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童年逆境与新冠疫情引发的感知痛苦

Childhood Adversity and Perceived Distress from the COVID-19 Pandemic.

作者信息

Shreffler Karina M, Joachims Christine N, Tiemeyer Stacy, Simmons W Kyle, Teague T Kent, Hays-Grudo Jennifer

机构信息

Department of Human Development and Family Science, Oklahoma State University, 700 N. Greenwood Ave., Tulsa, OK 74106 USA.

Department of Pharmacology and Physiology, Oklahoma State University Center for Health Sciences, Tulsa, OK USA.

出版信息

Advers Resil Sci. 2021;2(1):1-4. doi: 10.1007/s42844-021-00030-0. Epub 2021 Jan 28.

DOI:10.1007/s42844-021-00030-0
PMID:33527096
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7841380/
Abstract

Childhood exposure to adversity may increase an individual's reactivity to subsequent stressors. In this paper, we examine how adverse childhood experiences (ACEs) are associated with experiencing greater perceived distress during the pandemic. In this volunteer clinical cohort study, 177 pregnant women (ages 16-38) were recruited from two university-affiliated perinatal clinics located in a small metropolitan city between October 2017 and May 2018. Longitudinal data collection is ongoing. The current study includes the 101 women who participated through the eighth and most recent survey conducted in mid-April 2020. OLS regression analyses were used to examine the association between childhood adversity and pandemic-related distress. We found that ACE scores were associated with higher levels of distress ( = .08; se = .03;  < .01) when controlling for demographic characteristics. The addition of loneliness to the model fully mediates the association between ACEs score and distress. Findings suggest that adverse childhood experiences influence COVID-19-related distress due to greater social isolation. Those who had greater adversity during childhood may be less likely to have the social connectedness needed to reduce distress due to the pandemic.

摘要

童年时期暴露于逆境可能会增加个体对后续压力源的反应性。在本文中,我们研究了童年不良经历(ACEs)与在疫情期间经历更大的感知痛苦之间的关联。在这项志愿者临床队列研究中,2017年10月至2018年5月期间,从位于一个小城市的两家大学附属围产期诊所招募了177名孕妇(年龄在16 - 38岁之间)。纵向数据收集正在进行中。当前研究包括在2020年4月中旬进行的第八次也是最近一次调查中参与的101名女性。采用普通最小二乘法回归分析来检验童年逆境与疫情相关痛苦之间的关联。我们发现,在控制人口统计学特征时,ACEs得分与更高水平的痛苦相关(β = 0.08;标准误 = 0.03;p < 0.01)。在模型中加入孤独感后,完全中介了ACEs得分与痛苦之间的关联。研究结果表明,童年不良经历会因更大的社会隔离而影响与COVID - 19相关的痛苦。童年时期经历更多逆境的人可能不太可能拥有减轻疫情所致痛苦所需的社会联系。

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