Child Adolesc Ment Health. 2015 Feb;20(1):56-62. doi: 10.1111/camh.12068. Epub 2014 Jun 06.
Childhood maltreatment and executive functions in adolescents.
Child and adolescent mental health
Luiza Mothes, Christian Haag Kristensen, Rodrigo Grassi-Oliveira, Rochele Paz Fonseca, Irani Iracema de Lima Argimon, Tatiana Quarti Irigaray
Affiliations
Affiliations
- Psychology Department, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Ipiranga Avenue, 6681, Building 11, Room 902. Partenon, Porto Alegre/RS, CEP, 90619-900, Brazil.
PMID: 32680329
DOI: 10.1111/camh.12068
Abstract
BACKGROUND: The aim of this study was to investigate differences in executive functions between adolescents exposed to different forms of single- and multitype childhood maltreatment.
METHOD: The sample was composed of 83 adolescents, divided into three groups: single-type maltreatment (n = 24), multitype maltreatment (n = 19), and no history of maltreatment (n = 40), matched for education and sex.
RESULTS: The results showed that teenagers who suffered a single type of childhood maltreatment performed worse than the other two groups on tasks of cognitive flexibility and visual processing speed. Individuals who suffered multitype maltreatment had worse initiation and lower verbal processing speed than the other two groups.
CONCLUSIONS: Childhood maltreatment may have a significant impact on executive functioning in adolescence.
© 2014 The Authors. Child and Adolescent Mental Health published by John Wiley & Sons Ltd on behalf of Association for Child and Adolescent Mental Health.
Keywords: Maltreatment; adolescents; executive functions
References
- ABEP-Associacão Brasileira de Empresas de Pesquisa (2008). Critério de classificação econômica Brasil. http://www.abep.org.br. Available from [last accessed 1 March 2012]. - PubMed
- Allen, B. (2008). An analysis of the impact of diverse forms of childhood psychological maltreatment on emotional adjustment in early adulthood. Child Maltreatment, 13, 307-312. - PubMed
- Arata, C.M., Langhinrichsen-Rohling, J., Bowers, D., & O'Farrill-Swails, L. (2005). Single versus multi-type maltreatment: An examination of the long-term effects of child abuse. Journal of Aggression, Maltreatment and Trauma, 11, 29-52. - PubMed
- Beers, S., & De Bellis, M.D. (2002). Neuropsychological function in children with maltreatment related posttraumatic stress disorder. American Journal of Psychiatry, 159, 483-486. - PubMed
- Bernstein, D.P., Fink, L., Handelsman, L., Foote, J., Lovejoy, M., Wenzel, K., … & Ruggiero, J. (1994). Initial reliability and validity of a new retrospective measure of child abuse and neglect. American Journal of Psychiatry, 151, 1132-1136. - PubMed
- Borges, J.L., & Dell'Aglio, D.D. (2009). Funções cognitivas e Transtorno de Estresse Pós-Traumático (TEPT) em meninas vítimas de abuso sexual. Aletheia, 29, 88-102. - PubMed
- Brandes, D., Ben-Schachar, G., Gilboa, A., Bonne, O., Freedman, S., & Shalev, A.Y. (2002). PTSD symptoms and cognitive performance in recent trauma survivors. Psychiatry Research, 110, 231-238. - PubMed
- Brietzke, E., Kauer-Sant'anna, M., Jackowski, A., Grassi-Oliveira, R., Bucker, J., Zugman, A., … & Bressan, B.A. (2012). Impact of childhood stress on psychopathology. Revista Brasileira de Psiquiatria, 34, 480-488. - PubMed
- Burgess, P.W., & Shallice, T. (1996). Response suppression, initiation and strategy use following frontal lobe lesions. Neuropsychologia, 34, 263-273. - PubMed
- Burgess, P.W., & Shallice, T. (1997). The hayling and brixton tests. Bury St. Edmunds, UK: Thames Valley Test Company. - PubMed
