Radlick Rebecca L, Milivinti Alice, Rydland Håvard T, Lundeberg Ingrid R, Askeland Kristin G
Division of Health & Social Sciences, NORCE Norwegian Research Centre, Bergen, Norway.
Department of Correctional Studies, University College of Norwegian Correctional Service (KRUS), Oslo, Norway.
Scand J Public Health. 2025 May 24;53(6):14034948251336851. doi: 10.1177/14034948251336851.
This article provides a bibliometric analysis of the literature on adverse childhood experiences (ACEs) related to household dysfunction (parents' substance abuse, physical or mental illness, death, criminality, and divorce/separation) in five Nordic countries. We identify: 1) main patterns and characteristics of the literature on household dysfunction ACEs and child outcomes; 2) highlight research gaps, topics and approaches for future inquiry on these ACEs.
A systematic search for peer-reviewed articles published from 1998 to 2022 in English was conducted in seven databases. Information from the articles was extracted using a coding matrix that included variables related to country, specific household dysfunction ACE(s) occurring before 18 years, child outcome(s), method, data source(s) and whether resilience or protective factors were assessed. Bibliometric analyses were used to summarize the literature patterns.
A total of =5003 publications were identified and =342 publications were included in the analysis. =112 publications studied two or more ACEs of interest. Divorce/separation was the most common individual ACE (=97), whereas parental criminality was the least common (=9). =197 publications studied child mental health outcomes, whereas educational (=41) and labour market (=11) outcomes were less represented. Few (=36) studies included protective factors.
Our findings suggest a notable increase in research on household dysfunction adversities in the Nordic countries over the past two decades, focusing mainly on health-related outcomes. Future research should investigate less represented adversities, functional outcomes and protective factors. Interdisciplinary and new methodological approaches can provide fresh insights into this public health challenge.
本文对五个北欧国家中与家庭功能失调（父母滥用药物、身体或精神疾病、死亡、犯罪以及离婚/分居）相关的童年不良经历（ACEs）的文献进行了文献计量分析。我们确定：1）关于家庭功能失调性ACEs及儿童结局的文献的主要模式和特征；2）突出这些ACEs未来研究的差距、主题和方法。
在七个数据库中对1998年至2022年以英文发表的同行评审文章进行了系统检索。使用编码矩阵提取文章中的信息，该矩阵包括与国家、18岁之前发生的特定家庭功能失调性ACEs、儿童结局、方法、数据来源以及是否评估了复原力或保护因素等变量。文献计量分析用于总结文献模式。
共识别出5003篇出版物，342篇出版物纳入分析。112篇出版物研究了两种或更多感兴趣的ACEs。离婚/分居是最常见的个体ACE（97篇），而父母犯罪是最不常见的（9篇）。197篇出版物研究了儿童心理健康结局，而教育（41篇）和劳动力市场（11篇）结局的研究较少。很少有研究（36篇）纳入了保护因素。
我们的研究结果表明，在过去二十年中，北欧国家对家庭功能失调性逆境的研究显著增加，主要集中在与健康相关的结局上。未来的研究应调查较少涉及的逆境、功能结局和保护因素。跨学科和新的方法学途径可为这一公共卫生挑战提供新的见解。
