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Stress Predicts Brain Changes in Children: A Pilot Longitudinal Study on Youth Stress, Posttraumatic Stress Disorder, and the Hippocampus
Abstract
OBJECTIVE: Does stress damage the brain? Studies of adults with posttraumatic stress disorder have demonstrated smaller hippocampal volumes when compared with the volumes of adults with no posttraumatic stress disorder. Studies of children with posttraumatic stress disorder have not replicated the smaller hippocampal findings in adults, which suggests that smaller hippocampal volume may be caused by neurodevelopmental experiences with stress. Animal research has demonstrated that the glucocorticoids secreted during stress can be neurotoxic to the hippocampus, but this has not been empirically demonstrated in human samples. We hypothesized that cortisol volumes would predict hippocampal volume reduction in patients with posttraumatic symptoms. PATIENTS AND METHODS: We report data from a pilot longitudinal study of children (n = 15) with history of maltreatment who underwent clinical evaluation for posttraumatic stress disorder, cortisol, and neuroimaging. RESULTS: Posttraumatic stress disorder symptoms and cortisol at baseline predicted hippocampal reduction over an ensuing 12- to 18-month interval. CONCLUSIONS: Results from this pilot study suggest that stress is associated with hippocampal reduction in children with posttraumatic stress disorder symptoms and provide preliminary human evidence that stress may indeed damage the hippocampus. Additional studies seem to be warranted.
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“This may be compounded by environment (e.g., poverty (118)), parent (e.g., mental disorders (119)), and youth (e.g., stress (120); psychiatric symptoms (121)) factors—each affecting neuromaturation—and potentially, increasing STB and NSSI vulnerability.”
From Neural correlates associated with suicide and nonsuicidal self-injury in youth (2021) · cites this paper as [120]
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“Preliminary support for this hypothesis stems from a longitudinal study of traumatized children in which markers of stress (PTSD symptoms, cortisol levels) predicted reduced hippocampal volume from baseline to follow-up 12–18 months later (Carrion et al. 2007).”
BackgroundResultTeicher, M. H., & Samson, J. A. (2013) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2013.12070957 · Cited by 1,050
Stress, sensitive periods and maturational events in adolescent depression
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Metadata
- Authors
- Carrion, V. G., Weems, C. F., & Reiss, A. L.
- Affiliations
- Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California
- LSU New Orleans (US)
- Stanford Medicine (US)
- Venue
- PEDIATRICS
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2007-03-01
- Volume
- 119
- Issue
- 3
- Pages
- 509-516
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W2170134781
- Cited by
- 327
- References
- 41
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 8 · 2023: 10 · 2022: 11 · 2021: 19 · 2020: 17 · 2019: 15 · 2018: 13 · 2017: 24 · 2016: 20 · 2015: 18 · 2014: 23 · 2013: 26 · 2012: 24
- FWCI
- 8.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- UCLA - Biblioteca de Ciencias de la Salud (submittedVersion)
- Funders
- University of Minnesota
- National Institutes of Health
- National Institute of Mental Health (MH-19908, K23MH063893, MH050047, MH01142, MH63893-01, K02MH001142, R01MH050047, T32MH019908)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD031715, HD31715)
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- post-traumatic stress disorder, child abuse, hippocampal volume, cortisol, glucocorticoid neurotoxicity, brain development, children
- MeSH terms
- Adolescent, Arousal, Child, Chronic Disease, Circadian Rhythm, Female, Hippocampus, Humans, Hydrocortisone, Longitudinal Studies, Male, Organ Size, Pilot Projects, Saliva, Severity of Illness Index, Stress Disorders, Post-Traumatic, Stress, Psychological
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