Hero Joachim, Gallant Laura, Burstein Dina, Newberry Sydne, Qureshi Nabeel, Feistel Katie, Anderson Kayla N, Hannan Kelsey, Sege Robert
RAND Corporation, Santa Monica, CA 90401, USA.
Center for Community-Engaged Medicine, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA 02111, USA.
Int J Environ Res Public Health. 2025 Jan 3;22(1):59. doi: 10.3390/ijerph22010059.
We report the results of a scoping review of the literature investigating associations between positive childhood experiences (PCEs) and selected health outcomes to identify which have the highest level of research activity based on the indexed academic literature. Yielded articles underwent title/abstract (Ti/Ab) and full text screening utilizing inclusion/exclusion criteria. The review was guided by PCE categories from the Healthy Outcomes from Positive Experiences framework: relationships, environment, engagement, and emotional growth. The initial search yielded 8,919 unduplicated articles, 759 were retained following Ti/Ab review and 220 articles were retained after full text screening describing 795 tested associations across 23 PCE types in ten outcome categories. The outcomes most commonly examined were substance misuse (305 tested associations across 93 studies), suicidal behaviors (195 tested associations across 56 studies), and depression (112 tested associations across 55 studies). Physical health outcomes were less common (14 tested associations across six studies). Of the PCE exposures, relationships represented 415 of tested associations, 236 with environment, and 114 with social engagement. A significant body of research demonstrated associations between PCEs and health outcomes. While further research is needed, available research suggests that public health efforts to promote PCEs may have impact across multiple domains.
我们报告了一项文献综述的结果，该综述旨在研究童年积极经历（PCEs）与选定的健康结果之间的关联，以根据索引学术文献确定哪些方面的研究活动最为活跃。对筛选出的文章进行标题/摘要（Ti/Ab）和全文筛选，采用纳入/排除标准。该综述以“积极经历带来健康结果”框架中的PCE类别为指导：人际关系、环境、参与和情感成长。初步检索得到8919篇不重复的文章，经Ti/Ab审查后保留759篇，全文筛选后保留220篇文章，这些文章描述了十个结果类别中23种PCE类型的795个测试关联。最常研究的结果是药物滥用（93项研究中的305个测试关联）、自杀行为（56项研究中的195个测试关联）和抑郁症（55项研究中的112个测试关联）。身体健康结果则不太常见（六项研究中的14个测试关联）。在PCE暴露方面，人际关系占测试关联的415个，环境占236个，社会参与占114个。大量研究表明PCEs与健康结果之间存在关联。虽然还需要进一步研究，但现有研究表明，促进PCEs的公共卫生努力可能会在多个领域产生影响。
