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Feeding Through Recovery: Mothers’ Perspectives on Breastfeeding while Navigating Opioid Use Disorder and Neonatal Opioid Withdrawal Syndrome 通过恢复喂养:母亲对母乳喂养的看法,同时导航阿片类药物使用障碍和新生儿阿片类药物戒断综合征
IF 2.9 Pub Date : 2026-02-05 DOI: 10.1007/s42844-026-00190-x
Lela Rankin, Megan Corr, Lisa Grisham

Breastfeeding supports positive maternal and infant outcomes, yet mothers who have opioid use disorder (OUD) experience unique challenges that affect breastfeeding decisions. We assessed breastfeeding intentions and experiences of mothers with OUD (N = 50) via in-depth interviews (within one-week of birth through 18 months postpartum). Most mothers had prenatal intentions to breastfeed (82.0%), which was associated with breastfeeding initiation (76.0%), and less strained relationships with their biological mother and less fear during pregnancy. The birth experience impacted mothers’ execution of their intentions to initiate breastfeeding, including the circumstances of labor and delivery, treatment by staff, and involvement with child protective services. Interpersonal relationships, stigma, and self-efficacy were related to breastfeeding continuation (M length = 2.28 months, SD = 1.8). Breastfeeding experiences were largely impacted by experiences during pregnancy and birth, offering two critical windows for intervention through destigmatizing OUD in health care settings, strengthening self-efficacy, and enhancing social support.

母乳喂养支持积极的母婴结局,但患有阿片类药物使用障碍(OUD)的母亲面临着影响母乳喂养决定的独特挑战。我们通过深度访谈(出生后一周至产后18个月)评估了患有OUD的母亲(N = 50)的母乳喂养意愿和经历。大多数母亲在产前有母乳喂养的意图(82.0%),这与母乳喂养开始(76.0%)有关,与生母的关系不那么紧张,怀孕期间的恐惧也较少。分娩经历影响了母亲开始母乳喂养的意愿,包括分娩和分娩的情况、工作人员的治疗以及参与儿童保护服务。人际关系、耻辱感和自我效能感与母乳喂养持续有关(M长度= 2.28个月,SD = 1.8)。母乳喂养经历在很大程度上受到怀孕和分娩期间经历的影响,这为干预提供了两个关键窗口,即在卫生保健机构中消除对OUD的污名,加强自我效能感和增强社会支持。
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引用次数: 0
Positive Childhood Experiences and a Dimensional Approach To Childhood Adversity: Associations with Adult Loneliness 积极的童年经历和童年逆境的维度研究:与成人孤独的关联
IF 2.9 Pub Date : 2026-02-04 DOI: 10.1007/s42844-026-00199-2
George Van Doorn, Evita March, Robert Teese, Rachel Grieve, Jacob Dye

Adverse Childhood Experiences (ACEs) have been associated with higher levels of adult loneliness. Less is known about the relationship between Positive Childhood Experiences (PCEs) and adult loneliness, and the potential for PCEs to buffer the negative effects of ACEs. We assessed whether PCEs explained additional variance in adult men’s and women’s loneliness after controlling for ACEs, and whether PCEs moderated the association between ACEs and loneliness. A sample of 872 participants (70.4% women, 29.6% men) was recruited and, after providing informed consent, completed online versions of the Childhood Experiences Scale-17, the Benevolent Childhood Experiences Scale, and the UCLA Loneliness Scale. We tested a model examining whether loneliness was associated with maltreatment, threat, and deprivation (ACEs), PCEs, gender, and interactions between these variables. Although ACEs were initially, and positively, correlated with loneliness in both men and women, this association became non-significant when PCEs and other variables were added to the model. PCEs were significantly, and negatively, associated with adult loneliness. Further, none of the interactions achieved statistical significance. Our findings suggest that PCEs are strongly, and negatively, associated with adult loneliness scores – even more so than ACEs. Thus, researchers may benefit from placing greater emphasis on how early experiences of benevolence help protect against loneliness.

