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受虐和被忽视婴儿的陈述性记忆。

Declarative memory in abused and neglected infants.

机构信息

Nutrition Research Institute, University of North Carolina at Chapel Hill, Kannapolis, North Carolina, USA.

出版信息

Adv Child Dev Behav. 2010;38:161-82. doi: 10.1016/b978-0-12-374471-5.00007-6.

DOI:10.1016/b978-0-12-374471-5.00007-6
PMID:21207809
Abstract

To summarize, all children interacted with the experimenter and actively participated in the imitation task. There was evidence of improvement in performance from baseline to recall as would be expected with attention to, and memory for, the actions that were modeled by the experimenter. All participants evidenced a decrease in performance as the difficulty of the task increased, as would be expected. When the maltreated children were compared to the nonmaltreated children in a 2-group design, there was no statistically significant difference in performance. However, when the maltreated group was divided into two subtypes of either neglected or abused, and performance was compared in a 3-group design, it was revealed that the neglected children experienced deficits in performance relative to abused children. For production of target actions, the neglected children's performance trended toward significance when compared to the nonmaltreated children's performance. However, there was no significant difference between the performance of the abused children and the nonmaltreated children for either production of target actions or productions of ordered pairs. The children in this longitudinal study were assessed previously at 12 months of age in a mother-child play situation (Valentino et al., 2006). Interactions during structured play between mother and child were evaluated for maternal directives and child responses. Interestingly, the difference in social interactions that was most reliable was the finding that the abused children imitated their mothers more often than did the nonmaltreated children. There was no difference between the imitative behaviors of the neglected children and the abused or nonmaltreated children. The researchers note that by imitating their mothers, the abused children might be attempting to prevent further abusive incidents. Limit setting behaviors of the mothers in response to child initiations were positively related to the children's imitative behaviors. Thus, it would appear that maternal negative feedback to child-initiated behaviors is related to an increase in imitative behaviors that are most likely met with positive reinforcement. The continued pursuit of this positivity may impede the development of self-initiated behaviors; delayed development of self-initiated behavior has been linked to disorders of social competence (Landry, Smith, Miller-Loncar, & Swank, 1998). However, imitation has long been known to be a mechanism of learning (Piaget, 1962) and has become an accepted tool for assessment of declarative memory (Bauer, 2004). Whereas the adaptation to abuse posited by Valentino et al. (2006) may be detrimental to social development, our data for this same sample indicate that the reliance on imitative behavior exhibited by the abused children may afford them an advantage at 21 months of age in imitation paradigms. The neglected children are thus at a disadvantage relative to the abused children in the study reported here in that they were not reinforced by mothers for imitative behavior. It is important to note that all children in this sample were from low-income homes. Scores on these events for both target actions and ordered pairs are higher in samples of higher SES children (e.g., Bauer et al., 2000). Thus, the low SES of the families affected performance across the groups. It is possible that the factor responsible for the difference between the abused group and the neglected group is resilience in the face of poverty. Resilience is the ability to recover following a traumatic event or adversity (Masten, 2001), and has been related to child characteristics, such as general intelligence (Masten et al., 1988). It has been proposed that neural plasticity may be responsible for this recovery (Cicchetti & Curtis, 2006). Alternatively, as has been detailed earlier in this chapter, the advantage afforded abused children could arise from the strengthening of neural pathways. It would be adaptive to develop exceptional event memory so as to avoid the events that lead to abuse. Mechanisms of plasticity are responsible for the laying down of memories (Aimone, Wiles, & Gage, 2006). Thus, the higher performance seen in the abused group could be related to a preservation of brain plasticity that facilitates resilience in the face of poverty, stress, and/or trauma. Plasticity in the brains of the neglected children may be lost due to the lack of stimulation, leaving them more vulnerable to the stress of poverty and neglect. In conclusion, maltreated children have often been studied as a single group. However, it is becoming clear from research conducted by our group and others that the subtypes of maltreatment may have different developmental sequelae. It is important that we understand the differential pathways involved in the development of abused versus neglected children. As discussed in other chapters of this volume, the imitation paradigm has emerged as a valuable tool in the identification of at-risk infants and toddlers. With the data reported here, it is evident that data from the elicited imitation procedure utilized herein differentiates between the subtypes of maltreatment. Research must be conducted to further elucidate the correlates of resilience in toddlers who have been abused. A longitudinal investigation would enable investigation of the questions of continuity of the observed increase in imitative behavior and whether increased imitation has a detrimental social effect while exerting a bolstering cognitive effect.

