Letkiewicz Allison M, Weldon Anne L, Tengshe Chinmayi, Niznikiewicz Michael A, Heller Wendy
Department of Psychiatry, University of Wisconsin-Madison, Madison, WI, USA.
Department of Psychology, University of Illinois at Urbana-Champaign, Champaign, IL, USA.
J Aggress Maltreat Trauma. 2021;30(4):547-563. doi: 10.1080/10926771.2020.1832171. Epub 2020 Oct 20.
Maltreatment during childhood has detrimental consequences for survivors. Among children, maltreatment predicts deficits in cognition and impairment in academic and emotional functioning. Although studied extensively in children, the extent to which cognitive deficits are evident in adulthood has been examined to a lesser extent. Executive functioning (EF) is a set of cognitive processes that help to guide behavior toward goals and is characterized by a prolonged maturational time course. As such, it is particularly vulnerable to the effects of early stress, which confers risk for psychopathology. Thus, it is critical to assess the potential impact of childhood trauma on adult EF. The present study sought to assess the impact of a history of childhood maltreatment on EF during adulthood using both self-reported and task-based measures of EF processes. Higher levels of cumulative childhood maltreatment predicted poorer EF. Furthermore, deficits were not accounted for by current symptoms of depression and anxiety, indicating that the impact of childhood maltreatment on cognitive functioning in adulthood is not the result of current internalizing psychopathology.
童年期受虐对幸存者有不利影响。在儿童中,受虐预示着认知缺陷以及学业和情感功能受损。虽然在儿童中对此进行了广泛研究,但成年期认知缺陷的明显程度在较小程度上得到了研究。执行功能(EF)是一组认知过程,有助于指导行为朝着目标发展,其特点是成熟时间进程较长。因此,它特别容易受到早期压力的影响,而早期压力会带来精神病理学风险。因此,评估童年创伤对成人执行功能的潜在影响至关重要。本研究试图使用自我报告和基于任务的执行功能过程测量方法,评估童年期受虐史对成年期执行功能的影响。童年期累积受虐程度越高,执行功能越差。此外,抑郁和焦虑的当前症状并不能解释这些缺陷,这表明童年期受虐对成年期认知功能的影响不是当前内化性精神病理学的结果。