从ACE到早期关系健康:对临床实践的启示。

IF 1.8 4区 医学 Q2 PEDIATRICS
Paediatrics & child health Pub Date : 2023-09-23 eCollection Date: 2023-10-01 DOI:10.1093/pch/pxad025
Robin C Williams
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引用次数: 0

摘要

孩子们在一个有关系的环境中成长和发展。安全、稳定、有教养的关系有助于建立韧性,缓冲不利经历的负面影响。在临床实践中促进关系健康将重点从不良儿童经历(ACE)转移到积极儿童经历(PCE)。这种方法评估一个家庭的优势和资产,可以纳入良好的儿童和亚专业护理。虽然这种干预措施的最佳窗口是在产前或在生命的前3年内尽早进行,但现在开始永远不会太迟。该声明描述了临床医生如何通过理解以下内容将关系健康方法应用于任何医疗事故:什么是有毒压力,以及它如何影响发育中的大脑、家庭关系和儿童发展;积极的关系、经验和行为如何帮助缓冲这种影响并建立韧性;亲子互动中可观察到的关系健康和风险迹象;与家人建立信任、治疗关系的特点;以及如何通过对话和临床实践来优化这些益处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
From ACEs to early relational health: Implications for clinical practice.

Children grow and develop in an environment of relationships. Safe, stable, nurturing relationships help build resilience and buffer the negative impact of adverse experiences. Promoting relational health in clinical practice shifts the focus from adverse childhood experiences (ACEs) to positive childhood experiences (PCEs). This approach evaluates a family's strengths and assets, and can be incorporated into both well-child and subspecialty care. While the optimal window for such interventions is in the prenatal period or as early as possible within the first 3 years of life, it is never too late to start. This statement describes how clinicians can bring a relational health approach to any medical encounter by understanding: what toxic stress is and how it can affect the developing brain, family relationships, and child development; how positive relationships, experiences, and behaviours can help buffer such effects and build resilience; observable signs of relational health and risk in parent-child interactions; the attributes of trustful, therapeutic relationships with families; and how to optimize these benefits through conversation and clinical practice.

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来源期刊
Paediatrics & child health
Paediatrics & child health 医学-小儿科
CiteScore
2.10
自引率
5.30%
发文量
208
审稿时长
>12 weeks
期刊介绍: Paediatrics & Child Health (PCH) is the official journal of the Canadian Paediatric Society, and the only peer-reviewed paediatric journal in Canada. Its mission is to advocate for the health and well-being of all Canadian children and youth and to educate child and youth health professionals across the country. PCH reaches 8,000 paediatricians, family physicians and other child and youth health professionals, as well as ministers and officials in various levels of government who are involved with child and youth health policy in Canada.
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