Evidence map›Paper›PMID 36697368›Full record

ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2023

Structural brain correlates of childhood trauma with replication across two large, independent community-based samples.

Rebecca A Madden, Kimberley Atkinson, Xueyi Shen, Claire Green, Robert F Hillary, Emma Hawkins, Emma Såge, Anca-Larisa Sandu, Gordon Waiter, Christopher McNeil and 10 more

Abstract read
In one paragraph

Article in European psychiatry : the journal of the Association of European Psychiatrists, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

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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

20 authors.

Rebecca A MaddenDivision of Psychiatry, University of Edinburgh, Edinburgh, United Kingdom.ORCID 0000-0003-1617-3822
Kimberley AtkinsonDivision of Psychiatry, University of Edinburgh, Edinburgh, United Kingdom.
Xueyi ShenDivision of Psychiatry, University of Edinburgh, Edinburgh, United Kingdom.ORCID 0000-0002-0538-4774
Claire GreenDivision of Psychiatry, University of Edinburgh, Edinburgh, United Kingdom.ORCID 0000-0003-2146-8545
Robert F HillaryDivision of Psychiatry, University of Edinburgh, Edinburgh, United Kingdom.ORCID 0000-0002-2595-552X
Emma HawkinsDivision of Psychiatry, University of Edinburgh, Edinburgh, United Kingdom.ORCID 0000-0002-0241-7251
Emma SågeDivision of Psychiatry, University of Edinburgh, Edinburgh, United Kingdom.
Anca-Larisa SanduSchool of Medicine, University of Aberdeen, Aberdeen, United Kingdom.ORCID 0000-0002-5555-4129
Gordon WaiterSchool of Medicine, University of Aberdeen, Aberdeen, United Kingdom.ORCID 0000-0002-5313-9845
Christopher McNeilSchool of Medicine, University of Aberdeen, Aberdeen, United Kingdom.
Mathew HarrisDivision of Psychiatry, University of Edinburgh, Edinburgh, United Kingdom.
Archie CampbellDivision of Psychiatry, University of Edinburgh, Edinburgh, United Kingdom.ORCID 0000-0003-0198-5078
David PorteousDivision of Psychiatry, University of Edinburgh, Edinburgh, United Kingdom.ORCID 0000-0003-1249-6106
Jennifer A MacfarlaneMedical Sciences and Nutrition, School of Medicine, University of Dundee, Dundee, United Kingdom.ORCID 0000-0002-1688-1653
Alison MurraySchool of Medicine, University of Aberdeen, Aberdeen, United Kingdom.
Douglas SteeleDivision of Psychiatry, University of Edinburgh, Edinburgh, United Kingdom.
Liana RomaniukDivision of Psychiatry, University of Edinburgh, Edinburgh, United Kingdom.ORCID 0000-0002-3823-8052
Stephen M LawrieDivision of Psychiatry, University of Edinburgh, Edinburgh, United Kingdom.ORCID 0000-0002-2444-5675
Andrew M McIntoshDivision of Psychiatry, University of Edinburgh, Edinburgh, United Kingdom.ORCID 0000-0002-0198-4588
Heather C WhalleyDivision of Psychiatry, University of Edinburgh, Edinburgh, United Kingdom.ORCID 0000-0002-4505-8869

Funding

Chief Scientist Office CZD/16/6Medical Research Council MC_PC_17209Medical Research Council MR/W014386/1Wellcome Trust 104036/Z/14/ZWellcome Trust 108890/Z/15/ZWellcome Trust 216767/Z/19/ZWellcome Trust 220857/Z/20/ZWellcome Trust 223165/Z/21/Z
6 · The paper itself

Abstract

introductionChildhood trauma and adversity are common across societies and have strong associations with physical and psychiatric morbidity throughout the life-course. One possible mechanism through which childhood trauma may predispose individuals to poor psychiatric outcomes is via associations with brain structure. This study aimed to elucidate the associations between childhood trauma and brain structure across two large, independent community cohorts.

methodsThe two samples comprised (i) a subsample of Generation Scotland (n=1,024); and (ii) individuals from UK Biobank (n=27,202). This comprised n=28,226 for mega-analysis. MRI scans were processed using Free Surfer, providing cortical, subcortical, and global brain metrics. Regression models were used to determine associations between childhood trauma measures and brain metrics and psychiatric phenotypes.

resultsChildhood trauma associated with lifetime depression across cohorts (OR 1.06 GS, 1.23 UKB), and related to early onset and recurrent course within both samples. There was evidence for associations between childhood trauma and structural brain metrics. This included reduced global brain volume, and reduced cortical surface area with highest effects in the frontal (β=-0.0385, SE=0.0048, p(FDR)=5.43x10-15) and parietal lobes (β=-0.0387, SE=0.005, p(FDR)=1.56x10-14). At a regional level the ventral diencephalon (VDc) displayed significant associations with childhood trauma measures across both cohorts and at mega-analysis (β=-0.0232, SE=0.0039, p(FDR)=2.91x10-8). There were also associations with reduced hippocampus, thalamus, and nucleus accumbens volumes. DISCUSSION: Associations between childhood trauma and reduced global and regional brain volumes were found, across two independent UK cohorts, and at mega-analysis. This provides robust evidence for a lasting effect of childhood adversity on brain structure.

Indexed as

Adverse Childhood ExperiencesBrainHippocampusHumansMagnetic Resonance ImagingParietal LobeadversitybraindepressionMRItrauma

Identifiers

PMID36697368
PMCPMC9970154

What OpenQuestion holds

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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.