Abstract
Caregiver-associated cues, including those learned in abusive attachment, provide a sense of safety and security to the child. Here, we explore how cues associated with abusive attachment, such as maternal odor, can modify the enduring neurobehavioral effects of early-life abuse. Two early-life abuse models were used: a naturalistic paradigm, where rat pups were reared by an abusive mother; and a more controlled paradigm, where pups underwent peppermint odor-shock conditioning that produces an artificial maternal odor through engagement of the attachment circuit. Animals were tested for maternal odor preference in infancy, forced swim test (FST), social behavior, and sexual motivation in adulthood—in the presence or absence of maternal odors (natural or peppermint). Amygdala odor-evoked local field potentials (LFPs) via wireless electrodes were also examined in response to the maternal odors in adulthood. Both early-life abuse models induced preference for the maternal odors in infancy. In adulthood, these early-life abuse models produced FST deficits and decreased social behavior, but did not change sexual motivation. Presentation of the maternal odors rescued FST and social behavior deficits induced by early-life abuse and enhanced sexual motivation in all animals. In addition, amygdala LFPs from both abuse animal models showed unique activation within the gamma frequency (70–90 Hz) bands in response to the specific maternal odor present during early-life abuse. These results suggest that attachment-related cues learned during infancy have a profound ability to rescue neurobehavioral dysregulation caused by early-life abuse. Paradoxically, abuse-associated cues seem to acquire powerful and enduring antidepressive properties and alter amygdala modulation.
INTRODUCTION
The caregiver and associated cues are thought to provide a sense of safety and security to the child (Bowlby, 1969). Paradoxically, even abusive attachments seem to provide some sense of safety and security, as indicated by proximity seeking and distress upon separation from the abusive caregiver (Carlson et al, 1989). Importantly, attachment-related cues, even when related to abusive-attachment, retain their value into adulthood (van der Kolk, 1989). This has been modeled in rodents, where both typical attachment cues (Fillion and Blass, 1986) and abusive attachment cues (Sevelinges et al, 2011) have the ability to modulate various behavioral systems later in life. Here, we model this association between attachment, safety signals, and emotional programming in the rodent to explore the enduring value of cues associated with abusive attachment. Specifically, we use two different but complimentary models of early-life abuse to generate distinct maternal odors associated with the abuse and question whether the power of maternal odor learned through abusive attachment, which regulates infant behavior (Raineki et al, 2010; Sullivan and Holman, 2010), can later regulate adult neurobehavioral deficits programmed by that abuse.
The first model is a naturalistic paradigm, in which the mother is provided with insufficient bedding for nest building, leading to abusive maternal behavior (Raineki et al, 2010, 2012). The second model is an infant odor-shock-conditioning paradigm, where a novel odor (ie, peppermint) paired with a mild electric shock—mimicking pups' painful interactions with an abusive mother—acquires the value of a maternal odor, as it modulates pups' attachment-related behaviors (Camp and Rudy, 1988; Raineki et al, 2010; Sullivan et al, 2000). These two paradigms complement one another: the naturalistic paradigm provides ecological validity, whereas the conditioning provides experimental control over the infant experience, with both paradigms supporting infant attachment to the caregiver and resulting in similar enduring negative programing effects seen in adults (Raineki et al, 2012; Rincón-Cortés and Sullivan, 2014).
We hypothesize that cues associated with abusive attachment (natural and/or peppermint-conditioned maternal odor) acquire profound meaning in early life to control interactions with the mother, but also continue to exhibit neurobehavioral control throughout life in a way that is reminiscent of a safety signal, as it has the ability to modify amygdala function. The concept of a safety signal involves a learned association where a specific cue indicates safety from aversive stimuli, or even protection from danger in animal models (Josselyn et al, 2005; Hostinar et al, 2014; Kong et al, 2014; Ostroff et al, 2010; Pollak et al, 2008; Rogan et al, 2005) and in humans (Jovanovic et al, 2010; Pollak et al, 2010; Schiller et al, 2008). Safety signals can also be associated with attachment relationships formed throughout development (Eisenberger et al, 2011; Master et al, 2009). Previous work has shown that safety signals can reduce conditioned fear responses and rescue depressive-like behaviors by modulating amygdala activity (Kong et al, 2014; Pollak et al, 2008; Rogan et al, 2005; Schiller et al, 2008). Importantly, similar rescue effects were observed in adult rats that received odor-shock conditioning during infancy, where the peppermint-conditioned maternal odor normalized depressive-like behavior programmed by early-life abuse and modulated amygdala function (Sevelinges et al, 2011).
