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近期儿童期不良经历(ACEs)与青少年躯体症状之间的关系。

Relationships Between Recent Adverse Childhood Experiences (ACEs) and Somatic Symptoms in Adolescence.

作者信息

Lee Rachel Y, Oxford Monica L, Sonney Jennifer, Enquobahrie Daniel A, Cato Kenrick D

机构信息

Department of Biomedical Informatics, Columbia University Irving Medical Center, New York, NY, USA.

Department of Child, Family, and Population Health Nursing, University of Washington School of Nursing, Seattle, WA, USA.

出版信息

J Child Fam Stud. 2024 Mar;33(3):1015-1028. doi: 10.1007/s10826-024-02812-3. Epub 2024 Mar 1.

Abstract

Early identification and interventions are imperative for mitigating the harmful effects of adverse childhood experiences (ACEs). Nonetheless, a substantial barrier persists in identifying adolescents experiencing ACEs. One understudied avenue for early identification of ACEs is through the examination of somatic symptoms endorsed by adolescents. Understanding the relationship between recent ACEs exposure and somatic symptoms may serve as a useful indicator for identifying adolescents affected by ACEs. This study examines the relationships between recent exposure to ACEs (within the past one to two years) and somatic symptoms across adolescence (ages 12-16 years). Longitudinal prospective data of 1354 child and caregiver dyads from the Longitudinal Studies of Child Abuse and Neglect were used in this study. Data from three time points, when adolescents were 12, 14, and 16, were used to conduct longitudinal path analyses. Somatic symptoms- defined as physical symptoms without known medical causes- were measured using the caregiver-report subscale of the Child Behavior Checklist. Recent ACEs in the past one to two years were measured using an index score summing exposure to nine ACE variables. The results indicated a significant association between recent ACEs and increased somatic symptoms at age 12. However, there were no significant associations between recent ACEs and somatic symptoms at ages 14 and 16. The findings indicate a notably stronger relationship between recent ACEs exposure and the presence of increased somatic symptoms at the age of 12, in contrast to what is observed at ages 14 and 16. This finding suggests that somatic symptoms during early adolescence may suggest underlying issues, potentially stemming from stressors such as ACEs.

摘要

早期识别和干预对于减轻童年不良经历(ACEs)的有害影响至关重要。尽管如此,在识别经历ACEs的青少年方面仍然存在重大障碍。一个尚未得到充分研究的早期识别ACEs的途径是通过检查青少年认可的躯体症状。了解近期ACEs暴露与躯体症状之间的关系可能是识别受ACEs影响的青少年的有用指标。本研究考察了近期(过去一到两年内)ACEs暴露与整个青春期(12至16岁)躯体症状之间的关系。本研究使用了来自虐待和忽视儿童纵向研究的1354对儿童和照顾者二元组的纵向前瞻性数据。使用青少年12岁、14岁和16岁三个时间点的数据进行纵向路径分析。躯体症状(定义为无已知医学原因的身体症状)使用儿童行为检查表的照顾者报告子量表进行测量。过去一到两年内的近期ACEs使用一个指数得分来衡量,该得分汇总了对九个ACE变量的暴露情况。结果表明,近期ACEs与12岁时躯体症状增加之间存在显著关联。然而,近期ACEs与14岁和16岁时的躯体症状之间没有显著关联。研究结果表明,与14岁和16岁时观察到的情况相比,近期ACEs暴露与12岁时躯体症状增加之间的关系明显更强。这一发现表明,青春期早期的躯体症状可能暗示潜在问题,可能源于ACEs等压力源。

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