INTRODUCTION This study examines the relationships among recent adverse childhood experiences (ACEs), somatic symptoms, and anxiety/depression symptoms during adolescence and whether anxiety/depression symptoms mediate the relationship between ACEs and somatic symptoms. METHODS Longitudinal prospective data from the Longitudinal Studies of Child Abuse and Neglect study of 1354 children and their primary caregivers in the United States was used in this study. A longitudinal cross-lagged path analysis among recent ACEs, anxiety/depression symptoms, and somatic symptoms at three points during adolescence (ages 12, 14, and 16 years) was conducted. RESULTS The sample was 51% female and 53% African American. The results indicated significant concurrent associations between recent ACEs and increased anxiety/depression symptoms at ages 12, 14, and 16 (β = .27, p < .001; β = .15, p < .001; β = .07, p < .05) and between anxiety/depression symptoms and increased somatic symptoms at ages 12, 14, and 16 years (β = .44, p < .001; β = .39, p < .001; β = .49, p < .001). Moreover, anxiety/depression symptoms significantly mediated the relationship between recent ACEs and concurrent somatic symptoms at ages 12, 14, and 16 years (β = .12, p < .001; β = .06, p < .001; β = .04, p < .05). However, there was no significant relationship between recent ACEs and somatic symptoms. CONCLUSION The findings suggest that anxiety/depression symptoms mediate the concurrent relationships between recent ACEs and somatic symptoms at ages 12, 14, and 16. Clinicians should consider assessing anxiety/depression symptoms and possible concurrent exposure to ACEs when caring for adolescents who present with somatic symptoms.

中文翻译：

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焦虑/抑郁症状在青少年不良童年经历 (ACE) 和躯体症状之间的中介作用。

引言 本研究调查青春期近期不良童年经历 (ACE)、躯体症状和焦虑/抑郁症状之间的关系，以及焦虑/抑郁症状是否介导 ACE 与躯体症状之间的关系。方法 本研究使用了来自美国 1354 名儿童及其主要照顾者的虐待和忽视儿童纵向研究的纵向前瞻性数据。在青春期（12 岁、14 岁和 16 岁）的三个时间点对最近的 ACE、焦虑/抑郁症状和躯体症状进行纵向交叉滞后路径分析。结果 样本中女性占 51%，非裔美国人占 53%。结果表明，在 12、14、和 16（β = .27，p < .001；β = .15，p < .001；β = .07，p < .05）以及 12 岁、14 岁和 14 岁时焦虑/抑郁症状与躯体症状增加之间的关系16 年（β = .44，p < .001；β = .39，p < .001；β = .49，p < .001）。此外，焦虑/抑郁症状在 12、14 和 16 岁时显着介导了近期 ACE 与并发躯体症状之间的关系（β = .12，p < .001；β = .06，p < .001；β = . 04，p < .05）。然而，最近的 ACE 与躯体症状之间没有显着关系。结论 研究结果表明，在 12、14 和 16 岁时，焦虑/抑郁症状介导了近期 ACE 与躯体症状之间的并发关系。