Here, we will test the hypothesis that the differential behavioral control of odors learned either during maternal abuse or peppermint odor-shock conditioning corresponds with differential, experience-dependent activation of the amygdala by these two odors. Specifically, we predict that the natural maternal odor associated with abuse will differentially activate amygdala circuits in abused animals, whereas peppermint will differentially activate the amygdala in odor-shock animals. Odor-evoked amygdala local field potential's (LFP) will be used to assess amygdala activation during odor stimulation. LFPs represent the summed synaptic activity within the region around the recording electrode. LFP oscillations can be divided into different frequency bands (theta, beta, and gamma) that are believed to reflect both different underlying cellular mechanisms and circuit functions (Buzsáki, 2006). Our analyses will include both full-spectrum assessments as well as a special focus on gamma frequency oscillations (35–90 Hz). Gamma frequency oscillations are commonly associated with reverberatory activity in local excitatory-inhibitory circuits, and are especially sensitive to GABAergic function (Cardin et al, 2009; Volman et al, 2011; Baldauf and Desimone, 2014), which we have previously shown to be involved in the mechanisms and consequences of early abusive learning (Thompson et al, 2008).
In summary, we will explore the enduring power of cues associated with abusive attachment to modulate depressive-like behavior, social behavior, sexual motivation, and amygdala odor-evoked LFP responses.
MATERIALS AND METHODS
Subjects
Male Long-Evans rats (Harlan) bred in our temperature- and light-controlled colony with ad libitum food and water were used. Procedures were approved by the Institutional Animal Care and Use Committee, which follows NIH guidelines. Additional details regarding materials and methods can be found in the Supplementary Section. A schematic outline of the experimental design is illustrated in Figure 1.
Infant Abuse Paradigms
Naturalistic abusive mother paradigm
Litters were housed in cages with limited nesting/bedding material (1 cm layer) from PN8–12. This bedding level is insufficient for nest building and results in maternal behavior changes, such as more frequent nest building attempts, more time out of nest, less nursing (ie nipple attachment), and rough handling of pups (ie aggressively grooming pups, transporting pups by limb, step/jump on pups). Despite reduced nursing, pups show normal weight gain. Mother and pup behaviors were recorded daily for 30 min from PN8–12 (Table 1).
Table 1. Maternal and Pup Behaviors Observed During Mother-Infant Interactions in the Naturalistic Abuse Rearing Infant Procedure.
Control mother | Abusive mother | ||
---|---|---|---|
Maternal behaviors | |||
Step or jump on | 1.66±1.14 | 20.85±5.90 | t(11)=2.95 p<0.05 |
Rough handing | 1.11±1.11 | 9.14±3.49 | t(11)=2.04 p=0.06 |
Nest building | 1.49±0.99 | 13.32±3.02 | t(11)=3.92 p<0.003 |
Nursing (pups nipple attached) | 73.72±6.51 | 40.06±3.85 | t(11)=4.61 p<0.001 |
Mother's time in the nest | 76.90±4.99 | 47.07±5.61 | t(11)=3.91 p<0.003 |
Pups vocalization | 0.73±0.54 | 31.12±11.90 | t(11)=2.61 p<0.03 |
Body weight at PN12 (g) | 27.13±1.11 | 27.15±0.89 | t(10)=0.01 p=0.99 |
For maternal behavior and pups vocalization, the data are presented as mean of the percentage (±SEM) of the time or frequency of the observed behavior. The body weight (mean±SEM) is presented in grams.
Olfactory classical conditioning paradigm
From PN8–12, pups received daily odor-shock conditioning: 11 pairings of 30 s peppermint odor (McCormick) with a 0.5 mA hindlimb shock during the last 1 s of odor, with a 4 min intertrial interval (ITI). The odor was delivered by a flow dilution olfactometer at 2 liters/min flow rate and concentration of peppermint:air in 1:10 ratio.
Control group
Litters were housed in a cage with abundant (5–7 cm layer) bedding material; both mother and pups exhibited typical behaviors (Table 1).
