Retrospective chart review‐based assessment scale for adverse childhood events and experiences
Retrospective chart review‐based assessment scale for adverse childhood events and experiences
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基于回顾性图表审查的不良童年事件和经历评估量表
DOI：
10.1002/pcn5.58
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Kasai Kiyoto
中科院分区：
文献类型：
--
作者：
Yamagishi Mika;Satomura Yoshihiro;Sakurada Hanako;Kanehara Akiko;Sakakibara Eisuke;Okada Naohiro;Koike Shinsuke;Yagishita Sho;Ichihashi Kayo;Kondo Shinsuke;Jinde Seiichiro;Fukuda Masato;Kasai Kiyoto
不良童年经历（ACE）在一般人群中非常普遍，其对身心健康的终身影响是深远的。在评估ACE时，重要的是要考虑个人将事件内化为不良经历的途径和方式及其对生物，心理和社会功能的影响。然而，传统的评估ACE是不够的，因为他们不全面评估的不良事件的来源和路径和模式的影响individual.MethodsThis研究开发了一个原始的规模ACE分类的事件的来源和路径和模式的影响，对个人的医疗图表的回顾性审查。我们还使用该量表调查了536例精神疾病（抑郁症，双相情感障碍，精神分裂症）的ACE。结果该量表由28个项目，其信度和效度是足够的。我们还发现，45.9%的患者至少有一个ACE，范围从43.5%到51.5%的所有疾病。来自同伴的心理创伤（欺凌）是最常见的原因，占27.2%。结论我们开发了一种基于回顾性图表回顾的ACE评估工具，可以检查ACE事件的来源及其对个体影响的途径和方式。ACE的发生率很高，无论是哪种类型的精神疾病，横向创伤（欺凌受害）和纵向创伤（父母虐待）一样频繁。
AimAdverse childhood experiences (ACEs) are highly prevalent in the general population, and their lifelong impact on physical and mental health is profound. In assessing ACEs, it is vital to consider the pathways and modalities by which an individual internalizes events as an adverse experience and its effects on their biological, psychological, and social function. However, conventional assessments of ACEs are inadequate in that they do not comprehensively assess the source of the adverse event and the pathway and mode of its impact on the individual.MethodsThis study developed an original scale for ACEs that classifies the source of the event and the pathway and mode of its impact on the individual from a retrospective review of medical charts. We also used this scale to investigate the ACEs in 536 patients with psychiatric disorders (depression, bipolar disorder, and schizophrenia).ResultsThis scale consisted of 28 items, and its reliability and validity were sufficient. We also found that 45.9% of the patients studied had at least one ACE, ranging from 43.5% to 51.5% for all disorders. Psychological trauma (bullying) from peers was the most common cause at 27.2%.ConclusionWe developed a retrospective chart review‐based assessment tool for ACEs which enables the examination of the source of the events of ACEs and the pathways and modalities of their impact on the individual. The frequency of ACEs is high regardless of the type of psychiatric disorder, and horizontal trauma (bullying victimization) is as frequent as vertical trauma (parental maltreatment).
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作者：
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DOI：
--
发表时间：
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期刊：
影响因子：
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作者：
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6.6
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