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创伤后应激障碍儿童的神经心理学功能。

Neuropsychological functioning in children with posttraumatic stress disorder.

机构信息

California School of Professional Psychology at Alliant International University, San Francisco, CA 94133., USA.

出版信息

Child Neuropsychol. 2010;16(2):119-33. doi: 10.1080/09297040903190782. Epub 2009 Sep 21.

DOI:10.1080/09297040903190782
PMID:19787496
Abstract

Posttraumatic stress disorder (PTSD) has been associated with deficits in the areas of verbal memory and learning, executive functioning, working memory, and attention in adults. Findings have been less consistent in the few studies examining neuropsychological functioning in childhood PTSD, which are often limited by comparing children with PTSD to children without trauma histories, making it unclear whether observed neuropsychological deficits are related to trauma exposure or to PTSD symptomatology. In an ethnically diverse sample of 62 children who witnessed intimate partner violence (n = 27 PTSD+ and 35 PTSD-), children with PTSD exhibited slower and less effective learning, heightened sensitivity to interference, and impaired effect of rehearsal on memory acquisition on the California Verbal Learning Test - Children's Version, a word list learning task. Both groups performed in the below average range on measures of executive functioning, attention, and intellectual ability.

摘要

创伤后应激障碍(PTSD)与成年人的言语记忆和学习、执行功能、工作记忆和注意力等方面的缺陷有关。在为数不多的研究中,创伤后应激障碍儿童的神经心理学功能研究结果并不一致,这些研究往往将 PTSD 儿童与无创伤史的儿童进行比较,因此不清楚观察到的神经心理学缺陷是与创伤暴露有关,还是与 PTSD 症状有关。在一个由 62 名目睹亲密伴侣暴力的不同种族的儿童组成的样本中(n = 27 名 PTSD+和 35 名 PTSD-),患有 PTSD 的儿童在加利福尼亚言语学习测验-儿童版上的单词列表学习任务中表现出较慢且效果较差的学习、对干扰的敏感性增加,以及对记忆获取的排练效果受损。两组在执行功能、注意力和智力能力的测量中均表现低于平均水平。

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