积极的童年经历是具有不良童年经历的大流行病时期青少年心理健康的保护因素。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2025-10-01 DOI:10.1016/j.chiabu.2024.106640

Hasina Samji , David Long , Jillian Herring , Rachel Correia , Jacqueline Maloney

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引用次数: 0

摘要

背景：不良童年经历（ACEs）预示着整个生命过程中的心理健康状况较差，而积极童年经历（PCEs）则预示着心理健康状况较好。目前还不清楚积极的童年经历是否能保护具有 ACEs 的大流行病时期青少年免受不良心理健康结果的影响并促进其心理健康：我们研究了 COVID-19 第五次调查中 11 年级英属哥伦比亚青少年（N = 8864）的 ACE 和 PCE 对心理健康和幸福感（MHW）的个体和联合贡献。我们采用了一种新的 ACE 测量方法，除了在家中经历的 ACE 外，还包括社区和社会层面的 ACE，以研究心理健康的社会和结构性决定因素在支持大流行病时期青少年心理健康和福祉方面的作用。我们进行了一系列双向方差分析，比较了有和没有ACE的青少年的MHW结果。研究还检验了交互效应，以调查PCE是否调节了ACE与MHW之间的关联：结果：无 ACE 的青少年的 MHW 明显优于有一个或多个 ACE 的青少年。在有和没有ACE的青少年中，有6个或更多PCE与更好的MHW有关。PCE明显缓和了ACE与抑郁之间的关系。在抑郁、心理健康和生活满意度方面，PCE的效应大小大于ACE：结论：PCE 可防止有 ACE 的青少年患上抑郁症，并可促进所有大流行病时期青少年的心理健康和生活满意度。这些发现强调了解决心理健康的社会决定因素以减轻ACE的影响和促进PCE作为MHW公共卫生方法的一部分的重要性。

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Positive childhood experiences serve as protective factors for mental health in pandemic-era youth with adverse childhood experiences

Background

While adverse childhood experiences (ACEs) predict poorer mental health across the life course, positive childhood experiences (PCEs) predict better mental health. It is unclear whether PCEs protect against poor mental health outcomes and promote mental well-being in pandemic-era adolescents with ACEs.

Methods

We examined the individual and joint contributions of ACEs and PCEs to mental health and well-being (MHW) in eleventh-grade British Columbian adolescents (N = 8864) during the fifth wave of COVID-19. We used a novel measure of ACEs that included community- and societal-level ACEs in addition to ACEs experienced at home to investigate the role of social and structural determinants of mental health in supporting the MHW of pandemic-era adolescents. A series of two-way ANCOVAs were conducted comparing MHW outcomes between adolescents with and without ACEs. Interaction effects were examined to investigate whether PCEs moderated the association between ACEs and MHW.

Results

Adolescents with no ACEs had significantly better MHW than those with one or more ACE. Having six or more PCEs was associated with better MHW in adolescents with and without ACEs. PCEs significantly moderated the association between ACEs and depression. Effect sizes were larger for PCEs than ACEs in relation to depression, mental well-being, and life satisfaction.

Conclusions

PCEs may protect against depression among adolescents with ACEs and promote MHW among all pandemic-era adolescents. These findings emphasize the importance of addressing social determinants of mental health to mitigate the impact of ACEs and promote PCEs as part of a public health approach to MHW.

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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.