Evidence map›Paper›PMID 31221426›Full record

ReviewBiological psychiatry2019

Sex Differences in Vulnerability and Resilience to Stress Across the Life Span.

Georgia E Hodes, C Neill Epperson

Open access · greenAbstract readReview
In one paragraph

Review in Biological psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 238 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
238citing papers in PubMed, 4 pooled it
22.0field-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

238 citing papers in PubMed, 4 syntheses or guidelines pooled it, 398 citations in OpenAlex.

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  9. Function and Quality of Life 5 Years Following Pediatric Major Trauma: A Population-Based Cohort Study.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026
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178 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

2 authors at 2 institutions in 1 country.

Georgia E HodesSchool of Neuroscience, Virginia Polytechnic Institute and State University, Blacksburg, Virginia. Electronic address: ghodes@vt.edu.
C Neill EppersonDepartment of Psychiatry, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, Colorado.
University of Colorado Anschutz Medical Campus · USVirginia Tech · US

Funding

Prepubertal Stress, Windows of Risk & Sex Bias for Affective DisturbanceP50MH099910 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI EPPERSON, C. NEILL · 2012 to 2017
$6.5M
Multimodal Imaging of Progesterone/Neurosteroid Effects in Nicotine AddictionR01DA037289 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI EPPERSON, C. NEILL · 2015 to 2019
$3.3M
Sex, GABA and Nicotine: A 1H-MRS StudyR01DA018359 · NIDA · YALE UNIVERSITY · PI EPPERSON, C. NEILL · 2006 to 2010
$1.4M
NIDA NIH HHS R01 DA018359NIDA NIH HHS R01 DA037289NIMH NIH HHS P50 MH099910
6 · The paper itself

Abstract

Susceptibility and resilience to stress depend on 1) the timing of the exposure with respect to development, 2) the time across the life span at which effects are measured, and 3) the behavioral or biological phenotype under consideration. This translational review examines preclinical stress models that provide clues to causal mechanisms and their relationship to the more complex phenomenon of stress-related psychiatric and cognitive disorders in humans. We examine how genetic sex and epigenetic regulation of hormones contribute to the proximal and distal effects of stress at different epochs of life. Stress during the prenatal period and early postnatal life puts male offspring at risk of developing diseases involving socialization, such as autism spectrum disorder, and attention and cognition, such as attention-deficit/hyperactivity disorder. While female offspring show resilience to some of the proximal effects of prenatal and early postnatal stress, there is evidence that risk associated with developmental insults is unmasked in female offspring following periods of hormonal activation and flux, including puberty, pregnancy, and perimenopause. Likewise, stress exposures during puberty have stronger proximal effects on girls, including an increased risk of developing mood-related and stress-related illnesses, such as depression, anxiety, and posttraumatic stress disorder. Hormonal changes during menopause and andropause impact the processes of memory and emotion in women and men, though women are preferentially at risk for dementia, and childhood adversity further impacts estradiol effects on neural function. We propose that studies to determine mechanisms for stress risk and resilience across the life span must consider the nature and timing of stress exposures as well as the sex of the organism under investigation.

Indexed as

LongevityResilience, PsychologicalSex FactorsStress, PhysiologicalAnimalsAnxietyDepressionEpigenesis, GeneticFemaleHumansMalePregnancyPrenatal Exposure Delayed EffectsStress Disorders, Post-TraumaticStress, PsychologicalCRFEpigeneticsEstrogensMood disordersSex differencesStress

Identifiers

PMID31221426
PMCPMC8630768
OpenAlexW2944105566

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.