- Carpenter, L.L., Shattuck, T.T., Tyrka, A.R., Geracioti, T.D., & Price, L.H. (2011). Effect of childhood physical abuse on cortisol stress response. Psychopharmacology (Berl), 214, 367-375. - PubMed
- Chugani, H.T., Behen, M.E., Muzik, O., Juhasz, C., Nagy, F., & Chugani, D.C. (2001). Local brain functional activity following early deprivation: A study of postinstitutionalized Romanian orphans. Neuroimage, 14, 1290-1301. - PubMed
- Clemmons, J.C., Walsh, K., DiLillo, D., & Messman-Moore, T.L. (2007). Unique and combined contributions of multiple child abuse types and abuse severity to adult trauma symptomatology. Child Maltreatment, 12, 172-181. - PubMed
- Cohen, R.A., Grieve, S., Hoth, K.F., Paul, R.H., Sweet, L., Tate, D., … & Williams, L.M. (2006). Early life stress and morphometry of the adult anterior cingulate cortex and caudate nuclei. Biological Psychiatry, 59, 975-982. - PubMed
- Danielson, C.K., de Arellano, M.A., Kilpatrick, D.G., Saunders, B., & Resnick, H. (2005). Child maltreatment in depressed youth: Differences in symptomatology based on history of abuse. Child Maltreatment, 10, 37-48. - PubMed
- Dannlowski, U., Stuhrmann, A., Beutelmann, V., Zwanzger, P., Lenzen, T., Grotegerd, D., … & Kugel, H. (2012). Limbic scars: Long consequences of childhood maltreatment revealed by functional and structural magnetic resonance imaging. Biological Psychiatry, 71, 286-293. - PubMed
- Daruy-Filho, L., Brietzke, E., Lafer, B., & Grassi-Oliveira, R. (2011). Childhood maltreatment and clinical outcomes of bipolar disorder. Acta Psychiatrica Scandinavica, 124, 427-434. - PubMed
- De Bellis, M.D. (2005). The psychobiology of neglect. Child Maltreatment, 10, 150-172. - PubMed
- De Bellis, M.D., Hooper, S.R., Spratt, E.G., & Woolley, D.P. (2009). Neuropsychological findings in childhood neglect and their relationships to pediatric PTSD. Journal of the International Neuropsychological Society, 15, 868-878. - PubMed
- De Bellis, M.D., Hooper, S.R., Woolley, D.P., & Shenk, C.E. (2010). Demographic, maltreatment, and neurobiological correlates of PTSD symptoms in children and adolescents. Journal of Pediatric Psychology, 35, 570-577. - PubMed
- Edwards, V.J., Holden, G.W., Felitti, V.J., & Anda, R.F. (2003). Relationship between multiple forms of childhood maltreatment and adult mental health in community respondents: Results from the adverse childhood experiences study. American Journal of Psychiatry, 160, 1453-1460. - PubMed
- Fairchild, G., van Goozen, S.H.M., Stollery, S.J., Aitken, M.R.F., Savage, J., Moore, S.C., & Goodyera, I.M. (2009). Decision making and executive function in male adolescents with early-onset or adolescence-onset conduct disorder and control subject. Biological Psychiatry, 66, 162-168. - PubMed
- Finkelhor, D., Ormrod, R., Turner, H., & Hamby, S.L. (2005). The victimization of children and youth: A comprehensive, national survey. Child Maltreatreatment, 10, 5-25. - PubMed
- Fishbein, D., Warner, T., Krebs, C., Trevarthen, N., Flannery, B., & Hammond, J. (2009). Differential relationships between personal and community stressors and children's neurocognitive functioning. Child Maltreatreatment, 14, 299-315. - PubMed
- Fonseca, R.P., Oliveira, C.R., Gindri, G., Zimmermann, N., Reppold, C.T., & Parente, M.A.M.P. (2010). Teste Hayling: Um instrumento de avaliação de componentes das funções executivas. In C.S. Hutz (Ed.), Avanços em avaliação psicológica e neuropsicológica de crianças e adolescentes (pp. 337-360). Porto Alegre: Casa do Psicólogo. - PubMed
- Fonseca, R.P., Salles, J.F., & Parente, M.A.M.P. (2008). Development and content validity of the Brazilian brief neuropsychological assessment battery. Neupsilin. Psychology & Neurosciense, 1, 55-62. - PubMed
