Development: A Systematic Review
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“These include the prefrontal cortex (PFC), both the orbitofrontal cortex and anterior cingulate cortex, and the amygdala (DeBellis, 2001; Hart & Rubia, 2012; McCrory et al., 2010; Teicher et al., 2012).”
BackgroundThe neurodevelopmental origins of suicidal behavior
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Hidden wounds? inflammatory links between childhood trauma and psychopathology
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- Authors
- McCrory, E., De Brito, S. A., & Viding, E.
- Affiliations
- Anna Freud Centre (GB)
- University College London (GB)
- Venue
- Journal of Child Psychology and Psychiatry
- Publisher
- Wiley
- Published
- 2010-09-14
- Volume
- 51
- Issue
- 10
- Pages
- 1079-1095
- ISSN
- 0021-9630 (ISSN-L)
- 1469-7610
- OpenAlex
- W1943473395
- Cited by
- 598
- References
- 181
- Citations by year
- 2026: 13 · 2025: 23 · 2024: 18 · 2023: 29 · 2022: 31 · 2021: 32 · 2020: 47 · 2019: 46 · 2018: 44 · 2017: 44 · 2016: 55 · 2015: 48 · 2014: 36 · 2013: 56 · 2012: 43
- FWCI
- 6.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Child Psychology and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
- Funders
- British Academy
- Biomedical Advanced Research and Development Authority
- Economic and Social Research Council (ES/H007059/1, ES/G000131/1)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Social Sciences › Safety Research › Child Welfare and Adoption
- Keywords
- child abuse, childhood adversity, hypothalamic-pituitary-adrenal axis, stress response, neuroendocrine development, structural brain differences, hippocampus, corpus callosum, prefrontal cortex, gene-environment interaction, epigenetics, vulnerability to psychopathology, caregiving quality, neuroimaging
- MeSH terms
- Adult, Aging, Animals, Brain, Child, Child Abuse, Corpus Callosum, Genotype, Hippocampus, Humans, Hypothalamo-Hypophyseal System, Neurobiology, Pituitary-Adrenal System, Social Environment, Stress, Psychological, Prefrontal Cortex, Epigenesis, Genetic
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