
Neuropsychopharmacology, Journal Year: 2024, Volume and Issue: 49(11), P. 1719 - 1728
Published: May 13, 2024
Early life stress (ELS) increases risk for psychiatric illness, including alcohol use disorder (AUD). Researchers have hypothesized that individuals with and without a history of ELS who the same primary DSM-5 diagnosis are clinically biologically distinct. While there is strong support this hypothesis in context mood disorders, remains largely untested AUD. This study investigated impact on neuroclinical phenomenology inflammatory profile Treatment-seeking adults AUD (N = 163) completed Adverse Childhood Experiences (ACE) Questionnaire phenotypic battery as part pharmacotherapy trial (NCT03594435). Participants were classified having "no-ELS," (ACE 0) "moderate-ELS," 1, 2 or 3) "high-ELS" 4 + ). The Addictions Neuroclinical Assessment domains incentive salience negative emotionality derived used to assess We tested (1) cumulative predictor ANA (2) group differences domains. A subset participants 98) provided blood samples biomarker peripheral inflammation (C-reactive protein; CRP); analyses repeated CRP outcome variable. Greater predicted higher elevated CRP, but not salience. high-ELS exhibited greater compared no-ELS moderate-ELS groups, no difference between latter two groups. no/moderate-ELS group. Findings suggest exposure associated unique presentation marked by emotionality, characterized CRP.
Language: Английский