J Pediatr Health Care. 2019 Jan;33(1):42-52. doi: 10.1016/j.pedhc.2018.05.012. Epub 2018 Aug 23.
Research suggests that diverse examples of adverse childhood experiences (ACEs) may link to health. This study examines relationships between conventional (abuse, neglect, household dysfunction) and expanded examples (bullying, safety perceptions) of ACEs and adolescent mental health among youth participating in a statewide school-based survey.
Logistic regression was used to determine whether 10 types of conventional ACEs and 11 types of additional ACEs were associated with the odds of youth meeting cutoff scores for a positive Patient Health Questionnaire-2 (PHQ-2) after adjustment for demographic covariates and known mental health problems.
Individual and cumulative measures for conventional and expanded ACEs were significantly associated with youth odds of meeting criteria for a positive PHQ-2. Increasing frequency of bullying harassment was associated with a 1.5- to 5-fold increase in the odds of a positive PHQ-2.
Findings support consideration of broad concepts for adversity as relevant for youth mental health.
研究表明，不同类型的不良童年经历（ACEs）可能与健康有关。本研究调查了在全州范围内参与基于学校的调查的青少年中，传统（虐待、忽视、家庭功能障碍）和扩展（欺凌、安全感知）的 ACEs 与青少年心理健康之间的关系。
使用逻辑回归来确定 10 种传统 ACEs 和 11 种额外 ACEs 是否与青少年在调整人口统计学协变量和已知心理健康问题后达到积极的患者健康问卷-2（PHQ-2）临界值的几率相关。
传统和扩展 ACEs 的个体和累积指标与青少年达到积极 PHQ-2 的标准显著相关。欺凌骚扰的频率增加与积极 PHQ-2 的几率增加 1.5 到 5 倍相关。
研究结果支持将逆境的广泛概念视为与青少年心理健康相关的重要因素。
