Neuropsychological findings in pediatric maltreatment: relationship of PTSD, dissociative symptoms, and abuse/neglect indices to neurocognitive outcomes.
Neuropsychological findings in pediatric maltreatment: relationship of PTSD, dissociative symptoms, and abuse/neglect indices to neurocognitive outcomes.
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DOI：
10.1177/1077559513497420
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发表时间：
2013-08
影响因子：
5.1
通讯作者：
Hooper SR
中科院分区：
文献类型：
--
作者：
De Bellis MD;Woolley DP;Hooper SR
虐待（n=38），虐待+创伤后应激障碍（PTSD）（N=60），对照青年（N=104）进行了全面的神经心理测试。两个虐待组的智商，学业成绩，和几乎所有的神经认知领域比对照组显着降低。在视觉空间领域评估高阶视觉建构能力的任务中，受虐待+PTSD的青少年比没有PTSD的受虐待青少年表现得更差。在精细运动领域没有明显的组间差异。PTSD诊断时间与视觉空间维度呈负相关，分离与注意领域呈负相关。累积的终身虐待类型与学业成绩呈负相关。在控制了其他虐待类型后，性虐待与语言和记忆功能呈负相关。这些数据支持虐待对青少年神经心理功能的不良影响，并建议所有儿童保护服务确定的青少年应全面检查其神经心理功能和学术技能的完整性，无论是否存在精神健康症状。
Maltreated (n=38), maltreated+posttraumatic stress disorder (PTSD)(N=60), and control youth (N=104) underwent comprehensive neuropsychological testing. The two maltreated groups performed significantly lower on IQ, Academic Achievement, and nearly all of the neurocognitive Domains than controls. Maltreated+PTSD performed significantly worse than maltreated youth without PTSD on a task in the Visuospatial Domain that assessed higher-order visuoconstructive abilities. No group differences were evident on the Fine-Motor Domain. PTSD diagnosis duration negatively correlated with the Visuospatial, and dissociation negatively correlated with the Attention Domain. Cumulative lifetime maltreatment types experienced negatively correlated with Academic Achievement. Sexual abuse negatively correlated with Language and Memory functions after controlling for other maltreatment types. These data support the adverse effects of maltreatment on neuropsychological functions in youth, and suggest that all child protective services identified youth should be comprehensively examined for the integrity of their neuropsychological functioning and academic skills, regardless of the presence or absence of mental health symptoms.
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影响因子：
3.6
作者：
Carrion, Victor G.;Haas, Brian W.;Reiss, Allan L.
通讯作者：
Reiss, Allan L.
影响因子：
8.2
作者：
De Bellis, MD;Keshavan, MS
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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