不利的童年经历 (ACE):我们学到了什么,下一步是什么?
Annual review of public health
|November 17, 2025
概括
负面和积极的童年经历 (ACE / PCE) 研究正在扩大,但测量不一致性阻碍了理解. 提出了一个先进的框架,以澄清它们对健康和发展的终身影响.
科学领域:
- 公共卫生 公共卫生
- 发展心理学 发展心理学
- 创伤研究 创伤研究
背景情况:
- 童年创伤研究跨越多个学科,专注于识别,预防和减轻虐待.
- 从1998年的一项研究开始的不良童年经历 (ACE) 和积极童年经历 (PCE) 概念已经引起了大量的研究兴趣.
- 目前的ACE研究扩展到家庭和社区的逆境,但在操作化和测量方面缺乏共识.
研究的目的:
- 审查有关儿童发育,成人健康和代际结果的ACE/PCE现有研究.
- 讨论与ACE和PCE相关的测量挑战.
- 为公共卫生应用提出ACE/PCE的先进概念化.
主要方法:
- 对研究ACE/PCE及其发展,健康和代际影响的文献综述.
- 对ACE/PCE研究中的测量方法和不一致性的分析.
- 开发一个扩展的概念框架来理解ACE/PCE.
主要成果:
- 定义和测量ACE/PCE的不一致性限制了对其保护性或风险因素作用的理解.
- ACE/PCE影响儿童发育,成年人的健康,以及跨世代的结果.
- 语境和社会文化因素至关重要,但在ACE/PCE的测量中经常被忽视.
结论:
- 需要一个先进的,与情境相关的框架来阐明ACE/PCE的终身作用.
- 标准化的测量和考虑社会文化因素对于未来的研究和干预至关重要.
- 拟议的框架可以提高ACE/PCE研究在公共卫生中的实用性.
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