Infant Y-Maze Test
At PN13, pups received a five-trial Y-maze test to measure odor approach. Odors in the two maze arms depended upon infant experience: (1) Control—(control mother reared) natural maternal odor vs familiar odor (clean bedding); (2) Abusive mother—(abusive mother reared) natural maternal odor vs familiar odor; (3) Odor-shock—(peppermint odor-shock conditioning) peppermint odor vs familiar odor; (4) Neutral odor—(control mother reared) peppermint odor (no value) vs familiar odor. Maternal odor was delivered via olfactometer at 2 liters/min air:odor in the ratio 1:1, peppermint odor was delivered by 20 μl of peppermint on a Kim-wipe, and the familiar odor was clean bedding in a petri dish.
Adult Behavioral Tests
Forced swim test (FST)
A clean tank (30 × 24 × 47.5 cm) filled with water (25±1 °C; depth prevented escape and tail-touching bottom) was used for each animal. Animals were habituated (15 min) and then tested (5 min) the following day. Testing was recorded and time spent immobile measured (passive floating without struggling, slightly hunched but upright position with minor movements to maintain head above water).
During testing, half of the animals in each group received a continuous presentation of either natural or peppermint-conditioned maternal odor. A Plexiglas lid covered the FST apparatus to ensure the odor did not dissipate. The control and abusive mother groups were presented natural maternal odor, whereas the peppermint odor-shock group received the peppermint-conditioned maternal odor. For the natural maternal odor presentations, two anesthetized mothers were placed in an airtight glass jar connected to a flow dilution olfactometer (10 liters/min flow rate—odor:air in the ratio 1:1). For the peppermint-conditioned maternal odor presentations, the peppermint odor was delivered by a flow dilution olfactometer (2 liters/min flow rate—odor:air in the ratio 1:10).
Social behavior test
A black Plexiglas box (60 × 60 × 70 cm) was divided into two equal chambers by a sheet of black Plexiglas with a small opening (15 × 13 cm) to permit movement between chambers. A metal grid cube (15 × 15 × 15 cm) was placed within each chamber. The test animal was given a 5 min acclimation period and then a younger, same sex animal (PN 28–38) was placed inside one of the metal cubes to start the 10 min test. As described in the FST, half the animals in each group received either the natural or peppermint-conditioned maternal odor.
Sexual motivation test
Sexual motivation was assessed in a Plexiglas test box (26 × 50 × 30 cm) under red lights after the dark cycle onset. The adult male was given a 10 min adaptation period to the enclosure prior to introducing the sexually receptive female rat, and the number of mounts recorded during 10 min. As described above, half the animals in each group received either natural or peppermint-conditioned maternal odor.
Adult Amygdala Wireless LFP Recordings
A detailed description of experimental procedures and analysis for the adult LFP recordings can be found in the Supplementary Section and in Sarro et al, 2014. Briefly, the animals were anesthetized (isoflurane), placed in a stereotaxic, and the recording electrode implanted (bipolar teflon coated 0.18-mm diameter stainless-steel electrode) targeting the left amygdala complex (2.3 mm posterior from bregma; 5.0 mm lateral; lowered 8.0 mm ventral from brain surface). The electrode was connected to a telemetry pack (DSI) inserted subcutaneously on the animal's back. Animals recovered for 1 week. LFP recordings in response to the natural or peppermint-conditioned maternal odor were recorded via telemetry in freely behaving rats. For a typical recording section, the animal was placed in a small cage in a sound-attenuated recording booth and amygdala LFP activity was recorded continuously throughout a 5 min habituation, followed by five presentations of a 5 s odor with 5 min ITI. Each animal received one session with natural maternal odor and another session with peppermint odor at least 3 h later. Odors were presented with computer-controlled olfactometers. Odors were not matched for intensity, but were both easily detectable by humans. Neural signals were amplified, filtered (0.5–300 Hz), digitized at 2 kHz with Spike2 software (CED, Inc) and analyzed offline. As in our previous work (Sarro et al, 2014), recordings were all from the left amygdala. It has been suggested occasional lateral asymmetry in rodent amygdala functions (Tran and Greenwood-Van Meerveld, 2012) and this will be assessed in future work. After the recordings, the brains were removed, sectioned, and stained to verify electrode placement.
Statistical Analysis
Behavioral data were expressed as means (±SEM). Table 1 data were analyzed using Student's t-test. Pup and adult data were analyzed by one-way ANOVA and two-way ANOVA (infant condition and maternal odor presentation as factors), respectively and followed by post hoc Fisher tests. In all cases, differences were considered significant when P<0.05.
