不良的童年经历,认知功能,抑郁症和成年时的焦虑
Hanaan Bing-Canar1, Jane K Stocks1, Humza Khan1
1Department of Psychiatry, University of Illinois, College of Medicine.
Psychological trauma : theory, research, practice and policy
|January 16, 2024
概括
童年不良经历 (ACE) 显著影响成人心理健康,增加抑郁和焦虑. 然而,在这个中年研究中,ACEs没有影响认知功能.
科学领域:
- 神经心理学 神经心理学
- 精神病学是一个精神病学.
- 发展心理学 发展心理学
背景情况:
- 童年不良经历 (ACE) 通过直接和间接的途径与认知功能障碍有关.
- 之前关于ACE和认知的研究主要集中在年轻人和老年人身上,在了解中年影响方面存在差距.
- 成年期是评估早期生活逆境对认知健康的长期影响的关键时期.
研究的目的:
- 为了比较高和低暴露于不良童年经历 (ACE) 的成年人之间的精神和认知结果.
- 为了研究ACE风险分类与心理健康和认知表现之间的关系,在一个中年样本中.
- 根据ACE水平,识别抑郁,焦虑和认知功能中的潜在差异.
主要方法:
- 一组211名接受门诊神经心理评估的成年患者被分为高ACE和低ACE组.
- 统计分析,包括单向ANOVA,用于比较群体在病前功能,智力,执行功能,口头学习,抑郁和焦虑等方面的测量.
- 标准化神经心理测试和自我报告清单被用于评估认知和精神病变量.
主要成果:
- 与低ACE组相比,高ACE组的成年人报告了明显更高的抑郁和焦虑水平.
- 在所有测试的认知指标中,在高ACE组和低ACE组之间没有观察到认知功能的显著差异.
- 精神症状,特别是抑郁和焦虑,与较高的ACE暴露有很强的关联.
结论:
- 童年不良经历的程度显著影响一个人的心理健康,表现为增加的抑郁和焦虑.
- 在这项研究中,成人中期的认知功能似乎不受ACE暴露水平的直接影响.
- 将ACE评估纳入神经心理评估对于全面的病例概念化和个性化治疗规划至关重要.
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