beginnerepigeneticsearly adversityACEsNR3C1glucocorticoid receptorDNA methylationHPA axischildhood stress
A 25-year-old woman presents with chronic depression, anxiety, and difficulty with emotion regulation. Her history includes severe childhood neglect from ages 2-7 before being placed in foster care. The PMHNP considers how early life stress may have altered her neurobiology through epigenetic mechanisms. Which of the following best describes the epigenetic impact of early childhood adversity on stress-response systems?