Increased Brain Age Among Psychiatrically Healthy Adults Exposed to Childhood Trauma

ABSTRACT Background Adults with childhood trauma exposure may exhibit brain changes typically associated with aging and neurodegeneration (e.g., reduced tissue volume or integrity) to a greater degree than their unexposed counterparts, suggesting accelerated brain aging. Machine learning methods tha...

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Main Authors: Chanellé Hendrikse, Leigh Luella van den Heuvel, Robin Emsley, Soraya Seedat, Stefan du Plessis
Format: Article
Language:English
Published: Wiley 2025-04-01
Series:Brain and Behavior
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Online Access:https://doi.org/10.1002/brb3.70450
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author Chanellé Hendrikse
Leigh Luella van den Heuvel
Robin Emsley
Soraya Seedat
Stefan du Plessis
author_facet Chanellé Hendrikse
Leigh Luella van den Heuvel
Robin Emsley
Soraya Seedat
Stefan du Plessis
author_sort Chanellé Hendrikse
collection DOAJ
description ABSTRACT Background Adults with childhood trauma exposure may exhibit brain changes typically associated with aging and neurodegeneration (e.g., reduced tissue volume or integrity) to a greater degree than their unexposed counterparts, suggesting accelerated brain aging. Machine learning methods that predict a person's age based on their magnetic resonance imaging (MRI) brain scan may be useful for investigating aberrant brain aging following childhood trauma exposure. Emerging evidence indicates altered brain aging in adolescents with childhood trauma exposure; however, this association has not been examined in healthy adults. Methods We investigated the associations between childhood trauma exposure, including abuse and neglect, and brain‐predicted age in psychiatrically healthy adults. “Brain age” predictions were generated from T1‐weighted structural MRI scans using a pre‐trained machine learning pipeline, namely brainageR. The differences between brain‐predicted age and chronological age were calculated and associations with childhood trauma questionnaire scores were investigated using linear regression. Results The final sample (n = 153; mean age 46 ± 16 years, 70% female) included 69 adults with childhood trauma exposure and 84 unexposed adults. Childhood sexual abuse was associated with an average increased brain age of 3.2 years, adjusting for chronological age and age‐squared, sex, and scanner site; however, this finding did not survive correction for multiple comparisons. Conclusions To our knowledge, this study represents the first published investigation of brain age in adults with childhood trauma using a machine‐learning‐based prediction model. Our findings suggest a link between childhood trauma exposure, specifically sexual abuse, and accelerated brain aging in adulthood, but this association should be replicated in future work. Accentuated brain aging in adulthood may increase the risk of age‐related cognitive and neurodegenerative decline and associated disorders later in life.
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spelling doaj-art-d39330080dee454c8afe3665d628c4722025-08-20T02:20:03ZengWileyBrain and Behavior2162-32792025-04-01154n/an/a10.1002/brb3.70450Increased Brain Age Among Psychiatrically Healthy Adults Exposed to Childhood TraumaChanellé Hendrikse0Leigh Luella van den Heuvel1Robin Emsley2Soraya Seedat3Stefan du Plessis4Department of Psychiatry Stellenbosch University Cape Town South AfricaDepartment of Psychiatry Stellenbosch University Cape Town South AfricaDepartment of Psychiatry Stellenbosch University Cape Town South AfricaDepartment of Psychiatry Stellenbosch University Cape Town South AfricaDepartment of Psychiatry Stellenbosch University Cape Town South AfricaABSTRACT Background Adults with childhood trauma exposure may exhibit brain changes typically associated with aging and neurodegeneration (e.g., reduced tissue volume or integrity) to a greater degree than their unexposed counterparts, suggesting accelerated brain aging. Machine learning methods that predict a person's age based on their magnetic resonance imaging (MRI) brain scan may be useful for investigating aberrant brain aging following childhood trauma exposure. Emerging evidence indicates altered brain aging in adolescents with childhood trauma exposure; however, this association has not been examined in healthy adults. Methods We investigated the associations between childhood trauma exposure, including abuse and neglect, and brain‐predicted age in psychiatrically healthy adults. “Brain age” predictions were generated from T1‐weighted structural MRI scans using a pre‐trained machine learning pipeline, namely brainageR. The differences between brain‐predicted age and chronological age were calculated and associations with childhood trauma questionnaire scores were investigated using linear regression. Results The final sample (n = 153; mean age 46 ± 16 years, 70% female) included 69 adults with childhood trauma exposure and 84 unexposed adults. Childhood sexual abuse was associated with an average increased brain age of 3.2 years, adjusting for chronological age and age‐squared, sex, and scanner site; however, this finding did not survive correction for multiple comparisons. Conclusions To our knowledge, this study represents the first published investigation of brain age in adults with childhood trauma using a machine‐learning‐based prediction model. Our findings suggest a link between childhood trauma exposure, specifically sexual abuse, and accelerated brain aging in adulthood, but this association should be replicated in future work. Accentuated brain aging in adulthood may increase the risk of age‐related cognitive and neurodegenerative decline and associated disorders later in life.https://doi.org/10.1002/brb3.70450adultsbrain agechildhood traumamachine learningmagnetic resonance imagingsexual abuse
spellingShingle Chanellé Hendrikse
Leigh Luella van den Heuvel
Robin Emsley
Soraya Seedat
Stefan du Plessis
Increased Brain Age Among Psychiatrically Healthy Adults Exposed to Childhood Trauma
Brain and Behavior
adults
brain age
childhood trauma
machine learning
magnetic resonance imaging
sexual abuse
title Increased Brain Age Among Psychiatrically Healthy Adults Exposed to Childhood Trauma
title_full Increased Brain Age Among Psychiatrically Healthy Adults Exposed to Childhood Trauma
title_fullStr Increased Brain Age Among Psychiatrically Healthy Adults Exposed to Childhood Trauma
title_full_unstemmed Increased Brain Age Among Psychiatrically Healthy Adults Exposed to Childhood Trauma
title_short Increased Brain Age Among Psychiatrically Healthy Adults Exposed to Childhood Trauma
title_sort increased brain age among psychiatrically healthy adults exposed to childhood trauma
topic adults
brain age
childhood trauma
machine learning
magnetic resonance imaging
sexual abuse
url https://doi.org/10.1002/brb3.70450
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AT robinemsley increasedbrainageamongpsychiatricallyhealthyadultsexposedtochildhoodtrauma
AT sorayaseedat increasedbrainageamongpsychiatricallyhealthyadultsexposedtochildhoodtrauma
AT stefanduplessis increasedbrainageamongpsychiatricallyhealthyadultsexposedtochildhoodtrauma