Riesgo Intergeneracional de Experiencias Adversas en Niños con Autismo
PDF

Palabras clave

experiencias adversas en la infancia
autismo
trauma intergeneracional
transmisión del riesgo adverse childhood experiences
autism
intergenerational trauma
transmission of risk

Cómo citar

Vega-Arce, M., Espinosa-Díaz, N., & Núñez-Ulloa, G. (2025). Riesgo Intergeneracional de Experiencias Adversas en Niños con Autismo: Revisión de Alcance. Terapia Psicológica, 43(1), 21-44. Recuperado a partir de https://www.teps.cl/index.php/teps/article/view/769

Resumen

Antecedentes: La exposición parental a experiencias adversas en la infancia (EAI) se asocia a un mayor riesgo de sufrir adversidad en los hijos. En niños con Trastorno del Espectro Autista (TEA), la mayor susceptibilidad ante eventos disruptivos hace que su impacto pueda intensificarse, relevándolo como un tema de interés para la intervención psicológica. Objetivo: Sintetizar la literatura sobre la transmisión intergeneracional del riesgo de sufrir EAI en padres con hijos diagnosticados con TEA. Método: Se realizó una revisión de alcance en Web of Science, Scopus, Pubmed y ProQuest Central. Se incluyeron 4 artículos publicados en revistas de alto impacto y una tesis doctoral (2021-2023). Resultados: Los 13 temas abordados incluyeron factores de riesgo distales, como adversidad infantil en padres de niños con TEA; factores de riesgo proximales, como violencia de pareja en la gestación; factores protectores como baja o ausente adversidad infantil parental (distal) y ausencia de violencia de pareja en etapa de gestación (proximal); y mecanismos de continuidad intergeneracional de la adversidad. Conclusión: Preliminarmente, los hallazgos destacan una asociación entre EAI parentales y el diagnóstico de TEA en los hijos, así como diversos factores que contribuyen a la reproducción de patrones de riesgo en la siguiente generación.

PDF

Citas

Abouelmagd, M. E., AbdelMeseh, M., Elrosasy, A., Eldeeb, H. A. y Nabil, Y. (2024). Adverse childhood experiences and risk of late-life dementia: A systematic review and meta-analysis. Social Psychiatry and Psychiatric Epidemiology. https://doi.org/10.1007/s00127-024-02676-4

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental health disorders (5a. ed.). https://doi.org/10.1176/appi.books.9780890425596

Andrzejewski, T., DeLucia, E. A., Semones, O., Khan, S. y McDonnell, C. G. (2023). Adverse childhood experiences in autistic children and their caregivers: Examining intergenerational continuity. Journal of Autism and Developmental Disorders, 53(7), 2663–2679. https://doi.org/10.1007/s10803-022-05551-w

Arksey, H. y O´Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 19–32. https://doi.org/https://doi.org/10.1080/1364557032000119616

Becerra, T. A., Von Ehrenstein, O. S., Heck, J. E., Olsen, J., Arah, O. A., Jeste, S. S., Rodriguez, M. y Ritz, B. (2014). Autism spectrum disorders and race, ethnicity, and nativity: A population-based study. Pediatrics, 134(1). https://doi.org/10.1542/peds.2013-3928

Blackwell, C. K., Cella, D. y Mansolf, M. (2024). Intergenerational transmission of adverse and positive childhood experiences and associations with child well-being. Child Abuse and Neglect, 157. https://doi.org/10.1016/j.chiabu.2024.107050

Bright, M., Knapp, C., Hinojosa, M., Bonner, B. y Baron-Lee, J. (2015). Factors associated with having a medical home for children at-risk of experiencing negative events: Results from a national study. Maternal and Child Health Journal, 19(10), 2233–2242. https://doi.org/10.1007/s10995-015-1742-x

Christou, P. A. (2023). How to use thematic analysis in qualitative. Journal of Qualitative Research in Tourism, January. https://doi.org/10.4337/jqrt.2023.0006

Cicchetti, D. y Rizley, R. (2005). Developmental perspectives on the etiology, intergenerational transmission, and sequelae of child maltreatment. Annual Review of Clinical Psychology, 1, 409–438.

