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Adversidad en la infancia y la adolescencia: del estrés tóxico a la práctica clínica

Caroline Heiniger¹, Charlotte Reith², Clothilde Hamion³

¹Service de pédiatrie générale, Département femme-mère-enfant, Centre hospitalier universitaire vaudois, 1011 Lausanne.

Revue medicale suisse

|February 19, 2026

Abstract:

Adverse childhood experiences are common and have a lasting impact on physical and mental health, as well as on risky behaviors. The mechanisms involved include chronic activation of the stress response, as well as brain, immune, and epigenetic alterations that contribute to long-term vulnerability. However, these effects are not irreversible: the presence of protective factors can mitigate their consequences. Healthcare workers play a crucial role in strengthening parental and social support while promoting positive childhood experiences, all of which are key determinants of long-term health and development.

Palabras clave:

adversidad en la infancia estrés tóxico salud mental desarrollo infantil factores protectores intervenciones sanitarias adolescencia

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