Virginia Commonwealth University, School of Social Work, Academic Learning Commons, 1000 Floyd Avenue, Third Floor, Box 842027, Richmond, VA 23284-2027, United States; Virginia Commonwealth University, School of Medicine, Department of Psychiatry, 1200 East Broad Street, P.O. Box 980710, Richmond, VA 23298-071, United States.
Virginia Commonwealth University, School of Social Work, Academic Learning Commons, 1000 Floyd Avenue, Third Floor, Box 842027, Richmond, VA 23284-2027, United States.
Child Abuse Negl. 2018 Nov;85:118-126. doi: 10.1016/j.chiabu.2018.07.028. Epub 2018 Aug 29.
The influence of adverse childhood experiences (ACEs), which often include childhood exposure to maltreatment and household dysfunction, on health risk behaviors during young adulthood has been widely documented. A vulnerability marker for the increased risky behaviors among young ACEs victims such as impulsivity remains to be explored. The present study investigated how different profiles of ACEs influence impulsivity in young adulthood. Respondents were young people (N = 336; ages 18-25) who were recruited from the community. Latent class analysis (LCA) was used to identify subpopulations of individuals based on varying exposure to 13 types of ACEs, including childhood maltreatment, household dysfunction, and community violence. Four distinct classes emerged: Low ACEs (56%), Household Dysfunction/Community Violence (14%), Emotional ACEs (14%), and High/Multiple ACEs (16%). Multiple regression analyses found that compared to those in the Low ACEs class, young adults in the Emotional ACEs and High/Multiple ACEs respectively, reported increased levels of negative urgency, controlling for sociodemographic characteristics and other impulsivity traits. This result suggests that childhood exposure to multiple ACEs at high levels is particularly related to impulsive self-control in the context of intense negative emotionality.
不良童年经历(ACEs)的影响,通常包括儿童时期遭受虐待和家庭功能障碍,对年轻人的健康风险行为有广泛的影响。脆弱性标志物表明,年轻 ACE 受害者的风险行为增加,如冲动性,仍然需要探索。本研究调查了不同 ACEs 对年轻人冲动性的影响。受访者是来自社区的年轻人(N=336;年龄 18-25 岁)。使用潜在类别分析(LCA)根据 13 种 ACE(包括儿童期虐待、家庭功能障碍和社区暴力)的不同暴露情况,对个体进行亚群分类。共出现四个不同的类别:低 ACEs(56%)、家庭功能障碍/社区暴力(14%)、情绪 ACEs(14%)和高/多重 ACEs(16%)。多元回归分析发现,与低 ACEs 类别的年轻人相比,情绪 ACEs 和高/多重 ACEs 类别的年轻人分别报告了更高水平的消极冲动,控制了社会人口特征和其他冲动特征。这一结果表明,儿童时期暴露于高水平的多种 ACEs 与强烈的消极情绪背景下的冲动自我控制特别相关。
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