Crouch Elizabeth, Radcliff Elizabeth, Strompolis Melissa, Srivastav Aditi
1South Carolina Rural Health Research Center, Arnold School of Health, University of South Carolina, 220 Stoneridge Drive, Suite 204, Columbia, SC 29210 USA.
Children's Trust of South Carolina, Columbia, SC USA.
J Child Adolesc Trauma. 2018 May 25;12(2):165-173. doi: 10.1007/s40653-018-0217-9. eCollection 2019 Jun.
Protective factors can build resilience and potentially moderate the long-term impact of adverse childhood experiences (ACEs). To better understand the role of protective factors, this study examines the relationship of two protective factors focused on safe, stable and nurturing relationships, ACEs, and self-reported mental and physical health outcomes among a representative adult sample from the South Carolina Behavioral Risk Factor Surveillance System. Protective factors were assessed as potential moderators of ACEs and poor self-reported physical and mental health in multivariate logistic regression analyses. Respondents exposed to four or more ACEs who grew up with an adult who made them feel safe and protected were less likely to report frequent mental distress or poor health. The use of protective factors may be an effective prevention strategy for ACEs and its associated outcomes and may serve as a mechanism to "break the cycle" of childhood trauma.
保护因素可以增强恢复力，并有可能减轻童年不良经历（ACEs）的长期影响。为了更好地理解保护因素的作用，本研究在南卡罗来纳行为风险因素监测系统的一个具有代表性的成年样本中，考察了两个侧重于安全、稳定和滋养性关系的保护因素、ACEs以及自我报告的身心健康结果之间的关系。在多变量逻辑回归分析中，保护因素被评估为ACEs以及自我报告的身心健康不佳的潜在调节因素。在有四个或更多ACEs经历且成长过程中有让他们感到安全和受保护的成年人陪伴的受访者中，报告频繁精神困扰或健康不佳的可能性较小。使用保护因素可能是预防ACEs及其相关后果的有效策略，并且可能作为一种“打破”童年创伤“循环”的机制。
