Vega-Arce Maribel, Núñez-Ulloa Gastón
Universidad Católica del Maule, Talca, Chile.
Escuela de Lenguaje San Clemente, San Clemente, Chile.
Bol Med Hosp Infant Mex. 2017 Nov-Dec;74(6):385-396. doi: 10.1016/j.bmhimx.2017.07.003. Epub 2017 Nov 22.
The aim of the present article was to describe available scientific publications detailing strategies and screening tools for Adverse Childhood Experiences in preschoolers (2 to 5 years of age). A scoping review of the topic was carried out through investigative articles published in peer review journals from January 1998 to June 2017 and indexed in seven international databases (Cochrane Library, EBSCO, PubMed, Science Direct, Springer, Web of Science and Scielo). The articles were selected based on predefined criteria, using limiters and manual screening. Twenty articles published between 1999 and 2017 were selected. The screening of adverse childhood experiences is performed through opportunistic recruitment in a professional context aimed at caregivers and children, which integrates training actions, application of screening tools and reception of identified cases. Screening tools differ between interviews and questionnaires. Furthermore, we report the periodicity of the screening, the behaviors and beliefs of the professionals against it and the barriers to its implementation. This review confirms that the screening of Adverse Childhood Experiences is an emerging topic in the research field. We emphasize the need to systematize and evaluate the strategies and tools for screening Adverse Childhood Experiences, as well as to develop local approaches to respond to the needs of children exposed to adversity.
本文的目的是描述详细介绍针对学龄前儿童(2至5岁)不良童年经历的策略和筛查工具的现有科学出版物。通过检索1998年1月至2017年6月发表在同行评审期刊上并被七个国际数据库(考克兰图书馆、EBSCO、PubMed、科学Direct、施普林格、科学网和Scielo)索引的调查性文章,对该主题进行了范围综述。文章根据预先定义的标准进行选择,使用了限制器和人工筛选。选取了1999年至2017年间发表的20篇文章。不良童年经历的筛查是通过在针对照顾者和儿童的专业背景下进行机会性招募来进行的,其中整合了培训行动、筛查工具的应用以及对已识别案例的接待。筛查工具在访谈和问卷之间有所不同。此外,我们报告了筛查的周期性、专业人员对此的行为和信念以及实施筛查的障碍。本综述证实,不良童年经历的筛查是研究领域中的一个新兴话题。我们强调需要对不良童年经历的筛查策略和工具进行系统化和评估,以及制定本地方法来满足遭受逆境儿童的需求。