Adverse childhood experiences among youth from high-achieving schools: Appraising vulnerability processes toward fostering resilience.
Adverse childhood experiences among youth from high-achieving schools: Appraising vulnerability processes toward fostering resilience.
复制标题
来自高成就学校的青少年的不良童年经历：评估脆弱性过程，以培养韧性。
DOI：
10.1037/amp0000754
复制
发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Suh BC
中科院分区：
文献类型：
--
作者：
Luthar SS;Ciciolla L;Suh BC
在来自高成就学校的青少年中，研究了与以下方面有关的不良童年经历（ACE）：（a）青春期的内化和外化症状（n = 527），（B）成年期的症状加精神病诊断（基于多次年度访谈）（n = 316）。还审查了协会的“代理ACE”（P-ACE）的措施，包含类似的项目，对标准ACE措施没有提到虐待或忽视。ACE的发生率与其他研究中的发生率相当;最常见的是父母抑郁，其次是情感忽视。暴露于0、1、2、3和4+ ACE的组在成年期的症状上存在差异，具有小到中等的效应量;在12级症状的P-ACE组的平行比较中，差异具有大的效应量。在精神病诊断方面，与零ACE组的比较显示，有1、2、3个ACE的组与4+ ACE的组相比，分别有2倍和5倍以上的终生诊断几率。对于有1、2和3个ACE的个体，内化诊断的几率是2-6倍，对于报告4+ ACE的个体，内化诊断的几率是12倍。值得注意的是，12级报告的2、3和4+ P-ACE与成年期精神疾病的几率增加2-3倍有关，特别是内化诊断的几率增加3-6倍。在未来，ACE和P-ACE的评估可以促进HAS学生中的问题的早期发现，为干预措施提供信息，以减轻脆弱性过程，从而促进这些青年及其家庭的复原力。本文是特刊《不良童年经历（ACE）：转化为行动》的一部分，发表在2021年2月至3月的《美国心理学家》杂志上。莎伦·G波特伍德和迈克尔J劳勒担任编辑的特别问题，与迈克尔C。罗伯茨担任顾问编辑。
Among youth from high-achieving schools, adverse childhood experiences (ACEs) were examined in relation to (a) internalizing and externalizing symptoms in adolescence (n = 527), and (b) symptoms plus psychiatric diagnoses -- based on multiple annual interviews -- in adulthood (n = 316). Also examined were associations for a “Proxy ACEs” (P-ACEs) measure, containing items similar to those on standard ACEs measures without reference to abuse or neglect. Rates of ACEs were comparable to those in other studies; most commonly endorsed were parental depression followed by aspects of emotional neglect. Groups exposed to zero, 1, 2, 3, and 4+ ACEs differed on symptoms in adulthood, with small to moderate effect sizes; in parallel comparisons of P-ACEs groups on Grade 12 symptoms, differences had large effect sizes. In relation to psychiatric diagnoses, comparisons with the zero ACEs group showed that groups with 1, 2, 3 ACEs, versus 4+ ACES, respectively, had 2-fold and over 5-fold greater odds of having any lifetime diagnosis. The odds for internalizing diagnoses specifically were 2–6 times greater for individuals with 1, 2, and 3 ACEs, and 12 times greater for those reporting 4+ ACEs. Remarkably, Grade 12 reports of 2, 3, and 4+ P-ACEs were linked to 2–3 times greater odds of a psychiatric disorder in adulthood, and 3–6 times greater odds for internalizing diagnoses specifically. In the future, assessments of ACEs and P-ACEs could facilitate early detection of problems among HAS students, informing interventions to mitigate vulnerability processes and thus promote resilience among these youth and their families. This article is part of a special issue, “Adverse Childhood Experiences (ACEs): Translation to Action,” published in the February – March 2021 issue of American Psychologist. Sharon G. Portwood and Michael J. Lawler served as editors of the special issue, with Michael C. Roberts as advisory editor.
登录
查看更多内容
影响因子：
4.6
作者：
Goodman SH;Garber J
通讯作者：
Garber J
影响因子：
5.5
作者：
Anda, Robert F.;Butchart, Alexander;Brown, David W.
通讯作者：
Brown, David W.
影响因子：
--
作者：
Green, Jennifer Greif;McLaughlin, Katie A.;Berglund, Patricia A.;Gruber, Michael J.;Sampson, Nancy A.;Zaslavsky, Alan M.;Kessler, Ronald C.
通讯作者：
Kessler, Ronald C.
影响因子：
5
作者：
Frewen, Paul;Zhu, Jenney;Lanius, Ruth
通讯作者：
Lanius, Ruth
影响因子：
3.3
作者：
Luthar, Suniya S.;Kumar, Nina L.;Benoit, Renee
通讯作者：
Benoit, Renee