Evidence map›Paper›PMID 32050974›Full record

ArticleBMC medicine2020

The complex neurobiology of resilient functioning after childhood maltreatment.

Konstantinos Ioannidis, Adrian Dahl Askelund, Rogier A Kievit, Anne-Laura van Harmelen

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in BMC medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 76 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 5 pooled it
10.8field-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

76 citing papers in PubMed, 5 syntheses or guidelines pooled it, 169 citations in OpenAlex.

  1. Pooled it
  2. Resilience Interventions Conducted in Western and Eastern Countries-A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
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  6. Article
  7. Article
  8. Article
  9. A multilevel systems approach to resilience after childhood adversity.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026
    Article
  10. Article
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  14. Differential effects of childhood maltreatment types and timing on psychopathology in formerly out-of-home placed young adults.European psychiatry : the journal of the Association of European Psychiatrists · 2025
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  16. Review
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  19. Whole-brain white matter variation across childhood environments.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Konstantinos IoannidisUniversity of Cambridge, Department of Psychiatry, 18b Trumpington Rd, Cambridge, CB2 8AH, UK. konstantinos.ioannidis@cpft.nhs.uk.
Adrian Dahl AskelundUniversity of Cambridge, Department of Psychiatry, 18b Trumpington Rd, Cambridge, CB2 8AH, UK.
Rogier A KievitMRC Cognition And Brain Sciences Unit, 15 Chaucer Road, University of Cambridge, Cambridge, UK.
Anne-Laura van HarmelenUniversity of Cambridge, Department of Psychiatry, 18b Trumpington Rd, Cambridge, CB2 8AH, UK. av391@medschl.cam.ac.uk.ORCID 0000-0003-1108-2921
University of Cambridge · GBMRC Cognition and Brain Sciences Unit · GB

Funding

Medical Research Council MC_UP_1401/1Medical Research Council MC_UU_00005/9Medical Research Council SUAG/047G101400MRF_ MRF-160-0007-ELP-VANHAWellcome Trust
6 · The paper itself

Abstract

backgroundChildhood maltreatment has been associated with significant impairment in social, emotional and behavioural functioning later in life. Nevertheless, some individuals who have experienced childhood maltreatment function better than expected given their circumstances. MAIN BODY: Here, we provide an integrated understanding of the complex, interrelated mechanisms that facilitate such individual resilient functioning after childhood maltreatment. We aim to show that resilient functioning is not facilitated by any single 'resilience biomarker'. Rather, resilient functioning after childhood maltreatment is a product of complex processes and influences across multiple levels, ranging from 'bottom-up' polygenetic influences, to 'top-down' supportive social influences. We highlight the complex nature of resilient functioning and suggest how future studies could embrace a complexity theory approach and investigate multiple levels of biological organisation and their temporal dynamics in a longitudinal or prospective manner. This would involve using methods and tools that allow the characterisation of resilient functioning trajectories, attractor states and multidimensional/multilevel assessments of functioning. Such an approach necessitates large, longitudinal studies on the neurobiological mechanisms of resilient functioning after childhood maltreatment that cut across and integrate multiple levels of explanation (i.e. genetics, endocrine and immune systems, brain structure and function, cognition and environmental factors) and their temporal interconnections.

conclusionWe conclude that a turn towards complexity is likely to foster collaboration and integration across fields. It is a promising avenue which may guide future studies aimed to promote resilience in those who have experienced childhood maltreatment.

Indexed as

BrainChildChild AbuseChild, PreschoolFemaleHumansMaleNeurobiologyAbuseBrain functionBrain structureChildhood maltreatmentGeneticsInflammationNeglectNeurobiologyNeuroendocrinePsychopathologyResilience

Identifiers

PMID32050974
PMCPMC7017563
OpenAlexW2900657545

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.