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Executive, Emotional, and Language Functioning Following Childhood Maltreatment and the Influence of Pediatric PTSD

机译:儿童期虐待后的执行,情感和语言功能以及小儿创伤后应激障碍的影响

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There is limited research examining the neuropsychological functioning of pediatric PTSD as a result of maltreatment, especially within the adolescent population. The present study used retrospective chart review of adolescent inpatients and examined the executive functioning, language, and psychological presentation of maltreated adolescent psychiatric inpatients with pediatric PTSD. Adolescent inpatients were grouped into maltreated adolescents with PTSD as a result of maltreatment (n?=?17), maltreated adolescents without PTSD (n?=?18), and nonmaltreated adolescents without PTSD (n?=?18). Group differences were identified across assessed domains. Lower overall executive functioning was identified in maltreated adolescents regardless of PTSD diagnosis. When compared to those maltreated adolescents without PTSD, the PTSD group displayed lower expressive language and problem solving/planning skills, as well increased symptoms of anxiety and depression. These findings suggest that pediatric PTSD because of maltreatment is associated with psychological and neurocognitive impairments, highlighting the importance of neuropsychological assessment in the treatment of childhood maltreatment...
机译:由于虐待,尤其是在青少年人群中,研究儿童PTSD的神经心理功能的研究有限。本研究使用回顾性图表审查青少年住院患者,并检查了患儿PTSD的虐待青少年精神病患者的执行功能,语言和心理表现。将青少年住院患者分为因虐待而导致的PTSD虐待青少年(n = 17),没有PTSD的青少年(n = 18)和没有PTSD的未虐待青少年(n = 18)。跨评估域确定了群体差异。无论受PTSD诊断如何,在受虐待的青少年中总体执行功能均较低。与那些没有PTSD的虐待青少年相比,PTSD组表现出较低的表达语言和解决问题/计划能力,并增加了焦虑和抑郁症状。这些发现表明,由于虐待而导致的儿科PTSD与心理和神经认知障碍有关,突显了神经心理学评估在儿童期虐待中的重要性。

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