- Frodl, T., & O'Keane, V. (2013). How does the brain deal with cumulative stress? A review with focus on developmental stress, HPA axis function and hippocampal structure in humans. Neurobiology of Disease, 52, 24-37. - PubMed
- Gabowitz, D., Zucker, M., & Cook, A. (2008). Neuropsychological assessment in clinical evaluation of children and adolescents with complex trauma. Journal of Child & Adolescent Trauma, 1, 163-178. - PubMed
- Glaser, D. (2000). Child abuse and neglect and the brain: A review. Journal of Child Psychology and Psychiatry, 41, 97-116. - PubMed
- Gowin, J.L., Green, C.E., Alcorn, J.L., III, Swann, A.C., Moeller, F.G., & Lane, S.D. (2013). The role of cortisol and psychopathy in the cycle of violence. Psychopharmacology (Berl), 227, 661-672. - PubMed
- Grassi-Oliveira, R., Ashy, M., & Stein, L.M. (2008). Psychobiology of childhood maltreatment: Effects of allostatic load? Revista Brasileira de Psiquiatria, 30, 60-68. - PubMed
- Grassi-Oliveira, R., Gomes, C.F., & Stein, L.M. (2011). False recognition in women with a history of childhood emotional neglect and diagnose of recurrent major depression. Conscious and Cognition, 20, 1127-1134. - PubMed
- Grassi-Oliveira, R., Stein, L.M., & Pezzi, J.C. (2006). Tradução e validação de conteúdo da versão em português do Childhood Trauma Questionnaire. Revista de Saúde Pública, 40, 249-255. - PubMed
- Groth-Marnat, G. (2000). Introduction to neuropsychological assessment. In G. Groth-Marnat (Ed.), Neuropsychological assessment in clinical practice (pp. 3-25). New York: John Wiley & Sons. - PubMed
- Hart, H., & Rubia, K. (2012). Neuroimaging of child abuse: A critical review. Frontiers of Human Neuroscience, 6, 1-24. - PubMed
- Hedges, D.W., & Woon, F.L. (2011). Early-life stress and cognitive outcome. Psychopharmacology (Berl), 214, 121-130. - PubMed
- Heim, C., Newport, D.J., Heit, S., Graham, Y.P., Wilcox, M., Bonsall, R., … & Nemeroff, C.B. (2000). Pituitary-adrenal and autonomic responses to stress in women after sexual and physical abuse in childhood. Journal of the American Medical Association, 284, 592-597. - PubMed
- Heim, C., Newport, J., Wagner, D., Wilcox, M.M., Miller, A.H., & Nemeroff, C.B. (2002). The role of early adverse experience and adulthood stress in the prediction of neuroendocrine stress reactivity in women: A multiple regression analysis. Depression and Anxiety, 15, 117-125. - PubMed
- Higgins, D.J. (2004). The importance of degree versus type of maltreatment: A cluster analysis of child abuse types. Journal of Psychology: Interdisciplinary and Applied, 138, 303-324. - PubMed
- Higgins, D., & McCabe, M. (2001). Multiple forms of child abuse and neglect: Adult retrospective reports. Aggression and Violent Behavior, 6, 547-578. - PubMed
- Hildyard, K.L., & Wolfe, D.A. (2002). Child neglect: Developmental issues and outcomes. Child Abuse & Neglect, 26, 679-695. - PubMed
- Jacobs, L., Knnedy, A., & Meyer, B. (1997). Juvenile delinquents: A between-group comparison study of sexual and non-sexual offenders. Sexual Abuse: Journal of Research & Treatment, 9, 201-217. - PubMed
- Jaffee, S.R., & Maikovich-Fong, A.K. (2011). Effects of chronic maltreatment and maltreatment timing on children's behavior and cognitive abilities. Journal of Child Psychology and Psychiatry, 52, 184-194. - PubMed
- Jeyakumar, S.L.E., Warriner, E.M., Raval, V.V., & Ahmad, S.A. (2004). Balancing the need for reliability and time efficiency: Short forms of the Wechsler adult intelligence. Educational and Psychological Measurement, 64, 71-87. - PubMed
