Translating Developmental Science to Address Childhood Adversity
Translating Developmental Science to Address Childhood Adversity
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DOI：
10.1016/j.acap.2015.05.010
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发表时间：
2015-09-01
影响因子：
3.1
通讯作者：
Szilagyi, Moira
中科院分区：
文献类型：
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作者：
Garner, Andrew S.;Forkey, Heather;Szilagyi, Moira
揭开儿童发展的神秘面纱是儿科护理的一个决定性因素，儿科医生长期以来一直意识到家庭和社区对儿童发展和生命历程轨迹的深远影响。发展基础科学的巨大进步开始揭示，在各种各样的童年逆境与健康、教育和经济生产力方面不太理想的结果之间存在着根深蒂固的联系，其背后是生物学机制。儿科医生有能力将这些新知识转化为实践和政策，但这样做需要与教育工作者、社会服务提供者和政策制定者进行前所未有的合作。儿科医生可能认识到家庭层面的逆境对儿童发展的负面影响，但制定有效的应对措施可能需要社区合作伙伴的参与。通过开发协作、创新的方式来促进安全、稳定和培育的关系，这些关系是健康、学术成功和经济生产力的生物先决条件，以家庭为中心的儿科医疗之家将在一个越来越重视健康和人口健康的时代保持重要意义。
Demystifying child development is a defining element of pediatric care, and pediatricians have long appreciated the profound influences that families and communities have on both child development and life course trajectories. Dramatic advances in the basic sciences of development are beginning to reveal the biologic mechanisms underlying well-established associations between a spectrum of childhood adversities and less than optimal outcomes in health, education and economic productivity. Pediatricians are well positioned to translate this new knowledge into both practice and policy, but doing so will require unprecedented levels of collaboration with educators, social service providers, and policy makers. Pediatricians might recognize the negative impact of family-level adversities on child development, but developing an effective response will likely require the engagement of community partners. By developing collaborative, innovative ways to promote the safe, stable, and nurturing relationships that are biologic prerequisites for health, academic success, and economic productivity, family-centered pediatric medical homes will remain relevant in an era that increasingly values wellness and population health.