■使用各种概念来研究压力对儿童发展的影响。这些概念经常被不一致地或互换地使用。我们的主要目标是确定选择的压力概念(慢性压力,毒性应激,静载,早期生活压力,童年的逆境,童年创伤和不良童年经历;ACE)被定义,操作和描述,并提供理论背景,以帮助选择公共卫生研究中的首选概念。
■对于此描述性审查,我们系统地搜索了2021年8月4日之前在PubMed上发表的文献,Embase和PsycInfo。两名独立审稿人包括研究。排除标准为:无系统评价,没有同行评审,不是用英文出版的,选定的压力概念不是讨论中的预定变量或实质性主题,全文无法获得或研究描述了非人类或非儿童群体。使用数据提取表格。描述符被收集起来,出版物字段是通过期刊引文报告类别识别的,逐字描述在文本和维恩图中排序。
■在264项筛选研究中,124人包括在内。ACE,童年的逆境和童年的创伤被使用最多.ACE是最常用的主要概念(47.6%)。在14种公共和环境健康期刊中,共有11种使用了ACE。所有概念都是指延长,重复,0到18岁的人际压力,可以改变生理系统。四个概念是压力源导向的,两个概念集中在应激反应和效应上,一个概念集中在受挑战的稳态状态上。
■ACE似乎最适合公共卫生环境,由于它们的可操作性,大量的核心经验和广泛使用。
UNASSIGNED: Various concepts are used to study the impact of stress on childhood development. These concepts are often used inconsistently or interchangeably. Our main objectives were to determine how selected stress concepts (chronic stress, toxic stress, allostatic load, early life stress, childhood adversity, childhood trauma and adverse childhood experiences; ACEs) are defined, operationalized and described, and to provide a theoretical context to aid the choice for a preferred concept in public health research.
UNASSIGNED: For this descriptive review, we systematically searched for literature published before 4 August 2021, on PubMed, Embase and PsycInfo. Two independent reviewers included studies. Exclusion criteria were: no systematic review, not peer reviewed, not published in English, selected stress concepts were no predetermined variable or a substantial topic in the discussion, full text was unobtainable or study described non-human or non-childhood populations. Data extraction forms were used. Descriptives were gathered, publication fields were identified through Journal Citation Reports categories, and verbatim descriptions were ordered in text and Venn diagrams.
UNASSIGNED: Of 264 screened studies, 124 were included. ACEs, childhood adversity and childhood trauma were used most. ACEs were the main concept used most frequently (47.6%). A total of 11 of 14 public and environmental health journals used ACEs. All concepts refer to prolonged, repeated, interpersonal stress from 0 to 18 years, that can alter physiological systems. Four concepts were stressor oriented, two concepts focused on stress response and effect and one on the state of challenged homeostasis.
UNASSIGNED:
ACEs seem most fitting for public health setting, due to their operationalizability, large set of core experiences and widespread use.