Evidence map›Paper›PMID 32124708›Full record

ArticleDevelopment and psychopathology2021

Life stress and cortisol reactivity: An exploratory analysis of the effects of stress exposure across life on HPA-axis functioning.

Ethan S Young, Jenalee R Doom, 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 Development and psychopathology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 2 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

58 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Impact of social exclusion on empathy in women with borderline personality disorder.European archives of psychiatry and clinical neuroscience · 2023
    Trial
  5. Comparing childhood, chronic, and recent adversity on internalizing symptoms and hypothalamic-pituitary-adrenal axis functioning.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
    Article
  6. Review
  7. Stress and resilience: cortisol hypo-response to acute stress in non-resilient individuals.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Observational
  13. Neurodevelopmental effects of early life stress: PFC and cognition.Neuroscience and biobehavioral reviews · 2026
    Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Attachment orientation and platelet activity.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
    Article
  19. Article
  20. Observational
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

9 authors.

Ethan S YoungDepartment of Psychology, University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0002-8232-0184
Jenalee R DoomDepartment of Psychology, University of Denver, Denver, CO, USA.ORCID 0000-0003-2857-0817
Allison K FarrellDepartment of Psychology, Miami University, Oxford, OH, USA.
Elizabeth A CarlsonInstitute of Child Development, University of Minnesota, Minneapolis, MN, USA.
Michelle M EnglundInstitute of Child Development, University of Minnesota, Minneapolis, MN, USA.
Gregory E MillerDepartment of Psychology and Institute for Policy Research, Northwestern University, Evanston, IL, USA.
Megan R GunnarInstitute of Child Development, University of Minnesota, Minneapolis, MN, USA.
Glenn I RoismanInstitute of Child Development, University of Minnesota, Minneapolis, MN, USA.
Jeffry A SimpsonDepartment of Psychology, University of Minnesota, Minneapolis, MN, USA.

Funding

Early Life Stress, Developmental Processes, and Adult HealthR01AG039453 · NIA · UNIVERSITY OF MINNESOTA · PI SIMPSON, JEFFRY ALAN · 2011 to 2015
$2.6M
Testing cortisol dysregulation as a mediator between early stress and adolescent cardiovascular healthK01HL143159 · NHLBI · UNIVERSITY OF DENVER (COLORADO SEMINARY) · PI DOOM, JENALEE RAE · 2019 to 2023
$788k
NHLBI NIH HHS K01 HL143159NIA NIH HHS R01 AG039453
6 · The paper itself

Abstract

Stressful experiences affect biological stress systems, such as the hypothalamic-pituitary-adrenal (HPA) axis. Life stress can potentially alter regulation of the HPA axis and has been associated with poorer physical and mental health. Little, however, is known about the relative influence of stressors that are encountered at different developmental periods on acute stress reactions in adulthood. In this study, we explored three models of the influence of stress exposure on cortisol reactivity to a modified version of the Trier Social Stress Test (TSST) by leveraging 37 years of longitudinal data in a high-risk birth cohort (N = 112). The cumulative stress model suggests that accumulated stress across the lifespan leads to dysregulated reactivity, whereas the biological embedding model implicates early childhood as a critical period. The sensitization model assumes that dysregulation should only occur when stress is high in both early childhood and concurrently. All of the models predicted altered reactivity, but do not anticipate its exact form. We found support for both cumulative and biological embedding effects. However, when pitted against each other, early life stress predicted more blunted cortisol responses at age 37 over and above cumulative life stress. Additional analyses revealed that stress exposure in middle childhood also predicted more blunted cortisol reactivity.

Indexed as

Adverse Childhood ExperiencesHydrocortisoneAdultChildChild, PreschoolHumansHypothalamo-Hypophyseal SystemPituitary-Adrenal SystemSalivaStress, PsychologicalHydrocortisonecortisol reactivitycumulative stressdevelopmentlife stressTrier Social Stress Test

Identifiers

PMID32124708
PMCPMC8139339

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Registered trials

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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.