Maternal Childhood Neglect is Linked to Greater Infant Cortisol Levels and Larger Infant Limbic Volumes

Jennifer E Khoury1, Miriam Chasson2, Banu Ahtam3

  • 1Department of Psychology, Mount Saint Vincent University, Halifax, NS, Canada.

Child Maltreatment
|September 15, 2025
PubMed

Insights

Maternal childhood neglect, not abuse, is linked to infant stress responses and brain development. Infant cortisol levels may mediate the effects of neglect on amygdala and hippocampal volumes.

Area of Science:

  • Neuroscience
  • Developmental Psychology
  • Endocrinology

Background:

  • Maternal childhood maltreatment is linked to infant brain volume alterations.
  • Infant hypothalamic-pituitary-adrenal (HPA) axis function has not been studied as a mechanism.
  • Childhood abuse and neglect may have distinct developmental impacts.

Purpose of the Study:

  • To investigate infant hypothalamic-pituitary-adrenal (HPA) axis function as a mediator between maternal childhood maltreatment and infant brain development.
  • To examine the differential effects of maternal childhood abuse versus neglect on infant HPA axis activity and brain volumes.

Main Methods:

  • N = 57 mother-infant dyads were stratified by maternal childhood maltreatment.
  • Infant cortisol output (AUCg) and change (AUCi) were measured using the Still-Face Paradigm at 4 months.
  • Infant brain volumes (whole brain, amygdala, hippocampus) were assessed using T1-weighted MRI scans around 12 months of age.

Main Results:

  • Maternal childhood neglect, but not abuse, was directly associated with higher infant cortisol total output (AUCg) and change (AUCi).
  • Infant cortisol output (AUCg) mediated the association between maternal childhood neglect and larger amygdala and hippocampal volumes.
  • Results suggest a specific link between maternal neglect, infant HPA axis function, and subsequent brain development.

Conclusions:

  • Infant cortisol responses are particularly sensitive to maternal childhood neglect.
  • The HPA axis may serve as a key mechanism linking maternal neglect to altered infant brain development, specifically amygdala and hippocampal volumes.
  • Future research should consider the distinct impacts of abuse versus neglect in maternal maltreatment studies.

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