Evidence map›Paper›PMID 30848991›Full record

ArticlePsychological science2019

The Dual Impact of Early and Concurrent Life Stress on Adults' Diurnal Cortisol Patterns: A Prospective Study.

Ethan S Young, Allison K Farrell, Elizabeth A Carlson, Michelle M Englund, Gregory E Miller, Megan R Gunnar, Glenn I Roisman, Jeffry A Simpson

Abstract read
In one paragraph

Article in Psychological science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
3.9field-weighted citation impact, top 5% 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

35 citing papers in PubMed, 67 citations in OpenAlex.

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  5. Early life adversity shapes adult behavior in a free-ranging primate.bioRxiv : the preprint server for biology · 2026
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  10. Emotional Availability as a Moderator of Stress for Young Children and Parents in Two Diverse Early Head Start Samples.Prevention science : the official journal of the Society for Prevention Research · 2025
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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

8 authors at 2 institutions in 1 country.

Ethan S Young1 Department of Psychology, University of Minnesota.
Allison K Farrell2 Department of Psychology, Wayne State University.ORCID 0000-0002-8233-4076
Elizabeth A Carlson3 Institute of Child Development, University of Minnesota.
Michelle M Englund3 Institute of Child Development, University of Minnesota.
Gregory E Miller4 Department of Psychology, Northwestern University.
Megan R Gunnar3 Institute of Child Development, University of Minnesota.
Glenn I Roisman3 Institute of Child Development, University of Minnesota.
Jeffry A Simpson1 Department of Psychology, University of Minnesota.ORCID 0000-0003-1899-2493
University of Minnesota · USWayne State University · US

Funding

Early Life Stress, Developmental Processes, and Adult HealthR01AG039453 · NIA · UNIVERSITY OF MINNESOTA · PI SIMPSON, JEFFRY ALAN · 2011 to 2015
$2.6M
NIA NIH HHS R01 AG039453
6 · The paper itself

Abstract

Major life stress often produces a flat diurnal cortisol slope, an indicator of potential long-term health problems. Exposure to stress early in childhood or the accumulation of stress across the life span may be responsible for this pattern. However, the relative impact of life stress at different life stages on diurnal cortisol is unknown. Using a longitudinal sample of adults followed from birth, we examined three models of the effect of stress exposure on diurnal cortisol: the cumulative model, the biological-embedding model, and the sensitization model. As its name implies, the cumulative model focuses on cumulative life stress. In contrast, the biological-embedding model implicates early childhood stress, and the sensitization model posits that current life stress interacts with early life stress to produce flat diurnal cortisol slopes. Our analyses are consistent with the sensitization model, as they indicate that the combination of high stress exposure early in life and high current stress predict flat diurnal cortisol slopes. These novel findings advance understanding of diurnal cortisol patterns and point to avenues for intervention.

Indexed as

AdolescentAdultAllostasisChildCircadian RhythmFemaleHumansHydrocortisoneHypothalamo-Hypophyseal SystemMaleProspective StudiesSalivaStress, PsychologicalYoung AdultHydrocortisoneallostatic loadcumulative stressdevelopmentdiurnal cortisollife stress

Identifiers

PMID30848991
PMCPMC6512160
OpenAlexW2921368282

What OpenQuestion holds

Textmetadata
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.