Evidence map›Paper›PMID 34354040›Full record

ArticleTranslational psychiatry2021

Adverse childhood experiences, daytime salivary cortisol, and depressive symptoms in early adulthood: a longitudinal genetically informed twin study.

Eleonora Iob, Jessie R Baldwin, Robert Plomin, Andrew Steptoe

Open access · goldAbstract readTwin Study
In one paragraph

Article in Translational psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
3.9field-weighted citation impact, top 5% 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

31 citing papers in PubMed, 49 citations in OpenAlex.

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  13. Short-term maternal oxytocin administration may protect against poor outcomes of adverse childhood experiences in the offspring.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
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  19. Validity of mental and physical stress models.Neuroscience and biobehavioral reviews · 2024
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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

4 authors at 3 institutions in 1 country.

Eleonora IobResearch Department of Behavioural Science and Health, Institute of Epidemiology and Healthcare, University College London, London, UK. eleonora.iob.17@ucl.ac.uk.ORCID 0000-0003-3617-0266
Jessie R BaldwinDivision of Psychology and Language Sciences, University College London, London, UK.ORCID 0000-0002-5703-5058
Robert PlominSocial, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, London, UK.ORCID 0000-0002-0756-3629
Andrew SteptoeResearch Department of Behavioural Science and Health, Institute of Epidemiology and Healthcare, University College London, London, UK.ORCID 0000-0001-7808-4943
King's College London · GBNational Institute for Health Research · GBUniversity College London · GB

Funding

Colorado Adoption/Twin Study of Lifespan behavioral development & cognitive aging (CATSLife2)R01AG046938 · NIA · UNIVERSITY OF COLORADO · PI REYNOLDS, CHANDRA A, WADSWORTH, SALLY J · 2015 to 2024
$18.5M
Biotechnology and Biological Sciences Research CouncilMedical Research Council G0901245Medical Research Council G19/2Medical Research Council MR/M021475/1NIA NIH HHS R01 AG046938Wellcome TrustWellcome Trust (Wellcome) 215917/Z/19/Z
6 · The paper itself

Abstract

Dysregulated hypothalamic-pituitary-adrenal (HPA)-axis function might underlie the relationship between adverse childhood experiences (ACEs) and depression. However, limited research has examined the possible mediating role of the HPA-axis among young people using longitudinal data. Moreover, it remains unclear whether genetic influences could contribute to these associations. Participants were 290 children from the Twins Early Development Study. ACEs were assessed from age 3-11 years. We calculated a cumulative risk score and also derived different ACEs clusters using factor analysis and latent class analysis. HPA-axis activity was indexed by daytime salivary cortisol at age 11. Depressive symptoms were ascertained at age 21. Genetic liability to altered cortisol levels and elevated depressive symptoms was measured using a twin-based method. We performed causal mediation analysis with mixed-effects regression models. The results showed that ACEs cumulative exposure (b = -0.20, p = 0.03), bullying (b = -0.61, p = 0.01), and emotional abuse (b = -0.84, p = 0.02) were associated with lower cortisol levels at age 11. Among participants exposed to multiple ACEs, lower cortisol was related to higher depressive symptoms at age 21 (b = -0.56, p = 0.05). Lower cortisol levels mediated around 10-20% of the total associations of ACEs cumulative exposure, bullying, and dysfunctional parenting/emotional abuse with higher depressive symptoms. Genetic factors contributed to these associations, but the mediation effects of cortisol in the associations of ACEs cumulative exposure (b = 0.16 [0.02-0.34]) and bullying (b = 0.18 [0.01-0.43]) remained when genetic confounding was accounted for. In conclusion, ACEs were linked to elevated depressive symptoms in early adulthood partly through lower cortisol levels in early adolescence, and these relationships were independent of genetic confounding.

Indexed as

Adverse Childhood ExperiencesHydrocortisoneAdolescentAdultChildChild, PreschoolDepressionHumansHypothalamo-Hypophyseal SystemPituitary-Adrenal SystemYoung AdultHydrocortisone

Identifiers

PMID34354040
PMCPMC8342545
OpenAlexW3189409451

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.