Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States of America.
Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States of America.
Child Abuse Negl. 2024 Nov;157:107050. doi: 10.1016/j.chiabu.2024.107050. Epub 2024 Sep 19.
Parental adverse childhood experiences (ACEs) contribute to offspring adversity and poor health outcomes, but little is known about whether and to what extent parental positive childhood experiences (PCEs) influence offspring positive experiences and well-being.
To investigate the association between parent and child ACEs and PCEs and their impact on child well-being and psychopathology.
A national sample of n = 1016 US parents of 1-5-year-olds completed online surveys in September 2019.
Mediation analysis in a path modeling framework was used with stratified probability weights for generalizability to the US population.
Each additional parent PCE equated to 0.32 (95 % CI: 0.20, 0.45) increase in child PCEs and each additional parent ACE equated to 0.18 (95 % CI: 0.06, 0.31) increase in child PCEs and 0.13 (95 % CI: 0.08, 0.18) increase in child ACEs. In turn, an increase in 1 child PCE was associated with 0.10-0.16 SD increase in well-being and 0.06-0.10 decrease in psychopathology, and each additional child ACE equated to 0.10-0.18 SD increase in psychopathology.
Results support the intergenerational transmission of PCEs and ACEs, advancing understanding of the role that parent PCEs play in promoting child PCEs and fostering child well-being. Findings underscore the importance of extending clinical surveillance of ACEs to include PCEs in pediatric and adult healthcare settings. Dual-generation programs that address the negative consequences of parental ACEs may be able to increase their impact by adding a parallel emphasis on PCEs and providing parents with tools to foster PCEs in their children.
父母的不良童年经历（ACEs）会导致子女逆境和健康状况不佳，但人们对父母的积极童年经历（PCEs）是否以及在何种程度上影响子女的积极经历和幸福感知之甚少。
调查父母和子女 ACEs 和 PCEs 之间的关联及其对子女幸福感和精神病理学的影响。
2019 年 9 月，一项针对美国 1-5 岁儿童的父母的全国性样本完成了在线调查。
使用路径建模框架中的中介分析，并对总体人口进行分层概率加权。
每增加一个父母的 PCE 等同于儿童 PCE 增加 0.32（95%CI：0.20，0.45），每增加一个父母的 ACE 等同于儿童 PCE 增加 0.18（95%CI：0.06，0.31）和儿童 ACE 增加 0.13（95%CI：0.08，0.18）。反过来，儿童 PCE 的增加与幸福感增加 0.10-0.16 标准差和精神病理学减少 0.06-0.10 相关，而每个儿童 ACE 的增加等同于精神病理学增加 0.10-0.18 标准差。
研究结果支持 PCEs 和 ACEs 的代际传递，增进了对父母 PCEs 在促进儿童 PCEs 和培养儿童幸福感方面所起作用的理解。研究结果强调了在儿科和成人保健环境中扩展 ACEs 临床监测以包括 PCEs 的重要性。解决父母 ACEs 负面影响的双代计划可能通过增加对 PCEs 的并行关注并为父母提供培养子女 PCEs 的工具来增加其影响力。
