CentERdata, Tilburg, The Netherlands.
Tilburg University's Network on Health and Labour (NETHLAB), Tilburg, The Netherlands.
J Ment Health. 2022 Oct;31(5):683-691. doi: 10.1080/09638237.2021.1922633. Epub 2021 May 24.
The negative effects of single and multiple adverse childhood experiences (ACE) on adult mental health are well-documented. However, little is known about the prevalence of chronic mental health problems (MHPs) and use of mental health services (MHSs) compared to adults without an ACE history.
Examine differences in the prevalence of chronic MHP and MHS use between adults without and with a single and multiple ACE history, and MHS use among ACE and no-ACE adults with chronic MHP.
A 6-year longitudinal study was conducted based on a random sample of the Dutch adult population ( = 2427).
Multivariate logistic regression analyses showed that adults with a single ( = 280) and multiple ACE ( = 92) history suffered more often from chronic MHP such as chronic depressive and anxiety symptoms. Both ACE subgroups also made greater use of MHS than no-ACE adults ( = 2055). Multiple ACE compared to single ACE, increased the risk of MHP. However, among those with chronic MHP respondents with and without an ACE history did not differ in MHS use.
ACE history is strongly related to chronic MHP and persistent use of MHS. However, MHS use among those with chronic MHP is not related to an ACE history.
单一和多种不良童年经历（ACE）对成年人心理健康的负面影响已得到充分证实。然而，与没有 ACE 病史的成年人相比，人们对慢性心理健康问题（MHP）的患病率和对心理健康服务（MHS）的使用知之甚少。
研究有无 ACE 病史的成年人中慢性 MHP 的患病率和 MHS 使用情况的差异，以及 ACE 和无 ACE 慢性 MHP 成年人的 MHS 使用情况。
基于荷兰成年人群体的随机样本（ = 2427）进行了一项为期 6 年的纵向研究。
多变量逻辑回归分析显示，有单一 ACE（ = 280）和多种 ACE（ = 92）病史的成年人更常患有慢性 MHP，如慢性抑郁和焦虑症状。与无 ACE 成年人（ = 2055）相比，这两个 ACE 亚组对 MHS 的使用也更多。与单一 ACE 相比，多种 ACE 增加了 MHP 的风险。然而，在患有慢性 MHP 的受访者中，有 ACE 病史和无 ACE 病史的人在 MHS 使用方面没有差异。
ACE 病史与慢性 MHP 和持续使用 MHS 密切相关。然而，患有慢性 MHP 的人对 MHS 的使用与 ACE 病史无关。
