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J Neuropsychiatry Clin Neurosci 1993; 5:401-408
Copyright © 1993 by American Neuropsychiatric Association
Increased prevalence of electrophysiological abnormalities in children with psychological, physical, and sexual abuse
Y Ito, MH Teicher, CA Glod, D Harper, E Magnus and HA Gelbard
Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
This retrospective study examined the association between abuse history and
neurological abnormalities in 115 consecutive patients admitted to a child
and adolescent psychiatric inpatient unit. Increased electrophysiological
abnormalities were found in abused patients compared with non-abused
patients (54.4% vs. 26.9%, P = 0.021), predominantly in the left side of
the frontal, temporal, or anterior region (P = 0.036). This may support the
hypothesis that early abuse alters brain development, particularly limbic
structures. However, a large-scale prospective longitudinal assessment
study is needed to interpret this association. Possible clinical
consequences of relatively preserved right frontal function are discussed.
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