Department of Psychiatry, Namsos Hospital, Nord-Trøndelag Hospital Trust, Namsos, Norway.
Department of Mental Health, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Trondheim, Norway.
Soc Psychiatry Psychiatr Epidemiol. 2022 Dec;57(12):2359-2366. doi: 10.1007/s00127-022-02277-z. Epub 2022 Apr 22.
Studies of adverse childhood experiences (ACEs) undertaken at the time of adolescence in the general population are not common. The aim of this study was to determine the prevalence and co-occurrence of the individual ACEs and sub-types of ACEs in a large population of adolescents.
Data were used from the Young Nord-Trøndelag Health (Young HUNT 3) study, a population-based study of young adolescents. ACEs were operational defined as sexual, physical and/or emotional abuse; physical and/or emotional neglect; and/or household dysfunction. Co-occurrence was measured as the accumulation of ACEs and as an overlap analysis.
Of the 8199 evaluable adolescents, 65.8% had experienced at least one ACE and 28% of those had experienced more than one ACE. Household dysfunction was the most prevalent ACE subtype. The biggest overlaps among the three ACE sub-types were seen in those reporting neglect or abuse.
There was a high degree of overlap between the three ACE sub-types and the individual ACEs, indicating that ACEs should be assessed together as a whole rather than separately. This study provides an opportunity to assess ACEs and their co-occurrences in relation to outcomes later in life.
在普通人群中，青少年时期进行的不良童年经历（ACEs）研究并不常见。本研究旨在确定大量青少年中个体 ACEs 及其亚型的发生率和共现情况。
本研究的数据来自于青年诺德兰特健康研究（Young HUNT 3），这是一项针对青少年的基于人群的研究。ACEs 被定义为性、身体和/或情感虐待；身体和/或情感忽视；以及/或家庭功能障碍。共现度通过 ACEs 的积累和重叠分析来衡量。
在可评估的 8199 名青少年中，65.8%的人经历过至少一种 ACE，其中 28%的人经历过多种 ACE。家庭功能障碍是最常见的 ACE 亚型。三种 ACE 亚型之间最大的重叠出现在那些报告忽视或虐待的人群中。
三种 ACE 亚型与个体 ACEs 之间存在高度重叠，表明 ACEs 应该作为一个整体而不是单独评估。本研究提供了一个机会，可以评估 ACEs 及其共现情况与日后生活结果之间的关系。
