Background and objective

The long-term negative impact of Adverse Childhood Experiences (ACEs) is now well-recognized; however, little research has explored the link between ACEs and daily stress processes in adulthood. The current study aimed to examine the effect of ACEs in the association between daily stressor exposure and daily negative affect, and whether such associations would predict long-term health and well-being.

Methods

Using data from the National Study of Daily Experiences 2 (NSDE 2) and the Midlife in the United States (MIDUS) studies, multilevel moderated mediation analyses were conducted to account for daily measurements nested within individuals. We tested whether the indirect effect of daily stressor exposure on prospective chronic health conditions and prospective depressive symptoms through daily negative affect would differ by adults' levels of ACEs.

Results

We found significant positive associations between daily stressor exposure and daily negative affect at both the within- and between-person levels. Between-person daily negative affect was, in turn, associated with more chronic health conditions and higher depressive symptoms ten years later. This indirect effect was stronger for adults with high ACEs compared to those with low ACEs.

Conclusions

The current study demonstrated that a history of ACEs may exacerbate the negative health effects of daily stress processes over time. Programs focusing on coping with daily stressors and resilience may benefit adults with ACEs and promote their health and well-being.

中文翻译：

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不良的童年经历放大了成人日常压力与健康的纵向关联

 背景和目标

不良童年经历 (ACE) 的长期负面影响现已得到广泛认识；然而，很少有研究探讨 ACE 与成年后日常压力过程之间的联系。当前的研究旨在检验 ACE 在日常压力源暴露与日常负面情绪之间的关联中的影响，以及这种关联是否可以预测长期的健康和福祉。

 方法

使用国家日常体验研究 2 (NSDE 2) 和美国中年 (MIDUS) 研究的数据，进行多级调节中介分析，以解释个体内的日常测量。我们测试了日常压力源暴露对预期慢性健康状况和通过日常负面情绪产生的预期抑郁症状的间接影响是否会因成人的 ACE 水平而有所不同。

 结果

我们发现，在人际层面和人际层面上，日常压力源暴露与日常负面影响之间存在显着的正相关关系。十年后，人与人之间的日常负面情绪又与更多的慢性健康状况和更高的抑郁症状相关。与 ACE 较低的成年人相比，这种间接影响对于 ACE 高的成年人来说更为强烈。

 结论

目前的研究表明，随着时间的推移，ACE 的历史可能会加剧日常压力过程对健康的负面影响。专注于应对日常压力和恢复能力的计划可能会使患有 ACE 的成年人受益，并促进他们的健康和福祉。