Exploring the association between a parent's exposure to Adverse Childhood Experiences (ACEs) and outcomes of depression and anxiety among their children
Exploring the association between a parent's exposure to Adverse Childhood Experiences (ACEs) and outcomes of depression and anxiety among their children
复制标题
DOI：
10.1016/j.childyouth.2020.105013
复制
发表时间：
2020-06-01
影响因子：
3.3
通讯作者：
Glover, Saundra
中科院分区：
文献类型：
--
作者：
Haynes, Eboni;Crouch, Elizabeth;Glover, Saundra
创伤性经历与以后的养育行为有关，使后代接触ACE的风险增加。由于抑郁症和焦虑症是美国最普遍的心理健康疾病之一，本研究旨在探讨父母ACE暴露在其子女抑郁/焦虑经历中的作用。使用2014年至2016年关联的南卡罗来纳州行为风险因素监测系统（BRFSS）和儿童健康评估调查（CHAS）的数据，我们发现，暴露于四种或四种以上ACE的照顾者使其孩子患抑郁症和/或焦虑症的几率增加三倍（aOR 3.01; 95%CI 1.59-5.69）。此外，与没有ACE的照顾者相比，有抑郁/焦虑的照顾者的孩子患抑郁/焦虑的几率增加了两倍（aOR 2.24; 95% CI 1.41-3.57）。这些研究结果提供了额外的支持，筛选照顾者的ACE暴露和儿童的抑郁/焦虑，以及通过创伤知情的方法来解决创伤的后果和建立弹性。
Traumatic experiences are associated with parenting behaviors later in life, placing offspring at an increased risk of ACE exposure. As depression and anxiety are among the most prevalent mental health disorders in the U.S., this study sought to examine the role of parental ACE exposure in their children's experiences of depression/anxiety. Using data from the 2014 to 2016 linked South Carolina Behavioral Risk Factor Surveillance System (BRFSS) and the Children's Health Assessment Survey (CHAS), we found that a caregiver who has been exposed to four or more ACEs increases the odds of their child developing depression and/or anxiety three-fold (aOR 3.01; 95% CI 1.59-5.69). Additionally, having a caregiver with depression/anxiety increases the odds of their child developing depression/anxiety two-fold compared to caregivers with no ACEs (aOR 2.24; 95% CI 1.41-3.57). These findings provide additional support for the screening of caregivers for ACE exposures and children for depression/anxiety as well as for the adoption of trauma-informed approaches to address the consequences of trauma and build resilience.