1 Nelda C. Stark College of Nursing, Texas Woman's University , Houston, Texas.
2 Center for Research Design and Analysis, Texas Woman's University , Houston, Texas.
J Womens Health (Larchmt). 2018 Jan;27(1):64-71. doi: 10.1089/jwh.2016.5969. Epub 2017 May 12.
Adverse childhood experiences (ACEs) have been empirically linked to a host of negative health outcomes, both physical and psychosocial. Exposures to ACEs make individuals more susceptible to conditions such as cardiovascular disease, diabetes, cancers, and depression. Many of these conditions do not appear until sometime in adolescence or adulthood and have been linked to premature death.
This study explores the association between the number and type of exposure to ACEs in women (mothers) who experienced intimate partner violence and health outcomes. Specifically, it explores the association between maternal ACEs and maternal perceived health and maternal mental and behavioral health. This study also explores the association between ACEs and child behavior.
This analysis is part of a 7-year prospective study. A cohort of 300 mother-child pairs was assessed at baseline and every 4 months after reaching out for shelter or justice services for the very first time after being in an abusive intimate relationship.
Data document individual mothers' ACE scores and show a trend at 12 months, 24 months, and is most significant at 36 months. Additionally, at 36 months, higher ACE scores were significantly associated with all child behavioral subscales (anxiety, depression, aggressive behavior, attention problems, internalizing, externalizing).
The women in this study reported ACE scores consistently higher than national rates. Our data highlight the added benefit of using ACE criteria as a global prevention strategy to identify those most at risk for delayed mental and behavioral health issues and to intervene with supportive strategies and guided referrals as indicated.
负面的童年经历（ACEs）已被实证与许多负面的健康结果相关联，包括身体和心理社会方面。暴露于 ACEs 会使个体更容易患上心血管疾病、糖尿病、癌症和抑郁症等疾病。许多这些疾病直到青春期或成年后才会出现，并与早逝有关。
本研究探讨了经历亲密伴侣暴力的女性（母亲）中 ACEs 的数量和类型与健康结果之间的关联。具体来说，它探讨了母亲 ACEs 与母亲感知健康以及母亲心理和行为健康之间的关联。本研究还探讨了 ACEs 与儿童行为之间的关联。
这项分析是一项为期 7 年的前瞻性研究的一部分。一个由 300 对母子组成的队列在基线时进行评估，并在首次因遭受虐待的亲密关系而寻求庇护或司法服务后，每 4 个月评估一次。
数据记录了个体母亲的 ACE 分数，并在 12 个月、24 个月和 36 个月时呈现出趋势。此外，在 36 个月时，更高的 ACE 分数与所有儿童行为子量表（焦虑、抑郁、攻击行为、注意力问题、内化、外化）显著相关。
本研究中的女性报告的 ACE 分数始终高于全国水平。我们的数据强调了使用 ACE 标准作为一种全球预防策略的额外益处，以识别那些最有可能出现延迟的心理和行为健康问题的人，并根据需要采用支持性策略和有针对性的转介进行干预。
