中年和老年人中的不良童年经历和昼夜综合征:全国样本的多方法分析
Xue Wang1, Huaxin Si1, Yanyan Li1
1School of Nursing, Peking University, No. 38 Xueyuan Road, Haidian District, Beijing 100191, China.
Maturitas
|August 23, 2025
概括
儿童不良体验 (ACE) 与昼夜综合征 (CircS) 有关. 身体虐待和家庭精神疾病等特定的ACE显著增加了CircS风险,强调了早期查的必要性.
科学领域:
- 精神病学
- 公共卫生
- 流行病学
背景情况:
- 儿童不良经历 (ACE) 越来越多地被认为对长期健康有不利影响.
- 在了解将各种ACE与昼夜节律障碍联系在一起的具体途径方面存在重大差距.
研究的目的:
- 使用隐性类分析识别ACE的不同模式.
- 研究这些ACE模式与昼夜综合征 (CircS) 之间的关联.
- 通过网络分析,探索特定ACE与CircS的关键性.
主要方法:
- 对7896名参与者的数据集进行了潜在类别分析,以对ACE进行分类.
- 使用通用线性和二进制逻辑回归模型来评估ACE和CircS之间的关系.
- 使用网络分析来确定影响CircS的关键ACE.
主要成果:
- 确定了三个不同的ACE类别:"家庭精神疾病"",身体虐待和欺凌"和"低ACE".
- 更高的累积ACE暴露和特定类型的ACE,特别是"身体虐待和欺凌",与CircS的增加有显著的关联.
- 在网络分析中,家庭精神疾病,家庭暴力,欺凌和身体虐待成为核心节点,表明它们对CircS的影响很大.
结论:
- 这项研究提供了细微的了解,不同类型的ACE如何导致昼夜功能障碍.
- 这些发现强调了对一系列ACE进行查至关重要,以减轻它们对昼夜健康的不良影响.
- 针对已识别的中央ACE进行干预可能有助于减少CircS的负担.
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