For the LFP data, fast fourier transform power analyses were performed on the raw data in intervals taken from each session's neural trace immediately before and during each odor presentation, permitting quantifying LFP oscillatory power in 2.4 Hz frequency bins from 0–100 Hz (Hanning). Power in the theta (5–15 Hz), beta (15–35 Hz) and gamma (35–90 Hz) frequency bands was calculated for each specified window. Odor-evoked change in LFP oscillatory power was calculated as percent change in power from baseline activity during the 5 s before odor presentation to 5 s during odor presentation in each frequency band. Repeated measures ANOVA's were run to test for main effects of odor type on odor-evoked response, followed by post hoc analyses to examine differences between specific LFP frequencies.
RESULTS
Infant Y-Maze Test
The Y-maze test results showed that pups reared by an abusive mother or that received infant odor-shock conditioning exhibited an odor preference to the natural or peppermint-conditioned maternal odor, respectively (Figure 2). ANOVA analysis revealed a significant effect for infant condition (F(3,20)=19.230, P<0.0001). Post hoc Fisher tests revealed that across all conditions, animals showed a significant preference for the maternal odor when compared with a group of animals that had the choice between a neutral and a familiar odor—the neutral odor group. Animals raised by control mothers showed a significantly higher approach response than animals from both early-life abuse paradigms.
Adult Behavioral Tests
Forced swim test
Being reared by an abusive mother or receiving odor-shock conditioning during infancy induced depressive-like behavior, as indicated by an increase in time spent immobile relative to control animals (Figure 3a). Importantly, the natural or the peppermint-conditioned maternal odor exposure during the FST was able to rescue the depressive-like behavior in both models of early-life abuse. ANOVA analysis revealed a significant interaction between infant condition and maternal odor presence (F(2,26)=14.643, P<0.0001). Moreover, significant main effects of infant condition (F(2,26)=22.293, P<0.0001) and maternal odor presence (F(1,26)=48.766, P<0.0001) were also detected. Post hoc Fisher tests for the interaction revealed that animals reared by an abusive mother and animals that received odor-shock conditioning during infancy spent significantly more time immobile than control animals. However, the time spent immobile in animals from both abuse models tested with either the natural or the peppermint-conditioned maternal odor exposure did not differ from control animals tested with or without odor exposure.
Social behavior test
Being reared by an abusive mother or receiving odor-shock conditioning during infancy impaired social interactions in adulthood compared with control animals (Figure 3b). Natural or peppermint-conditioned maternal odor exposure during the social behavior test rescued the social interaction deficits in all early-life abuse groups. ANOVA analysis revealed a significant interaction between infant condition and maternal odor presence (F(2,34)=5.230, P<0.01). Moreover, significant main effects of infant condition (F(2,34)=3.911, P<0.02) and maternal odor presence (F(1,34)=28.082, P<0.0001) were also detected. Post hoc Fisher tests for the interaction revealed that animals from both early-life abuse groups spent significantly less time in the chamber with the social stimulus than control animals. However, the time spent in the chamber with the social stimulus in animals from both abuse models tested with natural or the peppermint-conditioned maternal odor exposure did not differ from control animals tested with or without odor exposure.
Sexual motivation test
Being reared with an abusive mother or receiving odor-shock conditioning during infancy did not change later life sexual motivation. However, the natural or peppermint-conditioned maternal odor presentation increased the number of mounts in all groups analyzed (Figure 3c). ANOVA analysis revealed no significant interaction between infant condition and odor presence (F(2,37)=1.338), and no significant main effect of infant condition (F(2,37)=1.178). However, a significant main effect of maternal odor presence (F(1,37)=15.302; P<0.0003) was detected. Post hoc Fisher tests revealed that the presence of natural or peppermint-conditioned maternal odor significantly increased the number of mounts in all animals independent of infant condition.
