Evidence map›Paper›PMID 28244601›Full record

ArticleJournal of child psychology and psychiatry, and allied disciplines2017

Reduced hair cortisol after maltreatment mediates externalizing symptoms in middle childhood and adolescence.

Lars O White, Marcus Ising, Kai von Klitzing, Susan Sierau, Andrea Michel, Annette M Klein, Anna Andreas, Jan Keil, Leonhard Quintero, Bertram Müller-Myhsok and 6 more

Open access · greenAbstract read
In one paragraph

Article in Journal of child psychology and psychiatry, and allied disciplines, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 4 pooled it
5.5field-weighted citation impact, top 3% 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

41 citing papers in PubMed, 4 syntheses or guidelines pooled it, 104 citations in OpenAlex.

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  8. Hearing and early life adversity: effects of developmental stress on sensory processing.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 8 institutions in 3 countries.

Lars O WhiteDepartment of Child and Adolescent Psychiatry, University of Leipzig, Leipzig, Germany.
Marcus IsingMax Planck Institute of Psychiatry, Munich, Germany.
Kai von KlitzingDepartment of Child and Adolescent Psychiatry, University of Leipzig, Leipzig, Germany.
Susan SierauDepartment of Child and Adolescent Psychiatry, University of Leipzig, Leipzig, Germany.
Andrea MichelDepartment of Child and Adolescent Psychiatry, University of Leipzig, Leipzig, Germany.
Annette M KleinDepartment of Child and Adolescent Psychiatry, University of Leipzig, Leipzig, Germany.
Anna AndreasDepartment of Child and Adolescent Psychiatry, University of Leipzig, Leipzig, Germany.
Jan KeilDepartment of Child and Adolescent Psychiatry, University of Leipzig, Leipzig, Germany.
Leonhard QuinteroDepartment of Child and Adolescent Psychiatry, University of Leipzig, Leipzig, Germany.
Bertram Müller-MyhsokMax Planck Institute of Psychiatry, Munich, Germany.
Manfred UhrMax Planck Institute of Psychiatry, Munich, Germany.
Ruth GauscheUniversity of Leipzig, Leipzig, Germany.
Jody T ManlyMt. Hope Family Center, University of Rochester, Rochester, NY, USA.
Michael J CrowleyYale Child Study Center, Yale University School of Medicine, New Haven, CT, USA.
Clemens KirschbaumInstitute of Psychology, TU Dresden, Dresden, Germany.
Tobias StalderInstitute of Psychology, TU Dresden, Dresden, Germany.
Leipzig University · DEMax Planck Institute of Psychiatry · DEJena Bioscience (Germany) · DETU Dresden · DEUniversity of Liverpool · GBUniversity of Rochester · USUniversity of Siegen · DEYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Neural Correlates of Negative Reinforcement in Adolescence & Substance Use RiskK01DA034125 · NIDA · YALE UNIVERSITY · PI CROWLEY, MICHAEL J · 2012 to 2016
$823k
NCATS NIH HHS UL1 TR001863NIDA NIH HHS K01 DA034125
6 · The paper itself

Abstract

backgroundThe enduring impact of childhood maltreatment on biological systems and ensuing psychopathology remains incompletely understood. Long-term effects of stress may be reflected in cumulative cortisol secretion over several months, which is now quantifiable via hair cortisol concentrations (HCC). We conducted a first comprehensive investigation utilizing the potential of hair cortisol analysis in a large sample of maltreated and nonmaltreated children and adolescents.

methodParticipants included 537 children and adolescents (3-16 years; 272 females) with maltreatment (n = 245) or without maltreatment histories (n = 292). Maltreated subjects were recruited from child protection services (CPS; n = 95), youth psychiatric services (n = 56), and the community (n = 94). Maltreatment was coded using the Maltreatment Classification System drawing on caregiver interviews and complemented with CPS records. Caregivers and teachers reported on child mental health. HCC were assessed in the first 3 cm hair segment.

resultsAnalyses uniformly supported that maltreatment coincides with a gradual and dose-dependent reduction in HCC from 9 to 10 years onwards relative to nonmaltreated controls. This pattern emerged consistently from both group comparisons between maltreated and nonmaltreated subjects (27.6% HCC reduction in maltreated 9-16-year-olds) and dimensional analyses within maltreated subjects, with lower HCC related to greater maltreatment chronicity and number of subtypes. Moreover, both group comparisons and dimensional analyses within maltreated youth revealed that relative HCC reduction mediates the effect of maltreatment on externalizing symptoms.

conclusionsFrom middle childhood onwards, maltreatment coincides with a relative reduction in cortisol secretion, which, in turn, may predispose to externalizing symptoms.

Indexed as

Child AbuseAdolescentAdolescent BehaviorBehavioral SymptomsChildChild BehaviorChild, PreschoolFemaleHairHumansHydrocortisoneMaleHydrocortisoneexternalizing symptomsHair cortisolmaltreatmentneglect

Identifiers

PMID28244601
PMCPMC5570647
OpenAlexW2592346699

What OpenQuestion holds

Textmetadata
LicenceTDM
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.