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Relationships between childhood maltreatment, impairment in executive functions and disruptive behavior disorders in a community sample of children

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Abstract

Evidence points to an independent relationship among childhood maltreatment, impairments in executive functions (EF) and disruptive behavior disorders (DBD). However, it is still not fully understood how these three factors are interrelated. This study evaluated the association between childhood maltreatment and DBD testing the role of EF performance as a mediator or moderator. We studied a probabilistic school-based sample of 2016 children from 6 to 12 years. Mental disorders were assessed using the Development and Well-Being Assessment with parents and children. Children answered questions about exposure to child maltreatment and were evaluated with a set of cognitive tasks addressing inhibitory control, working memory, cognitive flexibility and planning. Childhood maltreatment was strongly associated with DBD (OR = 7.7, CI 95% 4.5–12.9). No association was found between childhood maltreatment and EF performance. Children with DBD showed worse performance in cognitive flexibility, which was not identified as a mediator or moderator of the association between childhood maltreatment and DBD. Results indicate that the association between maltreatment and disruptive behavior occurs regardless of performance in executive function in a community sample. Future studies are essential to confirm these findings and elucidate the cognitive mechanisms involved in this association.

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Funding

Coordination for the Improvement of Higher Level -or Education- Personnel (CAPES), Academic Excellence Program (Proex), Grant to Ms. Elisa Teixeira Bernardes. National Council for Scientific and Technological Development (CNPq, Conselho Nacional de Desenvolvimento Científico e Tecnológico, Grant 573974/2008-0) to National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), Sao Paulo, Brazil. São Paulo Research Foundation (FAPESP) Grant 2016/22455-8 and National Council for Scientific and Technological Development (CNPq) Grant 310582/2017-2 to Dr. Polanczyk.

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Correspondence to Elisa Teixeira Bernardes.

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Dr. Polanczyk has served as a consultant to Shire, Medice and Teva. He has served on the speakers’ bureau of Shire. He has received royalties from Editora Manole. Luis Augusto Rohde has received grant or research support from, served as a consultant to, and served on the speakers’ bureau of Eli Lilly and Co., Janssen, Medice, Novartis and Shire. The ADHD and Juvenile Bipolar Disorder Outpatient Programs chaired by Dr. Rohde have received unrestricted educational and research support from the following pharmaceutical companies: Eli Lilly and Co., Janssen, Novartis, and Shire. Dr. Rohde has received authorship royalties from Oxford Press and ArtMed and travel grants from Shire to take part in the 2018 APA annual meeting and from Novartis to take part in the 2012 meeting. Other authors have no biomedical financial interests or potential conflict of interest.

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Bernardes, E.T., Manitto, A.M., Miguel, E.C. et al. Relationships between childhood maltreatment, impairment in executive functions and disruptive behavior disorders in a community sample of children. Eur Child Adolesc Psychiatry 29, 969–978 (2020). https://doi.org/10.1007/s00787-019-01408-3

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