Evidence map›Paper›PMID 33427183›Full record

Trial reportDevelopment and psychopathology2020

The prospective association between stressful life events and inflammation among adolescents with a history of early institutional rearing.

Alva Tang, Mark Wade, Nathan A Fox, Charles A Nelson, Charles H Zeanah, Natalie Slopen

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Development and psychopathology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
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

6 authors at 4 institutions in 2 countries.

Alva TangDepartment of Human Development and Quantitative Methodology, University of Maryland, College Park, MD, USA.
Mark WadeDepartment of Applied Psychology and Human Development, University of Toronto, Toronto, ON, Canada.
Nathan A FoxDepartment of Human Development and Quantitative Methodology, University of Maryland, College Park, MD, USA.
Charles A NelsonBoston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Charles H ZeanahTulane University School of Medicine, New Orleans, LA, USA.
Natalie SlopenSchool of Public Health, University of Maryland, College Park, MD, USA.
University of Maryland, College Park · USBoston Children's Hospital · USTulane University · USUniversity of Toronto · CA

Funding

The Relation Between Early Psychosocial Deprivation and Mental Health at 12 YearsR01MH091363 · NIMH · UNIV OF MARYLAND, COLLEGE PARK · PI FOX, NATHAN A, NELSON, CHARLES ALEXANDER · 2010 to 2024
$9.2M
NIMH NIH HHS R01 MH091363
6 · The paper itself

Abstract

Early adversity has been shown to sensitize individuals to the effects of later stress and enhance risk of psychopathology. Using a longitudinal randomized trial of foster care as an alternative to institutional care, we extend the stress sensitization hypothesis to examine whether early institutional rearing sensitizes individuals to stressful events in adolescence engendering chronic low-grade inflammation. At baseline, institutionalized children in Romania (ages 6-31 months) were randomly assigned to foster care or to remain in usual care within institutions. A group of never-institutionalized children was recruited as an in-country comparison sample. At ages 12 and 16, participants reported stressful events. At age 16, Interleukin-6 (IL-6) and C-reactive protein (CRP) were derived from blood spots. Among children assigned to care as usual, more stressful events at age 12, but not age 16, were associated with higher IL-6. In the same group, stressful events at age 16 were associated with higher CRP, though these effects attenuated after adjusting for covariates. These associations were not observed in the foster care or never-institutionalized groups. The findings suggest that heightened inflammation following stress exposure is one pathway through which early neglect could compromise physical health. In contrast, early family care might buffer against these risks.

Indexed as

Child, InstitutionalizedFoster Home CareStress, PsychologicalAdolescentChildChild, PreschoolHumansInfantInflammationProspective StudiesRomaniaadolescenceinflammationneglectstressful life eventsstress sensitization

Identifiers

PMID33427183
PMCPMC7995345
OpenAlexW3119138763

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.