The Effects of Adverse Childhood Experiences on Internalizing Versus Externalizing Outcomes
The Effects of Adverse Childhood Experiences on Internalizing Versus Externalizing Outcomes
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DOI：
10.1177/0093854819826213
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发表时间：
2019-04-01
影响因子：
2.1
通讯作者：
Birnbaum, Aliya
中科院分区：
文献类型：
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作者：
Muniz, Caitlyn N.;Fox, Bryanna;Birnbaum, Aliya
本研究探讨不良童年经历（ACE）的影响，对青少年的内在或外在的结果的风险。虽然无数的研究已经调查了ACE对内化和外化结果的影响，但尚不清楚ACE在控制其他因素时是否与一个结果有更强的联系。使用30，909名仅表现出内化（n = 1，030）或外化问题（n = 29，879）的青年样本，利用回归技术和倾向评分匹配来评估每个ACE对内化与外化结果风险的影响。结果表明，预测外部化问题的最相关因素是情感虐待。家庭成员监禁，身体虐待，情感忽视，家庭暴力或药物滥用也预测外化的结果。性虐待是唯一能预测内化的ACE，而身体忽视和父母精神疾病与这两种结果都没有相关性。
This study examines the effects of adverse childhood experiences (ACEs) on the risk of internalizing or externalizing outcomes among juveniles. While myriad research has investigated the impacts of ACEs on internalizing and externalizing outcomes, it is unclear whether ACEs have a stronger link to one outcome over the other when controlling for other factors. Using a sample of 30,909 youth who exclusively exhibited internalizing (n = 1,030) or externalizing problems (n = 29,879), regression techniques and propensity score matching were utilized to evaluate the impact of each ACE on the risk of internalizing versus externalizing outcomes. Results indicate that the most pertinent factor for predicting externalized problems is emotional abuse. Household member incarceration, physical abuse, emotional neglect, and household violence or substance abuse also predicted externalizing outcomes. Sexual abuse was the only ACE predictive of internalizing, while physical neglect and parental mental illness did not have a correlation with either outcome.