ABSTRACT Objective: To examine the prevalence of adverse childhood experiences (ACEs) and their relationship with psychological distress among adolescents/young adults (AYAs) with and without pediatric chronic medical conditions (CMC). Methods: A matched sample of AYAs with and without a CMC (n = 484, Mage = 19.48, 77.7% female) completed online measures of demographics, ACEs, and anxious/depressive symptoms. Results: AYAs with a CMC were more likely to have experienced an ACE (p < 0.001). Both CMC status and ACEs related to increased distress (ps < 0.001). Moderation showed that ACEs had a stronger effect on depressive symptoms for those without a CMC (p < 0.001). Conclusions: AYAs with a CMC and/or ACEs have increased risk for distress. Trauma-informed health care and assessment of childhood adversity may be important for early detection and intervention.

中文翻译：

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儿童不良经历：小儿慢性疾病背景下的非医疗创伤

摘要目的：研究有无小儿慢性病（CMC）的青少年/年轻人（AYAs）的不良童年经历（ACE）的流行及其与心理困扰的关系。方法：匹配的有或没有CMC的AYA样本（n = 484，法师= 19.48，女性77.7％）完成了人口统计学，ACEs和焦虑/抑郁症状的在线测量。结果：具有CMC的AYA更有可能经历ACE（p <0.001）。CMC状态和ACE都与痛苦增加有关（ps <0.001）。适度的研究表明，对于没有CMC的患者，ACEs对抑郁症状的影响更大（p <0.001）。结论：具有CMC和/或ACE的AYA会增加困扰的风险。