Adverse childhood experiences in children with fetal alcohol spectrum disorders and their effects on behavior.
Adverse childhood experiences in children with fetal alcohol spectrum disorders and their effects on behavior.
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患有胎儿酒精谱系障碍的儿童的不良童年经历及其对行为的影响。
DOI：
10.1111/acer.15010
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Petrenko,Christie
中科院分区：
文献类型：
--
作者：
Kautz-Turnbull,Carson;Rockhold,Madeline;Handley,ElizabethD;Olson,HeatherCarmichael;Petrenko,Christie
背景患有胎儿酒精谱系障碍（FASD）的儿童有很高的不良童年经历（ACE）发生率。 ACE 与广泛的健康结果相关，包括行为调节困难（一个重要的干预目标）。然而，ACE 对残疾儿童不同行为领域的影响尚未得到很好的表征。本研究描述了 FASD 儿童的 ACE 以及它们如何影响行为问题。方法以参与干预研究的 87 名 FASD 儿童（3 至 12 岁）的照顾者为方便样本，使用 ACE 问卷调查和艾伯格儿童行为量表 (ECBI) 上的行为问题报告了他们孩子的 ACE。研究了 ECBI 的理论三因素结构（对抗行为、注意力问题和行为问题）。使用 Pearson 相关性和线性回归分析数据。结果平均而言，看护者认可其孩子经历的 3.10 (SD = 2.99) ACE。两个最常认可的 ACE 风险因素是与患有精神健康障碍的家庭成员住在一起，其次是与患有药物滥用障碍的家庭成员住在一起。 ACE 总分越高，显着预测儿童行为的总体频率越高（强度量表），但不能预测看护者是否认为该行为是 ECBI 上的问题（问题量表）。没有其他变量可以显着预测儿童破坏性行为的频率。探索性回归表明，较高的 ACE 分数可显着预测较大的行为问题。 ACE 总分与注意力问题或对抗行为无关。讨论 患有 FASD 的儿童存在 ACE 风险，ACE 较高的儿童在 ECBI 上出现问题行为的频率更高，尤其是品行问题。研究结果强调，需要对 FASD 儿童进行创伤知情的临床护理，并提高护理的可及性。未来的研究应该检查 ACE 与行为问题之间关系的潜在机制，以便为干预措施提供最佳信息。
BackgroundChildren with fetal alcohol spectrum disorders (FASD) have high rates of adverse childhood experiences (ACEs). ACEs are associated with a wide range of health outcomes including difficulty with behavior regulation, an important intervention target. However, the effect of ACEs on different areas of behavior has not been well characterized in children with disabilities. This study describes ACEs in children with FASD and how they impact behavior problems.MethodsA convenience sample of 87 caregivers of children (aged 3 to 12) with FASD participating in an intervention study reported on their children's ACEs using the ACEs Questionnaire and behavior problems on the Eyberg Child Behavior Inventory (ECBI). A theorized three‐factor structure of the ECBI (Oppositional Behavior, Attention Problems, and Conduct Problems) was investigated. Data were analyzed using Pearson correlations and linear regression.ResultsOn average, caregivers endorsed 3.10 (SD = 2.99) ACEs experienced by their children. The two most frequently endorsed ACE risk factors were having lived with a household member with a mental health disorder, followed by having lived with a household member with a substance use disorder. Higher total ACEs score significantly predicted a greater overall frequency of child behavior (intensity scale), but not whether the caregiver perceived the behavior to be a problem (problem scale) on the ECBI. No other variable significantly predicted the frequency of children's disruptive behavior. Exploratory regressions indicated that a higher ACEs score significantly predicted greater Conduct Problems. Total ACEs score was not associated with Attention Problems or Oppositional Behavior.DiscussionChildren with FASD are at risk for ACEs, and those with higher ACEs had a greater frequency of problem behavior on the ECBI, especially conduct problems. Findings emphasize the need for trauma‐informed clinical care for children with FASD and increased accessibility of care. Future research should examine potential mechanisms that underlie the relationship between ACEs and behavior problems to optimally inform interventions.
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DOI：
--
发表时间：
2021
期刊：
影响因子：
--
作者：
Grace Kuen Yee Tan;M. Symons;James P Fitzpatrick;Sophia G Connor;D. Cross;Carmela F Pestell
通讯作者：
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DOI：
--
发表时间：
2021
期刊：
Child: Care, Health and Development
影响因子：
--
作者：
Meaghan L Nazareth;J. Kvalsvig;C. Mellins;C. Desmond;S. Kauchali;L. Davidson
通讯作者：
L. Davidson
影响因子：
2.1
作者：
Muniz, Caitlyn N.;Fox, Bryanna;Birnbaum, Aliya
通讯作者：
Birnbaum, Aliya
DOI：
10.1097/00004703-200408000-00002
发表时间：
2004-08-01
影响因子：
2.4
作者：
Streissguth, AP;Bookstein, FL;Young, JK
通讯作者：
Young, JK
影响因子：
120.7
作者：
Anda, RF;Croft, JB;Giovino, GA
通讯作者：
Giovino, GA