Wikenius Ellen
The Medical Faculty, University of Oslo, Problemveien 7, 0315 Oslo, Norway.
J Child Adolesc Trauma. 2020 Feb 5;14(1):161-163. doi: 10.1007/s40653-020-00303-3. eCollection 2021 Mar.
Early life is a sensitive period in which social experience provides essential information for normal development (Johnson and Blasco (7), 224-242, 1997). Studies have shown that having a loving, primary caregiver early in life acts as a protective factor against social and emotional maladjustments later in life (Egeland and Hiester (2), 474-485, 1995), while the exposure to childhood adversities, such as child abuse and neglect, have been associated with increased risk of developing diseases later in life (Felitti et al. (4), 245-258, 1998). Data based on reports by American child protective service agencies estimated that with little change over the last four years, more than 700,000 children were victims of child abuse and neglect in the US alone every year (Child Trends Data Bank 2019). The biological mechanisms involved in the associations between childhood adversities and disease development are not known, but it is likely that child abuse and neglect do influence fundamental biological processes (Mehta et al. (20), 8302-8307, 2013) and epigenetic alteration has been suggested as one such biological mechanism regulating these interactions (Tammen et al. (4), 753-764, 2013).
早年是一个敏感期,在这个时期社会经历为正常发育提供重要信息(约翰逊和布拉斯科(7),224 - 242页,1997年)。研究表明,早年有一位充满爱心的主要照顾者是预防日后社会和情感适应不良的保护因素(埃格兰德和希斯特(2),474 - 485页,1995年),而童年时期遭受虐待和忽视等逆境与日后患疾病的风险增加有关(费利蒂等人(4),245 - 258页,1998年)。根据美国儿童保护服务机构的报告数据估计,在过去四年里变化不大,仅在美国每年就有超过70万名儿童是虐待和忽视的受害者(儿童趋势数据库,2019年)。童年逆境与疾病发展之间关联所涉及的生物学机制尚不清楚,但虐待和忽视很可能确实会影响基本的生物学过程(梅塔等人(20),8302 - 8307页,2013年),并且表观遗传改变已被认为是调节这些相互作用的一种生物学机制(坦门等人(4),753 - 764页,2013年)。