ENTRAR            

 


 

Enfermer�a Universitaria ISSN: 1655-7063 v14n2 124130r

 

 

 

Artículos de revisión

 

 

 Ir a Sumario

 

 

 

Experiencias Adversas en la Infancia: Revisión de su impacto en niños de 0 a 5 años

M. Vega-Arce,1 G. Nuñez-Ulloa2
1
Departamento de Psicología, Facultad de Ciencias de la Salud, Universidad Católica del Maule, Talca, Chile. 2Escuela de Lenguaje San Clemente, San Clemente, Chile.

Manuscrito recibido en 15 septiembre 2016
Manuscrito aceptado en
13 febrero 2017

Enferm Universitaria -Mex- 2017; 14(2): 124-130

 

 

 

Cómo citar este documento

Vega-Arce, M.; Nuñez-Ulloa, G. Experiencias Adversas en la Infancia: Revisión de su impacto en niños de 0 a 5 años. Enferm Universitaria -Mex-, 2017 abr-jun, 14(2). Disponible en <https://www.index-f.com/reu/14/124130.php> Consultado el

 

Resumen

Se realiza una revisión narrativa acerca del impacto del parámetro Experiencias Adversas en la Infancia (EAI) de 0 a 5 años. Para esto, se enuncian las principales EAI que afectan en este rango de edad, para luego sintetizar la evidencia de las secuelas inmediatas que 3 o más EAI pueden provocar en el desarrollo general, cognitivo y socioemocional, así como en la salud general infantil y la trayectoria escolar. Posteriormente, se comenta la importancia de seleccionar estas experiencias, intervenir sobre las barreras de acceso a la salud que enfrentan los niños y niñas afectados por EAI y sus cuidadores, y promover relaciones estables, seguras y nutritivas como una estrategia para moderar la transmisión de los patrones de maltrato infantil. Se concluye que la exposición a EAI es un importante factor de riesgo para el desarrollo de niños y niñas, por lo que debe ser considerado como un eje relevante en el ámbito de la salud, especialmente durante los primeros 5 años de vida, cuando es posible impedir el ingreso a la cadena de riesgos asociados.
Palabras clave: Infancia/ Desarrollo/ Factores de riesgo/ Chile.
 

Abstract
Adverse Experiences during Childhood: A revision over their impact on children 0-5 years old

This is narrative review over the impact of Adverse Childhood Experiences (ACEs) on children in the range of 0-5 years old. The main related ACE in this range of age are stated and the evidence on the sequelae which 3 or more ACEs can provoke on the children's general, cognitive, social and emotional developments, as well as on their general health and school trajectory, are all discussed. Then, the importance of filtering these experiences, and overcoming the health barriers faced by these children, while promoting stable, secure, and nurturing relationships, as a strategy to challenge the transmission of violence patterns, are all discussed as well. A conclusion is that ACE are a serious risk to the development of children, and therefore, the issue should be timely addressed, particularly within the first 5 years of age when the negative impacts are greatest.
Key-words: Childhood/ Development/ Risk factors/ Chile.
 

Resumo
Experiências Adversas na Infância: Revisão do seu impacto em crianças de 0 a 5 anos

Realiza-se uma revisão narrativa acerca do impacto do parâmetro Experiências Adversas na Infância (EAI) de 0 a 5 anos. Para isto, enunciam-se as principais EAI que afeitam nesta faixa de idade, para logo sintetizar a evidencia das sequelas imediatas que 3 ou mais EAI podem provocar no desenvolvimento geral, cognitivo e socioemocional, assim como, na saúde geral infantil e a trajetória escolar. Posteriormente, comenta-se a importância de peneirar estas experiências, intervir sobre as barreiras de acesso à saúde que enfrentam meninos e meninas afeitados pelo EAI e os seus cuidadores, e promover relacionamentos estáveis, seguros e nutritivos como uma estratégia para moderar a transmissão dos padrões de maltrato infantil. Conclui-se que a exposição às EAI é um importante fator de risco para o desenvolvimento de meninos e meninas, pelo que deve ser considerado como eixo relevante no âmbito da saúde, especialmente durante os primeiros 5 anos de vida, quando é possível pedir o ingresso à cadeia de riscos associados.
Palavras chave: Infância/ Desenvolvimento/ Fatores de risco/ Chile.

