父母童年期不良经历，是学龄前儿童情绪行为问题发生的重要风险因素

Association of maternal and paternal adverse childhood experiences with emotional and behavioral problems among preschool children

父母童年期不良经历与学龄前儿童情绪行为问题的关联

Author: Ruoyu Li, Liyuan Jia, Jinhong Zha, Xiaoyan Wang, Yongling Huang, Xingyong Tao, Yuhui Wan

Source:  European Child & Adolescent Psychiatry

DOI: 10.1007/s00787-024-02542-3

Abstract

Background: Although maternal adverse childhood experiences (ACEs) are known to be related to the emotional and behavioral problems (EBPs) of offspring, few studies have surveyed the intergenerational effects of paternal ACEs. In addition, no study has yet explored the combination and interaction effects of maternal and paternal ACEs on preschool children’s EBPs in China, and the gender differences in these relationships also remain to be explored.

Methods: A total of 3,575 preschool children from 12 preschools from Hefei city of Anhui province were included in this study. We used a binomial logistic regression to examine the relationship between maternal ACEs, paternal ACEs and children’s EBPs.

Results: Logistic regression analysis indicated that maternal and paternal ACEs were significantly related to EBPs in children, respectively. The high maternal ACEs+high paternal ACEs group had the greatest association with children’s EBPs. Interaction analysis results showed that, compared with the reference group (low maternal ACEs×low paternal ACEs), the other group (high maternal ACEs×high paternal ACEs ) were significantly related to children’s EBPs (OR=1.84, 95%CI: 1.55–2.19). We found that there were no gender differences in the combination and interaction effects (P>0.05). When fathers and mothers were jointly exposed to high levels of ACEs, children had a higher risk of developing EBPs than when they were exposed independently.

Conclusions: Future studies should fully explore the intergenerational health effects of parental ACEs so that references for promoting the physical and mental health of preschool children can be developed.

Keywords: Maternal adverse childhood experiences; Emotional and behavioral problems; Paternal adverse childhood experiences; Preschool children

摘要

背景： 虽然母亲童年期不良经历（ACEs）被证实与子代情绪行为问题（EBPs）有关，但是少有研究调查父亲ACEs的代际效应。此外，我国尚未有研究探讨父母ACEs对学龄前儿童EBPs的联合及交互作用，且这些作用间的性别差异也有待探讨。

方法: 本研究以安徽省合肥市12所幼儿园的3575名学龄前儿童作为研究对象。采用二元logistic回归分析母亲ACEs、父亲ACEs与儿童EBPs之间的关系。

结果： Logistic回归分析结果显示，母亲和父亲的ACEs分别与儿童EBPs显著相关。母亲高ACEs组+父亲高ACEs组与儿童EBPs的关联性最强。交互作用分析结果显示，与参照组（母亲低ACEs组×父亲低ACEs组）相比，另一组（母亲高ACEs组×父亲高ACEs组）与儿童EBPs显著相关（OR=1.84, 95%CI: 1.55-2.19）。我们发现在联合与交互效应中不存在性别差异（P＞0.05）。

结论： 当父母共同暴露于高水平的ACEs时，儿童发生EBPs的风险高于父亲或母亲单独暴露ACEs时。今后研究应充分探讨父母ACEs的代际健康效应，为促进学龄前儿童身心健康提供参考依据。