Adverse Childhood Experiences and Perinatal Mental Health: A Review of Progress and Future Directions.

IF 5.5 2区医学 Q1 PSYCHIATRY

Current Psychiatry Reports Pub Date : 2024-11-27 DOI:10.1007/s11920-024-01565-6

Nora L Erickson, Emily R Padrutt, Gretchen Buchanan, Helen G Kim

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引用次数: 0

Abstract

Purpose of review: This review includes recent literature on adverse childhood experiences (ACEs) and perinatal mental health. We summarize key findings, including meta-analytic reviews and emerging data on broad risks for psychopathology, mechanistic pathways, protective factors, and ACEs screening within clinical care contexts.

Recent findings: ACEs are associated with small to moderate risks for perinatal depression and anxiety. There is increasing evidence ACEs are also associated with other mental health concerns and transdiagnostic symptoms during pregnancy and postpartum. Possible mechanistic factors include a range of biological and psychosocial variables. Unique effects of benevolent childhood experiences (BCEs) on perinatal mental health are also notable. Continued emphasis on associations between ACEs and perinatal mental health concerns beyond depression and anxiety is needed. More empirical attention to mechanistic and protective factors, including benevolent childhood experiences, is also warranted. Although ACEs screening in clinical settings may be feasible and acceptable, implementation should occur within a healing centered engagement framework.

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童年不良经历与围产期心理健康：进展回顾与未来方向》。

综述目的：本综述包括有关童年不良经历 (ACE) 和围产期心理健康的最新文献。我们总结了主要的研究结果，包括荟萃分析综述以及有关精神病理学的广泛风险、机制途径、保护因素和临床护理背景下的 ACE 筛查的新兴数据：最近的研究结果：ACE 与围产期抑郁和焦虑的小到中度风险有关。越来越多的证据表明，ACE 还与孕期和产后的其他心理健康问题和跨诊断症状有关。可能的机理因素包括一系列生物和心理社会变量。童年美好经历（BCEs）对围产期心理健康的独特影响也值得注意。除了抑郁和焦虑之外，还需要继续强调 ACE 与围产期心理健康问题之间的关联。此外，还需要对包括美好童年经历在内的机制性和保护性因素给予更多的实证关注。尽管在临床环境中进行 ACE 筛选可能是可行且可接受的，但应在以治疗为中心的参与框架内实施。

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

Current Psychiatry Reports PSYCHIATRY-

CiteScore

11.30

自引率

3.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published research in psychiatry. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by psychiatric disorders. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anxiety, medicopsychiatric disorders, and schizophrenia and other related psychotic disorders. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.