不同类型的童年逆境在时间内部和时间之间是否相关?三个纵向出生队列研究中逆境共发生的数据比较。

IF 3.4 2区 心理学 Q1 FAMILY STUDIES
Madison E Bigler, Isabel K Schuurmans, Yiwen Zhu, Nitasha Siddique, Nadia Hoffman, Nastassja Koen, Heather J Zar, Dan J Stein, Charlotte A M Cecil, Erin C Dunn
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引用次数: 0

摘要

背景:关于不良童年经历(ace)的现有研究强调,在特定的时间点和整个发展过程中,不良童年经历往往同时发生。然而,这些结论往往是从横断面数据、回顾性报告和高风险样本中得出的。ACE共发生的模式还没有通过反复的、特定时间的ACE暴露测量进行纵向研究。目的:评估ACE在整个发育过程中共同发生的模式,并比较三个纵向出生队列的结果。参与者和环境:数据来自雅芳父母和儿童纵向研究(ALSPAC;英国)、R世代研究(GenR;荷兰)和德拉肯斯坦儿童健康研究(DCHS;南非)。方法:使用前瞻性照护者报告,从出生到10岁反复测量ace。估计队列水平的四分频相关性表征ACE类型内部和之间的关联,并按时间点划分。结果:ace在时间内和时间间仅具有中度相关性,在大多数时间点,即使对于最普遍的暴露,相关估计也低于r = 0.5。在所有队列中,捕获直接受害的ace彼此的共现率最高。包括家庭功能障碍的ace倾向于持续一段时间,但不太可能与其他ace同时发生。ace在DCHS中最常见,在ALSPAC中发生率最高。结论:ACE共发模式因ACE类型、发育时间和样本而异。鉴于这些结果,研究人员和临床医生应该质疑所有ace都是同时发生的假设。相反,当通过父母或参与者自我报告测量ACE暴露时,可能需要在整个发展过程中反复评估,以更好地了解ACE共同发生的模式,并为有针对性的干预提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Are different types of childhood adversities correlated within and across time? A comparison of data on adversity co-occurrence from three longitudinal birth cohort studies.

Background: Existing research on adverse childhood experiences (ACEs) emphasizes that ACEs tend to co-occur, both at specific timepoints and across development. However, these conclusions are often drawn from cross-sectional data, retrospective reports, and high-risk samples. Patterns of ACE co-occurrence have yet to be investigated longitudinally using repeated, time-specific measures of ACE exposure.

Objective: Assess patterns of ACE co-occurrence across development and compare findings from three longitudinal birth cohorts.

Participants and setting: Data came from the Avon Longitudinal Study of Parents and Children (ALSPAC; U.K.), the Generation R Study (GenR; The Netherlands), and the Drakenstein Child Health Study (DCHS; South Africa).

Method: ACEs were measured repeatedly from birth to age 10 using prospective caregiver reports. Cohort-level tetrachoric correlations were estimated to characterize associations within and between ACE types and by timepoints.

Results: ACEs were only moderately correlated within and across time, with correlation estimates under r = 0.5 at most timepoints, even for the most prevalent exposures. In all cohorts, ACEs capturing direct victimization had the highest co-occurrence with each other. ACEs capturing household dysfunction tended to persist over time but were less likely to co-occur with other ACEs. ACEs were most prevalent in DCHS and had the highest co-occurrence in ALSPAC.

Conclusions: Variation exists in patterns of ACE co-occurrence by ACE type, developmental timing, and sample. Given these results, researchers and clinicians should challenge the assumption that all ACEs consistently co-occur. Instead, ACE exposure when measured via parent or participant self report - may need to be assessed repeatedly across development to better understand patterns of ACE co-occurrence and inform targeted interventions.

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来源期刊
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.
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