童年创伤性经历对青少年心理健康的影响 及其干预研究
The Effect of Childhood Traumatic Experience on Adolescent Mental Health and Its Intervention
摘要: 童年创伤性经历(ACEs)作为青少年心理健康领域的重要研究议题，已被证实对个体心理社会功能发展具有深远的多维负面影响。本文以布朗芬布伦纳社会生态系统理论为主线，并结合发展性创伤障碍(DTD)的理论视角，从生物–心理–社会机制层面系统阐释ACEs对青少年心理健康的影响。ACEs不仅可诱发青少年期抑郁、焦虑及创伤后应激障碍(PTSD)等典型心理病理症状，更可能通过影响下丘脑–垂体–肾上腺轴、前额叶–边缘系统神经环路、情绪调节能力与社会支持系统，导致认知功能缺陷及社会适应能力退化等长期后果。本文系统综述ACEs对青少年心理健康的负面影响，重点分析其心理健康问题的类型特征、影响因素及干预策略，为临床心理护理提供理论依据。
Abstract: As an important research topic in the field of adolescent mental health, childhood traumatic experiences (ACEs) have been proved to have far-reaching multidimensional negative effects on the development of individual psychosocial functions. Guided by Bronfenbrenner’s social ecological systems theory and informed by the perspective of developmental trauma disorder (DTD), this review systematically discusses the biological, psychological and social mechanisms through which ACEs affect adolescent mental health. ACEs may directly induce typical psychopathological symptoms such as depression, anxiety and post-traumatic stress disorder (PTSD) in adolescence, and may also lead to long-term consequences such as emotional regulation disorders, cognitive impairment and social adaptability degradation by influencing the hypothalamic-pituitary-adrenal axis, prefrontal-limbic neural circuits and social support systems. This article systematically reviews the negative effects of ACEs on adolescent mental health, focusing on the analysis of the type characteristics, influencing factors and intervention strategies of their mental health problems, so as to provide a theoretical basis for clinical psychological nursing.
文章引用：丁丽娟, 薛瑶, 周霄婧, 邓媛华, 周小燕. 童年创伤性经历对青少年心理健康的影响 及其干预研究[J]. 临床医学进展, 2026, 16(6): 540-548. https://doi.org/10.12677/acm.2026.1662250

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