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墨西哥裔家庭中童年不良经历的代际连续性:家庭内部和外部逆境的考察

Intergenerational continuity of adverse childhood experiences among Mexican-origin families: Examination of intra and extra-familial adversities.

作者信息

Zhen-Duan Jenny, Cruz-Gonzalez Mario, Diaz Jasmine, Sánchez Marisabel, Park Irene, Alvarez Kiara, Yip Tiffany, Wang Lijuan, Valentino Kristin, Alegría Margarita

机构信息

Disparities Research Unit, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.

Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.

出版信息

Fam Process. 2025 Mar;64(1):e13091. doi: 10.1111/famp.13091. Epub 2024 Dec 5.

Abstract

The effects of the intergenerational continuity of adverse childhood experiences (ACEs) on youth outcomes have been documented, particularly among mother-child dyads. Most literature has focused on the continuity of family-level ACEs (Traditional ACEs [T-ACEs]) and not community-level ACEs (Expanded ACEs [E-ACEs]) that disproportionately impact minoritized individuals. We aimed to (a) examine the effect of mothers' and fathers' T-ACEs and E-ACEs on youth's T-ACEs and E-ACEs, respectively, and on youth's depressive and anxiety symptoms; (b) examine whether youth's own ACE exposure explains the link between parental ACEs and youth depressive and anxiety symptoms; and (c) explore differential risks by mothers versus fathers. We collected cross-sectional data from a community sample of Mexican-origin youth (M, 13.5 years; 51.7% males; 93.0% US-born), mothers (M, 41.4 years; 7.2% US-born), and fathers (M, 44.0 years; 5.1% US-born) from the Seguimos Avanzando project (167 youth-mother-father triads, 177 youth-mother/father dyads). Results showed that (a) fathers', but not mothers', T-ACEs and E-ACEs were associated with youth's T-ACES and E-ACEs, respectively, (b) youth's T-ACEs explained the association between fathers' T-ACEs and youth's depressive symptoms, and (c) only youth's E-ACEs were associated with anxiety symptoms. These findings highlight the greater need to understand how fathers' childhood experiences may impact outcomes across generations and that targeting youth's ACEs can reduce the pervasive effects of intergenerational continuity of ACEs.

摘要

童年不良经历(ACEs)的代际连续性对青少年结局的影响已有文献记载,尤其是在母婴二元组中。大多数文献关注的是家庭层面ACEs(传统ACEs [T-ACEs])的连续性,而非对少数族裔个体影响更大的社区层面ACEs(扩展ACEs [E-ACEs])。我们旨在:(a)分别研究母亲和父亲的T-ACEs和E-ACEs对青少年的T-ACEs和E-ACEs以及青少年抑郁和焦虑症状的影响;(b)研究青少年自身的ACE暴露是否能解释父母ACEs与青少年抑郁和焦虑症状之间的联系;(c)探讨母亲与父亲的不同风险。我们从“Seguimos Avanzando项目”的墨西哥裔青少年(平均年龄13.5岁;51.7%为男性;93.0%在美国出生)、母亲(平均年龄41.4岁;7.2%在美国出生)和父亲(平均年龄44.0岁;5.1%在美国出生)的社区样本中收集了横断面数据(167个青少年-母亲-父亲三元组,177个青少年-母亲/父亲二元组)。结果表明:(a)父亲的T-ACEs和E-ACEs分别与青少年的T-ACEs和E-ACEs相关,而母亲的则不然;(b)青少年的T-ACEs解释了父亲的T-ACEs与青少年抑郁症状之间的关联;(c)只有青少年的E-ACEs与焦虑症状相关。这些发现凸显了更有必要了解父亲的童年经历如何跨代影响结局,以及针对青少年的ACEs可以减少ACEs代际连续性的普遍影响。

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