E. P. Bradley Hospital, United States; Department of Psychiatry & Human Behavior, Brown University, United States.
E. P. Bradley Hospital, United States; Department of Psychiatry & Human Behavior, Brown University, United States.
J Psychiatr Res. 2024 Jan;169:298-306. doi: 10.1016/j.jpsychires.2023.11.046. Epub 2023 Dec 2.
The emergence of psychiatric symptoms is a common consequence of childhood stress exposure. However, there are a dearth of reliable clinical hallmarks or physiological biomarkers to predict post-trauma symptom emergence. The objective of this study was to examine if childhood stressors and stress-related symptoms are associated with altered midline theta power (MTP) during cognitive control demands, and how these associations interact with gender and early adversity. N = 53 children (ages 9-13 years old) from a longitudinal study of children maltreated during early childhood and non-maltreated children participated in this study. EEG recorded neural activity during a Zoo-Themed Go/No-Go task. Stress-related symptoms, recent stressful events, and other adversity experiences were identified. MTP was analyzed with clinical variables in a series of follow-up analyses. The number of stressors in the past six months was negatively correlated with MTP in those with low preschool adversity, but not in those with high preschool adversity. MTP was higher in girls than in boys, and the associations of MTP with stressors and symptoms were moderated by gender. MTP was negatively associated with stressors in the past six months in girls, while in boys, MTP was associated with stress-related symptoms. Childhood stressful events were associated with reduced MTP during cognitive control demands, and this was finding was moderated by gender and early life adversity. These preliminary findings suggest that boys and girls may process stressful experiences in distinct ways, and preschool adversity may potentially blunt the interaction between current stress and neural dynamics. However, ongoing investigation is needed.
精神症状的出现是儿童期应激暴露的常见后果。然而,目前缺乏可靠的临床特征或生理生物标志物来预测创伤后症状的出现。本研究旨在探讨儿童期应激源和与应激相关的症状是否与认知控制需求期间中线θ功率(MTP)的改变有关,以及这些关联如何与性别和早期逆境相互作用。这项研究共有 53 名儿童(9-13 岁)参与,他们来自一项对儿童期早期受虐待和未受虐待的儿童进行的纵向研究。脑电图记录了在动物园主题的 Go/No-Go 任务期间的神经活动。通过一系列后续分析,用临床变量分析与应激相关的症状、近期应激事件和其他逆境经历。过去六个月的应激源数量与低学龄前逆境的儿童的 MTP 呈负相关,但与高学龄前逆境的儿童的 MTP 无关。女孩的 MTP 高于男孩,MTP 与应激源和症状的关联受到性别的调节。MTP 与女孩过去六个月的应激源呈负相关,而在男孩中,MTP 与与应激相关的症状有关。儿童期应激事件与认知控制需求期间的 MTP 降低有关,而这种发现受到性别和早期生活逆境的调节。这些初步发现表明,男孩和女孩可能以不同的方式处理应激体验,而学龄前逆境可能会削弱当前应激和神经动力学之间的相互作用。然而,还需要进一步的研究。