 

Bibliografía

1. Garner AS, Forkey H, Szilagyi M. Translating developmental science to address childhood adversity. Acad Pediatr. 2015;15:493-502, https://dx.doi.org/10.1016/j.acap.2015.05.010.
2. Arruabarrena I, Paúl JDP. Early intervention programs for children and families: Theoretical and empirical bases supporting their social and economic efficiency. Psychosoc Interv. 2012;21:117-27,
https://dx.doi.org/10.5093/in2012a18.
3. Danese A, McEwen BS. Adverse childhood experiences, allostasis, allostatic load, and age-related disease. Physiol Behav. 2012;106:29-39,
https://dx.doi.org/10.1016/j.physbeh.2011.08.019.
4. Cantón-Cortés D, Cortés MR. Consecuencias del abuso sexual infantil: Una revisión de las variables intervinientes. An Psicol. 2015;31:552-61,
https://dx.doi.org/10.6018/analesps.31.2.180771.
5. Chartier MJ, Walker JR, Naimark B. Separate and cumulative effects of adverse childhood experiences in predicting adult health and health care utilization. Child Abus Negl. 2010;34:454-64,
https://dx.doi.org/10.1016/j.chiabu.2009.09.020.
6. Anda RF, Felitti VJ, Bremner JD, et al. The enduring effects of abuse and related adverse experiences in childhood: A convergence of evidence from neurobiology and epidemiology. Eur Arch Psychiatry Clin Neurosci. 2006;256:174-86.
7. Holman DM, Ports KA, Buchanan ND, et al. The association between adverse childhood rxperiences and risk of cancer in adulthood: A systematic review of the literature. Pediatrics. 2016;138 Suppl 1:S81-91,
https://dx.doi.org/10.1542/peds.2015-4268L.
8. Huang H, Yan P, Shan Z, et al. Adverse childhood experiences and risk of type 2 diabetes: A systematic review and meta-analysis. Metabolism. 2015;64:1408-18,
https://dx.doi.org/10.1016/j.metabol.2015.08.019.
9. González-Pacheco I, Lartigue T, Vázquez G. Estudio de casos y controles en un grupo de mujeres embarazadas con experiencias adversas en la infancia y /o adolescencia e infecciones de transmisión sexual. Salud Ment. 2008;31: 261-70.
10. Mandelli L, Petrelli C, Serretti A. The role of specific early trauma in adult depression: A meta-analysis of published literature. Childhood trauma and adult depression. Eur Psychiatry. 2015;30:665-80,
https://dx.doi.org/10.1016/j.eurpsy.2015.04.007.
11. Brockie TN, Dana-Sacco G, Wallen GR, et al. The relationship of adverse childhood experiences to PTSD, depression, poly-drug use and suicide attempt in reservation-based native American adolescents and young adults. Am J Community Psychol. 2015;55:411-21,
https://dx.doi.org/10.1007/s10464-015-9721-3.
12. Baglivio MT, Wolff KT, Piquero AR, et al. The relationship between Adverse Childhood Experiences (ACE) and juvenile offending trajectories in a juvenile offender sample. J Crim Justice. 2015;43:229-41,
https://dx.doi.org/10.1016/j.jcrimjus.2015.04.012.
13. Nurius P, Green S, Logan-Greene P, et al. Stress pathways to health inequalities: Embedding ACEs within social and behavioral contexts. Int J Public Health. 2015;8:241-56.
14. Mason DJ, Cox K. Toxic stress in childhood: Why we all should be concerned. Nurs Outlook. 1998;62:382-3,
https://dx.doi.org/10.1016/j.outlook.2014.09.001.
15. Denholm R, Power C, Li L. Adverse childhood experiences and child-to-adult height trajectories in the 1958 British birth cohort. Int J Epidemiol. 2013;42:1399-409,
https://dx.doi.org/10.1093/IJE/dyt169.
16. Escueta M, Whetten K, Ostermann J, et al. Adverse childhood experiences, psychosocial well-being and cognitive development among orphans and abandoned children in five low income countries. BMC Int Health Hum Rights. 2014;14:1-13,
https://dx.doi.org/10.1186/1472-698X-14-6.
17. Grasso DJ, Ford JD, Briggs-Gowan MJ. Early life trauma exposure and stress sensitivity in young children. J Pediatr Psychol. 2012;38:94-103,
