Related Experiment Video
Updated: Jul 9, 2026

Limited Bedding and Nesting as a Model for Early-Life Adversity in Mice
Published on: July 12, 2024
Early care experiences and HPA axis regulation in children: a mechanism for later trauma vulnerability
Megan R Gunnar1, Karina M Quevedo
1Institute of Child Development, University of Minnesota, Minneapolis, MN 55455, USA. gunnar@umn.edu
Insights
Early childhood neglect can alter the hypothalamic-pituitary-adrenocortical (HPA) axis, potentially increasing the risk of post-traumatic stress disorder (PTSD) later in life. Transient HPA axis disruptions may impact brain development and PTSD vulnerability.
Area of Science:
- Neuroscience
- Endocrinology
- Developmental Psychology
Background:
- Post-traumatic stress disorder (PTSD) is linked to hypothalamic-pituitary-adrenocortical (HPA) axis dysfunction.
- Childhood neglect and abuse may impair social regulation of the HPA axis, affecting brain development and later trauma processing.
Purpose of the Study:
- To investigate the long-term impact of early HPA axis dysregulation due to adverse care on PTSD vulnerability.
- To explore whether transient alterations in cortisol levels and HPA function in early life affect brain development and heighten susceptibility to PTSD.
Main Methods:
- The study reviews existing evidence on HPA axis function in children exposed to neglect or abuse.
- It examines research on cortisol levels and their diurnal patterns in vulnerable populations.
- The focus is on the potential for early imprinting effects on HPA regulation and brain development.
Main Results:
- Low cortisol levels are frequently observed in abused, neglected, and deprived children.
- Altered cortisol patterns associated with early adversity may be reversible with improved care.
- The long-term consequences of transient HPA axis alterations on PTSD risk remain understudied.
Conclusions:
- Early parenting quality may influence HPA axis regulation, contributing to PTSD risk.
- Transient HPA axis abnormalities in childhood could have lasting effects on brain development and PTSD vulnerability.
- Further research is needed to understand the impact of temporary early-life HPA dysfunction on later-life trauma response.
Abstract:
Post-traumatic stress disorder (PTSD) is associated with functional abnormalities of the hypothalamic-pituitary-adrenocortical (HPA) axis. Emerging evidence suggests that failures in social regulation of the HPA axis in young children manifested as neglectful or abusive care may play a role in shaping cortico-limbic circuits involved in processing experiences threatening experiences encountered later in life. Low cortisol levels, particularly near the peak of the diurnal rhythm, have been reported in abused, neglected and deprived children. Thus early imprinting effects of parenting quality on the HPA system regulation may be one of the mechanisms causing heightened risk of PTSD in responses to later trauma. However there is also evidence that the altered patterns of cortisol production seen in the context of early adverse care are not permanent, and remit once the care children receive improves. What awaits study is whether periods of atypical cortisol levels and altered HPA function early in life, even if transient, impact brain development in ways that heighten vulnerability to PTSD in response to traumas experienced later.
Related Concept Videos
Socioemotional Development during Infancy
Primary Temperament Types
Stella Chess...
Relationship with Parents: Attachment
Hypothalamic-Pituitary Axis
Psychological and Sociocultural Causes of Schizophrenia
Post-traumatic Stress Disorder
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events, are a...
Introduction to Stress and Lifestyle

