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儿童逆境的各个维度与执行功能的神经基础有明显的关联。

Dimensions of childhood adversity have distinct associations with neural systems underlying executive functioning.

机构信息

University of North Carolina,Chapel Hill.

University of Toronto.

出版信息

Dev Psychopathol. 2017 Dec;29(5):1777-1794. doi: 10.1017/S0954579417001390.

Abstract

Childhood adversity is associated with increased risk for psychopathology. Neurodevelopmental pathways underlying this risk remain poorly understood. A recent conceptual model posits that childhood adversity can be deconstructed into at least two underlying dimensions, deprivation and threat, that are associated with distinct neurocognitive consequences. This model argues that deprivation (i.e., a lack of cognitive stimulation and learning opportunities) is associated with poor executive function (EF), whereas threat is not. We examine this hypothesis in two studies measuring EF at multiple levels: performance on EF tasks, neural recruitment during EF, and problems with EF in daily life. In Study 1, deprivation (low parental education and child neglect) was associated with greater parent-reported problems with EF in adolescents (N = 169; 13-17 years) after adjustment for levels of threat (community violence and abuse), which were unrelated to EF. In Study 2, low parental education was associated with poor working memory (WM) performance and inefficient neural recruitment in the parietal and prefrontal cortex during high WM load among adolescents (N = 51, 13-20 years) after adjusting for abuse, which was unrelated to WM task performance and neural recruitment during WM. These findings constitute strong preliminary evidence for a novel model of the neurodevelopmental consequences of childhood adversity.

摘要

儿童逆境与精神病理学风险增加有关。儿童逆境风险背后的神经发育途径仍知之甚少。最近的一个概念模型认为,儿童逆境可以被分解为至少两个潜在的维度,即剥夺和威胁,这与不同的神经认知后果有关。该模型认为,剥夺(即缺乏认知刺激和学习机会)与执行功能(EF)差有关,而威胁则没有。我们在两项研究中检验了这一假设,这些研究从多个层面衡量了 EF:EF 任务的表现、EF 期间的神经募集以及日常生活中 EF 的问题。在研究 1 中,调整威胁(社区暴力和虐待)水平后,剥夺(父母受教育程度低和儿童忽视)与青少年(N=169;13-17 岁)父母报告的 EF 问题更多有关,而威胁与 EF 无关。在研究 2 中,调整虐待后,低父母教育程度与青少年在高 WM 负荷期间顶叶和前额叶皮层的工作记忆(WM)表现差和神经募集效率低下有关,而虐待与 WM 任务表现和 WM 期间的神经募集无关。这些发现为儿童逆境的神经发育后果的新模型提供了强有力的初步证据。

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