The Adverse Childhood Experiences (ACEs) study (Felitti et al., 1998) has led to an understanding of how exposure to abuse, neglect, and family dysfunction in childhood are related to subsequent physical and mental health problems. These issues are important to consider during the perinatal period, with studies indicating that pregnant women who report adverse experiences in childhood may be at risk of experiencing mental health and substance use problems. This study examined the association of pregnant women's ACEs with symptoms of depression, anxiety, posttraumatic stress, and substance use, and examined the potential buffering effect of women's resilience against the deleterious effects of ACES on mental health and substance use. Women reported on ACES, mental health symptoms, substance use, and resilience when they were screened for participation in a perinatal psychosocial support intervention, which was integrated into obstetrical clinics in a Southern academic medical center. Almost a quarter of the 303 women in this sample reported four or more ACEs, indicating significant risk. Those reporting more overall ACEs also reported more symptoms of depression, posttraumatic stress, and increased risk of tobacco use. Unique effects of specific ACEs subtypes were also found. Women exposed to child maltreatment reported more anxiety, depression, and posttraumatic stress symptoms, and were at risk for tobacco, cannabis, or opioid use during pregnancy. Women exposed to household dysfunction reported more posttraumatic stress symptoms and were at increased risk of tobacco and alcohol use during pregnancy. Women's resilience attenuated effects of household dysfunction on posttraumatic stress symptoms. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译：

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围产期不良童年经历的重要性。

童年不良经历 (ACE) 研究（Felitti 等人，1998 年）使人们了解了童年时期遭受虐待、忽视和家庭功能障碍与随后的身心健康问题之间的关系。这些问题在围产期很重要，研究表明，报告童年不良经历的孕妇可能面临心理健康和物质使用问题的风险。这项研究检查了孕妇的 ACE 与抑郁、焦虑、创伤后压力和物质使用症状的关联，并检查了女性对 ACES 对心理健康和物质使用的有害影响的恢复能力的潜在缓冲作用。女性报告了 ACES、心理健康症状、药物滥用、当他们接受围产期心理社会支持干预的筛选时，他们的适应力和适应力被整合到南方学术医疗中心的产科诊所中。该样本中的 303 名女性中有近四分之一报告了 4 次或更多 ACE，表明存在重大风险。那些报告更多总体 ACE 的人也报告了更多的抑郁症状、创伤后压力和吸烟风险增加。还发现了特定 ACE 亚型的独特影响。遭受虐待儿童的妇女报告更多的焦虑、抑郁和创伤后压力症状，并且在怀孕期间有使用烟草、大麻或阿片类药物的风险。暴露于家庭功能障碍的女性报告了更多的创伤后压力症状，并且在怀孕期间使用烟草和酒精的风险增加。女性' 韧性减弱了家庭功能障碍对创伤后应激症状的影响。（PsycInfo 数据库记录 (c) 2021 APA，保留所有权利）。