不良的童年经历(ace)与成年后更高程度的孤独感有关。积极童年经历(pce)与成人孤独感之间的关系,以及pce缓冲ace负面影响的潜力,目前尚不清楚。我们评估了在控制ace后,pce是否解释了成年男性和女性孤独感的额外方差,以及pce是否调节了ace与孤独感之间的关联。招募了872名参与者(70.4%为女性,29.6%为男性),在提供知情同意后,他们完成了在线版本的童年经历量表-17、仁慈童年经历量表和加州大学洛杉矶分校孤独量表。我们测试了一个模型,该模型检验了孤独是否与虐待、威胁和剥夺(ace)、pce、性别以及这些变量之间的相互作用有关。尽管ace最初与男性和女性的孤独感呈正相关,但当pce和其他变量被添加到模型中时,这种关联变得不显著。pce与成人孤独感呈显著负相关。此外,没有一个相互作用达到统计显著性。我们的研究结果表明,pce与成人孤独感得分有很强的负相关关系,甚至比ace关系更大。因此,研究人员可能会受益于更多地强调早期的仁慈经历如何帮助防止孤独。
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引用次数: 0
Psychological, Educational, and Environmental Self-Reported Influence of Ethnic Conflict-Induced Violence on School-Aged Children in Northern Ghana 加纳北部种族冲突引发的暴力对学龄儿童的心理、教育和环境自我报告影响
IF 2.9 Pub Date : 2025-11-18 DOI: 10.1007/s42844-025-00187-y
Peter Jabal, James Fox

This study critically examines how conflict-induced violence affects school-aged children and their psychological coping mechanisms in three conflict-prone districts in the northern part of Ghana: Bawku Municipality, Chereponi District, and Saboba District. Among the targeted sample of 212 primary and junior high school students who were randomly selected from 12 schools, 51 participants voluntarily participated in the administered survey questionnaires. Both fixed-response and one open-ended question were utilized in the study. Findings revealed that children exposed to explosive violence experienced severe psychological distress, including trauma from the loss of loved ones, disrupted schooling, and limited access to coping resources. The researchers recommend that further research should be conducted on how to develop and evaluate intervention programs that are tailored to support children exposed to violence that can mitigate the adverse effects on mental health and educational outcomes.

本研究批判性地考察了加纳北部三个冲突频发地区(包库市、切雷波尼区和萨巴巴区)冲突引发的暴力如何影响学龄儿童及其心理应对机制。在12所学校随机抽取的212名中小学生中,51名学生自愿参加了问卷调查。研究中使用了固定回答和一个开放式问题。调查结果显示,遭受爆炸性暴力的儿童经历了严重的心理困扰,包括失去亲人、学业中断以及获得应对资源的机会有限。研究人员建议,应该进一步研究如何制定和评估专门针对遭受暴力的儿童的干预方案,以减轻对心理健康和教育成果的不利影响。
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引用次数: 0
Links between Adversities and Emerging Adult Adjustment Outcomes among College Women: An Investigation of Peer Relationships and Characteristics as Protective Factors 逆境与大学女生新生成人适应结果的关系:同伴关系和特征作为保护因素的调查
IF 2.9 Pub Date : 2025-10-30 DOI: 10.1007/s42844-025-00189-w
Michael M. Criss, Erin E. Wood, Krystal Duarte, Ray Garza, Jennifer Byrd-Craven

The purpose of this investigation was to examine links between family trauma and daily stress and mental and physical health among emerging adults (EA), and whether these links were moderated by friend-EA relationship quality and best friend risky behavior. The sample consisted of 1,163 college women who completed online anonymous surveys. Findings indicated that high levels of family trauma and daily stress were significantly related to high levels of EA physical health problems, risky behavior, and internalizing symptoms. Results also indicated that the link between family trauma and risky behavior was attenuated under low levels of best friend risky behavior. The moderation analyses also demonstrated that the links between adversity and EA health problems, risky behavior, and internalizing symptoms were positive, significant, and magnified under high levels best friend-EA relationship quality among youth reporting high levels of best friend risky behavior. The role of friends in fostering resilience among at-risk college women and how this may vary by characteristics of the friends and friendships were discussed.

本研究的目的是研究初出期成人(EA)的家庭创伤与日常压力、心理和身体健康之间的联系,以及这些联系是否受到朋友-EA关系质量和最好的朋友冒险行为的调节。样本由1163名女大学生组成,她们完成了在线匿名调查。研究结果表明,高水平的家庭创伤和日常压力与高水平的EA身体健康问题、危险行为和内化症状显著相关。结果还表明,家庭创伤与危险行为之间的联系在好友危险行为的低水平下减弱。适度分析还表明,在报告高水平好友风险行为的青少年中,逆境与EA健康问题、风险行为和内化症状之间的联系是积极的、显著的,并且在高水平好友-EA关系质量下被放大。讨论了朋友在培养有风险的大学女生的恢复力方面的作用,以及这如何因朋友和友谊的特点而变化。
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引用次数: 0
Effects of a Parenting Program on Parenting Outcomes in Mothers with Adverse Childhood Experiences 一个育儿计划对有不良童年经历的母亲的育儿结果的影响
IF 2.9 Pub Date : 2025-10-29 DOI: 10.1007/s42844-025-00185-0
Camila Regina Lotto, Elisa Rachel Pisani Altafim, Maria Beatriz Martins Linhares

Adverse childhood experiences (ACEs) are a risk factor for negative parenting and children’s behavior problems. The present study examined the effects of the ACT-Raising Safe Kids Program on mothers’ parental practices and sense of competence, as well as children’s behaviors, comparing mothers with and without ACEs at different levels. The sample comprised 88 mothers with their 1–6-year-old children, divided into 3 groups: mothers with 4 or more ACEs (ACE≥4 Group, n = 31), mothers with fewer than four ACEs (ACE<4 Group, n = 37), and mothers without ACEs (No-ACE Group, n = 20). The mothers participated in the intervention, which utilized the ACT Program (delivered in either in-person or online versions). Mothers completed the ACT, Parenting and Family Adjustment Scale, Parental Sense of Competence, and the Strengths and Difficulties Questionnaire at both the pre- and post-intervention stages. The three-way ANOVA for repeated measures was performed, controlled by socioeconomic status and maternal current depression symptoms. Regardless of the ACEs, the ACT Program showed positive effects on improving emotional and behavioral regulation, parent–child relationships, and parental sense of competence, as well as reducing coercive practices, in the post-intervention period compared to the pre-intervention period. Also, all mothers reported a reduction in children’s behavior problems, and, exclusively, mothers with ACEs mentioned an increase in prosocial behavior. Then, there were positive effects of the ACT Program on positive parenting and preventing violence against children, even among mothers with ACEs. The practical implication of the findings for prevention strategies is discussed.

不良童年经历(ace)是消极父母教养和儿童行为问题的一个危险因素。本研究考察了act抚养安全儿童计划对母亲的育儿行为和能力感以及儿童行为的影响,比较了不同水平的ace母亲和没有ace的母亲。样本包括88名母亲及其1 - 6岁的孩子,分为3组:ACE≥4组(n = 31), ACE≥4组(n = 37), ACE≤4组(n = 37)和无ACE组(n = 20)。母亲们参与了干预,该干预利用了ACT计划(以面对面或在线形式提供)。母亲在干预前和干预后分别完成ACT、父母教养与家庭适应量表、父母能力感和优势与困难问卷。以社会经济地位和母亲当前抑郁症状为控制因素,对重复测量进行三因素方差分析。无论ace如何,与干预前相比,干预后的ACT项目在改善情绪和行为调节、亲子关系、父母能力感以及减少强迫行为方面都显示出积极的效果。此外,所有母亲都报告说孩子的行为问题减少了,而且,只有ace的母亲提到了亲社会行为的增加。其次,ACT项目在积极养育子女和防止针对儿童的暴力行为方面产生了积极影响,即使在有ace的母亲中也是如此。研究结果对预防策略的实际意义进行了讨论。
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引用次数: 0
Caregiving Quality Across Development and Secure Base Knowledge among Adolescents with a History of Institutional Care 有机构护理史的青少年在发展过程中的护理质量和安全基础知识
IF 2.9 Pub Date : 2025-10-26 DOI: 10.1007/s42844-025-00183-2
Megan M. Hare, Elia Psouni, Katherine L. Guyon-Harris, Kathryn L. Humphreys, Nathan A. Fox, Charles A. Nelson, Charles H. Zeanah

