Evidence map›Paper›PMID 30528381›Full record

ArticleBiological psychiatry2019

Susceptibility or Resilience to Maltreatment Can Be Explained by Specific Differences in Brain Network Architecture.

Kyoko Ohashi, Carl M Anderson, Elizabeth A Bolger, Alaptagin Khan, Cynthia E McGreenery, Martin H Teicher

Abstract read
In one paragraph

Article in Biological psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

37 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Promotion of long-term health in early life.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  3. Article
  4. Article
  5. Transdiagnostic prevention in youth mental health, Part I: rationale, shared risk factors.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
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  15. Article
  16. Article
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  19. Article
  20. Sex and sensitive period differences in potential effects of maltreatment on axial versus radial diffusivity in the corpus callosum.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2022
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Kyoko OhashiDevelopmental Biopsychiatry Research Program, McLean Hospital, Belmont, Massachusetts; Brain Imaging Center, McLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts. Electronic address: kohashi@mclean.harvard.edu.
Carl M AndersonDevelopmental Biopsychiatry Research Program, McLean Hospital, Belmont, Massachusetts.
Elizabeth A BolgerDevelopmental Biopsychiatry Research Program, McLean Hospital, Belmont, Massachusetts.
Alaptagin KhanDevelopmental Biopsychiatry Research Program, McLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Cynthia E McGreeneryDevelopmental Biopsychiatry Research Program, McLean Hospital, Belmont, Massachusetts.
Martin H TeicherDevelopmental Biopsychiatry Research Program, McLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.

Funding

Early Stress, Sensitive Periods and the Neurobiology of AddictionR01DA017846 · NIDA · MC LEAN HOSPITAL (BELMONT, MA) · PI TEICHER, MARTIN H · 2004 to 2024
$9.8M
Neurobiology of Mothering and Infant StressR01HD079484 · NICHD · MCLEAN HOSPITAL · PI BOSQUET ENLOW, MICHELLE A, GRANT, PATRICIA ELLEN · 2015 to 2019
$3.6M
Sensitive Periods, Brain Development and DepressionR01MH091391 · NIMH · MCLEAN HOSPITAL · PI TEICHER, MARTIN H · 2010 to 2014
$3.4M
NICHD NIH HHS R01 HD079484NIDA NIH HHS R01 DA017846NIMH NIH HHS R01 MH091391
6 · The paper itself

Abstract

backgroundChildhood maltreatment is a major risk factor for psychopathology. However, some maltreated individuals appear remarkably resilient to the psychiatric effects while manifesting the same array of brain abnormalities as maltreated individuals with psychopathology. Hence, a critical aim is to identify compensatory brain alterations that enable resilient individuals to maintain mental well-being despite alterations in stress-susceptible regions.

methodsNetwork models were constructed from diffusion tensor imaging and tractography in physically healthy unmedicated 18- to 25-year-old participants (N = 342, n = 192 maltreated) to develop network-based explanatory models.

resultsFirst, we determined that susceptible and resilient individuals had the same alterations in global fiber stream network architecture using two different definitions of resilience: 1) no lifetime history of Axis I or II disorders, and 2) no clinically significant symptoms of anxiety, depression, anger-hostility, or somatization. Second, we confirmed an a priori hypothesis that right amygdala nodal efficiency was lower in asymptomatic resilient than in susceptible participants or control subjects. Third, we identified eight other nodes with reduced nodal efficiency in resilient individuals and showed that nodal efficiency moderated the relationship between maltreatment and psychopathology. Fourth, we found that models based on global network architecture and nodal efficiency could delineate group membership (control, susceptible, resilient) with 75%, 82%, and 80% cross-validated accuracy.

conclusionsTogether these findings suggest that sparse fiber networks with increased small-worldness following maltreatment render individuals vulnerable to psychopathology if abnormalities occur in specific nodes, but that decreased ability of certain nodes to propagate information throughout the network mitigates the effects and leads to resilience.

Indexed as

Resilience, PsychologicalAdolescentAdultAdult Survivors of Child Adverse EventsAnisotropyBrainCase-Control StudiesCausalityDiffusion Tensor ImagingFemaleHumansMaleNerve NetYoung AdultAbuse and neglectAnxietyBrain network architectureChildhood adversityDepressionEarly life stress

Identifiers

PMID30528381
PMCPMC6440838

What OpenQuestion holds

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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.