童年不良经历与处于照护系统有关联吗？
Are Adverse Childhood Experiences Associated With Being in the System of Care?
作者信息
Lackova Rebicova Miriama, Dankulincova Veselska Zuzana, Madarasova Geckova Andrea, Jansen Danielle E M C, van Dijk Jitse P, Reijneveld Sijmen A
机构信息
Department of Health Psychology and Research Methodology, Faculty of Medicine, PJ Safarik University, Kosice, Slovakia.
Graduate School Kosice Institute for Society and Health, PJ Safarik University, Kosice, Slovakia.
出版信息
Front Psychol. 2022 Jun 24;13:909737. doi: 10.3389/fpsyg.2022.909737. eCollection 2022.
BACKGROUND
Adverse childhood experiences (ACEs) can cause serious mental problems in adolescents and therefore may expected to be associated with higher use of psychosocial care, potentially varying by type of specific ACE. The aim of our study is to explore the association of the number of ACE and types of specific ACE with entering and using psychosocial care.
METHODS
We used data from the Slovak Care4Youth cohort study, comprising 509 adolescents from 10 to 16 years old (mean age 13.2 years, 48.6% boys). We used logistic regression models adjusted for age, gender, and family affluence to explore the associations of number and type of specific ACE with the use of psychosocial care.
RESULTS
Having three or more ACE as well as experiencing some specific ACE (death of a mother/father, death of somebody else you love, problems of a parent with alcohol or drugs, conflicts or physical fights between parents, and separation/divorce of parents) increased the likelihood of using psychosocial care. Regarding experience with the death of somebody else you love, we found a decreased likelihood of the use of psychosocial care.
CONCLUSION
Experiencing ACE above a certain threshold (three or more) and parent-related ACE increase the likelihood of adolescent care use.
背景
童年不良经历（ACEs）会在青少年中引发严重的心理问题，因此可能会导致更高的心理社会护理使用率，具体使用情况可能因特定ACE的类型而异。我们研究的目的是探讨ACE的数量以及特定ACE的类型与心理社会护理的使用之间的关联。
方法
我们使用了斯洛伐克关爱青少年队列研究的数据，该研究包含509名10至16岁的青少年（平均年龄13.2岁，48.6%为男孩）。我们使用了经年龄、性别和家庭富裕程度调整的逻辑回归模型，以探讨特定ACE的数量和类型与心理社会护理使用之间的关联。
结果
经历三次或更多次ACE以及经历某些特定的ACE（母亲/父亲死亡、你所爱的其他人死亡、父母一方存在酒精或药物问题、父母之间的冲突或肢体冲突、父母分居/离婚）会增加使用心理社会护理的可能性。关于你所爱的其他人死亡的经历，我们发现使用心理社会护理的可能性降低。
结论
经历超过一定阈值（三次或更多次）的ACE以及与父母相关的ACE会增加青少年使用护理的可能性。
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