Medical College of Wisconsin
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Instrumental learning and cognitive flexibility processes are impaired in children exposed to early life stress. Dev Sci 2018 Jul;21(4):e12596

Date

10/21/2017

Pubmed ID

29052307

Pubmed Central ID

PMC5908766

DOI

10.1111/desc.12596

Scopus ID

2-s2.0-85031696133 (requires institutional sign-in at Scopus site)   103 Citations

Abstract

Children who experience severe early life stress show persistent deficits in many aspects of cognitive and social adaptation. Early stress might be associated with these broad changes in functioning because it impairs general learning mechanisms. To explore this possibility, we examined whether individuals who experienced abusive caregiving in childhood had difficulties with instrumental learning and/or cognitive flexibility as adolescents. Fifty-three 14-17-year-old adolescents (31 exposed to high levels of childhood stress, 22 control) completed an fMRI task that required them to first learn associations in the environment and then update those pairings. Adolescents with histories of early life stress eventually learned to pair stimuli with both positive and negative outcomes, but did so more slowly than their peers. Furthermore, these stress-exposed adolescents showed markedly impaired cognitive flexibility; they were less able than their peers to update those pairings when the contingencies changed. These learning problems were reflected in abnormal activity in learning- and attention-related brain circuitry. Both altered patterns of learning and neural activation were associated with the severity of lifetime stress that the adolescents had experienced. Taken together, the results of this experiment suggest that basic learning processes are impaired in adolescents exposed to early life stress. These general learning mechanisms may help explain the emergence of social problems observed in these individuals.

Author List

Harms MB, Shannon Bowen KE, Hanson JL, Pollak SD

Author

Jamie Hanson PhD Associate Professor in the Pediatrics department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Brain
Case-Control Studies
Child Abuse
Cognition Disorders
Family
Female
Humans
Magnetic Resonance Imaging
Male
Neuropsychological Tests
Stress, Psychological