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Neglect as a Violation of Species-Expectant Experience: Neurodevelopmental Consequences

机译:忽视作为违反预期物种经验的行为:神经发育的后果

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摘要

The human brain requires a wide variety of experiences and environmental inputs in order to develop normally. Children who are neglected by caregivers or raised in institutional environments are deprived of numerous types of species-expectant environmental experiences. In this review, we articulate a model of how the absence of cognitive stimulation and sensory, motor, linguistic, and social experiences common among children raised in deprived early environments constrains early forms of learning, producing long term deficits in complex cognitive function and associative learning. Building on evidence from animal models, we propose that deprivation accelerates the neurodevelopmental process of synaptic pruning and constrains myelination, resulting in age-specific reductions in cortical thickness and white matter integrity among children raised in deprived early environments. We review evidence linking early experiences of psychosocial deprivation to reductions in cognitive ability, associative and implicit learning, language skills, and executive functions as well as atypical patterns of cortical and white matter development—domains that should be profoundly influenced by deprivation through the learning and neural mechanisms we propose. These patterns of atypical development are difficult to explain with existing models that emphasize stress pathways and accelerated limbic system development. A learning account of how deprived early environments influence cognitive and neural development provides a complementary perspective to stress models and highlights novel pathways through which deprivation might confer risk for internalizing and externalizing psychopathology. We end by reviewing evidence for plasticity in cognitive and neural development among children raised in deprived environments following interventions that improve caregiving quality.
机译:为了正常发育,人脑需要各种各样的经验和环境投入。被看护者忽视或在机构环境中成长的儿童被剥夺了多种预期物种的环境经历。在这篇综述中,我们阐明了一个模型,该模型说明了在缺乏早期环境中成长的儿童中缺乏认知刺激和感觉,运动,语言和社会经历,这些现象如何限制学习的早期形式,在复杂的认知功能和联想学习中产生长期缺陷。基于动物模型的证据,我们提出剥夺可加速突触修剪的神经发育过程并限制髓鞘形成,从而导致在剥夺早期环境中成长的儿童的年龄有特定的皮质厚度和白质完整性降低。我们回顾了将心理社会剥夺的早期经验与认知能力,联想和内隐学习,语言技能,执行功能以及皮层和白质发展的非典型模式的减少联系在一起的证据,这些领域应通过学习和学习受到剥夺的深远影响我们提出的神经机制。这些非典型发展的模式很难用强调压力途径和加速边缘系统发育的现有模型来解释。对被剥夺的早期环境如何影响认知和神经发育的学习描述为压力模型提供了一个补充视角,并强调了剥夺可能带来将心理病理学内化和外化的风险的新颖途径。最后,我们通过改善护理质量的干预措施,回顾了在贫困环境中成长的儿童中认知和神经发育可塑性的证据。

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