阿片类药物使用障碍患者积极与不良童年经历调查（PACES）的心理测量特征。

IF 2.3 2区心理学 Q2 PSYCHIATRY

Psychological trauma : theory, research, practice and policy Pub Date : 2025-08-04 DOI:10.1037/tra0001996

Linda Driscoll Powers, Laurie Leitch, Claudia R Amura, Kerry Peterson, Rosario Medina, Paul F Cook

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引用次数: 0

摘要

目的：许多研究发现，不良的童年经历预示着成年后在身心健康、司法系统介入、创伤和物质使用方面的问题。关于积极的童年经历的作用的研究较少，在阿片类药物使用障碍的背景下也没有。这项研究的目的是测试一种测量积极和消极童年经历的新工具。积极和消极的童年经历调查（PACES）工具被设计成一种提问模式，平衡神经系统反应，使患者保持在Leitch（2015）所描述的“弹性区”。方法：我们分析了728名在科罗拉多州农村诊所接受阿片类药物使用障碍治疗的患者的摄入数据。参与者完成了pace、抑郁（患者健康问卷）、疼痛（患者报告结果测量系统）、药物使用、医疗保健利用和司法系统参与（成瘾严重程度指数，第六版）的测量。我们检查了PACES工具心理测量及其与其他测量的相关性。结果：PACES条目清晰地加载到两个测量积极和不良儿童事件的子量表上，具有中等信度（α = 0.81 - 0.84）和小的负相关（r = - 0.14）。不良事件显示出与抑郁、药物使用、疼痛、医疗保健使用和司法系统参与的预期关系。积极事件与心理健康和酒精使用呈负相关，但与其他变量无关。结论：这项研究首次证明了积极的童年经历对阿片类药物使用障碍患者的保护作用。pace是一种可靠、有效的工具，用于评估积极和消极的童年经历，这些经历对成年后的结果有独立的影响。临床医生应评估积极和不利的童年经历作为创伤知情护理的一部分。（PsycInfo Database Record (c) 2025 APA，版权所有）。

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Psychometric properties of the Positive and Adverse Childhood Experiences Survey (PACES) in clients with opioid use disorder.

Objective: Much research has found that adverse childhood experiences predict later adult problems in physical and mental health, justice-system involvement, trauma, and substance use. There is less research on the role of positive childhood experiences and none in the context of opioid use disorder. This study was designed to test a new instrument measuring both positive and adverse childhood experiences. The Positive and Adverse Childhood Experiences Survey (PACES) instrument was designed with a pattern of questioning that balances nervous system responses to keep patients in what Leitch (2015) described as the "resilient zone."

Method: We analyzed intake data from 728 clients seen at rural Colorado clinics for opioid use disorder treatment. Participants completed measures of PACES, depression (Patient Health Questionnaire), pain (Patient-Reported Outcomes Measurement System), drug use, health care utilization, and justice-system involvement (Addiction Severity Index, sixth edition). We examined the PACES instrument psychometrics and correlations with other measures.

Results: PACES items loaded cleanly onto two subscales measuring positive versus adverse childhood events, with moderate reliability (α = .81-.84) and a small inverse correlation (r = -.14). Adverse events showed expected relationships with depression, drug use, pain, health care use, and justice-system involvement. Positive events had inverse relationships with mental health and alcohol use, but not with other variables.

Conclusions: This study is the first to demonstrate the protective effects of positive childhood experiences in clients with opioid use disorder. PACES is a reliable, valid tool for assessing positive and adverse childhood experiences, which have independent effects on adult outcomes. Clinicians should assess both positive and adverse childhood experiences as part of trauma-informed care. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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来源期刊

Psychological trauma : theory, research, practice and policy Multiple-

CiteScore

11.20

自引率

3.20%

发文量

427

期刊介绍： Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence