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Childhood sexual abuse (CSA) is associated with mood and cognitive deficits in children and young adults. Evidence suggests that the effects of early-life adversity persist throughout adulthood; however, the impact of CSA on cognition in older adults is largely unknown. This study investigated cognitive function in older adults with a reported history of CSA. Data are from a population-based study (The Irish Longitudinal Study on Ageing) of 6,912 adults aged 50 years and older. Participants answered questions about CSA as part of a stressful life events questionnaire. Global cognition, executive function, memory (both objective and self-rated), attention, and processing speed were measured via a comprehensive battery of tests. Anxiety and depression, other childhood adversity, health behaviours, chronic disease, and medication use were also assessed. Of the total sample, 6.5% reported CSA. These individuals were more likely to have experienced other forms of childhood adversity and to exhibit poor mental health compared to those who reported no history of CSA. Multivariate regression analyses revealed, however, that CSA was associated with better global cognition, memory, executive function, and processing speed, despite poorer psychological health in this group. Future studies should aim to investigate possible reasons for this finding.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:有童年受性侵犯經歷的長者能維持其認知功能

撮要:童年性侵犯(CSA)與兒童和年輕成人的情緒和認知受損有關連。研究指出早年逆境的遺害持續至成人後,但CSA在長者認知的影響則屬未知。本研究檢視有CSA經歷的長者的認知功能。樣本為6912名50歲或以上成人的人口研究(愛爾蘭縱向老年研究),他們回答有關CSA的問題(此為壓力生活事件問卷的一部分),和進行一系列全面測試,包括:全面認知、執行功能、記憶(客觀和自我評核兩方面)、注意力和處理速率各方面的功能。我們亦評估:焦慮和抑鬱、其他童年逆境、健康行為、慢性疾病和服用藥物。6.5%樣本報告有CSA。對比沒有CSA者,他們較多經歷其他童年逆境和精神健康較差。多元回歸分析顯示CSA有較佳全面認知、記憶、執行功能和處理速率,但較差心理健康。未來研究應探討本研究結論的可能成因。

标题:有童年受性侵犯经历的老年人能维持其认知功能

撮要:童年性侵犯(CSA)与儿童和年轻成人的情绪和认知受损有关系。研究指出早年逆境的遗害持续至成人后,但CSA在老年人认知的影响则属未知。本研究检视有CSA经历的老年人的认知功能。样本为6912名50岁或以上成人的人口研究(爱尔兰纵向老年研究),他们回答有关CSA的问题(此为压力生活事件问卷的一部分),和进行一系列全面测试,包括:全面认知、执行功能、记忆(客观和自我评估两方面)、注意力和处理速率各方面的功能。我们亦评估:焦虑和抑郁、其他童年逆境、健康行为、慢性疾病和服用药物。6.5%样本报告有CSA。对比没有CSA者,他们较多经历其他童年逆境和精神健康较差。多元回归分析显示CSA有较佳全面认知、记忆、执行功能和处理速率,但较差心理健康。未来研究应探讨本研究结论的可能成因。