Erickson, N. L., Padrutt, E. R., Buchanan, G. y Kim, H. G. (2024). Adverse childhood experiences and perinatal mental health: A review of progress and future directions. Current Psychiatry Reports. https://doi.org/10.1007/s11920-024-01565-6

Espinosa-Díaz, N., Vega-Arce, M., Jara, M. I. y Garrido, F. (2024). Stress in parents of preschoolers with Autism Spectrum Disorders: An update review. Boletín Médico del Hospital Infantil de México, 81(4), 195–209. https://doi.org/10.24875/BMHIM.23000182

Greene, C. A., Haisley, L., Wallace, C. y Ford, J. D. (2020). Intergenerational effects of childhood maltreatment: A systematic review of the parenting practices of adult survivors of childhood abuse, neglect, and violence. Clinical Psychology Review, 80, 101891. https://doi.org/10.1016/j.cpr.2020.101891

Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P. y Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The adverse childhood experiences (ACE) study. American Journal of Preventive Medicine, 14(4), 245–258. https://doi.org/10.1016/S0749-3797(98)00017-8

Fitzgerald, M. y Gallus, K. L. (2024). Conceptualizing and measuring childhood adversity: A comprehensive critique of the adverse childhood experiences measure and offering a new conceptualization of childhood adversity. American Journal of Orthopsychiatry. https://doi.org/10.1037/ort0000785

Folger, A. T., Putnam, K. T., Putnam, F. W., Peugh, J. L., Eismann, E. A., Sa, T., Shapiro, R. A., Van Ginkel, J. B. y Ammerman, R. T. (2017). Maternal interpersonal trauma and child social-emotional development: An intergenerational effect. Paediatric and Perinatal Epidemiology, 31(2), 99–107. https://doi.org/10.1111/ppe.12341

Greene, C. A., Haisley, L., Wallace, C. y Ford, J. D. (2020). Intergenerational effects of childhood maltreatment: A systematic review of the parenting practices of adult survivors of childhood abuse, neglect, and violence. Clinical Psychology Review, 80, 101891. https://doi.org/10.1016/j.cpr.2020.101891

Haque, M. A., Tasnim, A., Islam, S., Towhid, M. I. I., Sultana, S., Salwa, M., Barman, N. y Siddique, S. M. (2021). Mother’s Adverse Childhood Experiences and elevated risk of neuro-developmental disorders in offspring: A case–control study. Adversity and Resilience Science, 2(3), 205–214. https://doi.org/10.1007/s42844-021-00042-w

Hartley, G., Sirois, F., Purrington, J. y Rabey, Y. (2024). Adverse Childhood Experiences and autism: A meta-analysis.Trauma, Violence, and Abuse, 25(3), 2297–2315. https://doi.org/10.1177/15248380231213314

Hemady, C. L., Speyer, L. G., Kwok, J., Meinck, F., Melendez-Torres, G. J., Fry, D., Auyeung, B. y Murray, A. L. (2022). Using network analysis to illuminate the intergenerational transmission of adversity. European Journal of Psychotraumatology, 13(2). https://doi.org/10.1080/20008198.2022.2101347

Kilmer, M., Hong, M. y Shah, E. (2023). Relationship between caregiver adverse childhood events and age of autism spectrum diagnosis. Journal of Pediatric Nursing, 73, e266–e272. https://doi.org/10.1016/j.pedn.2023.09.020

Kindermann, D., Rollmann, I., Orth, M., Friederich, H. C. y Nikendei, C. (2024). Direct and indirect effects of adverse and protective childhood experiences on symptom improvement in psychotherapy. Psychotherapy Research, 34(6), 774–789. https://doi.org/10.1080/10503307.2023.2254917

Kuenzel, E. y Duerden, E. G. (2024). Early adversity and family resilience factors in children with autism spectrum disorder: A narrative review. Neurodiversity, 2. https://doi.org/10.1177/27546330241254222

