Cited by 307Child Abuse and TraumaChild Welfare and AdoptionChild and Adolescent Psychosocial and Emotional Development

The DOI matches its Crossref record; 67 of the 68 references it cites were found in a registry or an index; none of the 44 sources its claims cite is checked for support yet.

Childhood maltreatment and its effect on neurocognitive functioning: Timing and chronicity matter

Open access
Cowell, Raquel A., Cicchetti, Dante, Rogosch, Fred A., Toth, Sheree L.·2015·Development and Psychopathology

Abstract

Childhood maltreatment represents a complex stressor, with the developmental timing, duration, frequency, and type of maltreatment varying with each child (Barnett, Manly, & Cicchetti, 1993; Cicchetti & Manly, 2001). Multiple brain regions and neural circuits are disrupted by the experience of child maltreatment (Cicchetti & Toth, in press; DeBellis et al., 2002; McCrory & Viding, 2010; Teicher, Anderson, & Polcari, 2012). These neurobiological compromises indicate the impairment of a number of important cognitive functions, including working memory and inhibitory control. The present study extends prior research by examining the effect of childhood maltreatment on neurocognitive functioning based on developmental timing of maltreatment, including onset, chronicity, and recency, in a sample of 3- to 9-year-old nonmaltreated (n= 136) and maltreated children (n= 223). Maltreated children performed more poorly on inhibitory control and working-memory tasks than did nonmaltreated children. Group differences between maltreated children based on the timing of maltreatment and the chronicity of maltreatment also were evident. Specifically, children who were maltreated during infancy, and children with a chronic history of maltreatment, exhibited significantly poorer inhibitory control and working-memory performance than did children without a history of maltreatment. The results suggest that maltreatment occurring during infancy, a period of major brain organization, disrupts normative structure and function, and these deficits are further instantiated by the prolonged stress of chronic maltreatment during the early years of life.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This cross-sectional study compared low-SES maltreated and nonmaltreated children aged 3–9 on neurocognitive tasks. Maltreated children showed poorer inhibitory control and working memory, especially when maltreatment began during infancy or persisted across three or more developmental periods.

Key findings

  • Maltreated children had lower inhibitory control/working memory composite scores than nonmaltreated children (M = −0.11, SD = .85 vs. M = .08, SD = .82; F(1, 358) = 9.602, p = .002, η² = .026). No significant group differences appeared for memory, motor control/attention, or the overall cognitive composite.
  • Chronicity mattered: children maltreated across three or more developmental periods scored lower than nonmaltreated children (M = −.42, SD = .96, p = .000) and lower than the one-period group (p = .05). One- and two-period groups did not differ significantly from nonmaltreated children.
  • Onset and recency mattered: infancy-onset maltreatment was associated with lower scores than nonmaltreated status (M = −.32, SD = .91, p = .000) and later onset (p = .036); later onset did not differ from nonmaltreated. Nonmaltreated children outperformed both current-period and past maltreatment groups (p = .004 and p = .05), while current versus past maltreatment did not differ.
  • Subtype count showed both one/two and three/four subtype groups performing worse than nonmaltreated children (p = .021 and p = .002), but the two maltreated groups did not differ from each other (p = .08). At age 4, maltreated children failed the tapping pretest more often (76.3% vs. 40.9%; χ² = 8.174, p = .004).

Methods

  • Cross-sectional comparison of 3- to 9-year-old low-SES children from urban upstate New York. Maltreated children were identified through Department of Human Services/Child Protective Services records and maternal interview; nonmaltreated comparison children were recruited from TANF families with no DHS involvement. The abstract reports 136 nonmaltreated and 223 maltreated children, while the Method section reports 228 maltreated and 142 nonmaltreated children; follow-up analyses use 136 comparison children.
  • Ten neuropsychological tasks assessed inhibitory control/working memory, memory, attention, and motor control. Standardized task variables were combined into inhibitory control/working memory, memory, motor control/attention, and cognitive function composites. ANCOVAs with age in months as a covariate compared groups, and follow-up tests examined maltreatment onset, chronicity, recency, and subtype count on inhibitory control/working memory.

Limitations

  • Stated: the design was cross-sectional with assessment at only one time point, so developmental timing and change could not be directly observed; the author calls for longitudinal and fMRI research.
  • Evident from the text: sample-size figures differ between the abstract/Method and the analysis samples; subtype analyses had a small three-or-more-subtype group (n = 34); the low-SES urban sample may limit generalizability; pretest failures excluded task-specific data; and causal claims cannot be established from the design.

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Integrity signals

Registry

Crossref · 10.1017/s0954579415000139

Cites

67 of 67 references verified0 citation errors · 0 not checkable

Statistics

Verification

Claims the paper makes

29 Not checked yet · 25 Own result · 18 Own interpretation · 9 Own method

Verify all 44 references — free account

Show all 44 claims

  • It may state two separate claims as one. 30
  • Probably not a substantial claim. 14
37 of 37
  • The paper relies on this without support.

    Best practices for promoting self-control, and the key developmental periods for doing so, are not yet established.

    “Yet knowledge on best practices for fostering self-control, including a focus on critical time points for nurturing optimal development, must still be identified.”
  • The paper relies on this without support.

