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Übersicht

Traumagedächtnis bei Kindern mit Posttraumatischer Belastungsstörung

Eine kritische Bestandsaufnahme

Published Online:https://doi.org/10.1026/0942-5403/a000101

Das Gedächtnis spielt eine wichtige Rolle bei der Entstehung und Behandlung von Posttraumatischer Belastungsstörung (PTBS). Die vorliegende Überblicksarbeit beschäftigt sich mit der Frage nach dem empirischen Nachweis von traumabezogenen Gedächtnisstörungen im Kindesalter. Die bisherigen Untersuchungen zeigen ein heterogenes Bild. Es gibt Hinweise auf eine Beeinträchtigung der Hirnreifungsprozesse sowie der Erinnerungsqualität bei Kindern und Jugendlichen mit PTBS. Jedoch im Gegensatz zu Befunden im Erwachsenenalter wiesen traumatisierte Kinder ein größeres Hippocampusvolumen im Vergleich zur Kontrollgruppe auf. Die Zusammenschau der Befunde macht den großen Bedarf an weiterführenden Untersuchungen deutlich.


A critical review of traumatic memory in children with posttraumatic stress disorder

The memory processes play an important role in understanding the development and treatment of posttraumatic stress disorder (PTSD). This review critically examines the empirical evidence concerning the trauma-memory argument in children. The studies show a mixed picture. There are some indications of adverse brain development and poor quality of memory in children and adolescents with PTSD. However, in contrast to adults, children with PTSD showed greater hippocampal volumes compared with control subjects. More research is needed before meaningful conclusions can be drawn about the relation between traumatic memory and PTSD in children.

Literatur

  • Baddeley, A. (1997). Human Memory: Theory and Practice. Revised Edition. East Sussex: Psychology Press. First citation in articleGoogle Scholar

  • Beers, S. R. , De Bellis, M. D. (2002). Neuropsychological function in children with maltreatment-related posttraumatic stress disorder. American Journal of Psychiatry, 159, 483 – 486. First citation in articleCrossrefGoogle Scholar

  • Berliner, L. , Hyman, I. , Thomas, A. , Fitzgerald, M. (2003). Children’s memory for trauma and positive experiences. Journal of Traumatic Stress, 16, 229 – 236. First citation in articleCrossrefGoogle Scholar

  • Bremner, J. D. (2005). Effects of traumatic stress on brain structure and function: Relevance to early responses to trauma. Journal of Trauma and Dissociation, 6, 51 – 68. First citation in articleCrossrefGoogle Scholar

  • Brewin, C. R. , Dalgleish, T. , Joseph, S. (1996). A dual-representation theory of Post Traumatic Stress Disorder. Psychological Review, 106, 670 – 686. First citation in articleCrossrefGoogle Scholar

  • Carrion, V. G. , Weems, C. F. , Eliez, S. , Patwardhan, A. , Brown, W. , Ray, R. D. , Reiss, A. L. (2001). Attenuation of frontal asymmetry in pediatric posttraumatic stress disorder. Biological Psychiatry, 50, 943 – 951. First citation in articleCrossrefGoogle Scholar

  • Carrion, V. G. , Weems, C. F. , Ray, R. , Reiss, A. L. (2002). Toward an empirical definition of pediatric PTSD: The phenomenology of PTSD symptoms in youth. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 166 – 173. First citation in articleCrossrefGoogle Scholar

  • Carrion, V. G. , Weems, C. F. , Reiss, A. L. (2007). Stress predicts brain changes in children: A pilot longitudinal study on youth stress, posttraumatic stress disorder, and the hippocampus. Pediatrics, 119, 509 – 516. First citation in articleCrossrefGoogle Scholar

  • Carrion, V. G. , Weems, C. F. , Watson, C. , Eliez, S. , Menon, V. & Reiss, A. L. (2009). Converging evidence for morphological abnormalities of the prefrontal cortex and evaluation of midsagittal structures in pediatric Post Traumatic Stress Disorder: An MRI study. Psychiatry Research: Neuroimaging, 172, 226 – 234. First citation in articleCrossrefGoogle Scholar

  • Dalgleish, T. , Williams, J. M.G. , Golden, A.-M. J. , Perkins, N. , Barrett, L. F. , Barnard, P. J. , Au Yeung, C. , Murphy, V. et al. (2007). Reduced specificity of autobiographical memory and depression: the role of executive control. Journal of Experimental Psychology: General, 136, 23 – 42. First citation in articleCrossrefGoogle Scholar

  • De Bellis, M. D. , Hooper, S. R. , Spratt, E. G. , Woolley, D. P. (2009). Neuropsychological findings in childhood neglect and their relationships to pediatric PTSD. Journal of the International Neuropsychological Society, 15, 868 – 878. First citation in articleCrossrefGoogle Scholar

