Evidence map›Paper›PMID 31399257›Full record

ReviewBiological psychiatry2020

Early Adversity and the Neotenous Human Brain.

Nim Tottenham

Abstract readReview
In one paragraph

Review in Biological psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 4 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

66 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. The effects of childhood adversity: Two specific neural patterns.Neuroscience and biobehavioral reviews · 2025
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  16. The epigenetic impacts of pubertal acceleration following early caregiver disruptions.Proceedings of the National Academy of Sciences of the United States of America · 2025
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  19. Article
  20. Review

6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author.

Nim TottenhamDepartment of Psychology, Columbia University, New York, New York. Electronic address: nlt7@columbia.edu.

Funding

Predicting Heterogeneous Neurodevelopmental Outcomes in School-age Children with Early Caregiving AdversitiesR01MH091864 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MILHAM, MICHAEL PETER, TOTTENHAM, NIM · 2010 to 2022
$5.1M
NIMH NIH HHS R01 MH091864
6 · The paper itself

Abstract

Human brain development is optimized to learn from environmental cues. The protracted development of the cortex and its connections with subcortical targets has been argued to permit more opportunity for acquiring complex behaviors. This review uses the example of amygdala-medial prefrontal cortex circuitry development to illustrate a principle of human development-namely, that the extension of the brain's developmental timeline allows for the (species-expected) collaboration between child and parent in co-construction of the human brain. The neurobiology underlying affective learning capitalizes on this protracted timeline to develop a rich affective repertoire in adulthood. Humans are afforded this luxuriously slow development in part by the extended period of caregiving provided by parents, and parents aid in scaffolding the process of maturation during childhood. Just as adequate caregiving is a potent effector of brain development, so is adverse caregiving, which is the largest environmental risk factor for adult mental illness. There are large individual differences in neurobiological outcomes following caregiving adversity, indicating that these pathways are probabilistic, rather than deterministic, and prolonged plasticity in human brain development may also allow for subsequent amelioration by positive experiences. The extant research indicates that the development of mental health cannot be considered without consideration of children in the context of their families.

Indexed as

AmygdalaBrainAdultChildHumansNeurobiologyParentsPrefrontal CortexAmygdalaBrain developmentMedial prefrontal cortexParentsSensitive periodsStress

Identifiers

PMID31399257
PMCPMC6935437

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.