Amygdala LFP Responses
Being reared by an abusive mother or receiving odor-shock conditioning during infancy led to differential amygdala neural responses to the maternal odor when compared with control animals (Figure 4). At baseline, pre-odor LFP activity was not significantly different across conditions (F(1,1227)=2.06; P=0.10), which allowed us to present the magnitude of LFP response to each odor as a percent change from the pre-odor period and compare this magnitude change across conditions. Animals that received peppermint odor-shock conditioning during infancy displayed an odor-specific enhancement in amygdala activation in response to the peppermint-conditioned maternal odor when compared with the amygdala response of control animals to peppermint (Figure 4a and c; F(1,1228)=8.27; P<0.01). Post hoc analyses revealed specific increases in the percent change of LFP activity only within the high gamma frequency range (∼70–90 Hz) that was specific for those animals with odor-shock conditioning during infancy (Figure 4e; F(1,19)=4.75; P<0.05). In comparison, in those animals reared by an abusive mother, high gamma LFP activity in response to peppermint was not different from controls (t(1,14)=0.23, P=0.8). In contrast, animals reared by an abusive mother displayed an odor-specific enhancement in amygdala activation in response to the natural maternal odor when compared with the response of control animals to the natural maternal odor (Figure 4b and d; F(1,1638)=15.3; P<0.0001). Post hoc analyses revealed specific increases in the percent change of LFP activity only within a similar high gamma frequency range (∼70–90 Hz). Again, the enhancement in the gamma band activity range was specific to those animals reared with an abusive mother (Figure 4f; F(1,19)=3.68; P<0.05). In comparison, in those animals with early peppermint odor-shock conditioning, high gamma LFP activity in response to the natural maternal odor was not different from controls (t(1,14)=0.34; P=0.7). The observed LFP changes were limited to the gamma frequency band. There were no significant differences across animal conditions for either theta or beta oscillation frequency bands (response to peppermint: Theta: F(1,19)=1.2; P=0.3; Beta: F(1,19)=0.22; P=0.8; response to natural maternal odor; Theta: F(1,17)=0.43, P=0.7; Beta: F(1,17)=0.56; P=0.6).
DISCUSSION
Our results show for the first time that cues associated with abusive attachment can function as a safety signal to rescue the neurobehavioral deficits produced by early-life abuse. Specifically, odors associated with infant abuse rescue deficits in depressive-like behavior (FST) and social behavior, and modify amygdala function as assessed by LFP recordings. This was shown not only in an ecologically relevant paradigm involving a naturally abusive mother, but also in a controlled peppermint odor-shock conditioning paradigm, which has previously shown to be associated with attachment (Raineki et al, 2010). Importantly, the ability of the infant odors to produce behavioral rescue of depressive-like behavior converge with results from learned safety signal literature.
Modulation of Adult Behavior by Odors Associated with Abusive Attachment
The data presented here suggest that whereas infant rats likely benefit from attachment formation under adverse conditions in the short term, the long-term effects appear to be detrimental. Specifically, both early-life abuse models led to depressive-like behavior in adulthood as measured by FST and social behavior test. Moreover, our behavioral results are consistent with both clinical studies and those in animal models, demonstrating the enduring negative effects of early-life adversity on adult emotionality (Bale et al, 2010; Heim et al, 2010; Malter-Cohen et al, 2013; McEwen, 2008).
Importantly, it has been shown that attachment-related cues can retain their value into adulthood, as maternal odors learned in typical attachment alter various behavioral systems, including those supporting reproduction (our control animals; Fillion and Blass, 1986) and food choice (Leon et al, 1977). Here, we demonstrated that both natural and peppermint-conditioned maternal odor rescued adult depressive-like behaviors following early-life abuse. These findings corroborate previous results from our laboratory using infant odor shock, in which the odor learned during infancy rescued deficits in the FST and sucrose consumption test (Sevelinges et al, 2011). The present work expands these results by introducing a naturalistic model of early-life abuse that provides ecological validity and relevance to the infant olfactory classical conditioning paradigm. Our results indicate that, like the peppermint-conditioned maternal odor, the natural maternal odor can rescue social and depressive-like behavioral deficits in animals reared in a naturalistic model of early-life abuse. Together, these results suggest that socially relevant cues learned in an abusive attachment during infancy can have a positive effect in modulating psychopathologies, such as depression.
We suggest that the natural and peppermint-conditioned maternal odors learned during abusive attachment in infancy acquire the value of a safety signal, which has previously been shown to reduce conditioned fear responses and rescue depressive-like behaviors in the FST (Kong et al, 2014; Pollak et al, 2008; Rogan et al, 2005; Schiller et al, 2008). Our results from both models of early-life abuse support the idea of maternal odor as a safety signal in infancy and adulthood. Specifically, both models of early-life abuse induce a paradoxical preference for the abusive maternal odor—a preference that persists into adulthood (Sevelinges et al, 2011). Moreover, the natural and peppermint-conditioned maternal odors were able to rescue depressive-like behaviors (our results; Sevelinges et al, 2011) and reduce conditioned fear responses (Sevelinges et al, 2007, Moriceau et al, 2009). Together, these results indicate that the well-described preference in infancy for the potentially aversive stimulus, such as the abusive mother (Raineki et al, 2010), can generate a potential safety signal later in life that may have clinical applications.
