广西医科大学学报2024,Vol.41Issue(2) :294-301.DOI:10.16190/j.cnki.45-1211/r.2024.02.019

母亲童年期不良经历与儿童神经心理发育的关联研究

Association between maternal adverse childhood experiences and children's neuropsychologi-cal development

李秋容 李金秀 吕小平 莫彩梅 雷立地 许雪梅 刘顺
广西医科大学学报2024,Vol.41Issue(2) :294-301.DOI:10.16190/j.cnki.45-1211/r.2024.02.019

母亲童年期不良经历与儿童神经心理发育的关联研究

Association between maternal adverse childhood experiences and children's neuropsychologi-cal development

李秋容 1李金秀 2吕小平 2莫彩梅 3雷立地 3许雪梅 3刘顺4
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作者信息

  • 1. 广西医科大学公共卫生学院儿少卫生与妇幼保健学教研室,南宁 530021;北海市人民医院,北海 536000
  • 2. 南宁市第五人民医院,南宁 530001
  • 3. 广西医科大学公共卫生学院流行病与卫生统计学教研室,南宁 530021
  • 4. 广西医科大学公共卫生学院儿少卫生与妇幼保健学教研室,南宁 530021
  • 折叠

摘要

目的:分析母亲童年期不良经历(ACE)的流行特点及其对儿童神经心理发育的代际影响,为促进儿童身心健康发展提供科学依据.方法:采用现况研究的方式,以北海市4所幼儿园和2所卫生院门诊作为研究现场,利用简体中文版童年期不良经历国际量表(SC-ACE-IQ)和年龄与发育进程问卷(第3版)(ASQ-3)父母版分别调查学龄前儿童母亲ACEs暴露和儿童神经心理发育水平;通过多因素logistic回归模型,分析母亲ACEs与儿童神经心理发育的关联.结果:母亲报告率最高的前3个ACEs为社区暴力(36.9%)、家庭暴力(32.3%)和身体忽视(22.5%),至少经历过1个ACE者占65.6%;多因素logistic回归分析结果显示:母亲童年期情感忽视经历增加子代解决问题能力(OR=3.8,95%CI:1.2~12.0,P=0.023)、沟通能力(OR=6.9,95%CI:2.3~20.3,P<0.001)和粗大动作(OR=3.8,95%CI:1.5~9.7,P=0.005)发育落后的风险.结论:北海学龄前儿童母亲ACEs暴露具有一定的地方特点,母亲情感忽视可能影响儿童解决问题能力、沟通能力和粗大动作等多个神经心理能力的发育.

Abstract

Objective:To investigate the prevalence of maternal adverse childhood experiences(ACEs)and the intergenerational effect on children's neuropsychological development,so as to provide scientific basis for pro-moting the physical and mental health development of children.Methods:A cross-sectional study was conducted within four kindergartens and two health center outpatient clinics in Beihai City.The maternal prevalence of AC-Es and the neuropsychological development of their children were investigated using the simplified Chinese ver-sion of the International Scale of Adverse Childhood Experiences(SC-ACE-IQ)and the parental version of Ages&Stages Questionnaires,Third Edition(ASQ-3),respectively.A multiple logistic regression model was applied to analyze the association between maternal ACEs and neuropsychological development of children.Results:The top three most common ACEs for mothers were community violence(36.9%),domestic violence(32.3%),and physical neglect(22.5%),and 65.6%of them experienced at least one ACE.Multiple logistic regression anal-ysis showed that maternal emotional neglect experienced during childhood increased the risk of offspring's devel-opmental delays in problem-solving(OR=3.8,95%CI:1.2-12.0,P=0.023),communication(OR=6.9,95%CI:2.3-20.3,P<0.001),and gross motor movements(OR=3.8,95%CI:1.5-9.7,P=0.005).Conclusion:Maternal ACEs among preschool children in Beihai has certain local characteristics.Maternal emotional neglect may affect the developmental delays in children,including problem solving,communication,and gross motor movements.

关键词

童年期不良经历/儿童神经心理发育/代际效应

Key words

adverse childhood experiences/neuropsychological development/intergenerational effect

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出版年

2024
广西医科大学学报
广西医科大学

广西医科大学学报

CSTPCD
影响因子:0.788
ISSN:1005-930X
参考文献量34
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