Brigham Young University, Department of Public Health, USA.
Brigham Young University, Department of Public Health, USA.
Child Abuse Negl. 2019 Oct;96:104089. doi: 10.1016/j.chiabu.2019.104089. Epub 2019 Jul 27.
Numerous studies over the past two decades have found a link between adverse childhood experiences (ACEs) and worse adult health outcomes. Less well understood is how advantageous childhood experiences (counter-ACEs) may lead to better adult health, especially in the presence of adversity.
To examine how counter-ACEs and ACEs affect adult physical and mental health using Resiliency Theory as the theoretical framework.
Participants were Amazon mTurk users ages 19-57 years (N = 246; 42% female) who completed an online survey.
We conducted a series of regression analyses to examine how counter-ACEs and ACEs predicted adult health.
Corresponding to the Compensatory Model of Resiliency Theory, higher counter-ACEs scores were associated with improved adult health and that counter-ACEs neutralized the negative impact of ACEs on adult health. Contrary to the Protective Factors Model, there was a stronger relationship between ACEs and worse adult health among those with above average counter-ACEs scores compared to those with below average counter-ACEs scores. Consistent with the Challenge Model, counter-ACEs had a reduced positive effect on adult health among those with four or more ACEs compared to those with fewer than four ACEs.
Overall, the findings suggest that counter-ACEs protect against poor adult health and lead to better adult wellness. When ACEs scores are moderate, counter-ACEs largely neutralize the negative effects of ACEs on adult health. Ultimately, the results demonstrate that a public health approach to promoting positive childhood experiences may promote better lifelong health.
过去二十年来的众多研究发现，不良童年经历（ACEs）与较差的成年健康结果之间存在关联。不太为人所知的是，有利的童年经历（反 ACEs）如何可能导致更好的成年健康，尤其是在存在逆境的情况下。
使用弹性理论作为理论框架，研究反 ACEs 和 ACEs 如何影响成年的身心健康。
参与者为亚马逊 mTurk 用户，年龄在 19-57 岁之间（42%为女性），他们完成了一项在线调查。
我们进行了一系列回归分析，以研究反 ACEs 和 ACEs 如何预测成年健康。
与弹性理论的补偿模型相对应，较高的反 ACEs 分数与成年健康的改善有关，并且反 ACEs 减轻了 ACEs 对成年健康的负面影响。与保护因素模型相反，在反 ACEs 得分高于平均水平的人群中，ACEs 与成年健康状况较差之间的关系比反 ACEs 得分低于平均水平的人群更强。与挑战模型一致，与 ACEs 少于四个的人群相比，ACEs 为四个或更多的人群中，反 ACEs 对成年健康的积极影响降低。
总体而言，这些发现表明反 ACEs 可预防成年健康不良，并导致更好的成年健康。当 ACEs 分数适中时，反 ACEs 很大程度上减轻了 ACEs 对成年健康的负面影响。最终，结果表明，促进积极童年经历的公共卫生方法可能会促进终生健康。