Conversely, neither of early-life abuse models altered the number of mounts, suggesting that sexual motivation may be spared. These results diverge from other experimental models such as neonatal handling (Padoin et al, 2001) or variations in maternal licking of pups (Cameron et al, 2008), in which long-term changes in sexual behavior and motivation were observed. However, our data indicate that the maternal odor (natural or peppermint-conditioned) was able to enhance sexual motivation in all groups analyzed, regardless of the quality of infant attachment. These data complement previous results demonstrating that maternal odor learned in a typical attachment enhances behaviors related to sexual performance, including mounts (Fillion and Blass, 1986). In addition, it seems that social cues learned in a typical and/or abusive attachment during infancy act through the same neural system to modulate sexual motivation; however, the exact mechanisms are still unknown.
Modulation of Adult Amygdala Activity by Odors Associated with Abusive Attachment
Odors associated with abusive attachment are able to induce a unique amygdala LFP response in adulthood. Specifically, the amygdala displayed greater gamma frequency oscillations in response to the unique odor associated with abuse during infancy—natural maternal odor for animals with an abusive mother and peppermint-conditioned maternal odor for animals that received odor-shock conditioning in infancy. Gamma frequency oscillations are thought to reflect local circuit activity (Buzsáki, 2006), and are especially sensitive to GABAergic inhibitory interneuron function in many brain areas (Lasztóczi and Klausberger, 2014; Traub et al, 1996), including the amygdala (Sinfield and Collins, 2006). Thus, the odor-specific enhancement of amygdala gamma oscillations to the odor learned during abusive experience in infancy may reflect long-lasting changes in amygdala GABAergic function. In fact, previous work has demonstrated changes in amygdala paired pulse inhibition following early-life abusive experience, which also implicates a change in GABAergic circuitry (Sevelinges et al, 2007, 2011; Rincón-Cortés et al, unpublished observations).
These electrophysiological results support prior work demonstrating that early-life abuse can induce long-term changes in amygdala function and amygdala-dependent behaviors in both humans (Tottenham, 2013) and animal models (Hill et al, 2014; Raineki et al, 2012; Sevelinges et al, 2007, 2011). This could be due in part to the precocious activation of the amygdala during a period when it is undergoing rapid developmental change and is vulnerable (Lupien et al, 2009; Moriceau et al, 2006). Indeed, amygdala GABAergic function undergoes dramatic developmental changes during the period in which the animals used in the present study were exposed to early-life abuse (Thompson et al, 2008; Ehrlich et al, 2013).
In addition, gamma oscillations have been associated with cognitive functions such as attention, integration of sensory and multisensory signals, and memory formation (Engel et al, 2001; Jensen et al, 2007). In the amygdala, there are enhanced gamma oscillations in response to learned stimuli (Headley and Weinberger, 2013) and evidence suggests that they may coordinate local amygdala neural activity with activity in other corticolimbic areas (Bauer et al, 2007). Exactly how the odor-specific modification of amygdala activation observed here translates into differential behavioral responses is not clear. However, our identification of this odor-specific physiological signature of amygdala response to stimuli associated with early-life abuse and safety signals may provide an opportunity to identify specific cellular mechanisms of this form of emotional memory.
Implications
Attachment-related cues learned during infancy have the profound ability to rescue neurobehavioral dysregulation caused by early-life abuse, suggesting that these abuse-related cues paradoxically have potent and enduring safety signal value. The discovery that infant cues associated with abusive attachment can retain their value throughout the life span is of great interest because it suggests an opportunity for intervention and possibly correction of maladaptive outcomes related to psychopathology induced by adverse early-life experiences within attachment. These results also may provide some insight into why early-life abuse cues are approached and revisited.
FUNDING AND DISCLOSURE
The authors declare no conflict of interest.
Acknowledgments
This research was supported by NIH-NIMH MH091451 and NIH-DC009910 to RMS and DW, NSF Graduate Research Fellowship DGE-1137475 to MRC, and REP was supported by T32 MH096331 to NYU School of Medicine.
Footnotes
Supplementary Information accompanies the paper on the Neuropsychopharmacology website (http://www.nature.com/npp)
Supplementary Material
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