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不良和良性童年经历可预测新冠疫情期间的心理健康状况。

Adverse and Benevolent Childhood Experiences Predict Mental Health During the COVID-19 Pandemic.

作者信息

Doom Jenalee R, Seok Deborah, Narayan Angela J, Fox Kathryn R

机构信息

Department of Psychology, University of Denver, 2155 S. Race St, Denver, CO 80210 USA.

出版信息

Advers Resil Sci. 2021;2(3):193-204. doi: 10.1007/s42844-021-00038-6. Epub 2021 Apr 23.

Abstract

Adverse childhood experiences (ACEs) are associated with poorer adult mental health, and benevolent childhood experiences (BCEs) are associated with better adult mental health. This study aims to test whether ACEs and BCEs predict adult mental health above and beyond current stress and social support during the COVID-19 pandemic. We analyzed data from undergraduate and graduate students ( = 502) at an urban private university in the Western United States. An online survey was conducted to assess ACEs and BCEs, current stress and social support, depressive and anxiety symptoms, perceived stress, and loneliness in May 2020. Higher levels of ACEs were associated with higher levels of depressive symptoms, = 0.45, = 0.002. Higher levels of BCEs were associated with lower depressive symptoms, = -0.39, = 0.03; lower perceived stress, = -0.26, = 0.002; and less loneliness, = -0.12, = 0.04. These associations held while controlling for current stress, social support, and socioeconomic status. Childhood experiences are associated with mental health during the COVID-19 pandemic. BCEs should be considered an important promotive factor, independent of ACEs, for psychological well-being during a global public health crisis. BCEs should be included along with ACEs in future research, assessment, and screening with distressed and vulnerable populations.

摘要

童年不良经历(ACEs)与成年人较差的心理健康状况相关,而童年良性经历(BCEs)则与成年人较好的心理健康状况相关。本研究旨在检验在2019冠状病毒病大流行期间,ACEs和BCEs能否在当前压力和社会支持之外预测成年人的心理健康状况。我们分析了美国西部一所城市私立大学的本科生和研究生(n = 502)的数据。于2020年5月进行了一项在线调查,以评估ACEs和BCEs、当前压力和社会支持、抑郁和焦虑症状、感知压力以及孤独感。较高水平的ACEs与较高水平的抑郁症状相关,r = 0.45,p = 0.002。较高水平的BCEs与较低的抑郁症状相关,r = -0.39,p = 0.03;较低的感知压力,r = -0.26,p = 0.002;以及较少的孤独感,r = -0.12,p = 0.04。在控制了当前压力、社会支持和社会经济地位后,这些关联依然成立。在2019冠状病毒病大流行期间,童年经历与心理健康相关。BCEs应被视为在全球公共卫生危机期间促进心理健康的一个重要因素,独立于ACEs。在未来针对困境人群和弱势群体的研究、评估及筛查中,应将BCEs与ACEs一同纳入考量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8196/8062213/fb7e4323a220/42844_2021_38_Fig1_HTML.jpg

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