Cognitive Reserve Moderates the Relationship Between Childhood Maltreatment, Objective and Subjective Cognition, and Psychosocial Functioning in Individuals With First-Episode Psychosis

被引：7

作者：

Fares-Otero, Natalia E. ^{[1
,2
,3
,4
]}

Borras, Roger ^{[1
,2
,3
,4
]}

Sole, Brisa ^{[1
,2
,3
,4
]}

Torrent, Carla ^{[1
,2
,3
,4
]}

Garriga, Marina ^{[1
,2
,3
,4
]}

Serra-Navarro, Maria ^{[1
,2
,3
,4
]}

Forte, M. Florencia ^{[1
,2
,3
,4
]}

Montejo, Laura ^{[1
,2
,3
,4
]}

Salgado-Pineda, Pilar ^{[4
,5
]}

Montoro, Irene ^{[4
,6
]}

Sanchez-Gistau, Vanessa ^{[4
,6
]}

Pomarol-Clotet, Edith ^{[4
,5
]}

Ramos-Quiroga, J. Antoni ^{[4
,7
,8
]}

Tortorella, Alfonso ^{[9
,10
]}

Menculini, Giulia ^{[10
]}

Grande, Iria ^{[1
,2
,3
,4
]}

Garcia-Rizo, Clemente ^{[2
,3
,4
,11
]}

Martinez-Aran, Anabel ^{[1
,2
,3
,4
]}

Bernardo, Miquel ^{[2
,3
,4
,11
]}

Pacchiarotti, Isabella ^{[2
,4
]}

Vieta, Eduard ^{[1
,2
,3
,4
]}

Amoretti, Silvia ^{[1
,2
,3
,4
,7
]}

Verdolini, Norma ^{[1
,2
,3
,4
,12
]}

机构：

[1] Hosp Clin Barcelona, Bipolar & Depress Disorders Unit, Calle Villarroel 170, Barcelona 08036, Catalonia, Spain

[2] Inst Invest Biomed August Pi i Sunyer FCRB IDIBAPS, Fundacio Clin Recerca Biomed, Barcelona, Catalonia, Spain

[3] Univ Barcelona, Inst Neurosci UBNeuro, Dept Med, Fac Med & Ciencies Salut, Carrer de Casanova 143, Barcelona 08036, Spain

[4] Hlth Inst Carlos III ISCIII, Network Ctr Biomed Res Mental Hlth CIBERSAM, Barcelona, Catalonia, Spain

[5] FIDMAG Germanes Hospitalaries Res Fdn, St Boi Llobregat, ,Catalonia, Barcelona, Spain

[6] Univ Rovira i Virgili, Hosp Univ Inst Pere Mata, Inst Invest Sanit Pere Virgili IISPV, Tarragona, Spain

[7] Hosp Univ Vall Hebron, Dept Mental Hlth, Barcelona, Spain

[8] Univ Autonoma Barcelona, Dept Psychiat & Legal Med, Barcelona, Spain

[9] Vall dHebron Res Inst VHIR, Grp Psychiat Mental Hlth & Addict, Barcelona, Catalonia, Spain

[10] Univ Perugia, Dept Med & Surg, Sect Psychiat, Perugia, Italy

[11] Hosp Clin Barcelona, Neurosci Inst, Barcelona Clin Schizophrenia Unit, Barcelona, Spain

[12] Mental Hlth Ctr Perugia, Dept Mental Hlth, Local Hlth Unit Umbria 1, Perugia, Italy

来源：

PSYCHOLOGICAL TRAUMA-THEORY RESEARCH PRACTICE AND POLICY | 2025年 / 17卷 / 03期

关键词：

childhood trauma; memory; subjective cognitive complaints; interpersonal relations; early psychosis; 1ST EPISODE PSYCHOSIS; ADULT PSYCHOPATHOLOGY; RATING-SCALE; HIGH-RISK; TRAUMA; ABUSE; PREVALENCE; RELIABILITY; COMPLAINTS; SYMPTOMS;

D O I：

10.1037/tra0001650

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Objective: This study aimed to assess the relationship between childhood maltreatment (CM), objective and subjective cognition, and psychosocial functioning in adults with first-episode psychosis (FEP) by examining the moderating role of cognitive reserve (CR). A secondary objective was to explore whether unique CM subtypes (physical and/or emotional abuse, sexual abuse, physical and/or emotional neglect) were driving this relationship. Method: Sixty-six individuals with FEP (M-age = 27.3, SD = 7.2 years, 47% male) completed a comprehensive neuropsychological test battery, the Cognitive Complaints in Bipolar Disorder Rating Assessment (COBRA), the Functioning Assessment Short Test (FAST), the Childhood Trauma Questionnaire (CTQ), and the Cognitive Reserve Assessment Scale in Health (CRASH). Linear regression analyses were conducted to evaluate the interaction effect of CR between CM and cognitive and psychosocial variables, controlling for age, sex, and social desirability (CTQ-denial-minimization). Results: In adults with FEP overall CM interacted with CR to predict COBRA-subjective cognitive complaints, but not neurocognitive or psychosocial functioning. Sexual abuse and physical neglect interacted with CR to predict verbal memory. Most of the CM subtypes interacted with CR to predict FAST-leisure time, whereas only emotional neglect interacted with CR to predict FAST-interpersonal relationships. Overall, greater CR was related to better functioning. Conclusions: The current results indicate that associations between specific CM subtypes, subjective and objective cognition, and psychosocial domains are moderated through CR with greater functioning. Early interventions focused on CR seeking to improve cognitive and psychosocial outcomes, with emphasis on improving subjective cognitive functions would be beneficial for individuals with FEP and CM.

引用

页码：520 / 536

页数：17