The Family Health Centers at NYU Langone, Brooklyn, NY, USA.
NYU Lagone Health, Sunset Terrace Family Health Center, 514 49th St. Brooklyn, 11220, New York, NY, USA.
Community Ment Health J. 2023 Aug;59(6):1136-1149. doi: 10.1007/s10597-023-01094-1. Epub 2023 Feb 8.
A large number of individuals in the US have experienced childhood trauma. However, little is known about the prevalence of trauma in a diverse patient population entering treatment in a community mental health center. To assess early trauma in this population, the Adverse Childhood Experience (ACEs) questionnaire was administered to 856 participants over a nine-month period. 40% reported four or more ACEs. Among high scorers, emotional abuse, physical abuse and emotional neglect were the most prevalent ACE experiences. High mean ACE sum scores were observed among patients with PTSD, depression, impulse disorder and substance use disorder. Having a higher ACE sum score was associated with a greater number of co-occurring psychiatric disorders. Characterizing ACEs by patient sociodemographic attributes and psychiatric diagnoses extracted from the electronic medical records (EMR) can benefit therapeutic interventions. These findings indicate a need for creating more trauma-informed settings with knowledgeable, trained staff.
美国有大量的人经历过童年创伤。然而，对于在社区心理健康中心接受治疗的不同患者群体中创伤的流行程度，人们知之甚少。为了评估这一人群的早期创伤，在九个月的时间里，向 856 名参与者发放了《不良童年经历（ACE）问卷》。40%的人报告说有四种或四种以上的 ACE。在高分者中，情绪虐待、身体虐待和情感忽视是最常见的 ACE 经历。创伤后应激障碍、抑郁、冲动障碍和物质使用障碍患者的 ACE 总分平均值较高。ACE 总分越高，同时存在的精神疾病数量就越多。根据电子病历（EMR）中提取的患者社会人口统计学特征和精神诊断来描述 ACE，可以使治疗干预受益。这些发现表明，需要建立更多具有知识和训练有素的工作人员的创伤知情环境。
