Child Abuse Changes Victim's Brains

Original web publication date: September 1999

MADISON - Learning to spot signs of anger early, before they lead to trouble, becomes a finely honed survival skill for children who have suffered severe abuse.

A new study by a University of Wisconsin-Madison psychologist suggests that this survival skill may actually trigger biological changes, altering the way the brain processes anger.

Seth Pollak, assistant professor of psychology and psychiatry and Waisman Center investigator, says the findings shed new light on the question of why traumatic early-life experiences cause so many serious problems throughout adolescence and adulthood. The research also could suggest better treatment for overcoming past abuse.

"Why does something that happens to someone when they're 2, 3 or 4 years old have such pervasive developmental effects?" asks Pollak. "This study is one way to find some of the underlying developmental changes caused by traumatic events."

Pollak's study looked at differences in brain electrical activity between children who have suffered specific forms of child abuse and children who have not suffered maltreatment. The study involved 28 maltreated children and 14 children who were in the control group, all ages 7-11. The children and their parents volunteered to participate after being referred by county and state child protective agencies.

In his Child Emotion Research Laboratory, Pollak developed a harmless experiment that children treat as a game, where they are shown pictures of a series of faces and asked to look for a specific emotion. If they are asked to look for happy faces, for example, they will press a button every time such a face appears on the screen. The range of faces in the pictures are happy, angry and fearful.

During the game, children wear a cap with tiny receptors that can measure their brain electrical activity. The response measured is called an Event Related Potential (ERP), which is a sharp increase in electrical activity in the brain that's associated with a specific stimulus.

In this case, the stimulus is recognizing a facial expression the children were specifically asked to look for. Pollak was measuring a response commonly called "the aha! effect," because the brain gives off a sudden burst of electrical activity when that recognition occurs.

What was striking about the results, says Pollak, is the numbers were virtually identical for both groups of children when they responded to happy and fearful faces. But with angry faces, the children who were maltreated produced dramatically stronger and longer-lasting responses.

Considering the dynamics of an abusive home, Pollak says that difference makes sense. "Anger becomes a very salient cue that something in the child's environment is about to change," he says. "In fact, these children's survival and coping may well depend on their ability to detect this change early."

But this vigilance toward anger, once a sensible way of adapting to a threat, may later become an emotional albatross. For example, ordinary social events such as getting bumped on the playground, hearing an ambiguous comment or catching a cross look may be perceived as threatening.

One of the potential long-term effects of child abuse is in robbing victims of an ability to form healthy relationships with peers and other adults. Pollak says decades of research has described these problems, but few studies have targeted the underlying mechanisms that cause them.

Although more research is needed, Pollak says the findings suggest that traditional therapies may not stress the right issues. An Outreachal approach could help people better decode emotional situations and make healthy adjustments to theirperception of comfortable or threatening environments. Having child-abuse victims focus on their reactions in real-world situations could produce positive results.

On a more fundamental level, Pollak's research is generating excitement because it calls into question the idea that emotions are biologically hard-wired in the brain. Much evidence suggests that the core emotions - happiness, anger, fear, surprise, disgust, and sadness - emerge in orderly and specific ways, as if by genetic blueprint.

Pollak says the different emotional makeup of children who suffered abuse suggests that the biological framework of emotions also can be molded by a child's experience with the world.

Pollak's work, which is supported by the National Institute of Mental Health and the UW-Madison Graduate School, focuses on a persistent public problem. In 1995, more than 1.5 million U.S. children were victims of abuse, and more than half of that group was younger than age 7.

-- Brian Mattmiller (608) 262-9772