Stress, Loneliness and Resilience in the Relationship Between Adverse Childhood Experiences and Chronic Pain.

IF 2.2 Q2 FAMILY STUDIES

Journal of Child & Adolescent Trauma Pub Date : 2026-03-16 eCollection Date: 2026-09-01 DOI:10.1007/s40653-026-00859-6

Giulia Picciotto, Rosa Angela Fabio, Rossella Suriano

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引用次数: 0

Abstract

Adverse Childhood Experiences (ACEs) are recognized risk factors for chronic pain in adulthood, yet the underlying mechanisms remain unclear. A sample of 595 adults completed validated self-report measures assessing ACEs, perceived stress, loneliness, resilience, and chronic pain. Correlational analyses and a path analysis with multiple mediators were conducted to examine direct and indirect pathways linking ACEs to chronic pain. ACEs were positively associated with higher levels of perceived stress and loneliness, both of which significantly mediated the relationship between ACEs and chronic pain. In contrast, resilience demonstrated a protective mediating role, partially explaining the association between ACEs and chronic pain in a negative direction. These findings suggest that stress and loneliness represent key risk pathways linking early adversity to chronic pain, whereas resilience functions as a protective psychological mechanism. Interventions aimed at reducing stress and loneliness while fostering resilience may help mitigate the long-term impact of ACEs on chronic pain.

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童年不良经历与慢性疼痛的关系：压力、孤独和心理弹性。

不良童年经历（ace）是公认的成年期慢性疼痛的危险因素，但其潜在机制尚不清楚。595名成年人完成了有效的自我报告测量，评估ace、感知压力、孤独感、恢复力和慢性疼痛。进行了相关分析和多介质的路径分析，以检查ace与慢性疼痛的直接和间接途径。ace与高水平的感知压力和孤独感呈正相关，这两者都显著介导了ace与慢性疼痛的关系。相反，弹性表现出保护性的中介作用，部分解释了ace与慢性疼痛之间负向的关联。这些发现表明，压力和孤独是将早期逆境与慢性疼痛联系起来的关键风险途径，而恢复力则是一种保护性心理机制。旨在减少压力和孤独感的干预措施，同时培养恢复力，可能有助于减轻ace对慢性疼痛的长期影响。

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来源期刊

Journal of Child & Adolescent Trauma Multiple-

CiteScore

3.00

自引率

6.70%

发文量

期刊介绍： Underpinned by a biopsychosocial approach, the Journal of Child & Adolescent Trauma presents original research and prevention and treatment strategies for understanding and dealing with symptoms and disorders related to the psychological effects of trauma experienced by children and adolescents during childhood and where the impact of these experiences continues into adulthood. The journal also examines intervention models directed toward the individual, family, and community, new theoretical models and approaches, and public policy proposals and innovations. In addition, the journal promotes rigorous investigation and debate on the human capacity for agency, resilience and longer-term healing in the face of child and adolescent trauma. With a multidisciplinary approach that draws input from the psychological, medical, social work, sociological, public health, legal and education fields, the journal features research, intervention approaches and evidence-based programs, theoretical articles, specific review articles, brief reports and case studies, and commentaries on current and/or controversial topics. The journal also encourages submissions from less heard voices, for example in terms of geography, minority status or service user perspectives. Among the topics examined in the Journal of Child & Adolescent Trauma: The effects of childhood maltreatment Loss, natural disasters, and political conflict Exposure to or victimization from family or community violence Racial, ethnic, gender, sexual orientation or class discrimination Physical injury, diseases, and painful or debilitating medical treatments The impact of poverty, social deprivation and inequality Barriers and facilitators on pathways to recovery The Journal of Child & Adolescent Trauma is an important resource for practitioners, policymakers, researchers, and academics whose work is centered on children exposed to traumatic events and adults exposed to traumatic events as children.