Evidence map›Paper›PMID 30461123›Full record

Observational studyAddiction (Abingdon, England)2019

Blunted stress reactivity reveals vulnerability to early life adversity in young adults with a family history of alcoholism.

William R Lovallo, Andrew J Cohoon, Ashley Acheson, Kristen H Sorocco, Andrea S Vincent

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Addiction (Abingdon, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 21% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. From childhood adversity to latent stress vulnerability in adulthood: the mediating roles of sleep disturbances and HPA axis dysfunction.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2023
    Review
  5. Implications of Cumulative Life Event Stress for Daily Stress Exposure and Cardiovascular Reactivity Among Black and White Americans.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Integrative Review of Early Life Adversity and Cortisol Regulation in Pregnancy.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2021
    Review
  13. Article
  14. Article
  15. Review
  16. Article
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

5 authors at 3 institutions in 1 country.

William R LovalloBehavioral Sciences Laboratories, Veterans Affairs Medical Center, Oklahoma City, OK, USA.ORCID 0000-0002-8489-3509
Andrew J CohoonBehavioral Sciences Laboratories, Veterans Affairs Medical Center, Oklahoma City, OK, USA.
Ashley AchesonDepartment of Psychiatry, University of Arkansas Medical Center, Little Rock, AK, USA.
Kristen H SoroccoBehavioral Sciences Laboratories, Veterans Affairs Medical Center, Oklahoma City, OK, USA.
Andrea S VincentCognitive Science Research Center, University of Oklahoma, Norman, OK, USA.
Veterans Health Administration · USUniversity of Arkansas Medical Center · USUniversity of Oklahoma · US

Funding

Psychophysiological Precursors of AlcoholismR01AA012207 · NIAAA · UNIV OF ARKANSAS FOR MED SCIS · PI ACHESON, ASHLEY, KOCHUNOV, PETER V. · 2001 to 2025
$9.0M
Neuroimaging in the Oklahoma Family Health Patterns ProjectR01AA019691 · NIAAA · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI LOVALLO, WILLIAM R · 2011 to 2013
$555k
Neuroimaging in the Oklahoma Family Health Patterns ProjectI01CX000252 · VA · OKLAHOMA CITY VA MEDICAL CENTER · PI LOVALLO, WILLIAM R · 2011 to 2013
–
CSRD VA I01 CX000252NIAAA NIH HHS R01 AA012207NIAAA NIH HHS R01 AA019691US Department of Veterans Affairs
6 · The paper itself

Abstract

BACKGROUND AND

aimsPeople with blunted stress reactivity have poor impulse control and also show increased risk for alcoholism. Exposure to early life adversity (ELA) contributes to blunted reactivity, but individual differences in susceptibility to ELA are not well understood. This study aimed to determine whether exposure to ELA has a greater impact on stress reactivity in young adults with a family history of alcoholism (FH+) compared with young adults with no family history of alcoholism (FH-).

designObservational study using linear modeling.

settingOklahoma, USA.

participantsSeven hundred and nine young adults (398 females) recruited through community advertisement. MEASUREMENTS: We obtained heart rates and cortisol levels in subjects while undergoing public speaking and mental arithmetic stress compared with a resting control day (1418 test sessions). ELA was quantified as 0, 1 or > 1 adverse events experienced by age 15 years. FH+ people had one or two parents with an alcohol use disorder, and FH- controls had no such history for two generations.

findingsIncreasing levels of ELA predicted progressive blunting of cortisol and heart rate reactivity for the whole sample (Fs = 4.57 and 4.70, Ps ≤ 0.011), but examination by FH status showed that the effect of ELA was significant only among FH+ (Fs ≥ 3.5, Ps < 0.05) and absent in FH- (Ps > 0.40). This difference in ELA impact was not explained by the cortisol diurnal cycle or subjective evaluation of the stressors.

conclusionsPeople with a family history of alcoholism appear to be vulnerable, in terms of changes to physiological stress response, to the impact of exposure to early life adversity while people with no family history of alcoholism appear to be resilient. Blunted stress reactivity may reflect differential vulnerability to early life adversity in young adults with a family history of alcoholism.

Indexed as

Adaptation, PsychologicalAdverse Childhood ExperiencesArousalAdolescentAlcoholismChildDisruptive, Impulse Control, and Conduct DisordersFemaleHumansLinear ModelsMaleRisk FactorsStress, PsychologicalYoung AdultCortisolfamily history of alcoholismheart ratelife-time adversitypublic speakingstress reactivity

Identifiers

PMID30461123
PMCPMC6529292
OpenAlexW2900850553

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.