儿童期经历负性事件增加未来情绪问题风险
  • 纳入12553名对象,记录其在7-16岁时经历的负性生活事件(ACE),包括父母离异、忽视、父母酗酒、犯罪等,并在其23、33、42、50岁时评估情绪问题;
  • 分析结果表明,无论性别,儿童期经历ACE均会增高未来不同时期的情绪问题产生的风险;
  • 男性经历2个以上ACE,在42岁、50岁产生情绪问题的风险分别增高1.85、2.63倍;
  • 女性经历2个以上ACE,在42岁、50岁产生情绪问题的风险分别增高1.59、1.32倍;
  • 经历ACE的儿童应该预防未来产生情绪问题。
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小笋干儿
儿童期的不良生活事件(ACE)可能会对个体产生终身的影响。本研究利用跨度50年的队列研究数据,表明儿童期经历ACE,未来成年后有情绪问题的风险会更高。该研究结论提示对于这类儿童应该更加关注其心理健康问题。
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Adverse childhood experiences and adult mood problems: evidence from a five-decade prospective birth cohort

儿童期负性生活事件和成年期情绪问题:来自50年的前瞻性出生队列研究

10.1017/S003329171900271X

2019-10-04, Article

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BACKGROUND: Retrospectively recalled adverse childhood experiences (ACEs) are associated with adult mood problems, but evidence from prospective population cohorts is limited. The aims of this study were to test links between prospectively ascertained ACEs and adult mood problems up to age 50, to examine the role of child mental health in accounting for observed associations, and to test gender differences in associations.
METHODS: The National Child Development Study is a UK population cohort of children born in 1958. ACEs were defined using parent or teacher reports of family adversity (parental separation, child taken into care, parental neglect, family mental health service use, alcoholism and criminality) at ages 7-16. Children with no known (n = 9168), single (n = 2488) and multiple (n = 897) ACEs were identified in childhood. Adult mood problems were assessed using the Malaise inventory at ages 23, 33, 42 and 50 years. Associations were examined separately for males and females.
RESULTS: Experiencing single or multiple ACEs was associated with increased rates of adult mood problems after adjustment for childhood psychopathology and confounders at birth [2+ v. 0 ACEs - men: age 23: odds ratio (OR) 2.36 (95% confidence interval (CI) 1.7-3.3); age 33: OR 2.40 (1.7-3.4); age 42: OR 1.85 (1.4-2.4); age 50: OR 2.63 (2.0-3.5); women: age 23: OR 2.00 (95% CI 1.5-2.6); age 33: OR 1.81 (1.3-2.5); age 42: OR 1.59 (1.2-2.1); age 50: OR 1.32 (1.0-1.7)].
CONCLUSIONS: Children exposed to ACEs are at elevated risk for adult mood problems and a priority for early prevention irrespective of the presence of psychopathology in childhood.

First Authors:
Camilla Selous

Correspondence Authors:
Stephan Collishaw

All Authors:
Camilla Selous,Michelle Kelly-Irving,Barbara Maughan,Olga Eyre,Frances Rice,Stephan Collishaw

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