背景:不良童年经历(ACE)对个人产生深远的影响,塑造他们的长期健康和生活机会。这项研究通过研究不良的童年经历与外化之间的关系,深入研究了ACE与澳大利亚儿童和青年的社会情感发展之间的复杂联系,内化,和亲社会行为。
方法:这项研究利用了澳大利亚儿童纵向研究的数据,并采用了广义估计方程方法来研究不良童年经历与外化之间的关系,内化,澳大利亚儿童和青少年的亲社会行为。
结果:不良的童年经历,如体罚,敌对的育儿,父母冲突,分离,财务压力,父母的心理健康问题增加了外部化和内化行为的风险,同时减少了亲社会行为。风险随着ACE数量的增加而增加,如发病率比率(IR)所示;例如,对于外部化行为,ACEs评分为1分导致IR=1.69,而ACEs评分为4分导致IR=3.34。内化和亲社会行为也观察到了类似的趋势。
结论:存在不平衡的纵向数据,由于不同时间点的观测次数的变化,挑战强大的推论。此外,这项研究调查了ACE与行为问题之间的关系,没有建立因果关系。因此,结果应谨慎解释.
结论:这项研究的结果强调不良的童年经历显著影响儿童和青少年的行为结局。这些发现强调了早期发现和干预以减轻童年创伤经历的后果的迫切需要。
BACKGROUND: Adverse childhood experiences (ACEs) have a profound impact on individuals, shaping their long-term health and life opportunities. This
study delves into the complex ties between ACEs and the socioemotional development of Australian children and youth by examining the relationships between adverse childhood experiences and externalizing, internalizing, and prosocial behaviors.
METHODS: This
study utilized data from the Longitudinal
Study of Australian Children and employed the generalized estimating equation method to investigate the relationships between adverse childhood experiences and externalizing, internalizing, and prosocial behaviors in Australian children and adolescents.
RESULTS: Adverse childhood experiences such as physical punishment, hostile parenting, parental conflicts, separation, financial strain, and parental mental health issues increased the risk of externalizing and internalizing behaviors while reducing prosocial behaviors. The risk increases with the number of ACEs, as evidenced by the incidence ratio (IR); for example, for externalizing behaviors, an ACEs score of one leads to IR = 1.69, while an ACEs score of 4 results in IR = 3.34. Similar trends were observed for internalizing and prosocial behaviors.
CONCLUSIONS: The presence of imbalanced longitudinal data, arising from variations in the number of observations across different time points, challenges robust inferences. Furthermore, this
study investigates the relationship between ACEs and behavioral problems, without establishing causality. Consequently, the results should be interpreted with caution.
CONCLUSIONS: The findings of this
study highlight that adverse childhood experiences significantly influence behavioral outcomes in children and adolescents. These findings underscore the critical need for early detection and intervention to mitigate the consequences of traumatic childhood experiences.