Zhu Yantong, Yang Liu, Zhang Gengli
Faculty of Educational Science, Anhui Normal University, Wuhu 241000, China.
School of Educational Science, Anhui Normal University, Wuhu 241000, China.
Behav Sci (Basel). 2025 Jul 1;15(7):898. doi: 10.3390/bs15070898.
Adverse childhood experiences (ACEs) in early childhood may increase the risk of emotional behavioral problems (EBPs); however, few studies have explored the longitudinal effect of ACEs in early childhood on later EBPs and their underlying mechanisms. This study examined the serial mediating role of psychological resilience (PR) and problematic media use (PMU) in the relationship between ACEs in early childhood and EBPs. Participants included 534 three-year-old children (mean age of 33.29 years, SD = 3.97) and their parents from Wuhu, China. The parents completed online questionnaires measuring children's ACEs, PR, and demographic information in September 2022 (Time 1), children's PMU in September 2023 (Time 2), and EBPs in September 2024 (Time 3). Macro Process 6 was used to test the serial mediating effects of PR and PMU. A total of 5000 bootstrap samples were used to estimate the 95% confidence intervals. The results revealed that ACEs in early childhood did not directly predict EPBs. PR (b = 0.132 (95% CI [0.051, 0.221])) mediated the relationship between ACEs and children's EBPs. PR and PMU also played a serial mediating role in the association of ACEs and children's EBPs (b = 0.026, 95% CI [0.008, 0.054]). Our findings highlight the importance of improving PR and addressing PMU when designing interventions targeting Chinese preschoolers exposed to ACEs.
儿童早期的不良童年经历（ACEs）可能会增加情绪行为问题（EBPs）的风险；然而，很少有研究探讨儿童早期ACEs对后期EBPs的纵向影响及其潜在机制。本研究考察了心理韧性（PR）和问题性媒体使用（PMU）在儿童早期ACEs与EBPs之间关系中的系列中介作用。参与者包括来自中国芜湖的534名三岁儿童（平均年龄33.29岁，标准差=3.97）及其父母。父母在2022年9月（时间1）完成了测量儿童ACEs、PR和人口统计学信息的在线问卷，在2023年9月（时间2）完成了儿童PMU的问卷，在2024年9月（时间3）完成了EBPs的问卷。使用宏程序6来检验PR和PMU的系列中介效应。共使用5000个自抽样样本估计95%置信区间。结果显示，儿童早期的ACEs并不能直接预测EBPs。PR（b = 0.132（95%CI[0.051, 0.221]））中介了ACEs与儿童EBPs之间的关系。PR和PMU在ACEs与儿童EBPs的关联中也起到了系列中介作用（b = 0.026，95%CI[0.008, 0.054]）。我们的研究结果强调了在设计针对遭受ACEs的中国学龄前儿童的干预措施时，提高PR和解决PMU问题的重要性。