Secure base scripts are implicit schemas that guide perceptions, responses, and interactions by encapsulating expectations of support from attachment figures during distress. The current study investigated the impact of early institutional rearing and the causal effects of high-quality foster care following early deprivation on secure base scripts in adolescents who had experienced severe early deprivation. We evaluated whether caregiver quality, assessed 5 times from ages 30 months to 12 years, predicted secure base scripts at age 16 years, assessed with the Secure Base Script Test (SBST). We analyzed data from 121 participants of the Bucharest Early Intervention Project, comprising institutionalized children who were randomized to care as usual (CAUG) or to high-quality foster care (FCG). We also included a group of never-institutionalized comparison children (NIG). The NIG exhibited higher SBST scores compared to children with a history of institutional rearing, highlighting the detrimental effects of early deprivation. Contrary to expectations, no statistically significant group differences emerged between FCG and CAUG on SBST scores. However, individual differences in caregiving quality, regardless of group, predicted SBST scores, with caregiving at ages 8 and 12 years emerging as stronger predictors than earlier assessments. Thus, that while early deprivation can have lasting effects on secure base script development, caregiving quality in middle childhood may play a particularly important role in shaping attachment-related representations in adolescence.

安全基本脚本是隐式模式,它通过封装依恋对象在痛苦期间对支持的期望来指导感知、响应和交互。本研究调查了早期机构养育对早期剥夺青少年安全基础脚本的影响以及早期剥夺后高质量寄养的因果效应。通过安全基础脚本测试(SBST),我们评估了从30个月到12岁的5次护理人员质量是否预测了16岁时的安全基础脚本。我们分析了布加勒斯特早期干预项目的121名参与者的数据,这些参与者包括机构儿童,他们被随机分为常规护理组(CAUG)和高质量寄养组(FCG)。我们还包括一组从未被收容的比较儿童(NIG)。与有机构养育史的儿童相比,NIG儿童的SBST得分更高,这突出了早期剥夺的有害影响。与预期相反,FCG和cag在SBST评分上没有统计学上显著的组差异。然而,照顾质量的个体差异,无论群体,预测SBST得分,8岁和12岁的照顾出现比早期评估更强的预测因子。因此,虽然早期剥夺对安全基础脚本的发展有持久的影响,但童年中期的照顾质量可能在塑造青春期依恋相关表征方面发挥特别重要的作用。
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引用次数: 0
Academic Resilience Scale for Adolescents in Turkey: Relationship with School Burnout and School Attachment 土耳其青少年学业弹性量表:学校倦怠与学校依恋的关系
IF 2.9 Pub Date : 2025-10-17 DOI: 10.1007/s42844-025-00186-z
Mehmet Şam, Ramin Aliyev
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引用次数: 0
Adapting to Change: The Positive and Negative Academic Outcomes of the COVID-19 Pandemic 适应变化:COVID-19大流行的积极和消极学术成果
IF 2.9 Pub Date : 2025-10-16 DOI: 10.1007/s42844-025-00188-x
Kimberly Monroe, James Kole, Nancy J. Karlin

