Neuropsychological findings in childhood neglect and their relationships to pediatric PTSD.
Neuropsychological findings in childhood neglect and their relationships to pediatric PTSD.
复制标题
DOI：
10.1017/s1355617709990464
复制
发表时间：
2009-11
影响因子：
2.6
通讯作者：
Woolley, Donald P.
中科院分区：
文献类型：
--
作者：
De Bellis, Michael D.;Hooper, Stephen R.;Spratt, Eve G.;Woolley, Donald P.
关键词：
尽管忽视儿童是最普遍的儿童虐待形式，但忽视的神经认知影响尚未得到充分研究。我们检查了两组未遭受性虐待的医学上健康的被忽视儿童的智商、阅读、数学和精细运动技能、语言、视觉空间、记忆/学习和注意/执行功能的神经认知领域，其中一组患有DSM-IV创伤后应激障碍（PTSD），另一组没有创伤后应激障碍，以及一个人口统计学上相似的健康未遭受虐待的对照组。在智商、阅读、数学和复杂视觉注意、视觉记忆、语言、言语记忆和学习、计划、解决问题和快速命名方面，被忽视组的人明显更低。忽视PTSD组在NEPSY设计复制、NEPSY塔和数学方面的表现较对照组差；并且在面部延迟的NEPSY记忆方面比对照组和没有PTSD的忽视表现更差。PTSD症状、严重程度和虐待变量与智商、学业成绩和神经认知领域呈负相关。被忽视儿童的神经认知结果和学业成绩明显低于对照组。较低的智商、神经认知功能和成就可能与更多的创伤后应激障碍症状（特别是再经历症状）、更严重的创伤后应激障碍以及更多的虐待经历有关。创伤经历可能会增加被忽视儿童随后的神经发育风险。
Although child neglect is the most prevalent form of child maltreatment, the neurocognitive effects of neglect is understudied. We examined IQ, reading, mathematics, and neurocognitive domains of fine-motor skills, language, visual-spatial, memory/learning, and attention/executive functions in two groups of non-sexually abused medically healthy neglected children, one with DSM-IV posttraumatic stress disorder (PTSD) and one without, and a demographically similar healthy non-maltreated control group. Significantly lower IQ, reading, mathematics, and selected differences in complex visual attention, visual memory, language, verbal memory and learning, planning, problem solving, and speeded naming were seen in Neglect Groups. The Neglect with PTSD Group performed worse than controls on NEPSY Design Copying, NEPSY Tower, and Mathematics; and performed worse than controls and Neglect without PTSD on NEPSY Memory for Faces-Delayed. Negative correlations were seen between PTSD symptoms, PTSD severity, and maltreatment variables, and IQ, Academic Achievement, and neurocognitive domains. Neglected children demonstrated significantly lower neurocognitive outcomes and academic achievement than controls. Lower IQ, neurocognitive functions, and achievement may be associated with more PTSD symptoms (particularly re-experiencing symptoms), greater PTSD severity, and a greater number of maltreatment experiences. Trauma experiences may additionally contribute to subsequent neurodevelopmental risk in neglected children.