- Kaufman, J., Birmaher, B., Perel, J., Dahl, R.E., Moreci, P., & Nelson, B., … & Ryan, N.D. (1997). The corticotrophin-releasing challenge in depressed abused, depressed nonabused, and normal control children. Biologic Psychiatry, 42, 669-679. - PubMed
- Kendler, K.S., Kuhn, J.W., & Prescott, C.A. (2004). Childhood sexual abuse, stressful life events and risk for major depression in women. Psychological Medicine, 34, 14751482. - PubMed
- Lee, V., & Hoaken, P.N. (2007). Cognition, emotion, and neurobiological development: Mediating the relation between maltreatment and aggression. Child Maltreatreatment, 2, 281-298. - PubMed
- Lezak, M.D., Howieson, D.B., Loring, D.W., Hannay, H.J., & Fischer, J.S. (2004). Neuropsychological assessment. New York: Oxford University Press. - PubMed
- Lezak, M. D., Howieson, D.B., Bigler, E.D., & Tranel, D. (2012). Neuropsychological Assessment. New York: Oxford University Press. - PubMed
- Lopes, R.P., Grassi-Oliveira, R., de Almeida, L.R., Stein, L.M., Luz, C., Teixeira, A.L., & Bauer, M.E. (2012). Neuroimmunoendocrine interactions in patients with recurrent major depression, increased early life stress and long-standing posttraumatic stress disorder symptoms. NeuroImmunoModulation, 19, 33-42. - PubMed
- Loue, S. (2005). Redefining the emotional and psychological abuse and maltreatment of children: Legal implications. Journal of Legal Medicine, 26, 311-337. - PubMed
- Lupien, S.J., McEwen, B.S., Gunnar, M.R., & Heim, C. (2009). Effects of stress throughout the lifespan on the brain, behaviour and cognition. Nature Reviews Neuroscience, 10, 434-445. - PubMed
- Mezzacappa, E., Kindlon, D., & Earls, F. (2001). Child abuse and performance task assessments of executive functions in boys. Journal of Child Psychology & Psychiatry, 42, 1041-1048. - PubMed
- Montiel, J.M., & Seabra, A.G. (2012). Teste de trilhas: Partes A e B. In: A.G. Seabra & N.M. Dias, orgs. Avaliação neuropsicológica cognitiva: Atenção e funções executivas (pp. 79-85). São Paulo: Memnon. - PubMed
- Nascimento, E. (2004). WAIS-III: Escala de Inteligência Wechsler para Adultos. São Paulo: Casa do Psicólogo. - PubMed
- Navalta, C.P., Polcari, A., Webster, W.D., Boghossian, A., & Teicher, M.H. (2006). Effects of childhood sexual abuse on neuropsychological and cognitive function in college women. The Journal of Neuropsychiatry and Clinical Neurosciences, 18, 45-53. - PubMed
- Pears, K.C., Kim, H.K., & Fisher, P.A. (2008). Psychosocial and cognitive functioning of children with specific profiles of maltreatment. Child Abuse & Neglect, 32, 958-971. - PubMed
- Prino, C.T., & Peyrot, M. (1994). The effect of child physical abuse and neglect on aggressive, withdrawn, and prosocial behavior. Child Abuse and Neglect, 18, 871-884. - PubMed
- Richmond, J.M., Elliott, A.N., Pierce, T.W., Aspelmeier, J.E., & Alexander, A.A. (2009). Poly-victimization childhood victimization, and psychological distress in college women. Child Maltreatment, 14, 127-147. - PubMed
- Schaufelberger, M., Senhorini, M.C.T., Barreiros, M.A., Amaro, E., Jr, Menezes, P.R., Scazufca, M., … & Busatto, G.F. (2005). Frontal and anterior cingulate activation during overt verbal fluency in patients with first episode psychosis. Revista Brasisleira de Psiquiatria, 27, 228-232. - PubMed
- Séguin, J.R., & Zelazo, P.D. (2005). Executive function in early physical aggression. In R.E. Tremblay, W.W. Hartup & J. Archer (Eds.), Developmental origins of aggression (pp. 307-329). New York: Guilford. - PubMed
