Hidden Wounds? Inflammatory Links Between Childhood Trauma and Psychopathology

Annu Rev Psychol. 2017 Jan 3:68:517-544. doi: 10.1146/annurev-psych-010416-044208. Epub 2016 Aug 17.

Abstract

Childhood trauma is a key risk factor for psychopathology. However, little is known about how exposure to childhood trauma is translated into biological risk for psychopathology. Observational human studies and experimental animal models suggest that childhood exposure to stress can trigger an enduring systemic inflammatory response not unlike the bodily response to physical injury. In turn, these "hidden wounds" of childhood trauma can affect brain development, key behavioral domains (e.g., cognition, positive valence systems, negative valence systems), reactivity to subsequent stressors, and, ultimately, risk for psychopathology. Further research is needed to better characterize the inflammatory links between childhood trauma and psychopathology. Detecting and healing these hidden wounds may help prevent and treat psychopathology emerging after childhood trauma.

Keywords: childhood trauma; immunity; inflammation; maltreatment; psychiatric disorders; psychopathology.

Publication types

  • Review

MeSH terms

  • Adult
  • Animals
  • Brain / immunology
  • Brain / physiopathology
  • Child
  • Child Abuse / psychology*
  • Humans
  • Immunity
  • Inflammation / immunology*
  • Inflammation / psychology*
  • Mental Disorders / immunology*
  • Mental Disorders / physiopathology
  • Mental Disorders / psychology*
  • Stress, Psychological / immunology
  • Stress, Psychological / physiopathology
  • Stress, Psychological / psychology