“…In addition to triggering SA behavior in pups(D'Amato et al, 2011), early interference with maternal cares evokes both respiratory hypersensitivity (excessive hyperventilation) to CO 2 , and increased pain sensitivity(Cittaro et al, 2016;D'Amato et al, 2011). These two distinct but interrelated enhancements are underlain by epigenetic enrichment and augmented neural expression of the acid-sensing ion channels ASIC(Cittaro et al, 2016), that are concurrently implicated in detecting transient brain acidification driven by heightened CO 2 (D'Amato et al, 2011), pain(Wemmie, Taugher, & Kreple, 2013) and airway hyperreactivity(Reznikov et al, 2016), a hallmark feature of asthma.Some of the environmental components underlying these dynamics are known: early life adversities interact with genetic factors to enhance reactivity to anxiety-provoking and brain acidifying CO 2 challenges both in man(Spatola et al, 2011) and animals(D'Amato et al, 2011), and disruption of familial ties are risk factors common to heightened SA, SEPAD(Silove et al, 2015), and headache(Lee et al, 2009). Should a diathesis for altered nociception be confirmed by future studies of childhood SA/SEPAD, then manifestations of SEPAD such as headache and abdominal pain might be allowed explanations that are alternative to the routinely assumed roles of "eliciting parental attention" and "maintaining an anxious child safely at home, " that are common place in clinical discussions.…”