J Pediatr Health Care. 2018 Nov-Dec;32(6):564-583. doi: 10.1016/j.pedhc.2018.04.021. Epub 2018 Jun 29.
Exposure to childhood adversity can result in negative behavioral and physical health outcomes due to potential long-term embedding into regulatory biological processes. Screening for exposure to adversity is a critical first step in identifying children at risk for developing a toxic stress response. We searched PubMed, PsycArticles, and CINAHL for studies published between January 1, 2012, and December 31, 2016, as well as other sources, to identify potential tools for measuring cumulative adversity in children and adolescents. We identified 32 tools and examined them for adversity categories, target population, administration time, administration qualifications and method, and reliability and validity. We also created a list of recommended tools that would be feasible for use by pediatric practitioners in most types of practice. This review provides a starting point for mobilizing screening in pediatric settings, highlighting the challenges with existing tools, and potential issues in the development and evaluation of future tools.
由于潜在的长期调节生物过程的嵌入，儿童期逆境暴露可能导致负面的行为和身体健康结果。筛查逆境暴露是识别有发展毒性应激反应风险的儿童的关键第一步。我们在 PubMed、PsycArticles 和 CINAHL 上搜索了 2012 年 1 月 1 日至 2016 年 12 月 31 日之间发表的研究，并查阅了其他来源，以确定用于测量儿童和青少年累积逆境的潜在工具。我们确定了 32 种工具，并检查了它们的逆境类别、目标人群、管理时间、管理资格和方法以及可靠性和有效性。我们还创建了一份推荐工具清单，这些工具在大多数类型的实践中都适合儿科医生使用。本综述为在儿科环境中进行筛查提供了一个起点，强调了现有工具的挑战，以及未来工具的开发和评估中潜在的问题。
