Research has shown that adverse childhood experiences (ACEs) increase the risk of poor health and well-being, yet less is known about the pathways through which these life outcomes emerge. For instance, prospective, longitudinal research into the link between ACEs and the trajectories of children’s behavioral problems is limited. Moreover, no longitudinal study has investigated whether children’s behavioral problems also increase their risk of adverse experiences over time. Therefore, the main purpose of this study is to explore bidirectional relations between adverse childhood experiences (ACEs) and children’s behavioral problems in a sample of low-income children. This study uses the Fragile Families and Child Wellbeing Study, a birth cohort study of 4898 children followed from birth through 15 years of age. A random intercept cross-lagged panel model was fit to examine the bidirectional relations between ACEs and child behavioral problems. Study findings indicated that age 5 ACEs score significantly predicted age 9 anxious or depressed problems and age 9 aggressive problems. Age 5 anxious or depressed problems also significantly predicted age 9 ACEs exposure. From age 3 to age 9, ACEs also played a dominant role in the bidirectional relations with behavioral problems. There were certain bidirectional relations between ACEs and child behavioral problems. The findings have implications for understanding the etiology and consequences of adversities as well as the design of prevention and intervention strategies.

研究表明，不良童年经历 (ACE) 会增加健康状况不佳的风险，但人们对这些生活结果出现的途径知之甚少。例如，关于 ACE 与儿童行为问题轨迹之间联系的前瞻性纵向研究是有限的。此外，没有纵向研究调查儿童的行为问题是否也会随着时间的推移增加他们不良经历的风险。因此，本研究的主要目的是探讨低收入儿童样本中不良童年经历（ACE）与儿童行为问题之间的双向关系。这项研究使用脆弱家庭和儿童福利研究，这是一项对 4898 名从出生到 15 岁的儿童进行的出生队列研究。随机截距交叉滞后面板模型适合检查 ACE 与儿童行为问题之间的双向关系。研究结果表明，5 岁时的 ACE 得分显着预测了 9 岁时的焦虑或抑郁问题以及 9 岁时的攻击性问题。5 岁时的焦虑或抑郁问题也显着预测了 9 岁时的 ACE 暴露。从 3 岁到 9 岁，ACE 在与行为问题的双向关系中也发挥着主导作用。ACE与儿童行为问题之间存在一定的双向关系。这些发现对于理解逆境的病因和后果以及预防和干预策略的设计具有重要意义。研究结果表明，5 岁时的 ACE 得分显着预测了 9 岁时的焦虑或抑郁问题以及 9 岁时的攻击性问题。5 岁时的焦虑或抑郁问题也显着预测了 9 岁时的 ACE 暴露。从 3 岁到 9 岁，ACE 在与行为问题的双向关系中也发挥着主导作用。ACE与儿童行为问题之间存在一定的双向关系。这些发现对于理解逆境的病因和后果以及预防和干预策略的设计具有重要意义。研究结果表明，5 岁时的 ACE 得分显着预测了 9 岁时的焦虑或抑郁问题以及 9 岁时的攻击性问题。5 岁时的焦虑或抑郁问题也显着预测了 9 岁时的 ACE 暴露。从 3 岁到 9 岁，ACE 在与行为问题的双向关系中也发挥着主导作用。ACE与儿童行为问题之间存在一定的双向关系。这些发现对于理解逆境的病因和后果以及预防和干预策略的设计具有重要意义。ACE 在与行为问题的双向关系中也发挥了主导作用。ACE与儿童行为问题之间存在一定的双向关系。这些发现对于理解逆境的病因和后果以及预防和干预策略的设计具有重要意义。ACE 在与行为问题的双向关系中也发挥了主导作用。ACE与儿童行为问题之间存在一定的双向关系。这些发现对于理解逆境的病因和后果以及预防和干预策略的设计具有重要意义。