Evidence map›Paper›PMID 30844465›Full record

ArticleJournal of the American Academy of Child and Adolescent Psychiatry2020

Telomere Length and Psychopathology: Specificity and Direction of Effects Within the Bucharest Early Intervention Project.

Mark Wade, Nathan A Fox, Charles H Zeanah, Charles A Nelson, Stacy S Drury

Registry-linked trialAbstract read
In one paragraph

Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00747396 (The Bucharest Early Intervention Project), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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.

NCT00747396 naactive not recruitingnot on this map

The Bucharest Early Intervention Project: Effects of Early Psychosocial Deprivation on Mental Health in Adolescence

TypeinterventionalSponsorCharles Alexander Nelson IIIRan2000 to 2027Enrolled136ConditionsCognitive Ability, General, Psychiatric and/or Mood Disorders, Brain Function, Social CognitionArmsFoster Care Placement
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Trial
  2. Practitioner Review: Infant mental health meets cell and molecular biology - a look to the future.Journal of child psychology and psychiatry, and allied disciplines · 2026
    Review
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Telomere Maintenance in Pediatric Cancer.International journal of molecular sciences · 2019
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Mark WadeBoston Children's Hospital and Harvard Medical School, Boston, MA. Electronic address: mark.wade@childrens.harvard.edu.
Nathan A FoxUniversity of Maryland, College Park.
Charles H ZeanahTulane University School of Medicine, New Orleans, LA.
Charles A NelsonBoston Children's Hospital and Harvard Medical School, Boston, MA; Harvard Graduate School of Education, Cambridge, MA.
Stacy S DruryTulane University School of Medicine, New Orleans, LA.

Funding

Tulane Building Interdisciplinary Research Careers in Women's Health (BIRCWH)K12HD043451 · NICHD · TULANE UNIVERSITY OF LOUISIANA · PI KROUSEL-WOOD, MARIE · 2002 to 2023
$9.9M
The Relation Between Early Psychosocial Deprivation and Mental Health at 12 YearsR01MH091363 · NIMH · UNIV OF MARYLAND, COLLEGE PARK · PI FOX, NATHAN A, NELSON, CHARLES ALEXANDER · 2010 to 2024
$9.2M
Building Interdisciplinary Research Careers in Women's HealthK12AR084224 · NIAMS · TULANE UNIVERSITY OF LOUISIANA · PI Marie Krousel-Wood · 2024 to 2026
$1.6M
Telomeres as an Epigenetic Marker of Neurodevelopment and Early AdversityR21MH094688 · NIMH · TULANE UNIVERSITY OF LOUISIANA · PI DRURY, STACY SCHMIDT · 2011 to 2012
$414k
NIAMS NIH HHS K12 AR084224NICHD NIH HHS K12 HD043451NIMH NIH HHS R01 MH091363NIMH NIH HHS R21 MH094688
6 · The paper itself

Abstract

objectiveTelomere length (TL) has been linked to several psychiatric conditions in children and adults. Telomere shortening is accelerated by early adversity, including maltreatment and psychosocial deprivation. These experiences also increase the risk of psychopathology in many domains. Two fundamental issues remain unresolved. The first concerns the specificity of the relations between TL and different dimensions of psychopathology; and the second relates to the direction of association between TL and psychopathology.

methodThis study addressed these shortcomings in a 2-fold manner. First, the association between TL and statistically independent general, internalizing, and externalizing psychopathology factors was examined to determine the specificity of this relation. Second, a 2-wave longitudinal cross-lagged model was used to explicitly examine the direction of the relation between TL and each psychopathology factor. Data were drawn from the Bucharest Early Intervention Project, a longitudinal study exploring the impact of severe psychosocial deprivation on child health and development (N = 195). At 8 to 10 and 12 to 14 years of age, buccal DNA was collected and teachers and/or caregivers reported on different domains of psychopathology.

resultsLongitudinal path analyses showed that shorter TL was specifically associated with higher internalizing psychopathology at 8 to 10 years of age. In contrast, at 12 to 14 years, shorter TL was associated with higher general psychopathology. Most telling, internalizing psychopathology at 8 to 10 years predicted shorter TL at 12 to 14 years, with no reciprocal effects.

conclusionResults suggest that telomere erosion could be a consequence of distress-related psychopathology rather than a selection mechanism for later psychiatric problems. CLINICAL TRIAL REGISTRATION INFORMATION: The Bucharest Early Intervention Project; https://clinicaltrials.gov/; NCT00747396.

Indexed as

PsychopathologyTelomere ShorteningAdolescentChildFemaleHumansLongitudinal StudiesMalePsychosocial DeprivationTelomereearly adversityexternalizing problemsgeneral psychopathologyinternalizing problemstelomere length

Identifiers

PMID30844465
PMCPMC8056885

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Registered trials

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.