Positive childhood experiences predict less psychopathology and stress in pregnant women with childhood adversity: A pilot study of the benevolent childhood experiences (BCEs) scale
Positive childhood experiences predict less psychopathology and stress in pregnant women with childhood adversity: A pilot study of the benevolent childhood experiences (BCEs) scale
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DOI：
10.1016/j.chiabu.2017.09.022
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发表时间：
2018-04-01
影响因子：
4.8
通讯作者：
Lieberman, Alicia F.
中科院分区：
文献类型：
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作者：
Narayan, Angela J.;Rivera, Luisa M.;Lieberman, Alicia F.
这项试点研究探讨了仁慈的童年经历（BCEs）规模，一种新的工具，旨在评估儿童虐待和其他逆境的历史，成人积极的早期生活经验的心理测量学特性。与不良童年经历（ACE）问卷相对应，BCE的开发是多元文化敏感和适用的，无论社会经济地位，城乡背景或移民身份。在一个不同种族的低收入孕妇样本中，假设BCE水平较高，可以预测ACES影响之外的较低水平的精神病理学和压力。预计BCE还将显示出跨种族/族裔群体的足够内部效度，以及从产前到产后的重测稳定性。参与者为101名孕妇（M = 29.10岁，SD = 6.56，范围= 18-44; 37%拉丁裔，22%非裔美国人，20%白色，21%双种族/多种族/其他; 37%外国出生，26%讲西班牙语）完成BCE和ACE量表;评估产前抑郁和创伤后应激障碍（PTSD）症状、感知压力和妊娠期间暴露于压力性生活事件（SLEs）;以及人口统计学信息。BCE水平越高，预测的PTSD症状和SLE越少，超过ACE。BCE表现出良好的重测信度，平均水平在种族/民族和西班牙语-英语女性群体之间具有可比性。以人为本的分析还表明，较高水平的BCE抵消了ACE对产前压力和精神病理学的影响。BCEs量表索引了与妊娠期较低的创伤相关的创伤学和压力暴露相关的有希望的促进因素，并阐明了良好的童年经历如何抵消童年逆境的长期影响。
This pilot study examined the psychometric properties of the Benevolent Childhood Experiences (BCEs) scale, a new instrument designed to assess positive early life experiences in adults with histories of childhood maltreatment and other adversities. A counterpart to the Adverse Childhood Experiences (ACEs) questionnaire, the BCEs was developed to be multiculturally-sensitive and applicable regardless of socioeconomic position, urban-rural background, or immigration status. Higher levels of BCEs were hypothesized to predict lower levels of psychopathology and stress beyond the effects of ACES in a sample of ethnically diverse, low-income pregnant women. BCEs were also expected to show adequate internal validity across racial/ethnic groups and test-retest stability from the prenatal to the postnatal period. Participants were 101 pregnant women (M = 29.10 years, SD = 6.56, range = 18-44; 37% Latina, 22% African American, 20% White, 21% biracial/multiracial/other; 37% foreign-born, 26% Spanish-speaking) who completed the BCEs and ACEs scales; assessments of prenatal depression and post traumatic stress disorder (PTSD) symptoms, perceived stress, and exposure to stressful life events (SLEs) during pregnancy; and demographic information. Higher levels of BCEs predicted less PTSD symptoms and SLEs, above and beyond ACEs. The BCEs showed excellent test-retest reliability, and mean levels were comparable across racial/ethnic and Spanish-English groups of women. Person-oriented analyses also showed that higher levels of BCEs offset the effects of ACEs on prenatal stress and psychopathology. The BCEs scale indexes promising promotive factors associated with lower trauma-related symptomatology and stress exposure during pregnancy and illuminates how favorable childhood experiences may counteract long-term effects of childhood adversity.