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童年创伤对健康青年认知功能的影响
吴韦玮肖迎春黄华品陆邵佳位照国李凌江魏永宝
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摘要:
目的 评估童年创伤对健康青年成人认知功能的影响。方法 2012 年2 月以来3 次利用 童年创伤问卷筛查出有童年创伤以及不伴任何形式童年创伤的健康青年,分别完成威斯康星卡片分类 测验(WCST)、Stroop 测验及韦氏记忆量表(WMS)连线测验、词语流畅测验等评估。结果 伴童年创伤组 (n=90)在词语流畅性测验、WMS 视觉再生分测验以及WCST中正确应答数、错误应答数、持续错误数及 完成分类数与无童年创伤组(n=104)相比差异有统计学意义,童年创伤总分与视觉再生结果呈负相关, 与连线测验B、WCST 错误应答数呈正相关,不同童年创伤类型的数量与Stroop 测验、WCST正确应答数、 WMS 部分结果呈负相关(均P < 0.05)。结论 伴童年创伤的健康青年的认知功能受损,童年创伤越严 重或不同创伤数量越多,认知功能越差。
关键词:  童年创伤  认知功能  创伤后精神障碍  记忆功能  健康成人
DOI:10.3969/j.issn.1009-6574.2019.03.002
基金项目:国家自然科学基金(81171286,91232714);福建省科技创新联合资金项目(2017Y9064)
Impact of childhood trauma on cognitive function in the healthy young adults
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Abstract:
Objectives To assess the impact of childhood trauma on cognitive function in healthy young adults. Methods Three times since February 2012, the Childhood Trauma Questionnaire( CTQ) was used to screen out healthy young people with childhood trauma and without any form of childhood trauma. These participants were then evaluated using the Wisconsin Card Sorting Test( WCST), the Stroop Test, Trail Making Test, Verbal Fluency Test, and the Wechs Memory Scale( WMS). Results The performance of young adults with childhood trauma( n=90) was significantly different in the Verbal Fluency Test, the visual regenerative test of WMS and WCST compared with those with no childhood trauma( n=104). The total score of CTQ was negatively correlated with results of Visual Reproduction and Trail Making Test B, while it was positively correlated with results of WCST ervor response; the number of different types of childhood trauma was negatively correlated with the Stroop test, number of WCST correct response and partial results and partial results of WMS( all P<0.05). Conclusions The cognitive function of healthy young people with childhood trauma is impaired. The more severe the trauma in childhood or the higher the number of different traumas, the worse is their cognitive function.
Key words:  Childhood trauma  Cognitive function  Post-traumatic stress disorder  Memory function  Healthy adults

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