Evidence map›Paper›PMID 33952400›Full record

ArticleBiological psychiatry2021

Long-term Neural Embedding of Childhood Adversity in a Population-Representative Birth Cohort Followed for 5 Decades.

Maria Z Gehred, Annchen R Knodt, Antony Ambler, Kyle J Bourassa, Andrea Danese, Maxwell L Elliott, Sean Hogan, David Ireland, Richie Poulton, Sandhya Ramrakha and 5 more

Abstract read
In one paragraph

Article in Biological psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 5 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

38 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Country-level gender inequality is associated with structural differences in the brains of women and men.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Article
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  11. Review
  12. Persistent structural alteration of the extended limbic system in adolescents with childhood maltreatment.European psychiatry : the journal of the Association of European Psychiatrists · 2026
    Article
  13. Article
  14. The moderating effect of lifetime physical activity on brain alterations related to adverse childhood experiences.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Article
  15. Review
  16. Article
  17. Cortical Surface Area Profile Mediates Effects of Childhood Disadvantage on Later-Life General Cognitive Ability.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024
    Article
  18. The Continuity of Adversity: Negative Emotionality Links Early Life Adversity With Adult Stressful Life Events.Clinical psychological science : a journal of the Association for Psychological Science · 2024
    Article
  19. Review
  20. Neonatal Isolation Increases the Susceptibility to Learned Helplessness through the Aberrant Neuronal Activity in the Ventral Pallidum of Rats.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Maria Z GehredDepartment of Psychology & Neuroscience, Duke University, Durham, North Carolina.
Annchen R KnodtDepartment of Psychology & Neuroscience, Duke University, Durham, North Carolina.
Antony AmblerDunedin Multidisciplinary Health and Development Research Unit, Department of Psychology, University of Otago, Dunedin, New Zealand; Social, Genetic, and Developmental Psychiatry Research Center, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom.
Kyle J BourassaDepartment of Psychology & Neuroscience, Duke University, Durham, North Carolina; Department of Psychiatry & Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina.
Andrea DaneseSocial, Genetic, and Developmental Psychiatry Research Center, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom; Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom; National and Specialist Child and Adolescent Mental Health Services Clinic for Trauma, Anxiety and Depression, South London and Maudsley National Health Service Foundation Trust, London, United Kingdom.
Maxwell L ElliottDepartment of Psychology & Neuroscience, Duke University, Durham, North Carolina.
Sean HoganDunedin Multidisciplinary Health and Development Research Unit, Department of Psychology, University of Otago, Dunedin, New Zealand.
David IrelandDunedin Multidisciplinary Health and Development Research Unit, Department of Psychology, University of Otago, Dunedin, New Zealand.
Richie PoultonDunedin Multidisciplinary Health and Development Research Unit, Department of Psychology, University of Otago, Dunedin, New Zealand.
Sandhya RamrakhaDunedin Multidisciplinary Health and Development Research Unit, Department of Psychology, University of Otago, Dunedin, New Zealand.
Aaron ReubenDepartment of Psychology & Neuroscience, Duke University, Durham, North Carolina.
Maria L SisonDepartment of Psychology & Neuroscience, Duke University, Durham, North Carolina.
Terrie E MoffittDepartment of Psychology & Neuroscience, Duke University, Durham, North Carolina; Center for Genomic and Computational Biology, Duke University, Durham, North Carolina; Department of Psychiatry & Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina; Social, Genetic, and Developmental Psychiatry Research Center, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom; PROMENTA Center, University of Oslo, Norway.
Ahmad R HaririDepartment of Psychology & Neuroscience, Duke University, Durham, North Carolina. Electronic address: ahmad.hariri@duke.edu.
Avshalom CaspiDepartment of Psychology & Neuroscience, Duke University, Durham, North Carolina; Center for Genomic and Computational Biology, Duke University, Durham, North Carolina; Department of Psychiatry & Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina; Social, Genetic, and Developmental Psychiatry Research Center, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom; PROMENTA Center, University of Oslo, Norway.

Funding

Quantifying Individual Differences in Midlife Structural Brain Integrity Associated with Later AD/ADRD RiskR01AG049789 · NIA · DUKE UNIVERSITY · PI AHMAD R. HARIRI, TERRIE E MOFFITT · 2015 to 2026
$10.6M
Is mental disorder a preventable cause of age-related disease? The Dunedin Study.R01AG032282 · NIA · DUKE UNIVERSITY · PI CASPI, AVSHALOM, MOFFITT, TERRIE E · 2009 to 2025
$9.5M
BEHAVIOR AND PHYSIOLOGY IN AGINGT32AG000029 · NIA · DUKE UNIVERSITY · PI Maria Marquine · 1985 to 2026
$9.3M
Science CoreP2CHD065563 · NICHD · DUKE UNIVERSITY · PI James Moody · 2015 to 2026
$5.7M
Evaluating neurodegenerative risk in middle-aged adults exposed to lead as childrenF31ES029358 · NIEHS · DUKE UNIVERSITY · PI REUBEN, AARON · 2018 to 2020
$113k
Medical Research Council MR/P005918/1NIA NIH HHS R01 AG032282NIA NIH HHS R01 AG049789NIA NIH HHS T32 AG000029NICHD NIH HHS P2C HD065563NIEHS NIH HHS F31 ES029358
6 · The paper itself

Abstract

backgroundChildhood adversity has been previously associated with alterations in brain structure, but heterogeneous designs, methods, and measures have contributed to mixed results and have impeded progress in mapping the biological embedding of childhood adversity. We sought to identify long-term differences in structural brain integrity associated with childhood adversity.

methodsMultiple regression was used to test associations between prospectively ascertained adversity during childhood and adversity retrospectively reported in adulthood with structural magnetic resonance imaging measures of midlife global and regional cortical thickness, cortical surface area, and subcortical gray matter volume in 861 (425 female) members of the Dunedin Study, a longitudinal investigation of a population-representative birth cohort.

resultsBoth prospectively ascertained childhood adversity and retrospectively reported adversity were associated with alterations in midlife structural brain integrity, but associations with prospectively ascertained childhood adversity were consistently stronger and more widely distributed than associations with retrospectively reported childhood adversity. Sensitivity analyses revealed that these associations were not driven by any particular adversity or category of adversity (i.e., threat or deprivation) or by childhood socioeconomic disadvantage. Network enrichment analyses revealed that these associations were not localized but were broadly distributed along a hierarchical cortical gradient of information processing.

conclusionsExposure to childhood adversity broadly is associated with widespread differences in midlife gray matter across cortical and subcortical structures, suggesting that biological embedding of childhood adversity in the brain is long lasting, but not localized. Research using retrospectively reported adversity likely underestimates the magnitude of these associations. These findings may inform future research investigating mechanisms through which adversity becomes embedded in the brain and influences mental health and cognition.

Indexed as

Adverse Childhood ExperiencesAdultBrainFemaleGray MatterHumansMagnetic Resonance ImagingRetrospective StudiesChildhood adversityMaltreatmentMidlife brain structureProspectiveRetrospective

Identifiers

PMID33952400
PMCPMC8274314

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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.