不利的童年经历和心理困扰:一个系统的审查和元分析
Xinyu Gao1, Gan Li2, Qing Yang3
1College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Asian journal of psychiatry
|March 6, 2026
概括
儿童不良经历 (ACE) 与成人心理困扰有关. 这一元分析证实了温和的正相关性,强调了在公共卫生中需要ACE查的必要性.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 童年不良经历 (ACE) 是心理痛苦的确立风险因素.
- 在ACE和成人心理痛苦之间的关联的精确强度需要定量合成.
研究的目的:
- 进行系统审查和元分析,综合将ACE与成人心理痛苦联系在一起的定量证据.
- 为了确定ACE和成年人的心理痛苦之间的整体相关性强度.
主要方法:
- 按照PRISMA指南进行预先注册的系统审查和元分析.
- 包括成人观察性研究,使用JBI检查清单进行质量评估.
- 随机效应元分析,从符合条件的研究中合成相关系数.
主要成果:
- 综述包括17项研究 (N=19,747),其中4项研究 (N=4023) 符合元分析的条件.
- 在ACE和心理痛苦之间发现了显著的,中度的正相关性 (汇总r=0.26,95%CI:0.21-0.31).
- 观察到低至中等的异质性 (I2 = 35.8%),敏感性分析表明稳定的聚合估计.
结论:
- 这一综合结合了关于ACEs与心理困境联系的证据.
- 强调必须将ACE查纳入公共卫生战略.
- 建议对潜在机制和有针对性的干预措施进行未来的研究.
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