Links of Adversity in Childhood With Mental and Physical Health Outcomes: A Systematic Review of Longitudinal Mediating and Moderating Mechanisms.
Links of Adversity in Childhood With Mental and Physical Health Outcomes: A Systematic Review of Longitudinal Mediating and Moderating Mechanisms.
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DOI：
10.1177/15248380221075087
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发表时间：
2023-07
影响因子：
6.4
通讯作者：
Rowe, Richard
中科院分区：
文献类型：
--
作者：
Hales, George K.;Saribaz, Zeliha E.;Debowska, Agata;Rowe, Richard
不良童年经历 (ACE) 与早逝、成瘾、精神疾病和健康状况不佳有关。然而，调查潜在机制的研究通常依赖于横截面数据或不适当的研究设计。为了防止与 ACE 相关的负面后遗症，必须了解潜在关系的机制。本综述的目的是对有关这种关系背后的机制的文献进行综合和批判性评估。在 SCOPUS、MedLine via Ovid、PsycINFO via Ovid 和 Web of Science 中进行了检索。包括利用前瞻性设计评估儿童或青少年时期的 ACE、成年期结果并分析中介或调节关系的研究，除非该研究依赖于知情人报告或官方记录来评估儿童虐待类型的 ACE。系统评价中纳入了二十二项研究纵向中介或调节的研究。对这些研究的回顾发现，这与精神病理学、犯罪和问题行为、身体健康状况不佳以及社会经济结果不佳有关。由于（a）与评估纵向机制相关的研究设计不佳，以及（b）评估的逆境、机制和结果存在异质性，因此无法对潜在机制有清晰的认识。根据审查，强调并讨论了一些差距和局限性。
Adverse childhood experiences (ACEs) have been associated with causes of early death, addiction, mental illness, and poor health. However, studies investigating underlying mechanisms often rely on cross-sectional data or inappropriate study designs. To prevent the negative sequelae associated with ACEs, it is imperative to understand the mechanisms underlying the prospective relationship. The aim of this present review was to provide a synthesis and critical evaluation of the literature regarding the mechanisms underlying this relationship. A search in SCOPUS, MedLine via Ovid, PsycINFO via Ovid, and Web of Science was performed. Studies that utilised a prospective design assessing ACEs in childhood or adolescence, outcomes in adulthood, and analysed either a mediating or moderating relationship were included, unless the study relied on informant report or official records to assess childhood maltreatment types of ACEs. Twenty-two studies examining a longitudinal mediation or moderation were included in a systematic review. A review of the studies found links to psychopathology, delinquent and problem behaviours, poor physical health, and poor socioeconomic outcomes. A clear image of underlying mechanisms is not forthcoming due to (a) poor study design in relation to assessing longitudinal mechanisms, and (b) heterogeneity in the adversities, mechanisms, and outcomes assessed. Based on the review, several gaps and limitations are highlighted and discussed.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
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