Lemons Jamie, Saravanan Madhumitha, Tumin Dmitry, Anyigbo Chidiogo
Brody School of Medicine at East Carolina University, Greenville, NC; 600 Moye Blvd Greenville NC 27834.
Georgetown University School of Medicine, Washington DC; 3900 Reservoir Rd NW, Washington, DC 20007.
Child Youth Serv Rev. 2024 Aug;163. doi: 10.1016/j.childyouth.2024.107758. Epub 2024 Jun 20.
Adverse childhood experiences (ACEs) are traumatic experiences that increase people's susceptibility to adverse physical health, mental health, and social consequences in adulthood. Screening for ACEs in primary care settings is complicated by a lack of consensus on appropriate methods for identifying exposure to ACEs. It is unclear whether self-report methods could increase disclosure of ACEs as compared to interview-based methods. This study compares data on the prevalence of ACEs from two publicly available surveys conducted on the same population of children's caregivers: the 2019 Ohio subsample of the web/mail-based National Survey of Children's Health and the telephone-based 2019 Ohio Medicaid Assessment Survey. We find higher disclosure of caregiver-reported child exposure to ACEs in the telephone interview survey, highlighting the importance of the role of verbal communication in developing a safe and trusting relationship in the disclosure of trauma.
童年不良经历(ACEs)是一些创伤性经历,会增加人们成年后出现不良身体健康、心理健康和社会后果的易感性。在初级保健机构中筛查ACEs存在困难,因为在确定ACEs暴露的合适方法上缺乏共识。与基于访谈的方法相比,自我报告方法是否能增加ACEs的披露尚不清楚。本研究比较了针对同一儿童照料者群体进行的两项公开调查中ACEs的患病率数据:基于网络/邮件的全国儿童健康调查2019年俄亥俄州子样本以及基于电话的2019年俄亥俄医疗补助评估调查。我们发现在电话访谈调查中,照料者报告的儿童ACEs暴露情况披露率更高,这凸显了言语交流在创伤披露中建立安全和信任关系方面的重要作用。