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Cited by 184Child Abuse and TraumaChild Welfare and AdoptionMilitary, Security, and Education Studies

Neuropsychological Findings in Pediatric Maltreatment: Relationship of PTSD, Dissociative Symptoms, and Abuse/Neglect Indices to Neurocognitive Outcomes

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De Bellis, Michael D., Woolley, Donald P., Hooper, Stephen R.·2013·Child Maltreatment
DOI 10.1177/1077559513497420PMC PMC3769175
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Abstract

Maltreated ( n = 38), maltreated + posttraumatic stress disorder (PTSD; n = 60), and control youth ( n = 104) underwent comprehensive neuropsychological testing. The two maltreated groups performed significantly lower on IQ, academic achievement, and nearly all of the neurocognitive domains than controls. Maltreated + PTSD performed significantly worse than maltreated youth without PTSD on a task in the visuospatial domain that assessed higher order visuoconstructive abilities. No group differences were evident on the fine motor domain. PTSD diagnosis duration negatively correlated with the visuospatial, and dissociation negatively correlated with the attention domain. Cumulative lifetime maltreatment types experienced negatively correlated with academic achievement. Sexual abuse negatively correlated with language and memory functions after controlling for other maltreatment types. These data support the adverse effects of maltreatment on neuropsychological functions in youth and suggest that all child protective services identified youth should be comprehensively examined for the integrity of their neuropsychological functioning and academic skills, regardless of the presence or absence of mental health symptoms.

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  • Among children with PTSD due to abuse or neglect, higher levels of dissociation were associated with worse performance on measures of attention.

    “among children with PTSD due to abuse or neglect, higher levels of dissociation were associated with worse performance on measures of attention (De Bellis et al., 2013).”

    From A review of the relation between dissociation, memory, executive functioning and social cognition in military members and civilians with neuropsychiatric conditions (2016) · cites this paper as De Bellis et al., 2013

    The Results section (‘Relationship of clinical symptoms with neuropsychological function’; page unavailable) reports that higher Child Dissociation Checklist scores correlated with lower Attention Domain scores. The study included maltreated children with and without PTSD and controls, but this passage does not establish that the association held specifically among children with PTSD. (LLM, conf=0.85)

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Research works printed but not linked: 7

  1. De Bellis MD Baum A Birmaher B Keshavan M Eccard CH Boring AM Ryan ND 1999 A.E. Bennett Research Award. Developmental Traumatology Part I: Biological Stress Systems Biological Psychiatry 45 1259 1270 10349032
  2. De Bellis MD Keshavan M Clark DB Casey BJ Giedd J Boring AM Ryan ND 1999 A.E. Bennett Research Award. Developmental Traumatology Part II: Brain Development Biological Psychiatry 45 1271 1284 10349033
  3. Green A 1985 Children traumatized by physical abuse Washington DC American Psychiatric Press
  4. Lezak M 1995 Neuropsychological assessment 3 New York Oxford
  5. McGee R Wolfe D Yuen S Wilson S Carnochan J 1995 The measurement of maltreatment Child Abuse and Neglect 19 233 249 7780784
  6. Noll JG Shenk CE Yeh MT Ji J Putnam FW Trickett PK 2010b Receptive Language and Educational Attainment for Sexually Abused Females Pediatrics 126 20696731 PMC3690582
  7. Queiroz EA Lombardi AB Santos Furtado CRH Peixoto CCD Soares TA ZLF Lippi JRS 1991 Biochemical correlate of depression in children Arq Neuro-Psiquiat 49 4 418 425 1726820

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Authors
De Bellis, M. D., Woolley, D. P., & Hooper, S. R.
Affiliations
  • Department of Psychiatry and Behavioral Sciences, Duke University Medical School, Durham, NC, USA
  • Duke University (US)
  • University of North Carolina at Chapel Hill (US)
ORCID
Venue
Child Maltreatment
Publisher
SAGE Publications
Published
2013-07-25
Volume
18
Issue
3
Pages
171-183
ISSN
  • 1077-5595 (ISSN-L)
  • 1552-6119
DOI
10.1177/1077559513497420
PMC
PMC3769175
OpenAlex
W2155846719
Cited by
183
References
107
Citations by year
2026: 5 · 2025: 10 · 2024: 7 · 2023: 11 · 2022: 7 · 2021: 18 · 2020: 26 · 2019: 16 · 2018: 23 · 2017: 20 · 2016: 13 · 2015: 18 · 2014: 7 · 2013: 1
FWCI
14.84
Type
journal article
Language
en
Open access
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Child Maltreatment (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute on Alcohol Abuse and Alcoholism (R01AA012479, R01AA12479)
  • National Institute of Mental Health (R01MH063407, R01- MH61744, R01MH061744, R01MH63407, K24MH071434)
  • National Institute on Drug Abuse (K24DA028773)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Social Sciences › Safety Research › Child Welfare and Adoption
  • Social Sciences › Sociology and Political Science › Military, Security, and Education Studies
Keywords
post-traumatic stress disorder, neuropsychological performance, cognitive impairment, visuospatial ability, academic performance, IQ, sexual abuse, dissociation, attention, child protection services, language and memory
MeSH terms
Adolescent, Child, Child Abuse, Dissociative Disorders, Educational Status, Female, Humans, Intelligence Tests, Male, Neuropsychological Tests, Psychiatric Status Rating Scales, Psychomotor Performance, Stress Disorders, Post-Traumatic, Case-Control Studies

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