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NIAID Data Ecosystem2026-05-10 收录
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This study explores the narrated lived experiences of Military-Connected Children and Young People (MCCYP) in Denmark and examines the relationship between Adverse Childhood Experiences (ACEs) and Benevolent Childhood Experiences (BCEs), particularly in the context of parental combat-related PTSD within their told stories. Using content analysis, interview data was re-analysed using the Adverse Childhood Experiences (ACEs) and Benevolent Childhood Experiences (BCEs) questionnaires to identify ACEs and BCEs within the captured narrative data. The initial study where the data was captured examined military children’s experiences and the impact of a five-day residential camp on well-being, resilience, and self-esteem, based on co-constructed meaning between participants and researchers, with ethical approval ensuring parental consent and participant assent. Ten young people (aged 12–19, mean = 15.00, SD = 2.54) attended the Denmark-based camp run by Støt Soldater & Pårørende (SSOP), a charity supporting children of veterans. Six were female, four males, and all had at least one parent with a self-reported PTSD diagnosis. The findings show that most participants (nine out of ten) had a parent with PTSD, leading to an average ACE score of 2.7. These challenges included physical or emotional abuse, living with a parents who has poor mental health, witnessing domestic violence and having a parent abuse substances. Despite these challenges, all participants reported key protective factors, contributing to an average BCEs score of 4. The protective factors included feeling safe with a caregiver, having external support, and experiencing home stability. The study discusses the implications for clinical practice, proposing the ICE (Identify, Connect, Engage) model for Trauma-Informed Care (TIC), which focuses on early identification of adversities, building trust through compassionate connection, and involving MCCYP in decision-making. The study underscores the importance of letting stories breathe to considering both the adversities and resilience factors in MCCYP narratives, advocating for a holistic, child-centred approach to supporting their health and well-being.

本研究聚焦丹麦军中关联青少年(Military-Connected Children and Young People, MCCYP)的口述亲身经历,探讨不良童年经历(Adverse Childhood Experiences, ACEs)与良性童年经历(Benevolent Childhood Experiences, BCEs)之间的关联,尤其聚焦受访叙事中涉及父母因战斗罹患创伤后应激障碍(Post-Traumatic Stress Disorder, PTSD)的场景。 本研究采用内容分析法,借助不良童年经历(ACEs)与良性童年经历(BCEs)问卷,对访谈数据进行二次分析,以从采集的叙事数据中识别ACEs与BCEs。原始研究最初旨在调研军中儿童的经历,以及为期五日的住宿营对其幸福感、复原力与自尊的影响,研究基于参与者与研究者共同建构的意义展开,并已获得伦理批准,确保获取父母同意与参与者的知情同意。 共有10名青少年参与该住宿营,年龄介于12至19岁之间,平均年龄为15.00岁,标准差(SD)为2.54。该住宿营由丹麦慈善机构Støt Soldater & Pårørende (SSOP) 运营,该机构专为退伍军人子女提供支持。其中6名为女性,4名为男性,所有参与者至少有一名父母经自我报告确诊为PTSD。 研究结果显示,九成参与者的父母患有PTSD,对应的平均ACE得分为2.7。此类逆境包括躯体或情感虐待、与心理健康状况不佳的父母共同生活、目睹家庭暴力,以及父母存在物质滥用行为。尽管面临上述挑战,所有参与者均报告了关键的保护因素,对应的平均BCE得分为4。这些保护因素包括与照料者共处时获得安全感、获得外部社会支持,以及家庭环境稳定。 本研究探讨了该发现对临床实践的启示,提出了适用于创伤知情照护(Trauma-Informed Care, TIC)的ICE(识别、联结、参与)模型,该模型聚焦于早期识别逆境、通过共情式联结建立信任,以及让MCCYP参与决策过程。本研究强调,在解读MCCYP的叙事时,需同时兼顾逆境与复原力因素,应给予故事充分的表达空间,并倡导采用以儿童为中心的整体式方法,以支持他们的健康与福祉。

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2025-12-03
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