Human and animal research into sex-specific effects of child abuse |
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Authors: | Bradley M Cooke Jill M Weathington |
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Institution: | Neuroscience Institute, Georgia State University, Center for Behavioral Neuroscience, PO Box 3999, Atlanta, GA 30303, USA |
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Abstract: | Child abuse is the most potent experiential risk factor for developing a mood disorder later in life. The effects of child abuse are also more severe in girls and women than in men. In this review, we explore the origins of this epidemiological sex difference. We begin by offering the hypothesis that a sex-specific risk factor that influences how social cues are perceived and remembered makes girls more susceptible to the effects of child abuse. We then discuss the neural systems that mediate emotion and stress, and, how child abuse and/or mood disorders like anxiety and depression affect them. Drawing upon human and animal research, several candidates for such a risk factor are discussed. They include glucocorticoid receptor trafficking and corticotropin releasing factor receptor binding and signaling. Our own research shows that the morphometry of the prepubertal amygdala is sexually dimorphic, and could contribute to a sex difference in stimulus appraisal. We have also found that the brain of juvenile female rats is less selective than males' for threatening social stimuli. Thus, one way that women may be more vulnerable to the effects of child abuse is that they are more likely to perceive objectively benign stimuli as threatening. This bias in perception could compound with the genuinely traumatic memories caused by child abuse; the burden of traumatic memories and the increasingly reactive stress response systems could then dispose more women than men to develop depression and/or anxiety. |
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Keywords: | ACTH adrenocorticotropic releasing hormone BLA Basolateral amygdala BST Bed nucleus of the stria terminalis CeA Central nucleus of the amygdala CORT Corticosterone and cortisol CRF Corticotropin releasing factor CRFR1 Corticotropin releasing factor receptor type 1 CRFR2 Corticotropin releasing factor receptor type 2 HPA Hypothalamic&ndash pituitary&ndash adrenal axis mPFC Medial prefrontal cortex MeA Medial nucleus of the amygdala MePD Medial amygdala posterodorsal subdivision MePV Medial amygdala posteroventral subdivision PVN Paraventricular nucleus of the hypothalamus PTSD Post-traumatic stress disorder ucn3 Urocortin3 |
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