Adverse childhood experiences (ACEs), resilience, and outcomes in older adulthood: A scoping review

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2025-10-01 DOI:10.1016/j.chiabu.2024.106864

Kelsey M. Haczkewicz , Sheza Shahid , Heather A. Finnegan , Caroline Monnin , Courtney D. Cameron , Natasha L. Gallant

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引用次数: 0

Abstract

Background

Previous research has demonstrated a dose-response relationship between exposure to adverse childhood experiences (ACEs) and adverse outcomes in adulthood. Despite widely known associations, previous reviews have primarily focused on outcomes in younger and middle-aged adults exposed to ACEs to the exclusion of older adults and do not consider the potential role of resilience for understanding outcomes in older adulthood.

Objective

The present scoping review aimed to examine the extent and nature of existing literature on the influence of ACEs and resilience on the cognitive, physical, mental, and social health outcomes among older adults.

Methods

We conducted a search of five electronic databases (CINAHL, MEDLINE, PsycINFO, AgeLine, Scopus) using the following keywords: adversity, resilience, aging, and older adults. We limited our inclusion criteria to works published in English or French after 1998 as Felitti et al. published the first study describing ACEs in this year.

Results

Of the 4926 studies screened, 27 studies met the inclusion criteria. Overall, results from the included studies indicated that exposure to adversity during childhood was associated with worse outcomes in older adulthood. Additionally, we found that resilience and resiliency-related factors (e.g., problem-focused coping strategies) mitigated or reduced harms associated with ACEs to improve outcomes in older adulthood.

Conclusions

Exposure to ACEs is associated with reduced functioning in later adulthood. Findings from this review indicate a need for further exploration into the role of ACEs, and the potential effects of resilience, on health outcomes in older adults to develop better individual- and population-level interventions for this group.

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童年的不良经历（ACEs）、复原力和老年期的结果：范围综述。

背景：以往的研究表明，童年时期的不良经历（ACE）与成年后的不良后果之间存在剂量-反应关系。尽管这种关系广为人知，但之前的综述主要关注的是遭受 ACE 的中青年人的结果，而不包括老年人，也没有考虑复原力对了解老年期结果的潜在作用：本范围综述旨在研究现有文献中有关 ACE 和复原力对老年人认知、身体、心理和社会健康结果影响的程度和性质：我们使用以下关键词对五个电子数据库（CINAHL、MEDLINE、PsycINFO、AgeLine、Scopus）进行了检索：逆境、抗逆力、老龄化和老年人。由于 Felitti 等人在 1998 年发表了第一份关于逆境适应的研究报告，因此我们将纳入标准限定为 1998 年之后发表的英文或法文作品：在筛选出的 4926 项研究中，有 27 项研究符合纳入标准。总体而言，纳入研究的结果表明，童年时期的逆境与成年后的不良后果有关。此外，我们还发现抗逆力和抗逆力相关因素（如以问题为中心的应对策略）减轻或减少了与ACE相关的伤害，从而改善了老年期的结果：结论：暴露于 ACE 与成年后功能减退有关。本综述的研究结果表明，有必要进一步探讨 ACE 对老年人健康结果的作用以及复原力的潜在影响，以便为这一群体制定更好的个人和人群干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Abuse & Neglect Multiple-

CiteScore

7.40

自引率

10.40%

发文量

397

期刊介绍： Official Publication of the International Society for Prevention of Child Abuse and Neglect. Child Abuse & Neglect The International Journal, provides an international, multidisciplinary forum on all aspects of child abuse and neglect, with special emphasis on prevention and treatment; the scope extends further to all those aspects of life which either favor or hinder child development. While contributions will primarily be from the fields of psychology, psychiatry, social work, medicine, nursing, law enforcement, legislature, education, and anthropology, the Journal encourages the concerned lay individual and child-oriented advocate organizations to contribute.