The impact of a history of child abuse on cognitive performance : a cross-sectional study in older patients with a depressive, anxiety, or somatic symptom disorder
© 2022. The Author(s)..
BACKGROUND: Child abuse is a major global burden with an enduring negative impact on mental and physical health. A history of child abuse is consistently associated with worse cognitive performance among adults; data in older age groups are inconclusive. Since affective symptoms and cognitive functioning are interrelated among older persons, a synergistic effect can be assumed in patients with affective symptoms who also have suffered from child abuse. This study examines the association between a history of child abuse and cognitive performance in such patients.
METHODS: Cross-sectional data were collected from the 'Routine Outcome Monitoring for Geriatric Psychiatry & Science' project, including 179 older adults (age 60-88 years) with either a unipolar depressive, any anxiety, or somatic symptom disorder referred to specialized geriatric mental health care. A history of physical, sexual, and psychological abuse, and emotional neglect was assessed with a structured interview. Cognitive functioning was measured with three paper and pencils tests (10-words verbal memory test, Stroop Colour-Word test, Digit Span) and four tests from the computerized Cogstate Test Battery (Detection Test, Identification Test, One Card Learning Test, One Back Test). The association between a history of child abuse and cognitive performance was examined by multiple linear regression analyses adjusted for covariates.
RESULTS: Principal component analyses of nine cognitive parameters revealed four cognitive domains, i.e., visual-verbal memory, psychomotor speed, working memory and interference control. A history of child abuse was not associated with any of these cognitive domains. However, when looking at the specific types of child abuse separately, a history of physical abuse and emotional neglect were associated with poorer interference control. A history of physical abuse was additionally associated with better visual-verbal memory.
CONCLUSIONS: The association between a history of child abuse and cognitive performance differs between the different types of abuse. A history of physical abuse might particularly be a key determinant of cognitive performance in older adults with a depressive, anxiety, or somatic symptom disorder. Future studies on the impact of these disorders on the onset of dementia should take child abuse into account.
TRIAL REGISTRATION: ROM-GPS is registered at the Dutch Trial Register ( NL6704 at www.trialregister.nl ).
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:22 |
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| Enthalten in: |
BMC geriatrics - 22(2022), 1 vom: 28. Apr., Seite 377 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Tjoelker, F M [VerfasserIn] |
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| Links: |
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| Themen: |
Adverse childhood experiences |
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| Anmerkungen: |
Date Completed 02.05.2022 Date Revised 16.07.2022 published: Electronic Citation Status MEDLINE |
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| doi: |
10.1186/s12877-022-03068-6 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM340133333 |
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| 041 | |a eng | ||
| 100 | 1 | |a Tjoelker, F M |e verfasserin |4 aut | |
| 245 | 1 | 4 | |a The impact of a history of child abuse on cognitive performance |b a cross-sectional study in older patients with a depressive, anxiety, or somatic symptom disorder |
| 264 | 1 | |c 2022 | |
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| 500 | |a Date Completed 02.05.2022 | ||
| 500 | |a Date Revised 16.07.2022 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2022. The Author(s). | ||
| 520 | |a BACKGROUND: Child abuse is a major global burden with an enduring negative impact on mental and physical health. A history of child abuse is consistently associated with worse cognitive performance among adults; data in older age groups are inconclusive. Since affective symptoms and cognitive functioning are interrelated among older persons, a synergistic effect can be assumed in patients with affective symptoms who also have suffered from child abuse. This study examines the association between a history of child abuse and cognitive performance in such patients | ||
| 520 | |a METHODS: Cross-sectional data were collected from the 'Routine Outcome Monitoring for Geriatric Psychiatry & Science' project, including 179 older adults (age 60-88 years) with either a unipolar depressive, any anxiety, or somatic symptom disorder referred to specialized geriatric mental health care. A history of physical, sexual, and psychological abuse, and emotional neglect was assessed with a structured interview. Cognitive functioning was measured with three paper and pencils tests (10-words verbal memory test, Stroop Colour-Word test, Digit Span) and four tests from the computerized Cogstate Test Battery (Detection Test, Identification Test, One Card Learning Test, One Back Test). The association between a history of child abuse and cognitive performance was examined by multiple linear regression analyses adjusted for covariates | ||
| 520 | |a RESULTS: Principal component analyses of nine cognitive parameters revealed four cognitive domains, i.e., visual-verbal memory, psychomotor speed, working memory and interference control. A history of child abuse was not associated with any of these cognitive domains. However, when looking at the specific types of child abuse separately, a history of physical abuse and emotional neglect were associated with poorer interference control. A history of physical abuse was additionally associated with better visual-verbal memory | ||
| 520 | |a CONCLUSIONS: The association between a history of child abuse and cognitive performance differs between the different types of abuse. A history of physical abuse might particularly be a key determinant of cognitive performance in older adults with a depressive, anxiety, or somatic symptom disorder. Future studies on the impact of these disorders on the onset of dementia should take child abuse into account | ||
| 520 | |a TRIAL REGISTRATION: ROM-GPS is registered at the Dutch Trial Register ( NL6704 at www.trialregister.nl ) | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Adverse childhood experiences | |
| 650 | 4 | |a Aged | |
| 650 | 4 | |a Anxiety disorders | |
| 650 | 4 | |a Child abuse | |
| 650 | 4 | |a Cognition | |
| 650 | 4 | |a Cognitive performance | |
| 650 | 4 | |a Mental health | |
| 650 | 4 | |a Mood disorders | |
| 650 | 4 | |a Somatic symptom disorders | |
| 700 | 1 | |a Jeuring, H W |e verfasserin |4 aut | |
| 700 | 1 | |a Aprahamian, I |e verfasserin |4 aut | |
| 700 | 1 | |a Naarding, P |e verfasserin |4 aut | |
| 700 | 1 | |a Marijnissen, R M |e verfasserin |4 aut | |
| 700 | 1 | |a Hendriks, G J |e verfasserin |4 aut | |
| 700 | 1 | |a Rhebergen, D |e verfasserin |4 aut | |
| 700 | 1 | |a Lugtenburg, A |e verfasserin |4 aut | |
| 700 | 1 | |a Lammers, M W |e verfasserin |4 aut | |
| 700 | 1 | |a van den Brink, R H S |e verfasserin |4 aut | |
| 700 | 1 | |a Oude Voshaar, R C |e verfasserin |4 aut | |
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