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对儿童健康风险未被认可的不利因素的贡献:大规模,基于人口的ACE查
Laura M Glynn1, Sabrina R Liu2, Charles Golden3,4
1Department of Psychology, Chapman University, Orange, CA.
medRxiv : the preprint server for health sciences
|February 20, 2025
概括
儿童不可预测性查与传统的ACE测量一起,可以更好地预测儿童健康结果. 该QUIC-5工具可以识别标准检查中错过的儿童,为儿科护理提供有价值的见解.
科学领域:
- 儿童心理学 儿童心理学
- 儿科健康结果的结果.
- 不利的童年经历 (ACEs) 研究研究.
背景情况:
- 现有的不良童年经历 (ACE) 屏幕对个体儿童健康的预测能力有限.
- 无法预测的家长和家庭信号代表了一个跨文化相关的ACE,通常不会被捕获.
- 儿童不可预测性五项调查问卷 (QUIC-5) 是为儿科诊所使用而开发的.
研究的目的:
- 评估使用QUIC-5和标准ACE测量的联合查是否能在现实临床环境中提高对儿童健康结果的预测.
- 评估将不可预测性查纳入常规儿科护理中的可行性和实用性.
主要方法:
- QUIC-5和儿科ACE和相关生活事件选器 (PEARLS) 在19个不同的儿科诊所进行了治疗.
- 数据包括儿童 (12岁以上) 和护理人员 (儿童0-17岁) 的反应.
- 29,305名儿童的健康诊断从电子健康记录中抽象出来.
主要成果:
- 无论是PEARLS还是QUIC-5,都显示了暴露增加与精神和身体健康诊断的更高概率之间的关联.
- 每个查器在大多数诊断中都提供了独特的预测贡献.
- QUIC-5独特地发现了患有抑郁症,肥胖和睡眠障碍的儿童,仅PEARLS就没有发现.
结论:
- 查不可预测性作为初级保健中额外的ACE是可行的和可以接受的.
- 这种方法提供了独特的,可操作的信息,用于识别儿童的精神病理和身体健康风险.
- 整合不可预测性查可以改善对脆弱儿童的早期识别和干预.
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