The COVID-19 pandemic has had a significant impact on university students, disrupting their educational experiences and causing widespread mental health challenges. This study sought to identify how the pandemic both positively and negatively impacted students’ academic experiences at the point in which the U.S. government officially ended the pandemic. A sample of 171 university students, primarily from a large institution in the Mountain West region, participated in the study. Qualitative analysis of their responses revealed several key themes. On the positive side, students reported improvements in technological proficiency, adaptation to virtual learning, enhanced self-efficacy and autonomy, and development of professional communication skills. These findings suggest that the pandemic provided opportunities for students to develop valuable skills and insights that could benefit them academically and professionally. Prior studies focused primarily on the negative impacts of the pandemic. This study too uncovered substantial negative impacts, including educational disruption and challenges with online learning, physical and emotional health decline, social isolation, and difficulties adapting to new norms and recovering from setbacks. These findings highlight the significant toll the pandemic has taken on students’ well-being and academic progress. The contradictory impacts observed in this study underscore the nuanced experiences of students during the pandemic. While some thrived in the flexible, self-directed learning environment, exhibiting resiliency, others faced considerable challenges that impeded their development.

新冠肺炎大流行对大学生产生了重大影响,扰乱了他们的教育经历,并造成了广泛的心理健康挑战。这项研究试图确定,在美国政府正式结束疫情之际,疫情对学生的学术经历产生了积极和消极的影响。171名大学生参与了这项研究,他们主要来自西部山区的一所大型院校。对他们的回答进行定性分析,揭示了几个关键主题。积极的一面是,学生报告了技术熟练程度的提高,对虚拟学习的适应,自我效能感和自主性的增强,以及专业沟通技巧的发展。这些发现表明,大流行为学生提供了发展宝贵技能和见解的机会,这些技能和见解可以使他们在学术和专业上受益。以前的研究主要集中在大流行的负面影响上。这项研究也发现了实质性的负面影响,包括教育中断和在线学习带来的挑战、身心健康下降、社会孤立、难以适应新规范和从挫折中恢复过来。这些调查结果突出表明,疫情对学生的健康和学业进步造成了严重影响。本研究中观察到的相互矛盾的影响强调了大流行期间学生的微妙经历。虽然有些人在灵活、自主的学习环境中茁壮成长,表现出弹性,但其他人面临着阻碍他们发展的相当大的挑战。
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引用次数: 0
A Qualitative Analysis of High Point Experiences Among Young People Living in Rural Appalachia 阿巴拉契亚农村年轻人高潮体验的定性分析
IF 2.9 Pub Date : 2025-10-01 DOI: 10.1007/s42844-025-00184-1
Nicole Patricia Yuan, Alexis Ellsworth-Kopkowski, Nidal Areg-Zakaria Kram Brooks, Niraly Patel, Sherry Hamby

Resilience research primarily focuses on adverse childhood experiences (ACEs) and how individuals respond to them. Less attention is directed towards understanding positive experiences during childhood and their significance, including among marginalized and understudied populations. The current phenomenological qualitative study examined self-reported high point experiences (HPEs) and perceived meaning of the events among young people living in rural Appalachia. Narrative stories were collected from 71 individuals, aged 12–24, who participated in a study on resilience and psychosocial strengths. Participants described a HPE in their life, reasons why the story was positive, and what it revealed about them as a person. Interviews were recorded, transcribed, and coded using ATLAS.ti software. Coded data were analyzed to identify patterns and themes across participants. Self-reported HPEs included spending time with family, spending time in meaningful locations, participating in extracurricular activities, earning personal achievements, achieving life milestones or transitions, and receiving gifts. Participants viewed HPEs positively because they involved family being together, were linked to adversity, promoted the development of strengths, or resulted in personal achievements. Most participants reflected that their HPEs revealed their personal values. Findings highlighted a need to expand the conceptualization and measurement of positive childhood experiences (PCEs) to include more experiential and achievement-oriented experiences that are viewed positively among young people. An increased emphasis on HPEs and PCEs, rather than on ACEs, may help reduce stigma and empower families and communities to actively promote the health and well-being of young people in rural areas.

