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Childhood maltreatment, neuropsychological function and suicidal behavior.

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  • معلومة اضافية
    • المصدر:
      Publisher: Blackwell Publishers Country of Publication: England NLM ID: 0375361 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1469-7610 (Electronic) Linking ISSN: 00219630 NLM ISO Abbreviation: J Child Psychol Psychiatry Subsets: MEDLINE
    • بيانات النشر:
      Publication: 2002- : Oxford : Blackwell Publishers
      Original Publication: Oxford ; New York : Pergamon Press
    • الموضوع:
      Mental Processes*; Anxiety Disorders/*epidemiology ; Child Abuse/*statistics & numerical data ; Child of Impaired Parents/*statistics & numerical data ; Depression/*epidemiology ; Mood Disorders/*epidemiology ; Substance-Related Disorders/*epidemiology ; Suicide, Attempted/*statistics & numerical data; Adolescent ; Adult ; Alcoholism/epidemiology ; Female ; Humans ; Male ; Young Adult
    • نبذة مختصرة :
      Background: Suicide is the second leading cause of death in young people. Childhood maltreatment, neuropsychological dysfunction and psychopathology have each been shown to increase risk for suicidal behavior. However, few studies have examined their interactions and the effects of those interactions on suicidal behavior.
      Methods: Across two sites, a total of 382 offspring of depressed parents underwent neuropsychological assessments. This high-risk sample included nearly equal numbers of males and females. Average age at the time of neuropsychological assessment was 18.5 years. The most prevalent lifetime psychiatric disorders were mood (43%), anxiety (37%) and alcohol and substance use disorders (21%). Childhood maltreatment was reported by 44% of offspring. Participants underwent extensive neuropsychological testing assessing the following domains: attention, memory, executive function, working memory, language fluency, and impulse control. Logistic regression was used to examine the association of reported childhood maltreatment, neuropsychological functioning, psychopathology and their interactions with suicidal behavior. Bonferroni correction was used to adjust for multiple comparisons.
      Results: Maltreatment was associated with increased risk of suicidal behavior with odds ratios ranging between 2.40 and 4.43. Moderation analyses found that adaptive neuropsychological functioning was not protective against childhood maltreatment's effect on suicidal risk. While lifetime history of mood disorder was strongly associated with suicidal behavior, higher scores in working memory (OR = 0.21; 95% CI = 0.09, 0.45; p < .001) and executive function (OR = 0.15; 95% CI = 0.05, 0.43; p < .001) were protective against suicidal behavior even in the presence of a lifetime history of mood disorder.
      Conclusions: Further research is needed to determine how neuropsychological capacity protects depressed patients against the risk of suicidal behavior.
      (© 2019 Association for Child and Adolescent Mental Health.)
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    • Grant Information:
      R01 MH056612 United States MH NIMH NIH HHS; R10 MH056612 United States MH NIMH NIH HHS; R01 MH056390 United States MH NIMH NIH HHS; T32 MH018951 United States MH NIMH NIH HHS; R10 MH056390 United States MH NIMH NIH HHS
    • Contributed Indexing:
      Keywords: Maltreatment; depression; executive function; suicidal behavior
    • الموضوع:
      Date Created: 20190726 Date Completed: 20201002 Latest Revision: 20201002
    • الموضوع:
      20221213
    • الرقم المعرف:
      PMC6837731
    • الرقم المعرف:
      10.1111/jcpp.13096
    • الرقم المعرف:
      31342521