美国的不良儿童经历与主观认知衰退。
Adverse Childhood Experiences and Subjective Cognitive Decline in the US.
机构信息
Department of Epidemiology and Biostatistics, Arnold School of Public Health, 49112University of South Carolina, Columbia, SC, USA.
South Carolina SmartState Center for Healthcare Quality, Arnold School of Public Health, 49112University of South Carolina, Columbia, SC, USA.
出版信息
J Appl Gerontol. 2022 Apr;41(4):1090-1100. doi: 10.1177/07334648211058718. Epub 2021 Dec 13.
Abstract
OBJECTIVE
The aim of this study was to determine the association between adverse childhood experiences (ACEs) and subjective cognitive decline (SCD) among a representative sample of the adult US population.
METHODS
Data were obtained from the 2019 Behavioral Risk Factor Surveillance System ( = 82,688, ≥45 years). Adverse childhood experiences included sexual, physical/psychological and environmental ACEs, and a score. Multivariable logistic regression was used to determine the association between ACEs and SCD, and SCD-related outcomes.
RESULTS
Sexual (adjusted OR (aOR: 2.83; 95% CI: 2.42-3.31)), physical/psychological (aOR: 2.05; 95% CI: 1.83-2.29), and environmental (aOR: 1.94; 95% CI: 1.74-2.16) ACEs were associated with SCD in the past year. There was also a dose-response relationship between ACE score and SCD.
CONCLUSION
ACEs were associated with SCD. Interventions to maximize cognitive health in aging and prevent future cognitive impairment should consider the potential role of ACEs among affected populations.
摘要
目的
本研究旨在确定美国成年人代表性样本中，不良童年经历（ACEs）与主观认知下降（SCD）之间的关联。
方法
数据来自 2019 年行为风险因素监测系统（=82688 人，年龄≥45 岁）。不良童年经历包括性、身体/心理和环境 ACEs，以及 ACE 评分。多变量逻辑回归用于确定 ACEs 与 SCD 以及 SCD 相关结局之间的关联。
结果
性（调整后的比值比（aOR：2.83；95%CI：2.42-3.31））、身体/心理（aOR：2.05；95%CI：1.83-2.29）和环境（aOR：1.94；95%CI：1.74-2.16）ACEs 与过去一年的 SCD 相关。ACE 评分与 SCD 之间也存在剂量反应关系。
结论
ACEs 与 SCD 相关。为了在老龄化过程中最大限度地提高认知健康并预防未来的认知障碍，应考虑受影响人群中 ACEs 的潜在作用。
相似文献
1
Adverse Childhood Experiences and Subjective Cognitive Decline in the US.美国的不良儿童经历与主观认知衰退。
J Appl Gerontol. 2022 Apr;41(4):1090-1100. doi: 10.1177/07334648211058718. Epub 2021 Dec 13.
2
Adverse childhood experience categories and subjective cognitive decline in adulthood: an analysis of the Behavioral Risk Factor Surveillance System.不良儿童经历类别与成年人主观认知衰退：行为风险因素监测系统分析。
J Osteopath Med. 2022 Nov 8;123(3):125-133. doi: 10.1515/jom-2022-0140. eCollection 2023 Mar 1.
3
Linking Adverse Childhood Experiences and Other Risk Factors to Subjective Cognitive Decline in an Aging Population.将不良童年经历和其他风险因素与老年人群的主观认知衰退联系起来。
Prev Chronic Dis. 2023 Dec 21;20:E115. doi: 10.5888/pcd20.230182.
4
The Relationship Between Adverse Childhood Experiences and Subjective Cognitive Decline Based on Sexual Orientation.基于性取向的童年不良经历与主观认知衰退之间的关系
Clin Gerontol. 2025 Jan-Feb;48(1):75-83. doi: 10.1080/07317115.2023.2282484. Epub 2023 Nov 13.
5
Association of adverse childhood experiences with poor health condition among middle-aged and elderly adults in the United States: A nationally retrospective cohort study.美国中老年人群中不良童年经历与健康状况不佳的关联：一项全国性回顾性队列研究。
Psychiatry Res. 2024 Aug;338:115977. doi: 10.1016/j.psychres.2024.115977. Epub 2024 May 25.