弹性研究主要关注童年不良经历(ace)以及个体如何应对它们。对理解童年时期的积极经历及其意义的关注较少,包括在边缘化和未充分研究的人群中。本研究以现象学定性研究检视生活在阿巴拉契亚乡村的年轻人自我报告的高潮体验(high point experience, HPEs)及事件的感知意义。研究人员从71名年龄在12-24岁之间的人身上收集了叙事故事,这些人参加了一项关于恢复力和社会心理力量的研究。参与者描述了他们生活中的一个HPE,为什么这个故事是积极的,以及它揭示了他们作为一个人的什么。使用ATLAS对访谈进行记录、转录和编码。ti的软件。对编码数据进行分析,以确定参与者的模式和主题。自我报告的hpe包括与家人共度时光,在有意义的地方度过时光,参加课外活动,获得个人成就,实现人生里程碑或过渡,以及收到礼物。参与者积极地看待美好生活,因为它们涉及家庭团聚,与逆境联系在一起,促进了优势的发展,或者导致了个人成就。大多数参与者反映,他们的hpe反映了他们的个人价值观。研究结果强调,有必要扩大积极童年经历(PCEs)的概念化和测量范围,以包括更多在年轻人中被积极看待的经验和成就导向的经历。加强对高收入家庭和低收入家庭的重视,而不是对高收入家庭的重视,可能有助于减少耻辱感,使家庭和社区有能力积极促进农村地区青年人的健康和福祉。
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引用次数: 0
Adverse Childhood Experiences and Self-Compassion Among Chinese Undergraduates: The Moderating Role of Friendship 中国大学生童年不良经历与自我同情:友谊的调节作用
IF 2.9 Pub Date : 2025-08-26 DOI: 10.1007/s42844-025-00182-3
Yu Peng, Zahari Ishak

This study examines the moderating role of friendship quality (FQ) in the relationship between adverse childhood experiences (ACEs) and self-compassion among Chinese undergraduates. ACEs are known to contribute to long-term emotional and psychological challenges, including diminished self-compassion. Self-compassion, which involves treating oneself with kindness and understanding during times of difficulty, is often undermined in individuals exposed to significant childhood adversity. This study posits that high-quality friendships may buffer the negative impact of ACEs on self-compassion. Data were collected from a sample of 24,445 undergraduate students in Yunnan Province, China. Participants completed validated assessments measuring their experiences of ACEs, levels of self-compassion, and the quality of their friendships. The results revealed a significant negative correlation between ACEs and self-compassion, aligning with the hypothesis that higher exposure to childhood adversity is associated with lower levels of self-compassion. Notably, the study found that FQ significantly moderated this relationship. Higher FQ mitigates the negative impact of ACEs on self-compassion. These findings highlight the potential for interventions focused on enhancing FQ to support undergraduates who have experienced childhood adversity, ultimately fostering self-compassion and better mental health outcomes.

本研究探讨了友谊质量在中国大学生不良童年经历与自我同情之间的调节作用。众所周知,ace会导致长期的情感和心理挑战,包括自我同情的减弱。自我同情,包括在困难时期善待和理解自己,在童年经历过重大逆境的人身上经常被削弱。本研究假设高质量的友谊可以缓冲ace对自我同情的负面影响。数据收集自中国云南省24,445名本科生样本。参与者完成了有效的评估,评估了他们的ace经历、自我同情水平和友谊质量。结果显示,ace与自我同情之间存在显著的负相关,这与童年时期遭遇逆境越多,自我同情水平越低的假设相一致。值得注意的是,研究发现FQ显著调节了这种关系。高情商可以减轻ace对自我同情的负面影响。这些发现强调了干预措施的潜力,重点是提高FQ,以支持经历过童年逆境的本科生,最终培养自我同情和更好的心理健康结果。
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引用次数: 0
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Adversity and resilience science
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