Evidence map›Paper›PMID 29052307›Full record

ArticleDevelopmental science2018

Instrumental learning and cognitive flexibility processes are impaired in children exposed to early life stress.

Madeline B Harms, Katherine E Shannon Bowen, Jamie L Hanson, Seth D Pollak

Open access · hybridAbstract read
In one paragraph

Article in Developmental science, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 4 pooled it
11.3field-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

65 citing papers in PubMed, 4 syntheses or guidelines pooled it, 120 citations in OpenAlex.

  1. Pooled it
  2. How childhood adversity affects components of decision making.Neuroscience and biobehavioral reviews · 2025
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Neurodevelopmental effects of early life stress: PFC and cognition.Neuroscience and biobehavioral reviews · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Prefrontal cortex development and its implications in mental illness.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  11. Article
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  19. Article
  20. Childhood maltreatment influences adult brain structure through its effects on immune, metabolic, and psychosocial factors.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article

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

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Madeline B HarmsDeaprtment of Psychology, University of Wisconsin-Madison, Madison, WI, USA.
Katherine E Shannon BowenDeaprtment of Psychology, University of Wisconsin-Madison, Madison, WI, USA.
Jamie L HansonDeaprtment of Psychology, University of Wisconsin-Madison, Madison, WI, USA.
Seth D PollakDeaprtment of Psychology, University of Wisconsin-Madison, Madison, WI, USA.
University of Wisconsin–Madison · US

Funding

WISCONSIN CENTER ON MENTAL RETARDATION: CORE SUPPORTP30HD003352 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI MAILICK, MARSHA RUTH · 1985 to 2015
$25.2M
Emotion Processing:Risk for Psychopathology in ChildrenR01MH061285 · NIMH · UNIVERSITY OF WISCONSIN-MADISON · PI SETH D POLLAK · 2001 to 2026
$12.4M
TRAINING PROGRAM IN EMOTION RESEARCHT32MH018931 · NIMH · UNIVERSITY OF WISCONSIN-MADISON · PI Richard J Davidson · 1989 to 2026
$11.6M
POSTDOCTORAL TRAINING IN MENTAL RETARDATION RESEARCHT32HD007489 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI Sigan L Hartley · 1995 to 2026
$6.0M
Waisman Intellectual and Developmental Disabilities Research Center Down Syndrome RegistryU54HD090256 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI CHANG, QIANG · 2016 to 2020
$6.0M
Neurodevelopmental Correlates of Reward Processing and Adolescent Substance AbuseF31DA028087 · NIDA · UNIVERSITY OF WISCONSIN-MADISON · PI HANSON, JAMIE LARS · 2010 to 2012
$85k
NICHD NIH HHS P30 HD003352NICHD NIH HHS T32 HD007489NICHD NIH HHS U54 HD090256NIDA NIH HHS F31 DA028087NIMH NIH HHS R01 MH061285NIMH NIH HHS T32 MH018931
6 · The paper itself

Abstract

Children who experience severe early life stress show persistent deficits in many aspects of cognitive and social adaptation. Early stress might be associated with these broad changes in functioning because it impairs general learning mechanisms. To explore this possibility, we examined whether individuals who experienced abusive caregiving in childhood had difficulties with instrumental learning and/or cognitive flexibility as adolescents. Fifty-three 14-17-year-old adolescents (31 exposed to high levels of childhood stress, 22 control) completed an fMRI task that required them to first learn associations in the environment and then update those pairings. Adolescents with histories of early life stress eventually learned to pair stimuli with both positive and negative outcomes, but did so more slowly than their peers. Furthermore, these stress-exposed adolescents showed markedly impaired cognitive flexibility; they were less able than their peers to update those pairings when the contingencies changed. These learning problems were reflected in abnormal activity in learning- and attention-related brain circuitry. Both altered patterns of learning and neural activation were associated with the severity of lifetime stress that the adolescents had experienced. Taken together, the results of this experiment suggest that basic learning processes are impaired in adolescents exposed to early life stress. These general learning mechanisms may help explain the emergence of social problems observed in these individuals.

Indexed as

Child AbuseAdolescentBrainCase-Control StudiesCognition DisordersFamilyFemaleHumansLearning DisabilitiesMagnetic Resonance ImagingMaleNeuropsychological TestsStress, Psychological

Identifiers

PMID29052307
PMCPMC5908766
OpenAlexW2766628440

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.