Abstract
Background: The literature is mixed as to the relationship between intelligence quotient (IQ) and Posttraumatic Stress Disorder (PTSD) symptomatology in adult populations. Even less is known about the relationship in children who have been traumatized.
Methods: Fifty-nine children and adolescents (mean age = 10.6) with a history of interpersonal violence were evaluated with respect to PTSD symptomatology, number of traumas, and estimated Verbal, Performance and Full scale IQ scores. PTSD symptomatology included symptom levels for cluster B (re-experiencing), cluster C (avoidance and numbing), and cluster D (Hypervigilance) and criterion F, functional impairment.
Results: Results indicated that Full scale and Verbal IQ were significantly associated with the number of traumas, re-experiencing symptoms, and impairment. Performance IQ was only associated with impairment. Regression analyses suggested that together PTSD symptomatology predicted Full scale and Verbal IQ but nor Performance IQ and impairment was the single best predictor of IQ generally.
Conclusions: Findings provide support for an association between PTSD symptoms and IQ, particularly verbal IQ. Two possible reasons for this relationship are that higher levels of Verbal IQ may serve as a premorbid protective factor against the development of re-experiencing symptoms, or performance on post-trauma Verbal IQ measures may be negatively impacted by expression of PTSD symptoms. Longitudinal studies are needed to clarify which of these two possibilities explains the association
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References
American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders 4thed. American Psychiatric Association, Washington DC
Gil T, Calev A, Greenberg D, Kugelmass S, Lerer B (1990). Cognitive functioning in posttraumatic stress disorder. J Trauma Stress 3: 29–45
Sachinvala N, von Scotti H, McGuire M, Fairbanks L, Bakst K, McGuire M, Brown N (2000). Memory, attention, function, and mood among patients with chronic posttraumatic stress disorder. J Nerv Ment Dis 188: 818–823
Vasterling JJ, Duke LM, Brailey K, Constans JI, Allain AN, Sutker PB. (2002). Attention, learning, and memory performance and intellectual resources in Vietnam veterans: PTSD and no disorder comparisons. Neuropsychology 16: 5–14
Vasterling JJ, Brailey K, Constans JI, Sutker PB. (1998). Attention and memory dysfunction in posttraumatic stress disorder. Neuropsychology 12:125–133
Gilbertson MW, Gurvits TV, Lasko NB, Orr SP, Pitman RK. (2001). Multivariate assessment of explicit memory function in combat veterans with posttraumatic stress disorder. J Trauma Stress 14: 413–432
Gurvits T, Gilbertson MW, Lasko NB, Tarhan AS, Simeon D, Macklin ML, Orr SP, Pitman RK. (2000). Neurologic soft signs in chronic posttraumatic stress disorder. Arch Gen Psychiatry 57: 181–186
McNally RJ, Shin LM. (1995). Association of intelligence with severity of posttraumatic stress disorder symptoms in Vietnam combat veterans. Am J Psychiatry 152: 936–938
Macklin ML, Metzger LJ, Litz BT, McNally RJ, Lasko NB, Orr SP, Pitman RK. (1998). Lower precombat intelligence is a risk factor for posttraumatic stress disorder. J Consult Clin Psychol 66: 323–326
Vasterling JJ, Brailey K, Constans JI, Borges A (1997). Assessment of intellectual resources in Gulf War veterans: Relationship to PTSD. Assessment 4: 51–59
Yehuda R, Keefe RSE, Harvey PD, Levengood RA, Gerber DK, Geni J, Siever LJ (1995). Learning and memory in combat veterans with posttraumatic stress disorder. Am J Psychiatry 152: 137–139
Sutker PB, Winstead DK, Galina ZH, Allain AN (1991). Cognitive deficits and psychopathology among prisoners of war and combat veterans of the Korean conflict. Am J Psychiatry 148: 67–72
Bremner JD, Scott TM, Delaney RC, Southwick SM, Mason JW, Johnson DR, Innis RB, McCarthy G, Charney DS (1993). Deficits in short-term memory in posttraumatic stress disorder. Am J Psychiatry 150: 1015–1019
Bremner JD, Randall P, Scott TM, Capelli S, Delaney R, McCarthy G, Charney DS (1995). Deficits in short-term memory in adult survivors of childhood abuse. Psychiatry Res 59: 97–107
Stein MB, Hanna C, Vaerum V, Koverola C (1999). Memory functioning in adult women traumatized by childhood sexual abuse. J Trauma Stress 12: 527–534
Samet MJ. (1998). A comparative analysis of WISC-III performance of traumatized and non-traumatized children. Diss Abstr Int: Sect A: Hum Soc Sciences 58:3419
Sadeh A, Hayden RM, McGuire JP, Sachs H, Civita R (1994). Somatic, cognitive and emotional characteristics of abused children in a psychiatric hospital. Child Psychiatry Hum Dev 24: 191–200
Beers SR, De Bellis MD (2002). Neuropsychological function in children with maltreatment-related posttraumatic stress disorder. Am J Psychiatry 159: 483–486
Diamond T, Muller RT, Rondeau LA, Rich JB. (2001). The relationships among PTSD symptomatology and cognitive functioning in adult survivors of child maltreatment. In: Frank Columbus (eds). Advances in Psychology Research, Vol V. Nova Science Publishers, Huntington, NY, pp. 253–279
Nader KO, Kriegler JA, Blake DD, Pynoos RS, Newman E, Weather FW (1996). Clinician Administered PTSD Scale, Child and Adolescent Version. National Center for PTSD, White River Junction, VT
Blake DD, Weathers FW, Nagy LM, Kaloupeck DG (1995). The development of a clinician-administered PTSD scale. J Trama Stress 8: 75–90
The Psychological Corporation. (1999). Wechsler Abbreviated Scale of Intelligence. Harcourt Brace & Company, San Antonio, TX
Dunmore E, Clark DM, Ehlers A (2001). A prospective investigation of the role of cognitive factors in persistent posttraumatic stress disorder (PTSD) after physical or sexual assault. Behav Res Ther 39: 1063–1084
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Saltzman, K.M., Weems, C.F. & Carrion, V.G. IQ and Posttraumatic Stress Symptoms in Children Exposed to Interpersonal Violence. Child Psychiatry Hum Dev 36, 261–272 (2006). https://doi.org/10.1007/s10578-005-0002-5
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DOI: https://doi.org/10.1007/s10578-005-0002-5