Abstract：
BACKGROUND: Previous research has demonstrated a dose-response relationship between exposure to adverse childhood experiences (ACEs) and adverse outcomes in adulthood. Despite widely known associations, previous reviews have primarily focused on outcomes in younger and middle-aged adults exposed to ACEs to the exclusion of older adults and do not consider the potential role of resilience for understanding outcomes in older adulthood.
OBJECTIVE: The present scoping review aimed to examine the extent and nature of existing literature on the influence of ACEs and resilience on the cognitive, physical, mental, and social health outcomes among older adults.
METHODS: We conducted a search of five electronic databases (CINAHL, MEDLINE, PsycINFO, AgeLine, Scopus) using the following keywords: adversity, resilience, aging, and older adults. We limited our inclusion criteria to works published in English or French after 1998 as Felitti et al. published the first study describing ACEs in this year.
RESULTS: Of the 4926 studies screened, 27 studies met the inclusion criteria. Overall, results from the included studies indicated that exposure to adversity during childhood was associated with worse outcomes in older adulthood. Additionally, we found that resilience and resiliency-related factors (e.g., problem-focused coping strategies) mitigated or reduced harms associated with ACEs to improve outcomes in older adulthood.
CONCLUSIONS: Exposure to ACEs is associated with reduced functioning in later adulthood. Findings from this review indicate a need for further exploration into the role of ACEs, and the potential effects of resilience, on health outcomes in older adults to develop better individual- and population-level interventions for this group.
OBJECTIVE: The present scoping review aimed to examine the extent and nature of existing literature on the influence of ACEs and resilience on the cognitive, physical, mental, and social health outcomes among older adults.
METHODS: We conducted a search of five electronic databases (CINAHL, MEDLINE, PsycINFO, AgeLine, Scopus) using the following keywords: adversity, resilience, aging, and older adults. We limited our inclusion criteria to works published in English or French after 1998 as Felitti et al. published the first study describing ACEs in this year.
RESULTS: Of the 4926 studies screened, 27 studies met the inclusion criteria. Overall, results from the included studies indicated that exposure to adversity during childhood was associated with worse outcomes in older adulthood. Additionally, we found that resilience and resiliency-related factors (e.g., problem-focused coping strategies) mitigated or reduced harms associated with ACEs to improve outcomes in older adulthood.
CONCLUSIONS: Exposure to ACEs is associated with reduced functioning in later adulthood. Findings from this review indicate a need for further exploration into the role of ACEs, and the potential effects of resilience, on health outcomes in older adults to develop better individual- and population-level interventions for this group.
摘要：
背景：先前的研究表明，暴露于不良儿童经历（ACE）与成年期不良结局之间存在剂量反应关系。尽管协会广为人知，以前的综述主要关注暴露于ACE但排除老年人的中青年的结局,没有考虑心理弹性对理解老年结局的潜在作用.
目的：本范围综述旨在研究现有文献对ACE和弹性对认知的影响的程度和性质，物理，心理，和老年人的社会健康结果。
方法：我们搜索了五个电子数据库(CINAHL，MEDLINE,PsycINFO,AgeLine,Scopus)使用以下关键词：逆境，弹性，老化，和老年人。我们将纳入标准限制为1998年以后以英语或法语出版的作品，如Felitti等人。今年发表了第一项描述ACE的研究。
结果：在筛选的4926项研究中，27项研究符合纳入标准。总的来说,纳入研究的结果表明,儿童时期的逆境暴露与老年成年期更差的结局相关.此外,我们发现弹性和弹性相关因素(例如，以问题为中心的应对策略）减轻或减少与ACE相关的危害，以改善成年后的结局。
结论：暴露于ACE与成年后期功能降低有关。这篇综述的结果表明，需要进一步探索ACEs的作用，以及韧性的潜在影响，关于老年人的健康结果，为这一群体制定更好的个人和人群水平的干预措施。
目的：本范围综述旨在研究现有文献对ACE和弹性对认知的影响的程度和性质，物理，心理，和老年人的社会健康结果。
方法：我们搜索了五个电子数据库(CINAHL，MEDLINE,PsycINFO,AgeLine,Scopus)使用以下关键词：逆境，弹性，老化，和老年人。我们将纳入标准限制为1998年以后以英语或法语出版的作品，如Felitti等人。今年发表了第一项描述ACE的研究。
结果：在筛选的4926项研究中，27项研究符合纳入标准。总的来说,纳入研究的结果表明,儿童时期的逆境暴露与老年成年期更差的结局相关.此外,我们发现弹性和弹性相关因素(例如，以问题为中心的应对策略）减轻或减少与ACE相关的危害，以改善成年后的结局。
结论：暴露于ACE与成年后期功能降低有关。这篇综述的结果表明，需要进一步探索ACEs的作用，以及韧性的潜在影响，关于老年人的健康结果，为这一群体制定更好的个人和人群水平的干预措施。