    Early childhood maltreatment produces cascading effects across neurobiological, social, emotional, and cognitive domains.

    “Maltreatment in early childhood has been shown to have cascading effects on neurobiological, social, emotional, and cognitive development.”
  • The paper relies on this without support.

    The maltreated children are representative of county DHS service families in terms of low income and minority racial/ethnic status.

    “The maltreated sample was representative of families receiving services at the country DHS with respect to low-income and minority racial/ethnic status.”
  • The paper relies on this without support.

    The DHS records used provide accurate information about when maltreatment occurred, how long it lasted, and its subtype.

    “Maltreatment status was determined through a detailed examination of Child Protective Service (CPS) and Preventive Services records at DHS.”
  • The paper relies on this without support.

    Children who passed the pretests conceptually understood the tasks.

    “Initially, chi-squared analyses were conducted to assess performance differences on tasks that include pre-tests in order to ascertain whether children conceptually understand the task.”
  • The authors state this as an assumption.

    Children who passed 67% of the motor control/attention tasks had a general understanding of the tasks.

    “This allowed for the assumption that children had a general understanding of the tasks.”
  • The paper relies on this without support.

    The line bisection task measures spatial perception.

    “The line bisection task measures spatial perception.”
  • The paper relies on this without support.

    The number of developmental periods in which maltreatment occurred is a valid index of chronicity.

    “The number of developmental periods in which the child was maltreated was used as an index of chronicity.”
  • The paper relies on this without support.

    Maltreatment onset during infancy versus after infancy is a valid index of timing.

    “Onset of maltreatment was examined in relation to the ICWM. Children whose maltreatment onset occurred during infancy (n = 101) were differentiated from those children whose maltreatment onset occurred after infancy (n = 86).”
  • The paper relies on this without support.

    Each neurobiological system influences and is influenced by multiple domains of biological and psychological development.

    “Moreover, each of these neurobiological systems influences and is influenced by multiple domains of biological and psychological development.”
  • The paper relies on this without support.

    The child-caregiver relationship plays an important role because the precursor of higher cognition during infancy is connecting an act to a consequence.

    “The child-caregiver relationship may also play an important role because the precursor of higher cognition during infancy is connecting an act to a consequence.”
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Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Statistics recomputed

Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.

  • Consistentt(354) = 0.78reported n.s. · recomputed p = .436

    “t (354)=.78, ns.”

  • Consistentχ²(1) = 0.84reported n.s. · recomputed p = .359

    “χ2 (1, N=358) =.84, ns.”

  • Consistentχ²(1) = 8.174reported p = .004 · recomputed p = .004

    “χ2 (1, N= 65) = 8.174, p = .004”

  • ConsistentF(5, 358) = 29.92reported p = 0 · recomputed p < .001

    “F (5, 358) = 29.92, p = .00”

  • ConsistentF(1, 357) = 0.192reported p = .662 · recomputed p = .662

    “F (1, 357) = .192, p = .662”

  • ConsistentF(1, 369) = 0reported p = .998 · recomputed p = 1.000

    “F (1, 369) = .00, p = .998”

  • ConsistentF(1, 358) = 1.427reported p = .233 · recomputed p = .233

    “F (1, 358) = 1.427, p = .233”

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Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

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Citations

Cites

Show all 68 references

Research works printed but not linked: 4

  1. 10.1111/mono.12032 · DOI · Paper page
  2. Cicchetti, Handbook of child psychology and developmental science: Vol. 3. Socioemotional process
  3. Cicchetti, 2003, Maternal Maltreatment Classification Interview
  4. Barnett, 1993, Child abuse, child development, and social policy, 7

Cited by

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Metadata

Authors
Cowell, R. A., Cicchetti, D., Rogosch, F. A., & Toth, S. L.
Affiliations
  • University of Minnesota (US)
  • University of Rochester (US)
Corresponding author
  • Cowell, Raquel A.
  • Cicchetti, Dante
Venue
Development and Psychopathology
Published
2015-05
Volume
27
Issue
2
Pages
521-533
ISSN
  • 0954-5794 (ISSN-L)
  • 1469-2198
OpenAlex
W2254866800
Cited by
307
References
68
Citations by year
2026: 29 · 2025: 27 · 2024: 31 · 2023: 27 · 2022: 32 · 2021: 42 · 2020: 24 · 2019: 28 · 2018: 24 · 2017: 28 · 2016: 12 · 2015: 2
FWCI
27.11
Type
journal article
Language
en
Open access
Locations
  • Development and Psychopathology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • University of Minnesota
  • National Institutes of Health (5r01mh083979-04)
  • National Institute of Mental Health (R01‐MH083979)
  • National Institute on Drug Abuse (R01DA017741)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (T32HD007151)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Social Sciences › Sociology and Political Science › Child Welfare and Adoption
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
child abuse, neurocognitive function, inhibitory control, working memory, developmental timing, infancy, early childhood, stress, cognitive impairment
MeSH terms
Age Factors, Brain, Child, Child Abuse, Child, Preschool, Cognition, Female, Humans, Male, Memory, Short-Term, Neuropsychological Tests

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