“…Consistent with these findings, a growing body of literature has documented the adverse effects of early exposure to extreme stress on children’s neurocognitive development, including intellectual impairment, verbal deficiencies, and poor school performance. While most studies report temporal stability of intelligence in various pediatric populations including handicapped children (Atkinson et al, 1990; Elliot & Boeve, 1987), a literature review suggests that intellectual ability, as reflected by low IQ scores, may be a consequence of child abuse. A variety of intellectual and academic impairments, with resultant poor school performance (NationalResearchCouncil, 1993; Trickett & McBride-Chang, 1995), have been consistently reported in abused children not evaluated for PTSD (Augoustinos, 1987; Azar, Barnes, & Twentyman, 1988; Kolko, 1992; NationalResearchCouncil, 1993; Trickett & McBride-Chang, 1995).…”