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Post-traumatic stress symptoms and cognition in children exposed to motor vehicle accident trauma
Stephanie T Malarbi1,2, Frank Muscara2,3, Peter L J Barnett3,4,5
1School of Psychology and Public Health, Department of Psychology and Counselling, La Trobe University, Bundoora, Australia.
Insights
Children with post-traumatic stress symptoms (PTSS) after motor vehicle accidents showed significantly poorer cognitive function, including reasoning and memory, compared to healthy children.
Area of Science:
- Child Psychology
- Neuroscience
- Trauma Studies
Background:
- Cognitive effects of non-familial trauma in children are understudied.
- Motor vehicle accidents are a common global trauma with unclear long-term cognitive impacts.
Purpose of the Study:
- To investigate cognitive differences in children exposed to motor vehicle accidents.
- To compare cognitive performance between children with post-traumatic stress symptoms (PTSS), trauma-exposed only (TO), and healthy controls (HCs).
Main Methods:
- Comparative study design involving three groups: PTSS (n=6), TO (n=10), and HCs (n=19).
- Assessment of cognitive functions including perceptual reasoning, verbal learning, memory, executive functioning, and intellectual abilities.
Main Results:
- Children with PTSS exhibited significantly worse perceptual reasoning, verbal learning, and delayed verbal memory compared to HCs.
- Large effect sizes were observed for these cognitive deficits in the PTSS group.
- Moderate to large, though non-significant, differences were noted in immediate verbal recall, executive functioning, and verbal intelligence.
Conclusions:
- Children experiencing significant PTSS following motor vehicle accidents display notable cognitive impairments.
- Findings support the link between non-familial trauma exposure, PTSS, and cognitive difficulties in children.
Abstract:
Research investigating the cognition of children exposed to non-familial trauma is scarce and the effects of post-traumatic stress symptoms in this population remain unclear. Thus, this research aimed to investigate the cognition of children exposed to motor vehicle accidents given the high incidence of this trauma globally. It was hypothesized that children with post-traumatic stress symptoms (PTSS; i.e., children with subthreshold or a full diagnosis of PTSD; n = 6) would perform significantly worse on cognitive measures compared to children exposed to trauma only (TO; i.e., children with very minimal or no PTSS; n = 10) and a healthy control group (n = 19). Analyses showed children with PTSS demonstrated significantly poorer perceptual reasoning F(2,32) = 7.21, p = .01, partial η2 = .31; verbal learning F(2,32) = 3.87, p = .05, partial η2 = .20; and delayed verbal memory F(2,32) = 4.40, p = .05, partial η2 = .22, compared to HCs. The magnitude of the differences between the groups was large. Differences in immediate verbal recall, executive functioning, and verbal intellectual abilities were moderate to large in magnitude, with the PTSS group performing worse than both groups, but these findings did not reach significance. Overall findings from this study provide further support for the notion that children exposed to non-familial trauma with significant PTSS display cognitive difficulties compared to healthy children.
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