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青年の精神的健康回復の障壁と助長者:子ども時代のポジティブとネガティブな経験の二重な役割
Isak Kim1, Hye Yeon Lee2, Jaeyoung Kim3
1Department of Counseling, College of Education, Health, and Human Science, University of Nebraska Omaha, United States of America.
Journal of affective disorders
|September 5, 2025
まとめ
否定的な子供時代体験 (ACE) は 青少年が不安や鬱から 回復するのを妨げる一方 肯定的な子供時代体験 (PCE) は 回復を促す. 発見はACEを障壁として,PCEをメンタルヘルス回復のための重要なリソースとして強調しています.
科学分野:
- 子ども と 青少年 の 心理学
- メンタルヘルスの研究
- 公衆衛生
背景:
- 幼少期の不良体験 (ACE) と前向きな幼少期の経験 (PCE) は,不安やうつ病などの症状の発生と回復の両方に大きく影響します.
- 社会環境リスクと保護因子の枠組みは,ACEを障壁として,PCEを若者の精神的健康回復の促進者として理解するための基礎を提供します.
研究 の 目的:
- 累積的な不快な子供時代体験 (ACE) とポジティブな子供時代体験 (PCE) が,それぞれ,不安やうつ病からの青少年回復における障壁と促進者としての役割を調べる.
- 青少年における不安やうつ病からの回復に対するACEとPCEの線形効果と潜在的値効果の両方を調査する.
主な方法:
- 生涯不安 (n=6665) またはうつ病 (n=4086) を患った青少年を中心に,2020-2021年の全国児童健康調査 (n=33,705; 12歳から17歳) のデータを活用した.
- 段階的なロジスティック回帰モデルを使用し,継続的およびカテゴリ的 (低,中,高) ACEsおよびPCEsスコアを使用して,社会統計学的共変数を制御します.
- 線形効果のための連続スコアモデルと潜在的値効果のためのカテゴリ的サブグループモデルの両方を分析しました.
主要な成果:
- 累積ACEスコアが高くなったと,不安やうつ病からの回復率が低く,PCEスコアが高くなったと,共変数をコントロールした後の回復率が高くなった.
- 高ACEは低ACEと比較して回復確率を大幅に低下させ,中等ACEは有意な差異を示さなかった.
- うつ病では,ACEの平均値と高値の両方が回復確率を大幅に低下させた. 平均と高PCEは,不安とうつの両方の回復率を一貫して高めた.
結論:
- 幼少期の不良体験 (ACE) は重要な障壁として機能し,前向きな幼少期の経験 (PCE) は,不安やうつ病からの若者の回復を促進する促進的なリソースとして機能する.
- 結果は,ACEとPCEの線形的な効果を両方の状態で示し,特に不安に対して顕著な値効果が観察されました.
- 心理的障害を抱える若者の回復を促進するために,レジリエンス構築戦略と支援的な環境を通じてPCEを育むことを目的とした介入が推奨されています.
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