摘要

总之,所有的孩子都与实验者互动,并积极参与模仿任务。从基线到回忆的表现都有改善的证据,这与对实验者示范的动作的注意和记忆相符。所有参与者的表现都随着任务难度的增加而下降,这是可以预期的。当在 2 组设计中将受虐待的儿童与未受虐待的儿童进行比较时,在表现上没有统计学上的显著差异。然而,当将受虐待组分为忽视或受虐的两种亚型,并在 3 组设计中比较表现时,发现受忽视的儿童的表现相对于受虐的儿童存在缺陷。对于目标动作的产生,受忽视的儿童的表现相对于未受虐待的儿童的表现有显著的趋势。然而,受虐的儿童和未受虐待的儿童在目标动作的产生或有序对的产生方面的表现没有显著差异。在这项纵向研究中,之前在 12 个月大的母婴游戏情景下对这些儿童进行了评估(Valentino 等人,2006 年)。评估了母亲和孩子之间在结构化游戏中的互动,以评估母亲的指令和孩子的反应。有趣的是,最可靠的社会互动差异是受虐的儿童比未受虐待的儿童更频繁地模仿他们的母亲。受忽视的儿童和受虐或未受虐待的儿童的模仿行为没有差异。研究人员指出,受虐的儿童通过模仿他们的母亲,可能试图防止进一步的虐待事件。母亲对孩子发起的反应的限制行为与孩子的模仿行为呈正相关。因此,似乎母亲对孩子发起的行为的消极反馈与模仿行为的增加有关,而模仿行为很可能会得到积极的强化。研究人员继续追求这种积极性,可能会阻碍自我发起行为的发展;自我发起行为的发展延迟与社交能力障碍有关(Landry、Smith、Miller-Loncar 和 Swank,1998 年)。然而,模仿长期以来一直被认为是一种学习机制(Piaget,1962 年),并已成为评估陈述性记忆的公认工具(Bauer,2004 年)。虽然 Valentino 等人(2006 年)提出的适应虐待可能对社会发展不利,但我们对同一样本的数据表明,受虐儿童对模仿行为的依赖可能使他们在 21 个月大的模仿范式中具有优势。因此,受忽视的儿童相对于研究报告中的受虐儿童处于劣势,因为他们没有得到母亲对模仿行为的奖励。值得注意的是,本样本中的所有儿童都来自低收入家庭。SES 较高的儿童样本中的这些事件的得分(例如,Bauer 等人,2000 年)对于目标动作和有序对都更高。因此,家庭的低 SES 影响了整个组的表现。负责受虐组和受忽视组之间差异的因素可能是面对贫困时的恢复力。恢复力是指在创伤事件或逆境后恢复的能力(Masten,2001 年),并与儿童的特征有关,如一般智力(Masten 等人,1988 年)。已经提出,神经可塑性可能是这种恢复的原因(Cicchetti 和 Curtis,2006 年)。或者,如本章前面所详细描述的,受虐儿童的优势可能来自于神经通路的加强。发展特殊事件记忆以避免导致虐待的事件是适应性的。可塑性机制负责记忆的形成(Aimone、Wiles 和 Gage,2006 年)。因此,受虐组较高的表现可能与促进在贫困、压力和/或创伤面前恢复的大脑可塑性的保存有关。受忽视的儿童的大脑中的可塑性可能由于缺乏刺激而丧失,使他们更容易受到贫困和忽视的压力。总之,受虐待的儿童通常作为一个单一的群体进行研究。然而,从我们小组和其他小组进行的研究中可以清楚地看出,受虐待的亚型可能有不同的发展后果。我们必须了解受虐待和受忽视儿童发展过程中涉及的不同途径。正如本卷其他章节所讨论的,模仿范式已成为识别高危婴儿和幼儿的有价值的工具。根据这里报告的数据,很明显,从诱发模仿程序中获得的数据可以区分受虐待的亚型。必须进行研究以进一步阐明受虐待的幼儿的恢复力的相关因素。纵向研究将能够调查观察到的模仿行为增加的连续性问题,以及增加的模仿是否对社会产生有害影响,同时对认知产生增强作用。

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