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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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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: Woolley, Donald P.
Hooper, Stephen R.
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: green
www.ncbi.nlm.nih.gov
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 › Sociology and Political Science › 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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Neuropsychological Findings in Pediatric Maltreatment: Relationship of PTSD, Dissociative Symptoms, and Abuse/Neglect Indices to Neurocognitive Outcomes

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