https://dx.doi.org/10.1093/jpepsy/jss101.
18. Schalinski I, Teicher MH, Nischk D, et al. Type and timing of adverse childhood experiences differentially affect severity of PTSD, dissociative and depressive symptoms in adult inpatients. BMC Psychiatry. 2016:1-15,
https://dx.doi.org/10.1186/s12888-016-1004-5.
19. De Young AC, Kenardy JA, Cobham VE. Trauma in early childhood: A neglected population. Clin Child Fam Psychol Rev. 2011;14:231-50,
https://dx.doi.org/10.1007/s10567-011-0094-3.
20. Ogle CM, Rubin DC, Siegler IC. The impact of the developmental timing of trauma exposure on PTSD symptoms and psychosocial functioning among older adults. Dev Psychol. 2013;49:2191-200,
https://dx.doi.org/10.1037/a0031985.
21. Shonkoff JP, Boyce WT, McEwen BS. Neuroscience, molecular biology, and the childhood roots of health disparities: building a new framework for health promotion and disease prevention. JAMA. 2009;301:2252-9,
https://dx.doi.org/10.1001/jama.2009.754.
22. Kalmakis KA, Chandler GE. Adverse childhood experiences: Towards a clear conceptual meaning. J Nurs Adv. 2014;70:1489-501,
https://dx.doi.org/10.1111/jan.12329.
23. Felitti VJ, Anda RF, Nordenberg D, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse childhood Experiences (ACE) study. Am J Prev Med. 1998;14:245-58.
24. Cronholm PF, Forke CM, Wade R, et al. Adverse childhood experiences. Expanding the concept of adversity. Am J Prev Med. 2015;49:354-61,
https://dx.doi.org/10.1016/j.amepre.2015.02.001.
25. Finkelhor D, Shattuck A, Turner H, et al. A revised inventory of Adverse Childhood Experiences. Child Abus Negl. 2015;48:13-21,
https://dx.doi.org/10.1016/j.chiabu.2015.07.011.
26. Bellis MA, Lowey H, Leckenby N, et al. Adverse childhood experiences: Retrospective study to determine their impact on adult health behaviours and health outcomes in a UK population. J Public Health (Oxf). 2014;36:81-91,
https://dx.doi.org/10.1093/PubMed/fdt038.
27. Thompson R, Flaherty EG, English DJ, et al. Trajectories of adverse childhood experiences and self-reported health at age 18. Acad Pediatr. 2015;15:503-9,
https://dx.doi.org/10.1016/j.acap.2014.09.010.
28. Kerker BD, Zhang J, Nadeem E, et al. Adverse childhood experiences and mental health, chronic medical conditions, and development in young children. Acad Pediatr. 2015;15:510-7,
https://dx.doi.org/10.1016/j.acap.2015.05.005.
29. National Center for Health U.S. National Survey of Children's Health. NSCH. 2011/2012. US: National Center for Health Statistics at the Centers for Disease Control. 2012.
30. Eslinger JG, Sprang G, Otis M. Children with multi-trauma histories: Special considerations for care and implications for treatment selection. J Child Fam Stud. 2015;24:2757-68,
https://dx.doi.org/10.1007/s10826-014-0079-1.
31. Dong M, Anda RF, Felitti VJ, et al. The interrelatedness of multiple forms of childhood abuse, neglect, and household dysfunction. Child Abuse Negl. 2004;28:771-84,
https://dx.doi.org/10.1016/j.chiabu.2004.01.008.
32. Baron-lee J, Bonner B, Knapp C, et al. Factors associated with having a medical home for children at-risk of experiencing negative events: Results from a national study. Matern Child Health J. 2015;19:2233-42,
https://dx.doi.org/10.1007/s10995-015-1742-x.
33. Clarkson P. Prevalence and relationship between Adverse Childhood Experiences and child behavior among young children. Infant Ment Health J. 2014;35:544-54,
https://dx.doi.org/10.1002/imhj.21460.
34. Goncalvez AL, Howe LD, Matijasevich A, et al. Adverse childhood experiences: Prevalence and related factors in adolescents of a Brazilian birth cohort. Child Abuse Negl. 2016;51:21-30,
https://dx.doi.org/10.1016/j.chiabu.2015.11.017.
