Evidence map›Paper›PMID 23732967›Full record

ArticleThe American journal of psychiatry2013

Decreased cortical representation of genital somatosensory field after childhood sexual abuse.

Christine M Heim, Helen S Mayberg, Tanja Mletzko, Charles B Nemeroff, Jens C Pruessner

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In one paragraph

Article in The American journal of psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 122 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
122citing papers in PubMed, 4 pooled it
21.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

122 citing papers in PubMed, 4 syntheses or guidelines pooled it, 319 citations in OpenAlex.

  1. Pooled it
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  12. Alterations of Cortical Thickness in High Suicidality Patients with Panic Disorder and Their Relationship with Symptomatology and Treatment Response.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2026
    Article
  13. Article
  14. The social ambivalence and disease model: Childhood trauma as an antecedent factor linking spousal ambivalence to inflammation.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
    Article
  15. Article
  16. Childhood trauma and subclinical cin early adulthood: A genetically informative study.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Article
  17. Review
  18. Merkel cell stimulation in fear and sensory signaling.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Article
  19. Article
  20. Review

62 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Christine M HeimInstitute of Medical Psychology, Charité University Medicine Berlin, Germany. jens.pruessner@mcgill.ca
Helen S Mayberg
Tanja Mletzko
Charles B Nemeroff
Jens C Pruessner
University of Miami · US

Funding

Signal transductionP50MH058922 · NIMH · EMORY UNIVERSITY · PI SANCHEZ, MAR M · 1999 to 2008
$21.7M
NIMH NIH HHS MH 073698NIMH NIH HHS MH 58922
6 · The paper itself

Abstract

objectiveSexual dysfunction is a common clinical symptom in women who were victims of childhood sexual abuse. The precise mechanism that mediates this association remains poorly understood. The authors evaluated the relationship between the experience of childhood abuse and neuroplastic thinning of cortical fields, depending on the nature of the abusive experience.

methodThe authors used MRI-based cortical thickness analysis in 51 medically healthy adult women to test whether different forms of childhood abuse were associated with cortical thinning in areas critical to the perception and processing of specific behavior implicated in the type of abuse.

resultsExposure to childhood sexual abuse was specifically associated with pronounced cortical thinning in the genital representation field of the primary somatosensory cortex. In contrast, emotional abuse was associated with cortical thinning in regions relevant to self-awareness and self-evaluation.

conclusionsNeural plasticity during development appears to result in cortical adaptation that may shield a child from the sensory processing of the specific abusive experience by altering cortical representation fields in a regionally highly specific manner. Such plastic reorganization may be protective for the child living under abusive conditions, but it may underlie the development of behavioral problems, such as sexual dysfunction, later in life.

Indexed as

Child Abuse, SexualAdolescentAdultChildChild AbuseFemaleGenitalia, FemaleHumansMagnetic Resonance ImagingMiddle AgedSelf ConceptSexual Dysfunction, PhysiologicalSomatosensory CortexSurveys and QuestionnairesYoung Adult

Identifiers

PMID23732967
OpenAlexW2152536317

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.