- Silveira, D.C., Passos, L.M.A., Santos, P.C., & Chiappetta, A.L.M.L. (2009). Avaliação da fluência verbal em crianças com transtorno da falta de atenção com hiperatividade: um estudo comparativo. Revista CEFAC, 11, 208-216. - PubMed
- Spann, M.N., Mayes, L.C., Kalmar, J.H., Guiney, J., Womer, F.Y., Pittman, B., … & Blumberg, H.P. (2012). Childhood abuse and neglect and cognitive flexibility in adolescents. Child Neuropsychology, 18, 182-199. - PubMed
- SPSS Inc. (2008). SPSS Statistics for windows, version 17.0. Chicago: SPSS Inc. - PubMed
- Stein, M.B., Kennedy, C.M., & Twamley, E.W. (2002). Neuropsychological function in female victims of intimate partner violence with and without posttraumatic stress disorder. Biological Psychiatry, 52, 1079-1088. - PubMed
- Stein, M.B., Koverola, C., Hanna, C., Torchia, M.G., & McClarty, B. (1997). Hippocampal volume in women victimized by childhood sexual abuse. Psychological Medicine, 27, 951-959. - PubMed
- Strauss, E., Sherman, E.M.S., & Spreen, O. (2006). A Compendium of neuropsychological tests: Administration, norms and commentary. New York: Oxford University Press. - PubMed
- Tanakaa, M., Wekerleb, C., Schmuckc, M.L., & Paglia-Boakd, A. (2011). The linkages among childhood maltreatment, adolescent mental health, and self-compassion in child welfare adolescents. Child Abuse & Neglect, 35, 887-898. - PubMed
- Teicher, M.H., Andersen, S.L., Polcari, A., Anderson, C.M., Navalta, C.P., & Kim, D.M. (2003). The neurobiological consequences of early stress and childhood maltreatment. Neuroscience and Biobehavioral Reviews, 27, 33-44. - PubMed
- Thomas, L.A., & De Bellis, M.D. (2004). Pituitary volumes in pediatric maltreatment related posttraumatic stress disorder. Biological Psychiatry, 55, 752-758. - PubMed
- Twamley, E.W., Hami, S., & Stein, M.B. (2004). Neuropsychological function in college students with and without posttraumatic stress disorder. Psychiatry Research, 126, 265-274. - PubMed
- Van der Kolk, B.A. (2003). The neurobiology of childhood trauma and abuse. Child & Adolescent Psychiatric Clinics of North America, 12, 293-317. - PubMed
- Van Harmelen, A., Jong, P.J., Glashouwer, K.A., Spinhovena, P., Penninx, B.W.J.H., & Elzinga, B.M. (2010). Child abuse and negative explicit and automatic self-associations: The cognitive scars of emotional maltreatment. Behaviour Research and Therapy, 48, 486-494. - PubMed
- Veneziano, C., Veneziano, L., Legrand, S., & Richards, L. (2004). Neuropsychological executive functions of adolescent sex offenders and non sex offenders. Perceptual and Motor Skills, 98, 661-674. - PubMed
- Wechsler, D. (1997). WAIS-III: Escala de Inteligência Wechsler para Adultos: Manual. David Wechsler; Adaptação e padronização de uma amostra brasileira Elizabeth do Nascimento. São Paulo: Casa do Psicólogo. - PubMed
- Wechsler, D. (2004). WAIS-III: Escala de Inteligência Wechsler para Adultos: Manual. David Wechsler; Adaptação e Padronização de uma amostra Brasileira, 1ª Ed.; Elizabeth do Nascimento. São Paulo: Casa do Psicólogo. - PubMed
- Woon, F.L., & Hedges, D.W. (2008). Hippocampal and amygdala volumes in children and adults with childhood maltreatment-related posttraumatic stress disorder: A meta-analysis. Hippocampus, 18, 729-736. - PubMed
- Yates, T.M., Carlson, A.E.A., & Egeland, B. (2008). A prospective study of child maltreatment and self-injurious behavior in a community sample. Development and Psychopathology, 20, 651-671. - PubMed
- Zou, Z., Meng, H., Ma, Z., Deng, W., Du, L., Wang, H., … & Hu, H. (2013). Executive functioning deficits and childhood trauma in juvenile violent offenders in china. Psychiatry Research, 207, 218-224. - PubMed
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