Usui Kaori, Iwanaga Mai, Itokuri Asami, Nakanishi Kiyoaki, Nishiuchi Erisa, Shimodaira Michiyo, So Yugan, Sato Sayaka, Yamaguchi Sosei, Fujii Chiyo
Department of Community Mental Health & Law, National Center of Neurology and Psychiatry National Institute of Mental Health Tokyo Japan.
Graduate School of Humanities Meisei University Tokyo Japan.
PCN Rep. 2025 Sep 19;4(3):e70203. doi: 10.1002/pcn5.70203. eCollection 2025 Sep.
Adverse childhood experiences (ACEs) have been reported to have a detrimental impact on future mental health. However, limited research exists on how mental health staff perceive service users' ACEs. This study examined the prevalence, types, and related factor of staff-perceived ACEs among community outreach service users using 4-year retrospective data.
In this retrospective study conducted using service records from the mental health outreach service in Japan, we collected demographic and clinical characteristics, as well as the number and types of ACEs perceived by staff at six assessment points, from registration to 4 years post-service initiation. We compared each clinical characteristic between groups with and without staff-perceived ACEs using independent -tests and tests. To analyze changes in staff-perceived ACEs at six time periods, repeated measures mixed models were used, adjusting for sex, age, and diagnosis.
Of the 143 participants whose data were analyzed, the prevalence of ACEs was 54.5%. ACEs were associated with younger age and receipt of public welfare owing to economic deprivation. The number of ACEs notably increased from registration to 6 months post-service initiation and continued to increase 2 years after service initiation and stabilized.
More than half of the participants had ACEs. Outreach service users with ACEs were generally younger and faced economic challenges. While most service users' ACEs are recognized within the first 6 months, it is important to note that they may gradually become apparent over a long period, such as 2 years.
据报道，童年不良经历（ACEs）会对未来心理健康产生不利影响。然而，关于心理健康工作人员如何看待服务对象的ACEs的研究却很有限。本研究利用4年的回顾性数据，调查了社区外展服务对象中工作人员所感知到的ACEs的患病率、类型及相关因素。
在这项使用日本心理健康外展服务记录进行的回顾性研究中，我们收集了从登记到服务开始后4年这六个评估时间点的人口统计学和临床特征，以及工作人员所感知到的ACEs的数量和类型。我们使用独立样本t检验和卡方检验，比较了有和没有工作人员感知到ACEs的两组之间的各项临床特征。为了分析六个时间段内工作人员所感知到的ACEs的变化情况，我们使用了重复测量混合模型，并对性别、年龄和诊断进行了调整。
在分析其数据的143名参与者中，ACEs的患病率为54.5%。ACEs与年龄较小以及因经济贫困而领取公共福利有关。ACEs的数量在登记到服务开始后6个月显著增加，并在服务开始2年后持续增加，随后趋于稳定。
超过一半的参与者有ACEs。有ACEs的外展服务对象通常更年轻，且面临经济挑战。虽然大多数服务对象的ACEs在最初6个月内就被识别出来，但需要注意的是，它们可能会在较长一段时间（如2年）内逐渐显现出来。
