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The Effect of Early Life Stress on Adult Psychiatric Disorders
Steven D Targum1,2, Charles B Nemeroff1,2
1Dr. Targum is Scientific Director with CRF-Bracket in Boston, Massachusetts.
Insights
Childhood maltreatment leads to early life stress (ELS), causing lifelong neurodevelopmental issues. ELS impacts mental health and reduces treatment effectiveness for conditions like major depression.
Area of Science:
- Neuroscience
- Psychiatry
- Genetics
Background:
- Childhood maltreatment is a significant public health issue in the US.
- Early life stress (ELS) from abuse or neglect has profound, lasting effects.
- ELS is linked to impaired neurodevelopment, leading to various health and psychiatric disorders.
Purpose of the Study:
- To review neurobiological and epigenetic research on the association between early life stress and its consequences.
- To explore how ELS affects individuals, particularly those with major depression.
Main Methods:
- Review of neurobiological studies.
- Analysis of epigenetic research.
- Examination of studies on major depression and ELS.
Main Results:
- ELS is associated with disrupted neurodevelopment.
- Individuals with ELS may experience social, emotional, and cognitive impairments.
- Adults with major depression and ELS often show poorer response to conventional treatments.
Conclusions:
- Early life stress has significant neurobiological and epigenetic impacts.
- Understanding these mechanisms is crucial for developing targeted interventions.
- ELS may necessitate tailored treatment approaches for psychiatric disorders.
Abstract:
There is a crisis of early childhood maltreatment in the United States. In 2012, the United States Department of Health and Human Services noted 3.4 million referrals to childhood protective services, of which the majority related to child abuse or neglect. Early life stress (ELS) due to childhood abuse and/or neglect can generate life-long consequences. ELS has been associated with disrupted neurodevelopment that can yield social, emotional, and cognitive impairment; adult medical and psychiatric disorders; disability; and even earlier death. Some studies have shown that adults with major depression and ELS respond less well to conventional treatments than adults who did not experience early life stress. In this article, we review some of the neurobiological and epigenetic studies that explore this association.
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