The role of adverse childhood experiences in risky behaviors, health care utilization, and generalized self-efficacy in the general adult Polish population
The role of adverse childhood experiences in risky behaviors, health care utilization, and generalized self-efficacy in the general adult Polish population
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DOI：
10.5114/aoms.2020.96343
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发表时间：
2024-01-01
影响因子：
3.8
通讯作者：
Wojnar, Marcin
中科院分区：
文献类型：
--
作者：
Berent, Dominika;Wojnar, Marcin
导言：本研究评估了不良童年经历(ACE)是否与波兰普通人群中的六个关键结果显著和独立相关：(1)终生自杀未遂，(2)自残，(3)潜在的酗酒问题，(4)街头毒品的使用，(5)去看心理学家/心理治疗师，(6)去看精神病医生。我们还调查了ACEs是否能解释一般自我效能感的相当大比例的变异性。材料和方法：659名受试者完成了ACE研究问卷(身体、言语和性虐待；疏忽；选定的家庭功能障碍)和三个附加问题[ACE(13)问卷]：见证(1)家庭成员自杀未遂或(2)除完全自杀以外的任何原因死亡，(3)陌生人因任何原因(如交通事故)死亡。采用一般自我效能感量表评定一般自我效能感。结果：随着ACE和ACE(13分)得分的增加，终生使用街头毒品、潜在的问题饮酒和去看心理学家/心理治疗师和精神病学家的可能性增加。与<lt；4>的分数相比，<lt；=4的ACE(13分)分数与自残的可能性增加10.8倍，潜在问题饮酒的可能性增加3.26倍，去看心理学家/心理治疗师的可能性增加5.72倍，去看精神科医生的可能性增加6.71倍。ACE13分可以解释一般自我效能感1.2%的变异性。结论：目前的研究发现，童年逆境与终生自残、潜在的饮酒问题、去看心理学家/心理治疗师和去看精神病学家的可能性增加有很强的相关性。一般自我效能感可能是儿童逆境后二次干预的重要目标。
Introduction: The present study evaluated whether adverse childhood experiences (ACEs) are significantly and independently associated with six key outcomes in the Polish general population: (1) lifetime suicide attempt, (2) self-mutilation, (3) potential problem drinking, (4) use of street drugs, (5) visiting a psychologist/psychotherapist, and (6) visiting a psychiatrist. We also investigated whether ACEs explain a significant proportion of variability in generalized self-efficacy. Material and methods: Six hundred and fifty-nine individuals completed the ACE Study questionnaire (physical, verbal, and sexual abuse; neglect; select family dysfunctions) and three additional questions [ACE (13) questionnaire]: witnessing (1) a family member's suicide attempt or (2) death due to any cause except completed suicide, and (3) a stranger's death due to any cause (e.g., traffic accident). Generalized self-efficacy was assessed with the Generalized Self-Efficacy Scale. Results: The likelihood of lifetime use of street drugs, potential problem drinking, and visiting a psychologist/psychotherapist and psychiatrist increased as ACE and ACE (13) score increased. As compared to scores of < 4, ACE (13) scores of >= 4 were associated with a 10.8-fold increased likelihood of self-mutilation, a 3.26-fold increased likelihood of potential problem drinking, a 5.72-fold increased likelihood of visiting a psychologist/psychotherapist, and a 6.71-fold increased likelihood of visiting a psychiatrist. ACE (13) score explained 1.2% of the variability in generalized self-efficacy. Conclusions: The present study identified a strong association between childhood adversity and increased likelihood of lifetime self-mutilation, potential problem drinking, visiting a psychologist/psychotherapist, and visiting a psychiatrist. Generalized self-efficacy may be an important target for secondary intervention following childhood adversity.