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儿童和青少年创伤后应激障碍与抑郁症的认知特征。

Cognitive profiles of Post-traumatic Stress Disorder and depression in children and adolescents.

作者信息

Barrera-Valencia Mauricio, Calderón-Delgado Liliana, Trejos-Castillo Elizabeth, O'Boyle Michael

机构信息

Universidad de Antioquia, Colombia.

Universidad CES, Colombia.

出版信息

Int J Clin Health Psychol. 2017 Sep-Dec;17(3):242-250. doi: 10.1016/j.ijchp.2017.05.001. Epub 2017 Jul 29.

Abstract

Several diagnostic criteria of Post-traumatic Stress Disorder (PTSD) are remarkably similar to symptoms reported by individuals with depression, particularly as they manifest as cognitive processing deficits in children. Because of this overlap in profile and the high rate of comorbidity of PTSD and depression (48% to 69%), pinpointing similarities/differences in cognitive processes related to each of these disorders is essential to accurate diagnosis. This study aims to examine cognitive performance profiles of 23 children who have been victims of PTSD and to compare their results with 23 children with depression and 24 controls. Empirical study, observational and descriptive methodologies were performed using several neuropsychological tests to assess IQ, attention, memory and executive function. Statistical comparisons between groups were made using the non-parametric Kruskall-Wallis test and post-hoc analyses were conducted using a Mann Whitney test, as well as Quade's co-variance analysis. Data show different profiles of cognitive performance in those with PTSD compared to those with depression and controls. The findings suggests that PTSD and depressed children differ somewhat in their cognitive profiles, and the differences in IQ found between those with PTSD and those without are not necessarily a confounding variable, but may rather be a consequence of their traumatic experience.

摘要

创伤后应激障碍(PTSD)的几个诊断标准与抑郁症患者报告的症状非常相似,尤其是在儿童中表现为认知加工缺陷时。由于这种特征上的重叠以及PTSD和抑郁症的高共病率(48%至69%),明确与这些疾病相关的认知过程中的异同对于准确诊断至关重要。本研究旨在检查23名PTSD受害者儿童的认知表现特征,并将他们的结果与23名抑郁症儿童和24名对照组儿童进行比较。使用几种神经心理学测试进行实证研究、观察和描述性方法,以评估智商、注意力、记忆力和执行功能。使用非参数克鲁斯卡尔 - 沃利斯检验进行组间统计比较,并使用曼 - 惠特尼检验以及奎德协方差分析进行事后分析。数据显示,与抑郁症患者和对照组相比,PTSD患者的认知表现特征不同。研究结果表明,PTSD儿童和抑郁症儿童在认知特征上存在一定差异,PTSD患者与非PTSD患者之间的智商差异不一定是一个混杂变量,而可能是他们创伤经历的结果。

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