  • De Bellis, M. D. , Keshavan, M. S. (2003). Sex differences in brain maturation in maltreatment-related pediatric posttraumatic stress disorder. Neuroscience and Biobehavioral Reviews, 27, 103 – 117. First citation in articleCrossrefGoogle Scholar

  • De Bellis, M. D. , Keshavan, M. S. , Clark, D. B. , Casey, B. J. , Giedd, J. N. , Boring, A. M. , Frustaci, K. , Ryan, N. D. (1999). Developmental traumatology. Part II: Brain development. Biological Psychiatry, 45, 1271 – 1284. First citation in articleCrossrefGoogle Scholar

  • De Bellis, M. D. , Keshavan, M. S. , Frustaci, K. , Shifflett, H. , Iyengar, S. , Beers, S. R. , Hall, J. (2002a). Superior temporal gyrus volumes in maltreated children and adolescents with PTSD. Biological Psychiatry, 51, 544 – 552. First citation in articleCrossrefGoogle Scholar

  • De Bellis, M. D. , Keshavan, M. S. , Shifflett, H. , Iyengar, S. , Beers, S. R. , Hall, J. , Moritz, G. (2002b). Brain structures in pediatric maltreatment related posttraumatic stress disorder: A sociodemographically matched study. Biological Psychiatry, 52, 1066 – 1078. First citation in articleCrossrefGoogle Scholar

  • De Bellis, M. D. , Kuchibhatla, M. (2006). Cerebellar volumes in pediatric maltreatment-related posttraumatic stress disorder. Biological Psychiatry, 60, 697 – 703. First citation in articleCrossrefGoogle Scholar

  • Dubner, A. E. , Motta, R. W. (1999). Sexually and physically abused foster care children and posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 67, 367 – 373. First citation in articleCrossrefGoogle Scholar

  • Ehlers, A. , Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38, 319 – 345. First citation in articleCrossrefGoogle Scholar

  • Eisen, M. L. , Goodmann, G. S. , Qin, J. J. , Davis, S. & Crayton, J. (2007). Maltreated children’s memory: Accuracy, suggestibility, and psychopathology. Developmental Psychology, 43, 1275 – 1294. First citation in articleCrossrefGoogle Scholar

  • Eisen, M. L. , Qin, J. J. , Goodman, G. S. , Davis, S. L. (2002). Memory and suggestibility in maltreated children: Age, stress arousal, dissociation, and psychopathology. Journal of Experimental Child Psychology, 83, 167 – 212. First citation in articleCrossrefGoogle Scholar

  • Elzinga, B. M. , Bremner, J. D. (2002). Are the neural substrates of memory the final common pathway in posttraumatic stress disorder (PTSD)? Journal of Affective Disorders, 70, 1 – 17. First citation in articleCrossrefGoogle Scholar

  • Fischer, G. , Riedesser, P. (2009). Lehrbuch der Psychotraumatologie (4. Aufl.). München: Reinhardt. First citation in articleGoogle Scholar

  • Fivush, R. , Bohanek, J. , Robertson, R. , Duke, M. (2004). Family narratives and the development of children’s emotional well-being. In M. W. Pratt & B. H. Fiese, (Eds.), Family stories and the life course: Across time and generations (pp. 55 – 76). New Jersey: Lawrence Erlbaum. First citation in articleGoogle Scholar

  • Geuze, E. , Vermetten, E. , Bremner, J. D. (2005). MR-based in vivo hippocampal volumetrics: 2. Findings in neuropsychiatric disorders. Molecular Psychiatry, 10, 160 – 184. First citation in articleCrossrefGoogle Scholar

  • Giesbrecht, T. , Lynn, S. J. , Lilienfeld, S. O. , Merckelbach, H. (2008). Cognitive processes in dissociation: an analysis of core theoretical assumptions. Psychological Bulletin, 134, 617 – 47. First citation in articleCrossrefGoogle Scholar

  • Gilbertson, M. W. , Shenton, M. E. , Ciszewski, A. , Kiyoto, K. , Lasko, N. B. Orr , S. P. & Pitman, R. K. (2002). Smaller hippocampal volume predicts pathologic vulnerability to psychological trauma. Nature Neuroscience, 5, 1242 – 1247. First citation in articleCrossrefGoogle Scholar

  • Henning-Fast, K. , Markowitsch, H.-J. (2010). Neuropsychologie der posttraumatischen Belastungsstörung (PTBS). In S. Lautenbacher & S. Gauggel, (Hrsg.), Neuropsychologie psychischer Störungen (2., erweit. Aufl., S. 241 – 284). Heidelberg: Springer. First citation in articleCrossrefGoogle Scholar

