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Abstract：
UNASSIGNED: To compare adolescent and caregiver reports of adolescent adverse childhood experiences (ACEs) and their relationship with current adolescent depression and to analyze the relationship between ACEs and depression.
UNASSIGNED: We recruited 46 adolescent-caregiver dyads from a large, inner-city medical center\'s adolescent medicine clinic. Adolescents and caregivers completed the Center for Youth Wellness ACE questionnaire, encompassing traditional ACEs (eg, abuse, neglect, household dysfunction) and nontraditional ACEs (eg, foster care, parental death, exposure to community violence). Adolescents also completed the Patient Health Questionnaire-9A (PHQ-9A) depression screening tool.
UNASSIGNED: Among adolescents, 14 (30%) reported no traditional ACEs, 11 (24%) reported 1, and 21 (46%) reported more than 1. Regarding nontraditional ACEs, 16 (35%) reported none, 11 (24%) reported 1, and 19 (41%) reported more than 1. Caregiver reports consistently indicated lower ACEs compared with adolescent self-reports (P < .005). For the PHQ-9A scores, 26 (57%) of adolescents showed no or minimal depression, 14 (30%) mild, and 6 (13%) moderate depression. A moderate positive correlation emerged between PHQ-9A scores and self-reported traditional ACEs (rs = 0.5, P < .001) and nontraditional ACEs (rs = 0.49, P < .001). In addition, a positive correlation was observed between the absolute differences in adolescent and caregiver reports of traditional ACEs and PHQ-9A scores (n = 46, ρ = 0.51, P < .001).
UNASSIGNED: As the differences in ACE reports between adolescents and caregivers increased, there was a corresponding increase in adolescent depression scores. It is essential to incorporate comprehensive ACE screening and encourage open communication between adolescents and caregivers, which may improve mental health outcomes.
UNASSIGNED: We recruited 46 adolescent-caregiver dyads from a large, inner-city medical center\'s adolescent medicine clinic. Adolescents and caregivers completed the Center for Youth Wellness ACE questionnaire, encompassing traditional ACEs (eg, abuse, neglect, household dysfunction) and nontraditional ACEs (eg, foster care, parental death, exposure to community violence). Adolescents also completed the Patient Health Questionnaire-9A (PHQ-9A) depression screening tool.
UNASSIGNED: Among adolescents, 14 (30%) reported no traditional ACEs, 11 (24%) reported 1, and 21 (46%) reported more than 1. Regarding nontraditional ACEs, 16 (35%) reported none, 11 (24%) reported 1, and 19 (41%) reported more than 1. Caregiver reports consistently indicated lower ACEs compared with adolescent self-reports (P < .005). For the PHQ-9A scores, 26 (57%) of adolescents showed no or minimal depression, 14 (30%) mild, and 6 (13%) moderate depression. A moderate positive correlation emerged between PHQ-9A scores and self-reported traditional ACEs (rs = 0.5, P < .001) and nontraditional ACEs (rs = 0.49, P < .001). In addition, a positive correlation was observed between the absolute differences in adolescent and caregiver reports of traditional ACEs and PHQ-9A scores (n = 46, ρ = 0.51, P < .001).
UNASSIGNED: As the differences in ACE reports between adolescents and caregivers increased, there was a corresponding increase in adolescent depression scores. It is essential to incorporate comprehensive ACE screening and encourage open communication between adolescents and caregivers, which may improve mental health outcomes.
摘要：
■比较青少年和照顾者关于青少年不良童年经历（ACE）的报告及其与当前青少年抑郁症的关系，并分析ACE与抑郁症之间的关系。
■我们从一个大型的，市内医疗中心青少年医学诊所。青少年和照顾者完成了青少年健康中心ACE问卷，包括传统的ACE(例如，滥用,疏忽,家庭功能障碍)和非传统ACE(例如，寄养,父母的死亡,暴露于社区暴力)。青少年还完成了患者健康问卷-9A（PHQ-9A）抑郁症筛查工具。
■在青少年中，14(30%)报告没有传统的ACE，11例（24%）报告1例，21例（46%）报告1例以上。关于非传统ACE，16（35%）报告无，11例（24%）报告1例，19例（41%）报告1例以上。护理者报告一致表明，与青少年自我报告相比，ACE较低（P<0.005）。对于PHQ-9A的分数，26（57％）的青少年表现出没有或轻微的抑郁症，14（30％）轻度，和6（13％）中度抑郁症。PHQ-9A评分与自我报告的传统ACE（rs=0.5，P<.001）和非传统ACE（rs=0.49，P<.001）之间呈中度正相关。此外,青少年和照顾者报告的传统ACE与PHQ-9A评分的绝对差异呈正相关(n=46,ρ=0.51,P<.001).
■随着青少年和照顾者之间ACE报告的差异增加，青少年抑郁评分也相应增加.必须纳入全面的ACE筛查，并鼓励青少年和护理人员之间的公开交流。这可能会改善心理健康结果。
■我们从一个大型的，市内医疗中心青少年医学诊所。青少年和照顾者完成了青少年健康中心ACE问卷，包括传统的ACE(例如，滥用,疏忽,家庭功能障碍)和非传统ACE(例如，寄养,父母的死亡,暴露于社区暴力)。青少年还完成了患者健康问卷-9A（PHQ-9A）抑郁症筛查工具。
■在青少年中，14(30%)报告没有传统的ACE，11例（24%）报告1例，21例（46%）报告1例以上。关于非传统ACE，16（35%）报告无，11例（24%）报告1例，19例（41%）报告1例以上。护理者报告一致表明，与青少年自我报告相比，ACE较低（P<0.005）。对于PHQ-9A的分数，26（57％）的青少年表现出没有或轻微的抑郁症，14（30％）轻度，和6（13％）中度抑郁症。PHQ-9A评分与自我报告的传统ACE（rs=0.5，P<.001）和非传统ACE（rs=0.49，P<.001）之间呈中度正相关。此外,青少年和照顾者报告的传统ACE与PHQ-9A评分的绝对差异呈正相关(n=46,ρ=0.51,P<.001).
■随着青少年和照顾者之间ACE报告的差异增加，青少年抑郁评分也相应增加.必须纳入全面的ACE筛查，并鼓励青少年和护理人员之间的公开交流。这可能会改善心理健康结果。
