积极的成年经历是童年逆境后改善成年心理健康的转折点。
Positive adult experiences as turning points for better adult mental health after childhood adversity.
机构信息
Department of Public Health, Brigham Young University, Provo, UT, United States.
出版信息
Front Public Health. 2023 Aug 3;11:1223953. doi: 10.3389/fpubh.2023.1223953. eCollection 2023.
BACKGROUND
The purpose of this study was to examine whether positive adult experiences (PAEs) were associated with lower odds for anxiety and depression even in the presence of high adverse childhood experiences (ACEs) or low positive childhood experiences (PCEs).
METHODS
The sample was comprised of 435 adults (48% female), ages 18-56 years and who were living in the United States. Participants completed a survey about their childhood experiences, PAEs, and mental health. A series of multiple logistic regression models were estimated in Stata 17 to examine the aims.
RESULTS
Positive childhood experiences were associated with higher PAE scores, but ACEs did not significantly correlate with PAEs. Positive adult experiences were associated with lower odds of moderate-to-severe anxiety and depression, especially among those who had experienced high ACEs or low PCEs. Younger adults were more likely to experience a positive benefit from PAEs compared to adults 35 years and older.
CONCLUSION
Even when ACEs were high or PCEs were low, adults with high PAEs had lower odds for moderate-to-severe anxiety and/depression. Positive adult experiences may be an opportunity to turn the tide for individuals who experienced childhood adversity and/or low levels of support or connection.
背景
本研究旨在探讨即使在存在高不良童年经历（ACEs）或低积极童年经历（PCEs）的情况下，积极的成人经历（PAEs）是否与较低的焦虑和抑郁几率相关。
方法
该样本由 435 名年龄在 18-56 岁之间、居住在美国的成年人组成。参与者完成了一份关于他们的童年经历、PAEs 和心理健康的调查。在 Stata 17 中使用一系列多逻辑回归模型来检验目标。
结果
积极的童年经历与较高的 PAE 评分相关，但 ACEs 与 PAEs 没有显著相关。积极的成人经历与中度至重度焦虑和抑郁的几率较低相关，尤其是在那些经历过高 ACEs 或低 PCEs 的人中。与 35 岁及以上的成年人相比，年轻成年人更有可能从 PAEs 中获得积极的益处。
结论
即使 ACEs 较高或 PCEs 较低，PAEs 较高的成年人患中度至重度焦虑和/或抑郁的几率也较低。积极的成人经历可能是一个机会，可以为那些经历过童年逆境和/或支持或联系水平较低的人扭转局面。
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