  • Hertel, P. (2004). Memory for emotional and nonemotional events in depression: A question of habit? In D. Reisberg & P. Hertel (Eds.), Memory and Emotion (pp. 186 – 216). New York: Oxford University Press. First citation in articleCrossrefGoogle Scholar

  • Howe, M. L. , Courage, M. L. , Bryant-Brown, L. (1993). Reinstating preschoolers’ memories. Developmental Psychology, 29, 854 – 869. First citation in articleCrossrefGoogle Scholar

  • Hüther, G. (2001). Die neurobiologischen Auswirkungen von Angst und Streß und die Verarbeitung traumatischer Erinnerungen. In A. Streeck-Fischer, U. Sachsse & I. Özkan, (Hrsg.), Körper, Seele, Trauma. Göttingen: Vandenhoeck & Ruprecht. First citation in articleGoogle Scholar

  • Irle, E. , Lange, C. , Sachsse, U. (2005). Reduced size and abnormal asymmetry of parietal cortex in women with borderline personality disorder. Biological Psychiatry, 57, 173 – 182. First citation in articleCrossrefGoogle Scholar

  • Jackowski, A. P. , Douglas-Palumberi, H. , Jackowski, M. , Win, L. , Schultz, R. T. , Staib, L. W. , Krystal, J. H. , Kaufman, J. (2008). Corpus callosum in maltreated children with posttraumatic stress disorder: A diffusion tensor imaging study. Psychiatry Research-Neuroimaging, 162, 256 – 261. First citation in articleCrossrefGoogle Scholar

  • Karl, A. , Schaefer, M. , Malta, L. S. , Dorfel, D. , Rohleder, N. , Werner, A. (2006). A meta-analysis of structural brain abnormalities in PTSD. Neuroscience and Biobehavioral Reviews, 30, 1004 – 1031. First citation in articleCrossrefGoogle Scholar

  • Kirsch, V. , Wilhelm, F.H. & Goldbeck, L. (2011). Psychophysiological characteristics of posttraumatic stress disorders in children and adolescents: a review of the literature. Journal of Traumatic Stress, 24, 146 – 154. First citation in articleCrossrefGoogle Scholar

  • Kuyken, W. , Howell, R. , Dalgleish, T. (2006). Overgeneral autobiographical memory, trauma and depression in adolescence. Journal of Abnormal Psychology, 115, 387 – 396. First citation in articleCrossrefGoogle Scholar

  • Lanius, R. A. , Williamson, P. C. , Bluhm, R. L. , Densmore, M. , Boksman, K. , Neufeld, R. W. J. , Gati, J. S. , Menon, R. S. (2005). Functional connectivity of dissociative responses in posttraumatic stress disorder: A functional magnetic resonance imaging investigation. Biological Psychiatry, 57, 873 – 884. First citation in articleCrossrefGoogle Scholar

  • Landolt, M. A. , Hensel, T. (2007). Traumatherapie bei Kindern und Jugendlichen. Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • LeDoux, J. E. (1998). Das Netz der Gefühle. Wie Emotionen entstehen. München: Hauser. First citation in articleGoogle Scholar

  • Maercker, A. (2009). Posttraumatische Belastungsstörung. Heidelberg: Springer. First citation in articleCrossrefGoogle Scholar

  • Markowitsch, H. J. (2002). Dem Gedächtnis auf der Spur: Vom Erinnern und Vergessen. Darmstadt: Wissenschaftliche Buchgesellschaft und PRIMUS-Verlag. First citation in articleGoogle Scholar

  • McNally, R. J. , Metzger, L. J. , Lasko, N. B. , Clancy, S. A. , Pitman, R. K. (1998). Directed forgetting of trauma cues in adult survivors of childhood sexual abuse with and without posttraumatic stress disorder. Journal of Abnormal Psychology, 107, 596 – 601. First citation in articleCrossrefGoogle Scholar

  • Nemeroff, C. B. , Bremner, J. D. , Foa, E. B. , Mayberg, H. S. , North, C. S. , Stein, M. B. (2006). Posttraumatic stress disorder: A state-of-the-science review. Journal of Psychiatric Research, 40, 1 – 21. First citation in articleCrossrefGoogle Scholar

  • O’Kearney, R. , Speyer, J. , Kenardy, J. (2007). Children’s narrative memory for accidents and their post-traumatic distress. Applied Cognitive Psychology, 21, 821 – 838. First citation in articleCrossrefGoogle Scholar

  • Porter, C. , Lawson, J. S. , Bigler, E. D. (2005). Neurobehavioral sequelae of child sexual abuse. Child Neuropsychology, 11, 203 – 220. First citation in articleCrossrefGoogle Scholar

