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印度人口样本中执行能力和社会认知能力的发展轨迹:人口统计学和心理社会决定因素的影响。

Growth trajectories for executive and social cognitive abilities in an Indian population sample: Impact of demographic and psychosocial determinants.

作者信息

Sharma Eesha, Ravi G S, Kumar Keshav, Thennarasu Kandavel, Heron Jon, Hickman Matthew, Vaidya Nilakshi, Holla Bharath, Rangaswamy Madhavi, Mehta Urvakhsh Meherwan, Krishna Murali, Chakrabarti Amit, Basu Debashish, Nanjayya Subodh Bhagyalakshmi, Singh Rajkumar Lenin, Lourembam Roshan, Kumaran Kalyanaraman, Kuriyan Rebecca, Kurpad Sunita Simon, Kartik Kamakshi, Kalyanram Kartik, Desrivieres Sylvane, Barker Gareth, Orfanos Dimitri Papadopoulos, Toledano Mireille, Purushottam Meera, Bharath Rose Dawn, Murthy Pratima, Jain Sanjeev, Schumann Gunter, Benegal Vivek

机构信息

Department of Child and Adolescent Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, India.

Department of Health Data Science, University of Liverpool, United Kingdom.

出版信息

Asian J Psychiatr. 2023 Apr;82:103475. doi: 10.1016/j.ajp.2023.103475. Epub 2023 Jan 20.

Abstract

Cognitive abilities are markers of brain development and psychopathology. Abilities, across executive, and social domains need better characterization over development, including factors that influence developmental change. This study is based on the cVEDA [Consortium on Vulnerability to Externalizing Disorders and Addictions] study, an Indian population based developmental cohort. Verbal working memory, visuo-spatial working memory, response inhibition, set-shifting, and social cognition (faux pas recognition and emotion recognition) were cross-sectionally assessed in > 8000 individuals over the ages 6-23 years. There was adequate representation across sex, urban-rural background, psychosocial risk (psychopathology, childhood adversity and wealth index, i.e. socio-economic status). Quantile regression was used to model developmental change. Age-based trajectories were generated, along with examination of the impact of determinants (sex, childhood adversity, and wealth index). Development in both executive and social cognitive abilities continued into adulthood. Maturation and stabilization occurred in increasing order of complexity, from working memory to inhibitory control to cognitive flexibility. Age related change was more pronounced for low quantiles in response inhibition (β∼4 versus </=2 for higher quantiles), but for higher quantiles in set-shifting (β > -1 versus -0.25 for lower quantiles). Wealth index had the largest influence on developmental change across cognitive abilities. Sex differences were prominent in response inhibition, set-shifting and emotion recognition. Childhood adversity had a negative influence on cognitive development. These findings add to the limited literature on patterns and determinants of cognitive development. They have implications for understanding developmental vulnerabilities in young persons, and the need for providing conducive socio-economic environments.

摘要

认知能力是大脑发育和精神病理学的标志。在整个发育过程中,执行和社交领域的能力需要更深入的特征描述,包括影响发育变化的因素。本研究基于cVEDA(外化障碍和成瘾易感性联盟)研究,这是一项基于印度人群的发育队列研究。对8000多名6至23岁的个体进行了言语工作记忆、视觉空间工作记忆、反应抑制、任务转换和社会认知(失言识别和情绪识别)的横断面评估。在性别、城乡背景、心理社会风险(精神病理学、童年逆境和财富指数,即社会经济地位)方面有足够的代表性。使用分位数回归对发育变化进行建模。生成了基于年龄的轨迹,并考察了决定因素(性别、童年逆境和财富指数)的影响。执行和社会认知能力的发展持续到成年期。从工作记忆到抑制控制再到认知灵活性,成熟和稳定按照复杂性增加的顺序发生。在反应抑制方面,年龄相关变化在低分位数中更为明显(低分位数的β约为4,高分位数的β≤2),但在任务转换方面,高分位数更为明显(高分位数的β> -1,低分位数的β为-0.25)。财富指数对认知能力发育变化的影响最大。在反应抑制、任务转换和情绪识别方面,性别差异显著。童年逆境对认知发展有负面影响。这些发现补充了关于认知发展模式和决定因素的有限文献。它们对于理解年轻人的发育脆弱性以及提供有利的社会经济环境的必要性具有启示意义。

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