Life course pathways of adverse childhood experiences toward adult psychological well-being: A stress process analysis
Life course pathways of adverse childhood experiences toward adult psychological well-being: A stress process analysis
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DOI：
10.1016/j.chiabu.2015.03.008
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发表时间：
2015-07-01
影响因子：
4.8
通讯作者：
Borja, Sharon
中科院分区：
文献类型：
--
作者：
Nurius, Paula S.;Green, Sara;Borja, Sharon
越来越多的证据表明，生命早期的有毒压力源不仅会影响发育，还会增加额外压力源链扩散的风险，这些压力源可能会压垮个人的应对方式，并损害康复和健康。从生命历程压力过程的角度审视创伤，我们认为，童年早期的逆境具有损害成人心理健康的独特能力，这种能力既独立于其他因素，也与其他因素一起累积，包括社会劣势和成人压力经历。本研究使用来自代表性人口健康调查（N = 13,593）的数据，对不良童年经历（ACE）的独特、累积和调节影响提供了第一个多变量评估，以解释成人心理健康的 3 种相关但独特的衡量标准：感知幸福感、心理困扰和日常活动受损。结果证明了每组假设的关联的支持，包括成人压力和复原力资源分别加剧和改善 ACE 效应。讨论了对服务和未来研究的影响。 (C) 2015 Elsevier Ltd. 保留所有权利。
Growing evidence suggests that toxic stressors early in life not only convey developmental impacts but also augment risk of proliferating chains of additional stressors that can overwhelm individual coping and undermine recovery and health. Examining trauma within a life course stress process perspective, we posit that early childhood adversity carries a unique capacity to impair adult psychological well-being both independent of and cumulative with other contributors, including social disadvantage and stressful adult experiences. This study uses data from a representative population-based health survey (N = 13,593) to provide one of the first multivariate assessments of unique, cumulative, and moderated effects of adverse childhood experiences (ACEs) toward explaining 3 related yet distinct measures of adult mental health: perceived well-being, psychological distress, and impaired daily activities. Results demonstrate support for each set of hypothesized associations, including exacerbation and amelioration of ACEs effects by adult stress and resilience resources, respectively. Implications for services and future research are discussed. (C) 2015 Elsevier Ltd. All rights reserved.