35. Martínez M, García MC. Implicaciones de la crianza en la regulación del estrés. Rev Latinoam Cienc Soc Ni~nez Juv.2011;2:535-45.
36. Kelly-Irving M, Mabile L, Grosclaude P, et al. The embodiment of adverse childhood experiences and cancer development: Potential biological mechanisms and pathways across the life course. Int J Public Health. 2013;58:3-11,
https://dx.doi.org/10.1007/s00038-012-0370-0.
37. Mc Elroy S, Hevey D. Relationship between adverse early experiences, stressors, psychosocial resources and wellbeing. Child Abus Negl. 2014;38:65-75,
https://dx.doi.org/10.1016/j.chiabu.2013.07.017.
38. Raleva R, Peshevska D, Sethi D, editores. Survey of adverse childhood experiences amog young people in the former Yugoslav. Republic of Macedonia. Geneva: World Health Organization, Regional Office for Europe; 2013. p. 47.
39. Leiner M, Villanos MT, Puertas H, et al. The emotional and behavioral problems of children exposed to poverty and /or collective violence in communities at the Mexico- United States border: A comparative study. Salud Ment. 2015; 38:95-102.
40. Loredo N, Mejía D, Jiménez N, et al. Nivel de estrés en ni~nos (as) de primer a~no de primaria y correlación con alteraciones en su conducta. Enferm Univ. 2009;6:7-14.
41. Bright MA, Knapp C, Hinojosa MS, et al. The comorbidity of physical, mental, and developmental conditions associated with childhood adversity: A population based study American Academy of Pediatrics. Matern Child Health J. 2015;20:843---53,
https://dx.doi.org/10.1007/s10995-015-1915-7.
42. Burke NJ, Hellman JL, Scott BG, et al. The impact of adverse childhood experiences on an urban pediatric population. Child Abuse Negl. 2011;35:408-13,
https://dx.doi.org/10.1016/j.chiabu.2011.02.006.
43. Jimenez ME, Wade R, Lin Y, et al. Adverse experiences in early childhood and kindergarten outcomes. Pediatrics. 2016;137:1-11,
https://dx.doi.org/10.1542/peds.2015-1839.
44. Roberts YH, Ferguson M, Crusto CA. Exposure to traumatic events and health-related quality of life in preschool-aged children. Qual Life Res. 2013;22:2159-68,
https://dx.doi.org/10.1007/s11136-012-0330-4.
45. Wing R, Gjelsvik A, Nocera M, et al. Association between adverse childhood experiences in the home and pediatric asthma. Ann Allergy Asthma Immunol. 2015;114:379-84,
https://dx.doi.org/10.1016/j.anai.2015.02.019.
46. Marie-Mitchell A, O'Connor TG. Adverse childhood experiences: Translating knowledge into identification of children at risk for poor outcomes. Acad Pediatr. 2013;13:14-9,
https://dx.doi.org/10.1016/j.acap.2012.10.006.
47. Hermenau K, Hecker T, Ruf-Leuschner M. Maltreatment and mental health in institutional care-comparing early and late institutionalized children in Tanzania. Infant Ment Health J. 2014;35:102-10,
https://dx.doi.org/10.1002/imhj.21440.
48. Hernández-Guzmán L, del Palacio A, Freyre M, et al. La perspectiva dimensional de la psicopatología. Rev Mex Psicol. 2011;28:111-20.
49. Romero-Godínez E, Lucio-Gómez-Maqueo ME, Forns M. Los problemas internalizados y externalizados en la competencias académica de escolares. Acta Colomb Psicol. 2015; 18:65-74.
50. Capella C, Mendoza M. Regulación emocional en ni~nos y adolescentes: Artículo de revisión. Nociones evolutivas y clínica psicopatológica. Rev Soc Psiquiatr Neurol Infanc Adolesc. 2011;22:155-68.
51. Exley D, Norman A, Hyland M. Adverse childhood experience and asthma onset: A systematic review. Eur Respir Rev. 2015;24:299-305,
https://dx.doi.org/10.1183/16000617.00004114.
52. Logan BA, Correia K, Mccarthy J, et al. Voiding dysfunction related to adverse childhood experiences and neuropsychiatric disorders. J Pediatr Urol. 2014;10:634-8,
https://dx.doi.org/10.1016/j.jpurol.2014.06.012.
