Arat-Çelik Hidayet Ece, Tuna Gamze, Kök-Kendirlioğlu Burcu, Çörekli Esma, Yorguner Neşe, Teke Zeynep, Ceylan Deniz
Maltepe University, Faculty of Medicine, Department of Psychiatry, İstanbul, Turkey.
Dokuz Eylül University, Institute of Health Sciences, Department of Neuroscience, İzmir, Turkey.
Neurosci Appl. 2023 Oct 9;2:101138. doi: 10.1016/j.nsa.2023.101138. eCollection 2023.
Previous studies have suggested a possible connection between childhood trauma, the course of illness, and neurocognitive impairment in individuals with bipolar disorder (BD). This cross-sectional study aimed to investigate the relationship between childhood trauma and neurocognitive functioning in a sample consisting of 41 euthymic individuals with BD, 37 individuals who have at least one sibling with BD, and 48 healthy controls (HCs). We assessed childhood trauma history using the Childhood Trauma Questionnaire (CTQ). Both the BD and Sibling groups showed higher rates of emotional abuse, neglect, and higher total trauma scores compared to the HCs. A principal component analysis of the neurocognitive test battery revealed a global cognition factor responsible for 49.40% of the variance and five subsequent neurocognitive components: working memory & response inhibition, verbal memory, visual copying, verbal fluency, and processing speed. Individuals with BD had lower scores in verbal memory, visual copying, processing speed, and global cognitive factor domains than the Siblings and HCs. The Siblings' performance was similar to that of the HC group. Correlation analyses showed significant correlations between physical neglect, sexual abuse, and neurocognitive domains like processing speed, verbal fluency, working memory, and the global cognitive factor. However, the linear regression analyses didn't reveal a significant influence of childhood trauma on neurocognitive domains. Our findings indicate that both individuals with BD and their unaffected siblings have a high occurrence of childhood trauma, but presence of bipolar disorder itself appears to influence neurocognitive functioning independently of childhood traumatic experiences or familial predisposition to bipolar disorder.
以往的研究表明,双相情感障碍(BD)患者的童年创伤、病程与神经认知障碍之间可能存在联系。这项横断面研究旨在调查41名处于缓解期的BD患者、37名至少有一名患BD的兄弟姐妹的个体以及48名健康对照者(HCs)样本中童年创伤与神经认知功能之间的关系。我们使用儿童创伤问卷(CTQ)评估童年创伤史。与HCs相比,BD组和兄弟姐妹组在情感虐待、忽视方面的发生率更高,总创伤得分也更高。对神经认知测试组进行主成分分析,发现一个全局认知因子,其解释了49.40%的方差,随后还有五个神经认知成分:工作记忆与反应抑制、言语记忆、视觉临摹、言语流畅性和处理速度。BD患者在言语记忆、视觉临摹、处理速度和全局认知因子领域的得分低于兄弟姐妹组和HCs。兄弟姐妹组的表现与HC组相似。相关分析显示,身体忽视、性虐待与处理速度、言语流畅性、工作记忆和全局认知因子等神经认知领域之间存在显著相关性。然而,线性回归分析并未显示童年创伤对神经认知领域有显著影响。我们的研究结果表明,BD患者及其未患病的兄弟姐妹童年创伤的发生率都很高,但双相情感障碍本身的存在似乎独立于童年创伤经历或双相情感障碍的家族易感性而影响神经认知功能。
2025-1
Cochrane Database Syst Rev. 2016-4-4
Cochrane Database Syst Rev. 2022-10-4
J Am Acad Child Adolesc Psychiatry. 2017-2-2
J Affect Disord. 2017-12-29
medRxiv. 2025-6-23
Bipolar Disord. 2023-6
Int J Bipolar Disord. 2023-2-10
Prog Neuropsychopharmacol Biol Psychiatry. 2022-12-20
Neuropsychiatr Dis Treat. 2020-12-14
Lancet. 2020-12-5
Turk Psikiyatri Derg. 2020