Cited by 153Telomeres, Telomerase, and SenescenceStress Responses and CortisolChild Abuse and Trauma

Stress, telomeres, and psychopathology: toward a deeper understanding of a triad of early aging

Open access
Epel, Elissa S., Prather, Aric A.·2018·Annual Review of Clinical Psychology

Abstract

Telomeres play an important part in aging and show relationships to lifetime adversity, particularly childhood adversity. Meta-analyses demonstrate reliable associations between psychopathology (primarily depression) and shorter telomere length, but the nature of this relationship has not been fully understood. Here, we review and evaluate the evidence for impaired telomere biology as a consequence of psychopathology or as a contributing factor, and the important mediating roles of chronic psychological stress and impaired allostasis. There is evidence for a triadic relationship among stress, telomere shortening, and psychiatric disorders that is positively reinforcing and unfolds across the life course and, possibly, across generations. We review the role of genetics and biobehavioral responses that may contribute to shorter telomere length, as well as the neurobiological impact of impaired levels of telomerase. These complex interrelationships are important to elucidate because they have implications for mental and physical comorbidity and, potentially, for the prevention and treatment of depression.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1146/annurev-clinpsy-032816-045054

Cites

148 of 148 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

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?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
Epel, E. S., & Prather, A. A.
Affiliations
University of California, San Francisco (US)
Venue
Annual Review of Clinical Psychology
Published
2018-05-07
Volume
14
Issue
1
Pages
371-397
ISSN
  • 1548-5943 (ISSN-L)
  • 1548-5951
OpenAlex
W2792292383
Cited by
153
References
148
Citations by year
2026: 11 · 2025: 13 · 2024: 18 · 2023: 21 · 2022: 26 · 2021: 19 · 2020: 24 · 2019: 17 · 2018: 4
FWCI
2.11
Type
journal article
Language
en
Open access
Locations
  • Annual Review of Clinical Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • National Institute on Aging (R01AG030424, R24AG048024)
  • National Heart, Lung, and Blood Institute (K08HL112961)
Topics
  • Health Sciences › Medicine › Physiology › Telomeres, Telomerase, and Senescence
  • Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Keywords
telomeres, telomere length, psychological stress, childhood adversity, depression, psychopathology, allostasis, telomerase, aging, life course, intergenerational transmission, genetic factors
MeSH terms
Adverse Childhood Experiences, Animals, Mental Disorders, Humans, Stress, Psychological, Telomerase, Aging, Premature, Telomere Shortening

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.

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 ›

Are you an author, or do you see a problem with this page? Request a review