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童年不良经历对儿童及青少年心理和身体健康的影响

[The impact of adverse childhood experiences on mental and somatic health in childhood and adolescence].

作者信息

Kovács-Tóth Beáta, Kuritárné Szabó Ildikó

机构信息

1 Debreceni Egyetem, Általános Orvostudományi Kar, Magatartástudományi Intézet Debrecen, Nagyerdei krt. 98., 4032 Magyarország.

出版信息

Orv Hetil. 2023 Sep 17;164(37):1447-1455. doi: 10.1556/650.2023.32851.

DOI:10.1556/650.2023.32851
PMID:37717239
Abstract

Multiple studies prove that children who were exposed to adverse childhood experiences within their families are increasingly at risk of various high-risk behaviours, bullying, mental and somatic disorders. In children/adolescents who undergo terrifying experiences on a repetitive, sometimes daily basis without being provided support and the basic safety they would need, all aspects of personality development will be seriously affected. Urgent action is needed in Hungary to identify these children and provide them with therapeutic support. The field of childhood adversities and their consequences has been undeservedly neglected by research, despite the fact that preventive and therapeutic interventions could be specifically designed based on this knowledge during childhood and adolescence. In our study, we present international data on the prevalence of adverse childhood experiences. We discuss in detail the association of adverse childhood experiences with biological and cognitive impairments attachment disorders, externalising and internalising disorders, somatic disorders and health risk behaviours in childhood and adolescence. Besides presenting empirical data on adverse experiences and consequences, the purpose of our publication is to raise awareness and sensitisation among professionals. Orv Hetil. 2023; 164(37): 1447-1455.

摘要

多项研究证明,在家庭中经历过不良童年经历的儿童越来越容易出现各种高风险行为、欺凌行为、精神和躯体疾病。对于那些反复(有时是每天)经历可怕经历却未得到所需支持和基本安全保障的儿童/青少年而言,其人格发展的各个方面都会受到严重影响。匈牙利迫切需要采取行动识别这些儿童,并为他们提供治疗支持。尽管可以基于童年和青少年时期的这些知识专门设计预防和治疗干预措施,但童年逆境及其后果这一领域在研究中却一直未得到应有的重视。在我们的研究中,我们展示了关于不良童年经历患病率的国际数据。我们详细讨论了不良童年经历与生物和认知障碍、依恋障碍、外化和内化障碍、躯体疾病以及童年和青少年时期的健康风险行为之间的关联。除了展示关于不良经历及其后果的实证数据外,我们发表这篇文章的目的是提高专业人员的认识并增强他们的敏感度。《匈牙利医学周报》。2023年;164(37): 1447 - 1455。

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