Department of Child and Adolescent Psychiatry and Psychology, Erasmus MC University Medical Center Rotterdam, PO Box 2040, 3000 CA, Rotterdam, the Netherlands.
Department of Epidemiology, Erasmus MC University Medical Center Rotterdam, Rotterdam, the Netherlands.
Res Child Adolesc Psychopathol. 2023 Dec;51(12):1805-1808. doi: 10.1007/s10802-023-01103-7. Epub 2023 Aug 3.
Early life adversities (ELA), including exposure to childhood maltreatment, deprivation or community violence, rarely occur in isolation. This co-occurrence poses several conceptual and methodological challenges for researchers, who must decide how best to model ELA and its association with outcomes. In this commentary, we discuss how different analytical choices come with their own - often complementary - sets of assumptions, strengths and limitations, which should be carefully considered when designing research on ELA. We then summarize work published in this issue by Sisitsky et al. (Research on Child and Adolescent Psychopathology, 2023), which serves as an important example of how different approaches can be incorporated in research in order to capture ELA as a complex phenomenon, while generating actionable results. Ultimately, such integration can enhance the quality and relevance of research, contributing to a more comprehensive understanding of ELA and its effects on health outcomes, paving the way for more targeted prevention and intervention strategies to promote children's wellbeing.
早期生活逆境（ELA），包括儿童期虐待、剥夺或社区暴力的暴露，很少孤立发生。这种共现给研究人员带来了几个概念和方法上的挑战，他们必须决定如何最好地对 ELA 及其与结果的关联进行建模。在这篇评论中，我们讨论了不同的分析选择具有各自的——通常是互补的——一系列假设、优势和局限性，在设计 ELA 的研究时应仔细考虑这些因素。然后，我们总结了 Sisitsky 等人在本期《儿童与青少年精神病理学研究》（Research on Child and Adolescent Psychopathology）上发表的工作，这为如何将不同的方法纳入研究以捕捉 ELA 作为一种复杂现象提供了一个重要的例子，同时产生可操作的结果。最终，这种整合可以提高研究的质量和相关性，促进对 ELA 及其对健康结果影响的更全面理解，为更有针对性的预防和干预策略铺平道路，以促进儿童的福祉。
