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首页> 外文学位 >Enduring impact of childhood stressors on adult health: Testing psychological and behavioral pathways.
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Enduring impact of childhood stressors on adult health: Testing psychological and behavioral pathways.

机译：童年压力源对成人健康的持久影响：测试心理和行为途径。

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摘要

Stress and health has been a topic of interest among researchers in a variety of fields such as medical sociology, psychology, public health, child abuse, and epidemiology. For decades this research had largely been conducted in silos within each of the respective fields. In recent years, these silos have started to diminish. Sociologists have begun to consider the accumulation of stressors over the life course, including how serious childhood stressors (such as child abuse) impact morbidity and mortality later in life. Using Wave I, Wave III and Wave IV data from the National Longitudinal Study of Adolescent to Adult Health (Add Health), this dissertation adds to this growing body of research by examining the relationships between childhood stressors, later stress exposure, and health outcomes in young adulthood; and tests the mediating pathways of psychological and behavioral coping mechanisms in addition to the moderating effects of gender.;Findings indicated that higher levels of childhood stress were associated with higher levels of adult stress; however, the relationship between childhood stress and adult physical health was not mediated by stressors in adulthood. Additionally, the relationship between childhood stress and adult physical health (specifically, self-rated health and being over-weight or obese) were, for the most part, not mediated by either depressive symptoms or poor health behaviors. In other word, only direct effects of childhood stress on adult physical health were evident. Lastly, the impact of childhood and adult stressors on depressive symptoms, substance use, self-rated health and weight status differed by gender. Specifically, the effects of childhood and adult stress on depressive symptoms, poor diet/exercise, self-rated health and adult weight status were greater for women and the effects of childhood and adult stress on substance use were greater for men.;This dissertation adds to the research examining both the proliferation and enduring nature of childhood stress exposure as well as the literature exploring the pathways between childhood stress and adult health. The broader policy and health implications include a continued emphasis on the need to ameliorate abuse and neglect during childhood, interventions in childhood, screening in young adulthood, early treatment intervention in adulthood, and greater collaboration among researchers.
机译：压力和健康一直是医学社会学，心理学，公共卫生，虐待儿童和流行病学等各个领域研究人员的关注主题。几十年来，这项研究主要是在各个领域的筒仓中进行的。近年来，这些筒仓已开始减少。社会学家已开始考虑在生活过程中压力源的积累，包括严重的儿童压力源（例如虐待儿童）如何影响生命后期的发病率和死亡率。利用来自青少年对成人健康的纵向研究（增加健康）的第一波，第三波和第四波数据，本论文通过研究儿童压力源，以后的压力暴露以及健康状况与健康之间的关系，增加了这一不断发展的研究。青年期;研究表明，较高的童年压力与较高的成人压力有关；研究结果表明，心理和行为应对机制的中介途径除性别调节作用外。然而，儿童期压力与成人身体健康之间的关系并非由成年期压力源介导。此外，儿童期压力与成人身体健康（特别是自我评估的健康状况，超重或肥胖）之间的关系在大多数情况下不受抑郁症状或不良健康行为的影响。换句话说，只有儿童压力对成人身体健康的直接影响是明显的。最后，儿童和成人压力源对抑郁症状，吸毒，自我评估的健康状况和体重状况的影响因性别而异。具体而言，儿童和成人压力对抑郁症状，不良饮食/运动，自我评估的健康状况和成人体重状况的影响对女性更大，而儿童和成人压力对物质使用的影响对男性更大。研究儿童压力暴露的扩散和持久性，以及探索儿童压力与成人健康之间关系的文献。更广泛的政策和健康影响包括继续强调在童年时期需要改善虐待和忽视，对童年进行干预，对成年后进行筛查，对成年后进行早期治疗干预以及研究人员之间的更大合作。

著录项

  • 作者

    Keirns, Tracy.;

  • 作者单位

    University of New Hampshire.;

  • 授予单位 University of New Hampshire.;
  • 学科 Sociology.;Public health.;Developmental psychology.;Behavioral psychology.;Mental health.
  • 学位 Ph.D.
  • 年度 2015
  • 页码 137 p.
  • 总页数 137
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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