Study aims

This scoping study presents the current status of evidence for young adult outcomes associated with adverse childhood experiences (ACEs) and identifies knowledge gaps in the literature.

Methods

Articles were eligible for review if they were published in peer-reviewed journals between 2010 and 2020, were written in English, and reported original empirical research on the impact of ACEs on young adults ages 18–25. Forty-two articles were selected for full review.

Results

Most ACEs instruments included categories of child abuse and family dysfunction; events that occurred in the child’s social environment were less likely to be considered. Prevalence of ACEs varied widely across studies. Prominent young adult outcomes associated with ACEs were mental health problems and substance use. Approximately one third of the reviewed studies examined either mediators or moderators in the relationship between ACEs and young adult outcomes.

Conclusion

It is important to obtain clear consensus on the conceptual meaning and components of ACEs. Future studies employing various research methods, such as a longitudinal design, mixed methods, or complex path models, may enhance understanding of how ACEs impact young adult outcomes and what factors might play a role in these relationships.

中文翻译：

---

不良的童年经历与年轻成人结局之间的关联：一项范围界定研究

学习目的

这项范围界定研究提供了与不良儿童时期经历（ACE）相关的年轻成人结局的证据的当前状态，并确定了文献中的知识差距。

方法

如果文章在2010年至2020年之间在同行评审期刊上发表，用英语撰写，并且报道了有关ACEs对18-25岁年轻人的影响的原始经验研究，则这些文章才有资格获得评论。选择了42篇文章进行全面审查。

结果

大多数ACE文书都包括虐待儿童和家庭功能障碍的类别；在孩子的社交环境中发生的事件很少被考虑。ACE的发生率在各个研究中差异很大。与ACE相关的显着的年轻成年人结局是心理健康问题和药物滥用。约有三分之一的研究对ACEs与年轻成人结局之间的关系进行了调解或调节。

结论

重要的是要就ACE的概念含义和组成部分达成清晰的共识。未来采用各种研究方法（例如纵向设计，混合方法或复杂路径模型）的研究可能会加深对ACEs如何影响年轻成年人结局以及哪些因素可能在这些关系中起作用的理解。