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科学、实践与不良儿童经历相关政策:构建对话框架。

Science, practice, and policy related to adverse childhood experiences: Framing the conversation.

机构信息

Department of Public Health Sciences, The University of North Carolina at Charlotte.

Office of the President, Pacific Northwest University of Health Sciences.

出版信息

Am Psychol. 2021 Feb-Mar;76(2):181-187. doi: 10.1037/amp0000809.

Abstract

Adverse childhood experiences (ACEs) detrimentally affect health outcomes in childhood, adolescence, and adulthood. Over the past 2 decades, the recognition of ACEs by scientists and professionals across disciplines, policymakers, and the public has evolved and expanded. Although the initial articulation of ACEs in Felitti et al.'s landmark study has formed the basis of subsequent investigations on the long-term impact of childhood adversities on health and health risk behaviors, a wider public health framework, inclusive of psychology and other social sciences, also shapes current conceptualizations, research, practice, and policies. This article provides an overview of the special issue Adverse Childhood Experiences: Translating Research to Action. Given the rapid expansion and widespread application of ACEs, this special issue was developed to articulate critical concepts, to demonstrate the significance and relevance of psychological research and practice, and to catalyze further efforts to develop effective programs and policies informed by science. The 15 articles included reflect the continuum of critical work being conducted in research, practice, intervention and prevention programs, and public policy and serve to synthesize the growing body of empirical evidence. The overarching themes that emerged are framed as 3 essential questions: (a) How broadly should ACEs be defined?, (b) How should ACEs be assessed?, and (c) How can ACEs science translate into high quality services? As illustrated in these articles, policy and practice applications deriving from psychology as a hub science can substantially benefit the health and mental health of children, adolescents, and adults. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

童年逆境经历(ACEs)会对儿童、青少年和成年期的健康结果产生不利影响。在过去的 20 年中,科学家和跨学科专业人员、政策制定者和公众对 ACEs 的认识不断发展和扩大。尽管 Felitti 等人的标志性研究中最初提出的 ACEs 构成了后续对儿童期逆境对健康和健康风险行为的长期影响的调查基础,但更广泛的公共卫生框架,包括心理学和其他社会科学,也影响了当前的概念化、研究、实践和政策。本文概述了《童年逆境经历特刊:将研究转化为行动》。鉴于 ACEs 的快速扩展和广泛应用,本特刊旨在阐明关键概念,展示心理学研究和实践的重要性和相关性,并进一步推动科学指导下制定有效计划和政策的努力。包含的 15 篇文章反映了正在进行的研究、实践、干预和预防计划以及公共政策方面的重要工作的连续性,并综合了越来越多的经验证据。出现的总体主题被框定为 3 个基本问题:(a) ACEs 应该如何广泛定义?(b) ACEs 应该如何评估?(c) ACEs 科学如何转化为高质量的服务?正如这些文章所表明的,作为枢纽科学的心理学的政策和实践应用可以极大地促进儿童、青少年和成年人的健康和心理健康。(PsycInfo 数据库记录(c)2021 APA,保留所有权利)。

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