从ACE到早期的关系健康:对临床实践的影响
1Canadian Paediatric Society, Early Years Task Force, Ottawa, Ontario, Canada.
Paediatrics & child health
|September 25, 2023
概括
专注于儿科的关系健康促进了积极的童年经历 (PCE) 而不是不良的童年经历 (ACE). 这种方法建立了弹性,并通过安全,培养关系,无论年龄,支持儿童的发展.
科学领域:
- 儿童发展 儿童发展
- 儿科健康 儿科健康
- 临床心理学 临床心理学
背景情况:
- 儿童的发展受到关系环境的深刻影响.
- 安全,稳定和培养关系对于建立弹性至关重要.
- 不利的童年经历 (ACE) 可以对发展产生负面影响,但积极的童年经历 (PCE) 可以缓冲这些影响.
研究的目的:
- 将临床实践从专注于ACE转变为促进关系健康和PCE.
- 为临床医生提供一个框架,将关系健康方法纳入儿科护理.
- 突出了解儿童发育中的有毒压力和保护因素的重要性.
主要方法:
- 描述了有毒压力的概念及其对大脑发育,家庭动态和儿童结果的影响.
- 解释了如何积极的关系,经验和行为可以减轻有毒压力的影响.
- 识别了亲子互动中关系健康和风险的可观测指标.
- 概述了与家庭建立信任,治疗关系的特点.
- 建议通过临床对话和实践优化关系健康益处的策略.
主要成果:
- 一种关系健康方法强调家庭的优势和资产.
- 这种方法可以整合到一般的健康儿童访问和专门的儿科护理中.
- 虽然早期干预 (产前到3岁) 是最优的,但干预在任何阶段都是有益的.
结论:
- 临床医生可以通过在所有医疗接触中优先考虑关系健康来培养弹性和积极的儿童发展.
- 了解和应对有毒压力,同时促进积极的互动,是支持儿童福祉的关键.
- 关系健康框架使临床医生能够与家庭建立强大的治疗联盟,提高发展结果.
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