Johns Hopkins School of Nursing, United States of America.
Johns Hopkins School of Nursing, United States of America.
Child Abuse Negl. 2024 May;151:106751. doi: 10.1016/j.chiabu.2024.106751. Epub 2024 Mar 25.
Exposure to violence has severe and lasting effects on development. Despite the body of research examining childhood exposures to violence and victimization, developmental outcomes during early adolescence are poorly understood.
To synthesize existing research on the effects of violence exposure on early adolescent development (youth 9-14 years old) and highlight areas for future research.
We conducted a systematic search of PubMed, CINAHL, Web of Science, Scopus, and EMBASE for articles published between 2012 and 2023. Included articles focused on violence exposure related to experiencing or observing community violence, witnessing domestic violence and/or being the victim of chronic physical abuse.
Twenty-eight articles spanning four developmental domains were included: behavioral, biological, neurological, and social development. Behaviorally, violence exposure posed significant effects on both internalizing and externalizing symptoms. Biologically, violence exposure was strongly associated with advanced epigenetic age, accelerated puberty, and insomnia. Neurologically, violence exposure had significant associations with both structural and functional differences in the developing brain. Socially, violence exposure was related to poor school engagement, peer aggression, and low social support.
This systematic review highlights varying effects of violence exposure on early adolescent development. The gaps presented should be addressed and implemented into clinical practice via evidence-based policies and procedures to ensure successful transition to adulthood.
暴力暴露对发展有严重且持久的影响。尽管有大量研究探讨了儿童期的暴力暴露和受害情况,但对青少年早期的发展结果仍知之甚少。
综合现有关于暴力暴露对青少年早期发展(9-14 岁的青少年)的影响的研究,并强调未来研究的领域。
我们对 PubMed、CINAHL、Web of Science、Scopus 和 EMBASE 进行了系统检索,以查找 2012 年至 2023 年期间发表的文章。纳入的文章重点关注与经历或观察社区暴力、目睹家庭暴力和/或成为慢性身体虐待受害者有关的暴力暴露。
共纳入了 28 篇跨越四个发育领域的文章:行为、生物学、神经科学和社会发展。从行为上看,暴力暴露对内化和外化症状都有显著影响。从生物学角度看,暴力暴露与先进的表观遗传年龄、青春期提前和失眠密切相关。从神经科学角度看,暴力暴露与发育中大脑的结构和功能差异有显著关联。从社会角度看,暴力暴露与较差的学业参与度、同伴攻击行为和较低的社会支持有关。
本系统综述强调了暴力暴露对青少年早期发展的不同影响。应该解决并通过循证政策和程序将这些差距纳入临床实践,以确保成功过渡到成年期。