000 03627nab a22004217a 4500
650 4 _9103
_aCHILD ABUSE
999 _c5657
_d5657
005 20250625151441.0
008 171101s2017 -nz||||| |||| 00| 0 eng d
040 _aAFVC
100 _91014
_aDanese, Andrea
245 _aThe origins of cognitive deficits in victimized children :
_bimplications for neuroscientists and clinicians
_cAndrea Danese, Terrie E. Moffitt, Louise Arseneault, Ben A. Bleiberg, Perry B. Dinardo, Stephanie B. Gandelman, Renate Houts, Antony Ambler, Helen L. Fisher, Richie Poulton, Avshalom Caspi
260 _bPsychiatry Online,
_c2017
500 _aAmerican Journal of Psychiatry, 2017, 174(4), 349-361
520 _aObjective: Individuals reporting a history of childhood violence victimization have impaired brain function. However, the clinical significance, reproducibility, and causality of these findings are disputed. The authors used data from two large cohort studies to address these research questions directly. Method: The authors tested the association between prospectively collected measures of childhood violence victimization and cognitive functions in childhood, adolescence, and adulthood among 2,232 members of the U.K. E-Risk Study and 1,037 members of the New Zealand Dunedin Study who were followed up from birth until ages 18 and 38 years, respectively. Multiple measures of victimization and cognition were used, and comparisons were made of cognitive scores for twins discordant for victimization. Results: Individuals exposed to childhood victimization had pervasive impairments in clinically relevant cognitive functions, including general intelligence, executive function, processing speed, memory, perceptual reasoning, and verbal comprehension in adolescence and adulthood. However, the observed cognitive deficits in victimized individuals were largely explained by cognitive deficits that predated childhood victimization and by confounding genetic and environmental risks. Conclusions: Findings from two population-representative birth cohorts totaling more than 3,000 individuals and born 20 years and 20,000 km apart suggest that the association between childhood violence victimization and later cognition is largely noncausal, in contrast to conventional interpretations. These findings support the adoption of a more circumspect approach to causal inference in the neuroscience of stress. Clinically, cognitive deficits should be conceptualized as individual risk factors for victimization as well as potential complicating features during treatment. (Authors' abstract). Record #5657
650 0 _94089
_aADVERSE CHILDHOOD EXPERIENCES
650 0 _aBRAIN DEVELOPMENT
_92691
650 5 _9109
_aCHILD DEVELOPMENT
650 5 _aCHILD EXPOSURE TO VIOLENCE
_9130
650 0 _94056
_aDunedin Multidisciplinary Health and Development Study
650 5 _9351
_aLONGITUDINAL STUDIES
650 4 _aVICTIMS OF DOMESTIC VIOLENCE
_9624
651 4 _aNEW ZEALAND
_92588
651 4 _aUNITED KINGDOM
_92604
700 _91743
_aMoffitt, Terrie E.
700 _aArseneault, Louise
_97144
700 _aBleiberg, Ben A.
_97145
700 _aDinardo, Perry B.
_97146
700 _aGandelman, Stephanie B.
_97147
700 _aHouts, Renate
_95652
700 _aAmbler, Antony
_97148
700 _aFisher, Helen L.
_97149
700 _aPoulton, Richie
_91937
700 _9897
_aCaspi, Avshalom
773 0 _tAmerican Journal of Psychiatry, 2017, 174(4), 349-361
830 _94645
_aAmerican Journal of Psychiatry
856 _uhttps://doi.org/10.1176/appi.ajp.2016.16030333
_yRead abstract
942 _2ddc
_cARTICLE