53. Bright MA, Alford SM, Hinojosa MS, et al. Adverse childhood experiences and dental health in children and adolescents. Community Dent Oral Epidemiol. 2015;43:193-9, https://dx.doi.org/10.1111/cdoe.12137.
54. Drury S, Mabile E, Brett Z, et al. The association of telomere length with family violence and disruption. Pediatrics. 2014;134:e128-37,
https://dx.doi.org/10.1542/peds.2013-3415.
55. Nätt D, Johansson I, Faresjö T, et al. High cortisol in 5-year-old children causes loss of DNA methylation in SINE retrotransposons: A possible role for ZNF263 in stress-related diseases. Clin Epigenetics. 2015;7:1-13,
https://dx.doi.org/10.1186/s13148-015-0123-z.
56. Yang BZ, Zhang H, Ge W, et al. Child abuse and epigenetic mechanisms of disease risk. Am J Prev Med. 2013;44:101-7,
https://dx.doi.org/10.1016/j.amepre.2012.10.012.
57. Bethell CD, Newacheck P, Hawes E, et al. Adverse childhood experiences: Assessing the impact on health and school engagement and the mitigating role of resilience. Health Aff (Millwood). 2014;33:2106-15,
https://dx.doi.org/10.1377/hlthaff.2014.0914.
58. Shonkoff JP, Levitt P. Neuroscience and the future of early childhood policy: Moving from why to what and how. Neuron. 2010;67:689-91,
https://dx.doi.org/10.1016/j.neuron.2010.08.032.
59. Introduction.Dwivedi KN, Harper PB, editores. En: Promoting the emotional well-being of children and adolescents and preventing their mental ill health. A handbook. London: Jessica Kingsley Publishers; 2014. p. 15-28.
60. Bucci M, Gutiérrez L, Koita K, et al. ACE-Questionnaire. User Guide for Health Professionals. San Francisco, CA: Center of Youth Wellness; 2015.
61. Murphy A, Steele H, Steele M, et al. The clinical Adverse Childhood Experiences (ACEs) questionnaire: Implications for trauma-informed behavioral healthcare. En: Briggs RD, editor. Integrated early childhood behavioral health primary care. Switzerland: Springer Int Publ.; 2016. p. 7-16.
62. Diderich HM, Fekkes M, Verkerk PH, et al. A new protocol for screening adults presenting with their own medical problems at the Emergency Department to identify children at high risk for maltreatment. Child Abuse Negl. 2013;37:1122-31,
https://dx.doi.org/10.1016/j.chiabu.2013.04.005.
63. Schofield T, Lee R, Merrick M. Safe, stable, nurturing relationships as a moderator of intergenerational continuity of child maltreatment: A meta-analysis. J Adolesc Health. 2013;53:S32-8,
https://dx.doi.org/10.1016/j.jadohealth.2013.05.004.
64. Ceballos-Vazquez P. Desde los ámbitos de enfermería, analizando el cuidado humanizado. Cienc Enferm. 2010;16:31-5.
65. Posada-Díaz Á, Gómez-Ramírez JF, Ramírez-Gómez H. Crianza humanizada: una estrategia para prevenir el maltrato infantil. Acta Pediátrica Mex. 2008;29:295-305.
66. Castro D, Bedregal P. Pediatría social. Rev Chil Pediatría. 2015;86:307-8,
https://dx.doi.org/10.1016/j.rchipe.2015.08.003.

 

Principio de p�gina 

Pie Doc

 

RECURSOS CUIDEN

 

RECURSOS CIBERINDEX

 

FUNDACION INDEX

 

GRUPOS DE INVESTIGACION

 

CUIDEN
CUIDEN citación

REHIC Revistas incluidas
Como incluir documentos
Glosario de documentos periódicos
Glosario de documentos no periódicos
Certificar producción
 

 

Hemeroteca Cantárida
El Rincón del Investigador
Otras BDB
Campus FINDEX
Florence
Pro-AKADEMIA
Instrúye-T

 

¿Quiénes somos?
RICO Red de Centros Colaboradores
Convenios
Casa de Mágina
MINERVA Jóvenes investigadores
Publicaciones
Consultoría

 

INVESCOM Salud Comunitaria
LIC Laboratorio de Investigación Cualitativa
OEBE Observatorio de Enfermería Basada en la Evidencia
GED Investigación bibliométrica y documental
Grupo Aurora Mas de Investigación en Cuidados e Historia
FORESTOMA Living Lab Enfermería en Estomaterapia
CIBERE Consejo Iberoamericano de Editores de Revistas de Enfermería