童年不良经历及心理韧性与儿童肥胖、高血压和父母报告的行为健康症状之间的关联：一项横断面研究
Association of Adverse Childhood Experiences and Resilience With Obesity, High Blood Pressure, and Parental Report of Behavioral Health Symptoms in Children: A Cross Sectional Study.
作者信息
Hall Ashleigh, West Xandria, Brown Marilyn, Hall Erin, Kim Ella, Leib Alexa, Mergaman Paige, Salih Zanaib, Aronoff Stephen
机构信息
Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.
Seattle Children's Hospital 4800 Sand Point Way NE Seattle, WA, USA.
出版信息
Glob Pediatr Health. 2023 Mar 6;10:2333794X231159518. doi: 10.1177/2333794X231159518. eCollection 2023.
The interplay between Adverse Childhood Experiences (ACEs) and resilience on health in children is not well understood. Parents completed 3 questionnaires: ACEs, Child and Youth Resilience Measure (CYRM), and the Pediatric Symptom Checklist-17(PSC-17). BMI and blood pressure were measured. 19.8% of children had 4 or more ACEs, resilience ranged from 25 to 51, 14.3% had a positive PSC-17 score, 25.6% were obese, 3.1% had systolic hypertension, and 1.2% had diastolic hypertension. Higher ACEs (ACE OR: 1.398, 95% CI = 1.044-1.893, = .026) and lower resilience (Resilience OR: 0.740, 95% CI 0.668-0.812; = 1.13 × 10) were predictive of increased reports of behavioral health symptoms, but not obesity or hypertension. The personal resilience subscale was a predictor of positive PSC-17 score (OR 0.646, 95% CI = 0.546-0.749, = 3.18 × 10); relationship subscale was not. Cultivating resilience, especially personal aspects, may provide an effective intervention for behavioral health symptoms in children.
童年不良经历（ACEs）与儿童健康恢复力之间的相互作用尚未得到充分理解。父母完成了3份问卷：ACEs问卷、儿童和青少年恢复力量表（CYRM）以及儿科症状清单17项（PSC - 17）。测量了体重指数（BMI）和血压。19.8%的儿童有4种或更多的ACEs，恢复力范围在25至51之间，14.3%的儿童PSC - 17得分呈阳性，25.6%的儿童肥胖，3.1%的儿童有收缩期高血压，1.2%的儿童有舒张期高血压。较高的ACEs（ACE比值比：1.398，95%置信区间 = 1.044 - 1.893，P = 0.026）和较低的恢复力（恢复力比值比：0.740，95%置信区间0.668 - 0.812；P = 1.13×10⁻¹³）可预测行为健康症状报告增加，但与肥胖或高血压无关。个人恢复力子量表是PSC - 17得分呈阳性的预测指标（比值比0.646，95%置信区间 = 0.546 - 0.749，P = 3.18×10⁻⁶）；人际关系子量表则不是。培养恢复力，尤其是个人方面的恢复力，可能为儿童行为健康症状提供有效的干预措施。
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