ACEs: Evidence, Gaps, Evaluation and Future Priorities

被引:26
作者
Steptoe, Andrew [1 ]
Marteau, Theresa [2 ]
Fonagy, Peter [3 ]
Abel, Kathryn [4 ]
机构
[1] UCL, Dept Behav Sci & Hlth, London, England
[2] Univ Cambridge, Dept Publ Hlth & Primary Care, Cambridge, England
[3] UCL, Div Psychol & Language Sci, London, England
[4] Univ Manchester, Div Psychol & Mental Hlth, Manchester, Lancs, England
关键词
ACEs; children; early intervention; evidence-base; outcomes; ADVERSE CHILDHOOD EXPERIENCES; TRAUMA-INFORMED CARE; SELF-HARM; HEALTH; RISK; CHILDREN; FRAMEWORK; MALTREATMENT; ASSOCIATION; RESILIENCE;
D O I
10.1017/S1474746419000149
中图分类号
D58 [社会生活与社会问题]; C913 [社会生活与社会问题];
学科分类号
摘要
There is strong evidence linking adverse childhood experiences (ACEs) and poor outcomes in adulthood both in terms of mental and physical health. Gaps in both the evidence base and research priorities still exist. These include understanding how to identify and assess risk in children who have experienced ACEs, and also the development and, importantly, the evaluation of interventions. Outstanding gaps include whether there are sensitive periods during childhood, the role of resilience/protective factors, the causal relationships, biological mechanisms and relative risk of ACEs for particular negative outcomes. ACEs affect individual children differently and chronic exposure appears to increase the risk of poor outcomes in adulthood, meaning interventions should also be tailored to the individual children, families and communities. Generally, there needs to be better evaluation of interventions and dissemination of this information to ensure that their use is evidence based. More input from affected communities, clinicians, funding bodies and Government departments is required to identify research priorities and ensure gaps in the evidence base are addressed.
引用
收藏
页码:415 / 424
页数:10
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