父母不良童年经历对儿童结果的代际传递：一项系统综述和荟萃分析。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2025-10-01 DOI:10.1016/j.chiabu.2023.106479

Nicole Racine , Audrey-Ann Deneault , Raela Thiemann , Jessica Turgeon , Jenney Zhu , Jessica Cooke , Sheri Madigan

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引用次数: 0

摘要

目的：目前的荟萃分析综述提供了一个全面的综合研究，考察父母对ACE的暴露及其子女的发育和心理健康结果。参与者和环境：截至2021年8月，通过在PsycINFO、MEDLINE和Embase的全面数据库搜索确定了符合条件的研究。纳入的研究考察了父母ACE对儿童发展（即认知、语言、运动、社会困难和早期社会情绪发展）或心理健康（即内化问题、外化问题）结果的代际影响。方法：数据由两个编码器使用标准化提取协议进行提取。采用多层次元分析方法推导合并效应大小，并对调节因子进行测试。结果：共有52项研究被纳入荟萃分析。父母ACE与儿童心理健康问题呈正相关（r=0.17，95%CI[0.12，0.21]，P结论：结果表明，父母ACE与部分但不是所有儿童的结果有关。需要对传播机制进行更多的研究，为与ACE代际传播相关的政策和实践提供信息。

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Intergenerational transmission of parent adverse childhood experiences to child outcomes: A systematic review and meta-analysis

Objective

The current meta-analytic review provides a comprehensive synthesis of studies examining parent exposure to ACEs and the developmental and mental health outcomes of their children.

Participants and setting

Eligible studies up to August 2021 were identified through comprehensive database searches in PsycINFO, MEDLINE, and Embase. Studies that were included examined the intergenerational effects of parent ACEs on child development (i.e., cognitive, language, motor, social difficulties, and early social-emotional development) or mental health (i.e., internalizing problems, externalizing problems) outcomes.

Methods

Data were extracted by two coders using a standardized extraction protocol. A multi-level meta-analytic approach was used to derive pooled effect sizes and test for moderators.

Results

A total of 52 studies were included in the meta-analysis. Parent ACEs were positively associated with child mental health problems (r = 0.17, 95 % CI [0.12, 0.21], p < .001), child externalizing difficulties (r = 0.20, 95 % CI [0.15, 0.26], p < .001), and child internalizing difficulties (r = 0.17, 95 % CI [0.11, 0.22], p < .001). There were no significant sociodemographic (i.e., child age, parent age, income level, child sex, or racial/ethnic minority status) or methodological (i.e., study type or quality) moderators of these associations. Preliminary evidence suggests that parent ACEs were not associated with offspring developmental outcomes, such as cognitive or language skills.

Conclusions

Results suggest that parent ACEs are associated with some, but not all child outcomes. Additional research focused on the mechanisms of transmission are needed to inform policies and practices related to the intergenerational transmission of ACEs.

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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.