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童年创伤与成年人高频波段功率增强及诱发的主观注意力不集中有关。

Childhood Trauma Associated with Enhanced High Frequency Band Powers and Induced Subjective Inattention of Adults.

作者信息

Lee Seung-Hwan, Park Yeonsoo, Jin Min Jin, Lee Yeon Jeong, Hahn Sang Woo

机构信息

Clinical Emotion and Cognition Research Laboratory, Inje UniversityGoyang, South Korea.

Department of Psychiatry, Inje University, Ilsan-Paik HospitalGoyang, South Korea.

出版信息

Front Behav Neurosci. 2017 Aug 15;11:148. doi: 10.3389/fnbeh.2017.00148. eCollection 2017.

DOI:10.3389/fnbeh.2017.00148
PMID:28860979
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5559431/
Abstract

Childhood trauma can lead to various psychological and cognitive symptoms. It has been demonstrated that high frequency electroencephalogram (EEG) powers could be closely correlated with inattention. In this study, we explored the relationship between high frequency EEG powers, inattention, symptoms of adult attention deficit hyperactivity disorder (ADHD), and childhood traumatic experiences. A total of 157 healthy Korean adult volunteers were included and divided into two groups using the Childhood Trauma Questionnaire (CTQ) score. The subjective inattention scores, ADHD scale, and anxiety and depression symptom were evaluated. EEG was recorded and quantitative band powers were analyzed. The results were as follows: (1) the high CTQ group showed significantly increased delta, beta1, beta2, beta3 and gamma, and significantly decreased low alpha power compared to the low CTQ group; (2) the high CTQ group had higher inattention score compared to the low CTQ group; (3) the high CTQ group had higher adult ADHD scores; (4) CTQ scores showed significant positive correlations with inattention scores, and adult ADHD scores; (5) unexpectedly, the inattention scores showed significant positive correlations with beta powers and a negative correlation with low alpha power; and (6) the moderated mediation model was confirmed: the depression fully mediated the path from state anxiety to inattention, and the CTQ significantly moderated the pathway between anxiety and depression. Our results show the possibility that childhood adversity may cause subjective inattention and adult ADHD symptoms. Depressive symptoms fully mediated the path from anxiety to inattention, especially in those who report severe childhood traumatic experiences.

摘要

童年创伤可导致各种心理和认知症状。已有研究表明,高频脑电图(EEG)功率可能与注意力不集中密切相关。在本研究中,我们探讨了高频EEG功率、注意力不集中、成人注意力缺陷多动障碍(ADHD)症状与童年创伤经历之间的关系。共纳入157名健康的韩国成年志愿者,并使用儿童创伤问卷(CTQ)评分将其分为两组。评估主观注意力不集中评分、ADHD量表以及焦虑和抑郁症状。记录EEG并分析定量频段功率。结果如下:(1)与低CTQ组相比,高CTQ组的δ波、β1波、β2波、β3波和γ波功率显著增加,低α波功率显著降低;(2)高CTQ组的注意力不集中评分高于低CTQ组;(3)高CTQ组的成人ADHD评分更高;(4)CTQ评分与注意力不集中评分和成人ADHD评分呈显著正相关;(5)出乎意料的是,注意力不集中评分与β波功率呈显著正相关,与低α波功率呈负相关;(6)验证了调节中介模型:抑郁完全中介了从状态焦虑到注意力不集中的路径,且CTQ显著调节了焦虑与抑郁之间的路径。我们的结果表明,童年逆境可能导致主观注意力不集中和成人ADHD症状。抑郁症状完全中介了从焦虑到注意力不集中的路径,尤其是在那些报告有严重童年创伤经历的人群中。

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