Comparison of Person-Centered and Cumulative Risk Approaches in Explaining the Relationship Between Adverse Childhood Experiences and Behavioral and Emotional Problems.
Comparison of Person-Centered and Cumulative Risk Approaches in Explaining the Relationship Between Adverse Childhood Experiences and Behavioral and Emotional Problems.
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DOI：
10.1177/08862605231153877
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发表时间：
2023-07
影响因子：
2.5
通讯作者：
Levita, Liat
中科院分区：
文献类型：
--
作者：
Hales, George;Debowska, Agata;Rowe, Richard;Boduszek, Daniel;Levita, Liat
不利的童年经历（ACE）通常是同时发生的，研究人员通常使用以人为中心的方法来估算其影响在英国家庭纵向研究中提取的英国10岁儿童的一般人群中（n = 601）。问卷的困难包括全部困难，情绪症状，行为问题，同伴问题和亲社会的行为。与潜在的阶级模型相比，累积风险模型除外，以人为中心的差异，以人为中心的差异，该研究更好地解释了ACES的儿童功能障碍。挑战类产生了特别差的内在成果。
Adverse childhood experiences (ACEs) commonly co-occur, and researchers often estimate their impact using a cumulative risk approach. The person-centered approach offers another approach to operationalize the co-occurrence of ACEs. This study aims to estimate latent classes of ACEs in a sample of U.K. children, examine their relationship with emotional and behavioral problems, and compare the explanatory value of the latent classes to cumulative risk scores. Data were collected among a general population sample of British 10-year-old children extracted from the U.K. Household Longitudinal Study (N = 601). Seven items characterized ACEs, comprising parent-report physical discipline, emotional abuse, supervisory neglect, maternal psychological distress, child-report parental educational disinterest, bullying victimization, and adverse neighborhood. Outcome measures were derived from the self-report Strengths and Difficulties Questionnaire including total difficulties, emotional symptoms, conduct problems, hyperactivity, peer problems, and prosocial behavior. Latent class analysis resulted in a three-class solution: low ACEs, household challenges, and community challenges. Compared to the other classes, the community challenges class scored substantially worse on total difficulties, emotional symptoms, and peer subscales. The cumulative risk score was associated with all outcomes except prosocial behavior. Cumulative risk models accounted for a larger proportion of variance compared with the latent class models, except for peer problems which the person-centered model explained better. This study confirms that ACEs are associated with impairment in child functioning, and that both person-centered and cumulative risk approaches can capture this relationship well. Specifically, the person-centered approach demonstrated how co-occurring risk factors in the community challenges class produced particularly poor internalizing outcomes.
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