6
Adverse childhood experiences, sexual risk-taking and non-consensual sexual experiences in a nationally representative study of 15-29-year-old Danes.丹麦全国代表性研究调查了 15-29 岁年轻人，分析了童年不良经历、性冒险行为与非自愿性行为之间的关系。
Child Abuse Negl. 2024 May;151:106720. doi: 10.1016/j.chiabu.2024.106720. Epub 2024 Mar 11.
7
Sexual Identity, Adverse Childhood Experiences, and Suicidal Behaviors.性认同、不良童年经历与自杀行为。
J Adolesc Health. 2018 Feb;62(2):198-204. doi: 10.1016/j.jadohealth.2017.09.022. Epub 2017 Dec 6.
8
Association of Team Sports Participation With Long-term Mental Health Outcomes Among Individuals Exposed to Adverse Childhood Experiences.参与团队运动与经历过不良童年经历的个体的长期心理健康结果之间的关联。
JAMA Pediatr. 2019 Jul 1;173(7):681-688. doi: 10.1001/jamapediatrics.2019.1212.
9
Adverse childhood experiences and their impacts on subsequent depression and cognitive impairment in Chinese adults: A nationwide multi-center study.中文译文：中国成年人的不良童年经历及其对随后抑郁和认知障碍的影响：一项全国多中心研究。
J Affect Disord. 2023 Feb 15;323:884-892. doi: 10.1016/j.jad.2022.12.058. Epub 2022 Dec 22.
10
Rural-urban differences in exposure to adverse childhood experiences among South Carolina adults.南卡罗来纳州成年人童年不良经历暴露情况的城乡差异。
Rural Remote Health. 2018 Feb;18(1):4434. doi: 10.22605/RRH4434. Epub 2018 Feb 21.
引用本文的文献
1
Adverse childhood experiences influence markers of neurodegeneration risk in older adults.童年不良经历会影响老年人神经退行性变风险的标志物。
Alzheimers Dement. 2025 Aug;21(8):e70523. doi: 10.1002/alz.70523.
2
The Role of Childhood Adversity and Social Drivers of Health in Subjective Cognitive Decline.童年逆境和健康的社会驱动因素在主观认知衰退中的作用。
Prev Chronic Dis. 2025 Jul 17;22:E42. doi: 10.5888/pcd22.250116.
3
Cognitive impairment and dementia-Are they linked to childhood health and socioeconomic status? A systematic review.认知障碍与痴呆——它们与儿童期健康及社会经济地位有关联吗？一项系统综述。
PLoS One. 2025 Mar 27;20(3):e0311074. doi: 10.1371/journal.pone.0311074. eCollection 2025.
4
Adverse Childhood Experiences and Subjective Cognitive Decline Among Transgender Adults.跨性别成年人童年不良经历与主观认知衰退
J Nurs Scholarsh. 2025 May;57(3):431-438. doi: 10.1111/jnu.13047. Epub 2025 Jan 29.
5
The impact of adverse childhood experiences on pain and subjective cognitive decline in patients treated for localized breast cancer: The mediating role of sense of coherence, sense of danger and psychosocial distress and danger.童年不良经历对局部乳腺癌患者疼痛及主观认知衰退的影响：连贯感、危险感、心理社会困扰及危险感的中介作用
Breast. 2025 Apr;80:103884. doi: 10.1016/j.breast.2025.103884. Epub 2025 Jan 17.
6
The mediating role of life course cognitive reserve-enhancing factors in the relationship between adverse childhood experiences and dementia among older adults: evidence from a prospective cohort study in the United States.生命历程认知储备增强因素在老年人不良童年经历与痴呆症关系中的中介作用：来自美国一项前瞻性队列研究的证据
Soc Psychiatry Psychiatr Epidemiol. 2025 May;60(5):1063-1075. doi: 10.1007/s00127-024-02800-4. Epub 2024 Dec 4.
7
No Association Found: Adverse Childhood Experiences and Cognitive Impairment in Older Australian Adults.未发现关联：不良童年经历与老年澳大利亚成年人认知障碍的关系。
J Prev Alzheimers Dis. 2024;11(6):1818-1825. doi: 10.14283/jpad.2024.133.
8
Examination of Congruity between Subjective and Objective Working Memory in Veterans with Mild TBI and Relation to Psychiatric Symptoms and Childhood Trauma.轻度创伤性脑损伤退伍军人主观和客观工作记忆的一致性及其与精神症状和童年创伤的关系研究
Behav Sci (Basel). 2024 Oct 11;14(10):932. doi: 10.3390/bs14100932.
