Bremner J Douglas, Vermetten Eric, Afzal Nadeem, Vythilingam Meena
Department of Psychiatry, Emory Center for Positron Emission Tomography, Emory University School of Medicine, Atlanta, Georgia, USA.
J Nerv Ment Dis. 2004 Oct;192(10):643-9. doi: 10.1097/01.nmd.0000142027.52893.c8.
Several studies have shown deficits in verbal declarative memory function in posttraumatic stress disorder (PTSD). Most of these studies have been performed in men with combat-related PTSD compared with healthy subjects; relatively little is known about memory function in women with abuse-related PTSD, or whether these effects are specific to PTSD or are a nonspecific outcome of exposure to early abuse. The purpose of this study was to assess declarative memory function in women with and without a history of early childhood sexual abuse and PTSD. Forty-three women with and without a history of early childhood sexual abuse and PTSD underwent neuropsychological testing with subtests of the Wechsler Memory Scale--Revised for measurement of verbal and visual memory and subtests of the Wechsler Adult Intelligence Scale for measurement of IQ, and behavioral ratings of PTSD and other psychiatric symptoms. Abused women with PTSD had deficits in verbal declarative memory as measured with the subtests of the Wechsler Memory Scale--Revised compared with women with early abuse without PTSD and nonabused women without PTSD. There were no significant differences in IQ. These findings suggest that early abuse with PTSD is associated with deficits in verbal declarative memory, and that these effects are not related to the nonspecific effects of childhood abuse.
多项研究表明,创伤后应激障碍(PTSD)患者存在言语陈述性记忆功能缺陷。这些研究大多是在患有与战斗相关PTSD的男性与健康受试者之间进行的;对于患有与虐待相关PTSD的女性的记忆功能,或者这些影响是否特定于PTSD,还是早期虐待暴露的非特异性结果,我们了解得相对较少。本研究的目的是评估有和没有童年期性虐待史及PTSD的女性的陈述性记忆功能。43名有和没有童年期性虐待史及PTSD的女性接受了神经心理学测试,使用韦氏记忆量表修订版的子测试来测量言语和视觉记忆,使用韦氏成人智力量表的子测试来测量智商,并对PTSD和其他精神症状进行行为评分。与有早期虐待但无PTSD的女性以及无虐待且无PTSD的女性相比,患有PTSD的受虐女性在使用韦氏记忆量表修订版子测试测量时存在言语陈述性记忆缺陷。智商方面没有显著差异。这些发现表明,伴有PTSD的早期虐待与言语陈述性记忆缺陷有关,且这些影响与童年期虐待的非特异性影响无关。