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Translating the neuroscience of adverse childhood experiences to inform policy and foster population-level resilience.
American Psychologist ( IF 16.4 ) Pub Date : 2021-03-19 , DOI: 10.1037/amp0000780
Carl F Weems 1 , Justin D Russell 2 , Ryan J Herringa 2 , Victor G Carrion 3
Affiliation  

Imaging methods have elucidated several neurobiological correlates of traumatic and adverse experiences in childhood. This knowledge base may foster the development of programs and policies that aim to build resilience and adaptation in children and youth facing adversity. Translation of this research requires both effective and accurate communication of the science. This review begins with a discussion of integrating the language used to describe and identify childhood adversity and their outcomes to clarify the translation of neurodevelopmental findings. An integrative term, Traumatic and Adverse Childhood Experiences (TRACEs+) is proposed, alongside a revised adverse childhood experiences (ACEs) pyramid that emphasizes that a diversity of adverse experiences may lead to a common outcome and that a diversity of outcomes may result from a common adverse experience. This term facilitates linkages between the ACEs literature and the emerging neurodevelopmental knowledge surrounding the effect of traumatic adverse childhood experiences on youth in terms of the knowns and unknowns about neural connectivity in youth samples. How neuroscience findings may lead directly or indirectly to specific techniques or targets for intervention and the reciprocal nature of these relationships is addressed. Potential implications of the neuroscience for policy and intervention at multiple levels are illustrated using existing policy programs that may be informed by (and inform) neuroscience. The need for transdisciplinary models to continue to move the science to action closes the article. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译:

将不良童年经历的神经科学转化为政策信息并培养人口水平的复原力。

成像方法已经阐明了童年时期创伤和不良经历的几种神经生物学相关性。该知识库可以促进制定旨在增强面临逆境的儿童和青年的复原力和适应能力的计划和政策。这项研究的翻译需要对科学进行有效和准确的交流。本综述首先讨论了整合用于描述和识别儿童逆境及其结果的语言,以阐明神经发育结果的翻译。提出了一个综合术语,创伤和不良童年经历 (TRACEs+),与修订后的不良童年经历 (ACE) 金字塔一起强调,不良经历的多样性可能导致共同的结果,而结果的多样性可能源于共同的不良经历。该术语促进了 ACE 文献和新兴的神经发育知识之间的联系,这些知识围绕着创伤性不良童年经历对青年的影响,就青年样本中神经连接的已知和未知而言。神经科学的发现如何直接或间接导致特定的干预技术或目标,以及这些关系的互惠性质。神经科学对多层次政策和干预的潜在影响使用现有的政策计划来说明,这些政策计划可能会受到(并告知)神经科学的影响。需要跨学科模型继续推动科学付诸行动,这篇文章结束了。(PsycInfo 数据库记录 (c) 2021 APA,保留所有权利)。
更新日期:2021-03-19
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