9
Neurocognitive Features of Mild Cognitive Impairment and Distress Symptoms in Older Adults Without Major Depression.老年人轻度认知障碍与无重度抑郁的困扰症状的神经认知特征。
Clin Interv Aging. 2024 Aug 21;19:1445-1459. doi: 10.2147/CIA.S473730. eCollection 2024.
10
Longitudinal association of adverse childhood experiences with cognitive function trajectories among middle-aged and older adults: group-based trajectory modeling.中年及老年人群中童年不良经历与认知功能轨迹的纵向关联：基于群组的轨迹建模
Front Psychiatry. 2024 Aug 6;15:1440265. doi: 10.3389/fpsyt.2024.1440265. eCollection 2024.
本文引用的文献
1
Multiple adverse childhood experiences and asthma onset in adulthood: Role of adulthood risk factors as mediators.多种不良童年经历与成年人哮喘发病：成年期危险因素作为中介的作用。
J Psychosom Res. 2021 Apr;143:110388. doi: 10.1016/j.jpsychores.2021.110388. Epub 2021 Feb 4.
2
The association between adverse childhood experiences and common mental disorders and suicidality: an umbrella review of systematic reviews and meta-analyses.不良儿童经历与常见精神障碍和自杀意念之间的关联：系统评价和荟萃分析的伞式综述。
Eur Child Adolesc Psychiatry. 2022 Oct;31(10):1489-1499. doi: 10.1007/s00787-021-01745-2. Epub 2021 Feb 27.
3
Assessing adverse childhood experiences, social, emotional, and behavioral symptoms, and subjective health complaints among Hungarian adolescents.评估匈牙利青少年童年不良经历、社会、情感和行为症状以及主观健康问题。
Child Adolesc Psychiatry Ment Health. 2021 Feb 22;15(1):12. doi: 10.1186/s13034-021-00365-7.
4
Perceived environmental pollution and subjective cognitive decline (SCD) or SCD-related functional difficulties among the general population.一般人群中感知到的环境污染与主观认知下降（SCD）或 SCD 相关的功能障碍。
Environ Sci Pollut Res Int. 2021 Jun;28(24):31289-31300. doi: 10.1007/s11356-021-12831-y. Epub 2021 Feb 18.
5
Adverse childhood experiences (ACEs) and substance use disorder (SUD): A scoping review.不良童年经历（ACEs）与物质使用障碍（SUD）：范围综述。
Drug Alcohol Depend. 2021 Apr 1;221:108563. doi: 10.1016/j.drugalcdep.2021.108563. Epub 2021 Jan 29.
6
Factors associated with subjective cognitive decline in dementia-free older adults-A population-based study.与痴呆症无关的老年人群主观认知下降相关的因素：一项基于人群的研究。
Int J Geriatr Psychiatry. 2021 Aug;36(8):1188-1196. doi: 10.1002/gps.5509. Epub 2021 Mar 16.
7
Mild Behavioral Impairment and Subjective Cognitive Decline Predict Cognitive and Functional Decline.轻度行为障碍和主观认知下降可预测认知和功能下降。
J Alzheimers Dis. 2021;80(1):459-469. doi: 10.3233/JAD-201184.
8
Are adverse childhood experiences associated with late-life cognitive performance across racial/ethnic groups: results from the Kaiser Healthy Aging and Diverse Life Experiences study baseline.不良的童年经历是否与不同种族/民族群体的晚年认知表现有关：来自 Kaiser 健康老龄化和多样化生活经历研究基线的结果。
BMJ Open. 2021 Feb 5;11(2):e042125. doi: 10.1136/bmjopen-2020-042125.
9
Adverse Childhood Experiences and Rate of Memory Decline From Mid to Later Life: Evidence From the English Longitudinal Study of Ageing.不良童年经历与中年至晚年记忆衰退速度的关系：来自英国老龄化纵向研究的证据。
Am J Epidemiol. 2021 Jul 1;190(7):1294-1305. doi: 10.1093/aje/kwab019.
10
Pathways from Maternal Adverse Childhood Experiences to Substance Use in Pregnancy: Findings from the All Our Families Cohort.从母亲不良童年经历到孕期物质使用的途径：全国家庭队列研究的结果。
J Womens Health (Larchmt). 2021 Dec;30(12):1795-1803. doi: 10.1089/jwh.2020.8632. Epub 2021 Feb 1.
Zotero 插件