Objective: 

Mental health outcomes such as attention-deficit/hyperactivity disorder (ADHD), behavior disorders, anxiety, depression, and adverse childhood experiences (ACEs) are common disorders among children in the United States. Little is known on how potential resilient factors may moderate the relationship between exposure to ACEs and mental health outcomes. This study examines associations between ACEs and resilience on mental health outcomes using the 2018 National Survey of Children's Health (N = 26,572).

Method: 

Logistic regression and interactions examined the association between ACEs, resilience, and mental health outcomes. ACE exposure and low resiliency were associated with an increased likelihood of mental health outcomes.

Results: 

There were significant interactions between exposure to ACEs and family resilience as well as significant interactions between ACE exposure and community resilience. On stratification, the presence of individual resilience and having all resilience measures decreased the odds of ADHD, behavioral disorders, anxiety, and depression and the presence of community resilience decreased the odds of depression among individuals who had experienced 4 or more ACEs.

Conclusion: 

These results illustrate the need to promote resilience measures for tackling mental health problems and reducing the negative effect of trauma in children.

中文翻译：

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个人、家庭和社区的复原力在调节不良童年经历对儿童心理健康的影响中的作用

客观的： 

注意力缺陷/多动障碍 (ADHD)、行为障碍、焦虑、抑郁和不良童年经历 (ACE) 等心理健康结果是美国儿童中常见的疾病。关于潜在的弹性因素如何调节 ACE 暴露与心理健康结果之间的关系，人们知之甚少。本研究利用 2018 年全国儿童健康调查 (N = 26,572)检验了 ACE 与心理健康结果复原力之间的关联。

方法： 

逻辑回归和交互检查了 ACE、复原力和心理健康结果之间的关联。ACE 暴露和低弹性与心理健康结果的可能性增加相关。

结果： 

ACE 暴露与家庭复原力之间存在显着的交互作用，ACE 暴露与社区复原力之间也存在显着的交互作用。在分层中，个人复原力的存在和所有复原力测量值的存在降低了 ADHD、行为障碍、焦虑和抑郁的几率，而社区复原力的存在降低了经历过 4 次或更多 ACE 的个体患抑郁症的几率。

结论： 

这些结果表明，需要促进应对心理健康问题和减少创伤对儿童的负面影响的复原力措施。