{"title":"Positive Childhood Experiences Support Cognition and Counteract Behavior and Emotion Problems During Early Adolescence.","authors":"Nicole E Logan, William W Lewis-de Los Angeles","doi":"10.1016/j.acap.2025.102792","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to identify the independent associations of positive childhood experiences (PCEs) on brain health (cognitive function, behavioral and emotional problems) among early adolescents.</p><p><strong>Methods: </strong>Data from the two-year follow-up visit from the Adolescent Brain and Cognitive Development (ABCD) study were analyzed (N = 5449, mean age: 12.0 ± 0.7, age range = 10.6-13.4 years). Adverse childhood experiences (ACEs) were measured by parent report at baseline, and PCEs were measured by parent report at year 2. Dependent variables included cognitive function domains (NIH Toolbox) and the child behavior checklist (CBCL) subscales at year two. Multivariate linear regression analyses were performed for each dependent variable, with the number of PCEs and ACEs as independent variables, adjusting for age, sex, race/ethnicity, puberty stage, and family income.</p><p><strong>Results: </strong>PCEs were associated with better cognitive function on tasks of picture vocabulary (b=0.29, 95% CI 0.15 to 0.43), flanker (b=0.14, 0.00 to 0.28), reading recognition (b=0.19, CI 0.08 to 0.31), and picture sequence memory (b=0.44, CI 0.21 to 0.67). The PCEs:ACEs interaction showed that greater PCEs predicted a weaker association of ACEs on the CBCL subscales: anxious-depressed (b=-0.06, -0.10 to -0.01), withdrawn (b=-0.06, -0.09 to -0.04), aggressive behavior (b=-0.11, -0.17 to -0.06), rule-breaking behaviors (b=-0.06, -0.09 to -0.04), social problems (b=-0.04, -0.07 to -0.01), somatic complaints (b=-0.03, -0.06 to 0.00), and total CBCL problems (b=-0.46, -0.69 to -0.23).</p><p><strong>Conclusions: </strong>Exposure to PCEs supports cognition and is protective against psychopathology, even among children exposed to ACEs.</p>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":"102792"},"PeriodicalIF":3.0000,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Academic Pediatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.acap.2025.102792","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: This study aimed to identify the independent associations of positive childhood experiences (PCEs) on brain health (cognitive function, behavioral and emotional problems) among early adolescents.
Methods: Data from the two-year follow-up visit from the Adolescent Brain and Cognitive Development (ABCD) study were analyzed (N = 5449, mean age: 12.0 ± 0.7, age range = 10.6-13.4 years). Adverse childhood experiences (ACEs) were measured by parent report at baseline, and PCEs were measured by parent report at year 2. Dependent variables included cognitive function domains (NIH Toolbox) and the child behavior checklist (CBCL) subscales at year two. Multivariate linear regression analyses were performed for each dependent variable, with the number of PCEs and ACEs as independent variables, adjusting for age, sex, race/ethnicity, puberty stage, and family income.
Results: PCEs were associated with better cognitive function on tasks of picture vocabulary (b=0.29, 95% CI 0.15 to 0.43), flanker (b=0.14, 0.00 to 0.28), reading recognition (b=0.19, CI 0.08 to 0.31), and picture sequence memory (b=0.44, CI 0.21 to 0.67). The PCEs:ACEs interaction showed that greater PCEs predicted a weaker association of ACEs on the CBCL subscales: anxious-depressed (b=-0.06, -0.10 to -0.01), withdrawn (b=-0.06, -0.09 to -0.04), aggressive behavior (b=-0.11, -0.17 to -0.06), rule-breaking behaviors (b=-0.06, -0.09 to -0.04), social problems (b=-0.04, -0.07 to -0.01), somatic complaints (b=-0.03, -0.06 to 0.00), and total CBCL problems (b=-0.46, -0.69 to -0.23).
Conclusions: Exposure to PCEs supports cognition and is protective against psychopathology, even among children exposed to ACEs.
期刊介绍:
Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.