瑞典高中生童年不良经历与心理困扰之间的关系。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2024-10-22 DOI:10.1016/j.chiabu.2024.107089

Catrin Johansson , Kourosh Bador , Kandra Kmety , Emilia Johansson , Maivor Olsson-Tall , Maria Råstam , Nóra Kerekes

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引用次数: 0

摘要

背景：童年不良经历（ACE）对健康的不利影响已被广泛研究，主要集中在ACE对成年人的影响上。然而，有关ACE对青少年影响的研究却很少：本研究旨在调查ACE与瑞典青少年心理困扰之间的关联：2020年底，1561名瑞典青少年（15-19岁）参与了一项电子调查。调查内容包括有关学生家庭中酗酒和吸毒问题的问题、有关学生遭受身体和心理虐待经历的问题，以及评估学生心理健康的简易症状量表：方法：采用描述性统计和非参数比较统计：结果：近一半的研究对象表示曾经历过一次或多次 ACE。任何 ACE 都与较高程度的心理困扰有明显关联。在所研究的ACE中，心理虐待经历是导致心理困扰的最主要风险因素（在每个领域的ε2效应大小介于0.07和0.12之间，属于中等效应大小；在一般严重程度指数量表中，ε2 = 0.14属于较大效应大小）。经历的 ACE 数量与心理健康恶化之间存在正相关（r = 0.36）：结论：本文讨论了任何 ACE、ACE 的累积次数，尤其是心理虐待对青少年心理健康的重大影响。为了进一步加深对这些关联的理解，并确定有效的干预措施来预防和减轻 ACE 对心理健康的负面影响，有必要开展更多的研究。

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Associations between adverse childhood experiences and psychological distress among Swedish upper secondary school students

Background

The detrimental impacts of adverse childhood experiences (ACEs) on health have been extensively studied, mainly focusing on the effects of ACEs on adults. However, there is a dearth of studies exploring their influences on adolescents.

Objective

This study aims to investigate the associations between ACEs and psychological distress among Swedish adolescents.

Participants and setting

At the end of 2020, 1561 Swedish adolescents (15–19-years-old) participated in an electronic survey. The survey encompassed questions about alcohol and drug use problems within the students' families, questions about the students' experiences of physical and psychological abuse, and the administration of the Brief Symptom Inventory to assess their mental health.

Methods

Descriptive and comparative non-parametric statistics were applied.

Results

Nearly half of the study population reported experiencing one or more ACEs. Exposure to any ACE was significantly associated with a higher level of psychological distress. Of the ACEs examined, the experience of psychological abuse was the most substantial risk factor for psychological distress (with medium effect sizes of ε² between 0.07 and 0.12 on each domain and a large effect size of ε² = 0.14 on the General Severity Index scale). There was a positive correlation (r = 0.36) between the number of ACEs experienced and worsened mental health.

Conclusions

The significant impacts of any ACE, the cumulative number of ACEs, and, particularly, psychological abuse on adolescent mental health are discussed. To further enhance the understanding of these associations and identify effective interventions to prevent and mitigate the negative impact of ACEs on mental health, additional research is warranted.

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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.