米国の若者の不良の子供時代体験と消化器系症状: 心理社会的経路と保護的文脈
Sierra L Martin1,2, Jamie M Klapp3,4, Jacqueline Shiels5
1Department of Psychiatry, Center for the Study of Traumatic Stress, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Journal of pediatric gastroenterology and nutrition
|February 23, 2026
まとめ
家庭内の精神疾患や経済的不安などの不良な子供時代の経験は,小児の胃腸症状のリスクを大幅に高めます. 感情的苦痛と環境安全は,これらの影響を軽減することができます.
科学分野:
- 小児の健康に関する小児保健
- 胃腸内科 胃腸内科
- 心理社会的要因 心理社会的要因
背景:
- 幼児期の不良体験 (ACE) は,小児の胃腸 (GI) 疾患に関連しています.
- 特定のACEおよび修正要因は,効果的な介入のためのさらなる調査を必要とします.
研究 の 目的:
- 米国若者の胃腸症状と最も強く関連しているACEを特定する.
- これらの関連における感情的,行動的,環境的要因の役割を評価する.
主な方法:
- 73,055人の米国子供と青少年 (2021-2023年全国児童健康調査) の全国的に代表的なデータの分析.
- ACE識別のための最小絶対縮小とセレクションオペレータ回帰を用いた.
- 心理社会的および文脈的要因に対する従業員のメディエーションとモデレーションの分析.
主要な成果:
- 胃腸内症状は,子供の6%で報告されています.
- 家計における精神疾患 (aOR 1.56) と経済不安 (aOR 1.38) が最も強いACE予測要因でした.
- 近所の暴力,人種差別も重要;感情的/行動的困難,食料不安が仲介者としての役割を果たした.
結論:
- 家庭内の精神疾患と経済的不安は,小児の胃腸症状に関連した主要なACEです.
- 感情的苦痛と環境安全感は,これらのリスクを軽減することができます.
- 心理社会的および文脈的要因を統合することは,再発性胃腸内疾患の症状の管理と介入の指針を定める上で極めて重要です.
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