Mo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, Seoul, South Korea.
School of Nursing, Oregon Health & Science University, Portland, OR, USA.
Eur J Psychotraumatol. 2024;15(1):2372994. doi: 10.1080/20008066.2024.2372994. Epub 2024 Jul 10.
Adverse childhood experiences (ACEs) have negative impacts on women with children, including psychosocial and general health problems. However, there is limited research investigating ACEs identifying the characteristics of distinct subgroups according to the frequency of ACEs. Utilizing the national dataset of the Family with Children Life Experience 2017, this study aimed to classify patterns of ACEs based on the total number of types of ACEs and the types of predominant events, and to examine differences in general and psychological characteristics, as well as experiences of violence in adulthood among the classes identified. A total of 460 Korean mothers raising infants or toddlers participated. Latent class analysis was performed to classify the patterns of ACEs, while -tests and Chi-square tests were used to examine differences in general and psychological characteristics and experiences of violence between the ACEs subgroups. The participants were classified into two subgroups: the 'high-ACEs group' and the 'low-ACEs group'. The high-ACEs group exhibited higher rates of child abuse, workplace violence perpetration and victimization, as well as lower self-esteem, higher depression levels, and increased suicidal thoughts compared to those of the low-ACEs group. The findings highlight the significant role of ACEs on the formation of an individual's psychological characteristics and their propensity to experience additional violence even into adulthood, as perpetrators and as victims. It is noteworthy how the influence of ACEs extends across generations through child abuse. These findings offer insights for developing interventions aimed at mitigating the negative effects of experiences of violence on mothers raising young children.
童年逆境经历(ACEs)对有子女的女性有负面影响,包括心理社会和一般健康问题。然而,针对 ACEs 的研究有限,无法根据 ACEs 的频率识别出不同亚组的特征。本研究利用 2017 年家庭与儿童生活经历的全国性数据集,旨在根据 ACEs 的总类型数量和主要事件类型对 ACEs 模式进行分类,并检查不同 ACEs 亚组之间一般和心理特征以及成年期暴力经历的差异。共有 460 名养育婴儿或幼儿的韩国母亲参与了研究。采用潜在类别分析对 ACEs 模式进行分类,同时采用 t 检验和卡方检验比较 ACEs 亚组之间的一般和心理特征以及暴力经历的差异。参与者被分为两个亚组:“高 ACEs 组”和“低 ACEs 组”。与低 ACEs 组相比,高 ACEs 组的儿童虐待、工作场所暴力加害和受害率更高,自尊心更低,抑郁程度更高,自杀意念更多。研究结果强调了 ACEs 在个体心理特征形成及其成年后遭受额外暴力的倾向方面的重要作用,包括作为加害者和受害者。值得注意的是,儿童虐待如何通过代际传递影响 ACEs。这些发现为制定旨在减轻母亲养育幼儿期间遭受暴力经历的负面影响的干预措施提供了见解。