“…These F I G U R E 3 Trajectories of adversity from birth through age 11.5 years (n = 9,665) findings highlight the importance of considering adverse exposures at multiple time points throughout childhood to capture the potential for health risks as a result of childhood circumstances. Adversity during early childhood may disrupt the development of critical brain structures and stress response systems or may initiate a chain of other stressors and adjustment difficulties that in turn influence mental health risk (Culpin et al, 2015;English, Graham, Litrownik, Everson, & Bangdiwala, 2005;McLaughlin et al, 2010;Rutter, Kim-Cohen, & Maughan, 2006;Schalinski et al, 2017). This finding is consistent with several studies that have found increased depressive symptoms in adolescence and adulthood among those with maltreatment, higher cumulative adversity, or poverty in early childhood (Atkinson et al, 2015;Dunn et al, 2017;Dunn, McLaughlin, Slopen, Rosand, & Smoller, 2013;Kaplow & Widom, 2007;Manly et al, 2001;Shanahan, Copeland, Costello, & Angold, 2011;Teicher, Samson, Polcari, & Andersen, 2009;Thornberry et al, 2010), although some of these studies failed to distinguish between childhood-limited and persistent adversity that began in early childhood.…”