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Biological alterations affecting risk of adult psychopathology following childhood trauma: A review of sex differences.

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Childhood trauma exposure is a significant public health problem. While adult mental health consequences of such experiences are well documented, sex differences in both prevalence and severity are less understood.… Click to show full abstract

Childhood trauma exposure is a significant public health problem. While adult mental health consequences of such experiences are well documented, sex differences in both prevalence and severity are less understood. Sex-based differences in biological circuitry and physiological trauma responses are proposed to potentiate the differential risk for pathogenesis of mental health disorders among adults. This paper will provide a contextualized summary of neuroendocrine, neuroimaging, and behavioral epigenetic studies on biological sex differences contributing to internalizing psychopathology, specifically posttraumatic stress disorder and depression, among adults with a history of childhood abuse. This review concludes with a discussion of implications for trauma interventions and sex-based biopsychological research in violence prevention.

Keywords: adult; childhood trauma; sex differences; sex; psychopathology

Journal Title: Clinical psychology review
Year Published: 2018

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