  • Richert, K. A. , Carrion, V. G. , Karchemskiy, A. , Reiss, A. L. (2006). Regional differences of the prefrontal cortex in pediatric PTSD: An MRI study. Depression and Anxiety, 23, 17 – 25. First citation in articleCrossrefGoogle Scholar

  • Sachsse, U. , Roth, G. (2008). Die Integration neurobiologischer und psychoanalytischer Ergebnisse in der Behandlung Traumatisierter. In M. Leuzinger-Bohleber, G. Roth , A. Buchheim, (Hrsg.), Psychoanalyse-Neurobiologie-Trauma (S. 66 – 99). Stuttgart: Schattauer. First citation in articleGoogle Scholar

  • Saigh, P. A. , Yasik, A. E. , Oberfield, R. A. , Halamandaris, P. V. , Bremner, J. D. (2006). The intellectual performance of traumatized children and adolescents with or without posttraumatic stress disorder. Journal of Abnormal Psychology, 115, 332 – 340. First citation in articleCrossrefGoogle Scholar

  • Salmon, K. , Bryant, R. A. (2002). Posttraumatic stress disorder in children: The influence of developmental factors. Clinical Psychology Review, 22, 163 – 188. First citation in articleCrossrefGoogle Scholar

  • Samuelson, K. W. , Krueger, C. E. , Burnett, C. & Wilson, C. K. (2010). Neuropsychological functioning in children with Posttraumatic Stress Disorder. Child Neuropsychology, 16, 119 – 133. First citation in articleCrossrefGoogle Scholar

  • Sapolsky, R. M. , Uno, H. , Rebert, C. S. , Finch, C. E. (1990). Hippocampal damage associated with prolonged glucocorticoid exposure in primates. Journal of Neuroscience, 10, 2897 – 2902. First citation in articleCrossrefGoogle Scholar

  • Schneider, W. , Sodian, B. (Hrsg.). (2006). Kognitive Entwicklung (Enzyklopädie der Psychologie, Serie Entwicklungspsychologie, Bd. 2). Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Schmid, M. , Fegert, J. M. , Petermann, F. (2010). Traumaentwicklungsstörung: Pro und Contra. Kindheit und Entwicklung, 19, 47 – 63. First citation in articleLinkGoogle Scholar

  • Schoeman, R. , Carey, P. , Seedat, S. (2009). Trauma and posttraumatic stress disorder in South African adolescents a case-control study of cognitive deficits. Journal of Nervous and Mental Disease, 197, 244 – 250. First citation in articleCrossrefGoogle Scholar

  • Streeck-Fischer, A. (2006). Trauma und Entwicklung. Stuttgart: Schattauer. First citation in articleGoogle Scholar

  • Teicher, M. H. , Dumont, N. L. , Ito, Y. , Vaituzis, C. , Giedd, J. N. , Andersen, S. L. (2004). Childhood neglect is associated with reduced corpus callosum area. Biological Psychiatry, 56, 80 – 85. First citation in articleCrossrefGoogle Scholar

  • Terr, L. C. (1991). Childhood traumas–an outline and overview. American Journal of Psychiatry, 148, 10 – 20. First citation in articleCrossrefGoogle Scholar

  • Tupler, L. A. , De Bellis, M. D. (2006). Segmented hippocampal volume in children and adolescents with posttraumatic stress disorder. Biological Psychiatry, 59, 523 – 529. First citation in articleCrossrefGoogle Scholar

  • Van der Kolk, B. A. (1998). Zur Psychologie und Psychobiologie von Kindheitstraumata. Praxis der Kinderpsychologie und Kinderpsychiatrie, 1, 19 – 35. First citation in articleGoogle Scholar

  • Van der Kolk, B. A. , Pelcovitz, D. , Roth, S. , Mandel, F. S. , McFarlane, A. , Herman, J. L. (1996). Dissociation, somatization, and affect dysregulation: The complexity of adaptation to trauma. American Journal of Psychiatry, 153, 83 – 93. First citation in articleCrossrefGoogle Scholar

  • Van der Kolk, B. A. , Van der Hart, O. (1991). The intrusive past: The flexibility of memory and the engraving of trauma. American Imago, 48, 425 – 454. First citation in articleGoogle Scholar

  • Van Petten, C. (2004). Relationship between hippocampal volume and memory ability in healthy individuals across the lifespan: review and meta-analysis. Neuropsychology, 42, 1394 – 1413. First citation in articleCrossrefGoogle Scholar

  • Volbert, R. (2004). Beurteilungen von Aussagen über Traumata. Erinnerungen und ihre psychologische Bewertung. Bern: Huber. First citation in articleGoogle Scholar

  • Williams, J. M. G. , Watts, F. N. , MacLeod, C. & Mathews, A. (1997). Cognitive psychology and emotional disorders. Chichester, UK: Wiley. First citation in articleGoogle Scholar