University of California, San Francisco, Department of Psychiatry, Zuckerberg San Francisco General Hospital, United States.
University of California, San Francisco, Department of Psychiatry, Zuckerberg San Francisco General Hospital, United States.
Child Abuse Negl. 2020 Oct;108:104635. doi: 10.1016/j.chiabu.2020.104635. Epub 2020 Jul 30.
The present study used a bioecological framework to examine associations between trauma exposure, trauma-related symptomatology, and executive function (EF) in an urban sample of 88 predominantly ethnic-minority, low-income preschoolers (age 2-5) exposed to interpersonal trauma. Contrary to hypotheses based on past literature documenting associations between trauma exposure and EF deficits in childhood, in regressions adjusting for child gender, family income, and caregiver education, neither trauma exposure or trauma-related symptoms (post-traumatic stress symptoms, internalizing behaviors, or externalizing behaviors) were significantly associated with children's EF performance. Associations between child trauma exposure, symptomatology, and executive function were not moderated by parental PTSD symptomatology; and EF was not differentially predicted by type of trauma. Results suggest that, within an ethnically-diverse sample of preschool-aged children exposed to multiple traumas, associations between trauma exposure, symptomatology, and EF may be particularly nuanced. Keywords: child trauma, posttraumatic stress, executive function, preschool-age children, child mental health.
本研究采用生物生态框架，在一个城市样本中，对 88 名主要为少数民族、低收入的学龄前儿童（2-5 岁）进行了创伤暴露、与创伤相关的症状和执行功能（EF）之间的关联研究。这些儿童都经历过人际创伤。与过去文献中记录的创伤暴露与儿童 EF 缺陷之间存在关联的假设相反，在回归分析中调整了儿童性别、家庭收入和照顾者教育水平后，创伤暴露或与创伤相关的症状（创伤后应激症状、内化行为或外化行为）与儿童的 EF 表现均无显著相关性。儿童创伤暴露、症状和执行功能之间的关联不受父母 PTSD 症状的调节；EF 也不受创伤类型的差异预测。研究结果表明，在一个经历过多种创伤的种族多样化的学龄前儿童样本中，创伤暴露、症状和 EF 之间的关联可能特别微妙。关键词：儿童创伤、创伤后应激、执行功能、学龄前儿童、儿童心理健康。
