Evidence map›Paper›PMID 39976327›Full record

ArticleeLife2025

Reduced discrimination between signals of danger and safety but not overgeneralization is linked to exposure to childhood adversity in healthy adults.

Maren Klingelhöfer-Jens, Katharina Hutterer, Miriam A Schiele, Elisabeth J Leehr, Dirk Schümann, Karoline Rosenkranz, Joscha Böhnlein, Jonathan Repple, Jürgen Deckert, Katharina Domschke and 8 more

Abstract read
In one paragraph

Article in eLife, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Maren Klingelhöfer-JensInstitute for Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID https://orcid.org/0000-0002-5393-7871
Katharina HuttererDepartment of Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University Hospital of Würzburg, University of Würzburg, Würzburg, Germany.
Miriam A SchieleDepartment of Psychiatry and Psychotherapy, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.ORCID https://orcid.org/0000-0003-2613-6515
Elisabeth J LeehrInstitute for Translational Psychiatry, University of Münster, Münster, Germany.ORCID https://orcid.org/0000-0002-9264-5003
Dirk SchümannInstitute for Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Karoline RosenkranzInstitute for Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Joscha BöhnleinInstitute for Translational Psychiatry, University of Münster, Münster, Germany.ORCID https://orcid.org/0000-0002-9870-5599
Jonathan ReppleInstitute for Translational Psychiatry, University of Münster, Münster, Germany.ORCID https://orcid.org/0000-0003-1379-9491
Jürgen DeckertDepartment of Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University Hospital of Würzburg, University of Würzburg, Würzburg, Germany.
Katharina DomschkeDepartment of Psychiatry and Psychotherapy, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.ORCID https://orcid.org/0000-0002-2550-9132
Udo DannlowskiInstitute for Translational Psychiatry, University of Münster, Münster, Germany.ORCID https://orcid.org/0000-0002-0623-3759
Ulrike LuekenDepartment of Psychology, Humboldt-Universität zu Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0003-1564-4012
Andreas ReifDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt - Goethe University, Frankfurt am Main, Germany.ORCID https://orcid.org/0000-0002-0992-634X
Marcel RomanosDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University Hospital of Würzburg, University of Würzburg, Würzburg, Germany.ORCID https://orcid.org/0000-0001-7628-8299
Peter ZwanzgerKbo Inn Salzach Hospital Clinical Center for Psychiatry, Wasserburg am Inn, Germany.
Paul PauliDepartment of Psychology and Center of Mental Health, Julius-Maximilians-University of Würzburg, Würzburg, Germany.ORCID https://orcid.org/0000-0003-0692-6720
Matthias GamerDepartment of Psychology and Center of Mental Health, Julius-Maximilians-University of Würzburg, Würzburg, Germany.ORCID https://orcid.org/0000-0002-9676-9038
Tina B LonsdorfDepartment of Psychology, Biological Psychology and Cognitive Neuroscience, University of Bielefeld, Bielefeld, Germany.ORCID https://orcid.org/0000-0003-1501-4846

Funding

Deutsche Forschungsgemeinschaft 44541416 - TRR 58 "Fear, Anxiety, Anxiety Disorders"
6 · The paper itself

Abstract

Childhood adversity is a strong predictor of developing psychopathological conditions. Multiple theories on the mechanisms underlying this association have been suggested which, however, differ in the operationalization of 'exposure.' Altered (threat) learning mechanisms represent central mechanisms by which environmental inputs shape emotional and cognitive processes and ultimately behavior. 1402 healthy participants underwent a fear conditioning paradigm (acquisition training, generalization), while acquiring skin conductance responses (SCRs) and ratings (arousal, valence, and contingency). Childhood adversity was operationalized as (1) dichotomization, and following (2) the specificity model, (3) the cumulative risk model, and (4) the dimensional model. Individuals exposed to childhood adversity showed blunted physiological reactivity in SCRs, but not ratings, and reduced CS+/CS- discrimination during both phases, mainly driven by attenuated CS+ responding. The latter was evident across different operationalizations of 'exposure' following the different theories. None of the theories tested showed clear explanatory superiority. Notably, a remarkably different pattern of increased responding to the CS- is reported in the literature for anxiety patients, suggesting that individuals exposed to childhood adversity may represent a specific sub-sample. We highlight that theories linking childhood adversity to (vulnerability to) psychopathology need refinement.

Indexed as

Adverse Childhood ExperiencesFearAdolescentAdultConditioning, ClassicalFemaleGalvanic Skin ResponseHealthy VolunteersHumansMaleMiddle AgedYoung Adultadverse childhood experienceschildhood maltreatmentearly adversityfear conditioningfear ratingsgeneralizationhumanneuroscienceskin conductance response

Identifiers

PMID39976327
PMCPMC11841987

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.