Adverse childhood experiences (ACEs), including child maltreatment and interparental aggression, are known to have far‐reaching consequences for mental health across the lifespan. Emerging evidence, such as that reported by Nobakht et al. (Journal of Child Psychology and Psychiatry, 2023), indicates that child conduct problems (e.g. oppositional defiant disorder, conduct disorder) may not only result from adversity but also contribute to it through transactional cascades that amplify risk for adversity over time. This commentary addresses some of the key implications of this evidence for translation into practice. It is argued that child conduct problems can be viewed as modifiable determinants of adversity and that the early identification and treatment of child conduct problems may allow for the early identification and reduction of risk for numerous ACEs.

中文翻译：

---

评论：行为问题的早期干预作为儿童保护策略——对 Nobakht 等人的反思 (2023)

众所周知，不良童年经历（ACE），包括虐待儿童和父母间的攻击行为，会对整个一生的心理健康产生深远的影响。新出现的证据，例如 Nobakht 等人报告的证据。（《儿童心理学和精神病学杂志》，2023）表明，儿童行为问题（例如，对立违抗性障碍、品行障碍）不仅可能是由逆境引起的，而且还可能通过随着时间的推移放大逆境风险的连锁反应而加剧。本评论阐述了该证据对于转化为实践的一些关键影响。有人认为，儿童行为问题可以被视为逆境的可改变决定因素，并且早期识别和治疗儿童行为问题可能有助于早期识别和降低许多 ACE 的风险。