Department of Epidemiology and Biostatistics, College for Public Health and Social Justice, Salus Center, Saint Louis University, 3545 Lafayette Avenue, 63104, Saint Louis, MO, USA.
Child Psychiatry Hum Dev. 2019 Aug;50(4):668-680. doi: 10.1007/s10578-019-00871-y.
This study aimed to determine the relationship between latent classes of adverse childhood experience (ACEs) and internalizing disorders (anxiety and depression) among US children. The 2016 National Survey of Children's Health data for children aged 6-17 was used. Latent class analysis was performed to identify distinct sub-types of ACE exposures and survey-weighted logistic regression models were employed to determine whether these classes were associated with any or comorbid childhood internalizing disorders, after controlling for meaningful covariates. Four latent classes were identified: income hardship, divorce, mental health or substance abuse exposure, and high ACEs overall. Children in three of the four classes were significantly more likely to have any childhood internalizing disorder when compared to children reporting no ACEs, while children in all classes were significantly more likely to have a comorbid history of anxiety and depression. Thus, children exposed to ACEs should receive necessary mental health screenings and treatments.
本研究旨在确定美国儿童中潜在的不良童年经历 (ACE) 类别与内化障碍（焦虑和抑郁）之间的关系。使用了 2016 年全国儿童健康调查的数据，调查对象为 6-17 岁的儿童。采用潜在类别分析来识别 ACE 暴露的不同亚型，并采用调查加权逻辑回归模型，在控制有意义的协变量后，确定这些类别是否与任何或共患的儿童内化障碍相关。确定了四个潜在类别：收入困难、离婚、心理健康或药物滥用暴露以及总体 ACE 高。与没有 ACE 报告的儿童相比，四类中的三类儿童发生任何儿童内化障碍的可能性显著更高，而所有类别的儿童发生共患焦虑和抑郁病史的可能性也显著更高。因此，暴露于 ACE 的儿童应接受必要的心理健康筛查和治疗。
