The impact of malnutrition and post traumatic stress disorder on the performance of working memory in children
Elise de Neubourg & Chris de Neubourg
#2012-005
Malnutrition is accepted to have a negative impact on the school
performance of children and adolescents. Malnutrition also has a
negative impact on cognitive development and a potentially lasting
effect on (some) cognitive functions. This paper focuses on the effects
of malnutrition and Post-Traumatic Stress Disorder (PTSD) on
short-term-working-memory on children. These effects are important since
defective working memory capacities limit the learning ability of young
children and thus the success of investment in human capital. The study
is based on an empirical study among 80 children (boys and girls) aged
between 9 and 13 years old in Banda Aceh, Indonesia, conducted in 2010
in cooperation with UNICEF. The study involved testing the children on a
number of working memory tests (Digit Span, Coding and Bourbon-Vos) and
the Raven SPM intelligence test. Malnutrition was measured as stunting.
The population of children living in Banda Aceh had been exposed to
severe stress during the tsunami of December 2004 and its aftermath, and
during the long-lasting violent conflict in the region. The study
measured the degree of Post-Traumatic Stress Disorder (PTSD) using the
Child PTSD Symptoms Scale (CPSS). PTSD is proved to have similar effects
on brain development as malnutrition and thus the effects of
malnutrition on the working memory of children have to be controlled for
the potential effects of PTSD. According to the results of the study,
malnutrition is associated with a decrease in performance on the working
memory tasks. On the contrary, intelligence measured by Raven's SPM was
not associated with the decrease in performance on the working memory
tasks, while it was found that a high score on the CPSS was indeed
associated with a decrease in the performance on the three working
memory tests. The study concludes with a discussion of the policy
relevance of the results and sets out an agenda for further research.
Key words: PTSD, working memory, malnutrition, tsunami
JEL: I14, I21, I24