Levac, D., Colquhoun, H. y O’brien, K. K. (2010). Scoping studies: Advancing the methodology. Implementation Science, 5, 1-9. https://doi.org/10.1186/1748-5908-5-69

Lorenc, T., Lester, S., Sutcliffe, K., Stansfield, C. y Thomas, J. (2020). Interventions to support people exposed to adverse childhood experiences: Systematic review of systematic reviews. BMC Public Health, 20(1). https://doi.org/10.1186/s12889-020-08789-0

Masten, A. S., Tyrell, F. A. y Cicchetti, D. (2023). Resilience in development: Pathways to multisystem integration. Development and Psychopathology, 35(5), 2103–2112. https://doi.org/10.1017/S0954579423001293

McDonnell, C. G., Andrzejewski, T. y Dike, J. (2022). Intergenerational trauma: Parental PTSD and parent-reported child abuse subtypes differentially relate to admission characteristics in the autism inpatient collection. Autism Research, 15(4), 665–676. https://doi.org/10.1002/aur.2669

Moog, N. K., Cummings, P. D., Jackson, K. L., Aschner, J. L., Barrett, E. S., Bastain, T. M., Blackwell, C. K., Bosquet Enlow, M., Breton, C. V., Bush, N. R., Deoni, S. C. L., Duarte, C. S., Ferrara, A., Grant, T. L., Hipwell, A. E., Jones, K., Leve, L. D., Lovinsky-Desir, S., Miller, R. K., … Buss, C. (2023). Intergenerational transmission of the effects of maternal exposure to childhood maltreatment in the USA: A retrospective cohort study. The Lancet Public Health, 8(3), e226–e237. https://doi.org/10.1016/S2468-2667(23)00025-7

Morgart, K., Harrison, J. N., Hoon, A. H. y Wilms Floet, A. M. (2021). Adverse childhood experiences and developmental disabilities: Risks, resiliency, and policy. Developmental Medicine and Child Neurology, 63(10), 1149–1154. https://doi.org/10.1111/dmcn.14911

Narayan, A. J., Lieberman, A. F. y Masten, A. S. (2021). Intergenerational transmission and prevention of adverse childhood experiences (ACEs). Clinical Psychology Review, 85(February), 101997. https://doi.org/10.1016/j.cpr.2021.101997

Pardo-Salamanca, A., Paoletti, D., Pastor-Cerezuela, G., De Stasio, S. y Berenguer, C. (2024). Executive functioning profiles in neurodevelopmental disorders: Parent–child outcomes. Children, 11(8). https://doi.org/10.3390/children11080909

Pollak, S. D. (2024). Continuing the momentum of developmental psychopathology: Lessons learned from the seminal contributions of Dante Cicchetti. Development and Psychopathology, 1-5. https://doi.org/10.1017/S0954579424001755

Racine, N., Deneault, A. A., Thiemann, R., Turgeon, J., Zhu, J., Cooke, J. y Madigan, S. (2023). Intergenerational transmission of parent adverse childhood experiences to child outcomes: A systematic review and meta-analysis. Child Abuse and Neglect. https://doi.org/10.1016/j.chiabu.2023.106479

Roberts, A. L., Lyall, K., Rich-Edwards, J. W., Ascherio, A. y Weisskopf, M. G. (2013). Association of maternal exposure to childhood abuse with elevated risk for autism in offspring. JAMA Psychiatry, 70(5), 508–515. https://doi.org/10.1001/jamapsychiatry.2013.447

Sahle, B. W., Reavley, N. J., Li, W., Morgan, A. J., Yap, M. B. H., Reupert, A. y Jorm, A. F. (2022). The association between adverse childhood experiences and common mental disorders and suicidality: An umbrella review of systematic reviews and meta-analyses. European Child and Adolescent Psychiatry, 31(10), 1489–1499). https://doi.org/10.1007/s00787-021-01745-2

Sasson, N. J., Lam, K. S., Parlier, M., Daniels, J. L. y Piven, J. (2013). Autism and the broad autism phenotype: Familial patterns and intergenerational transmission. Journal of Neurodevelopmental Disorders, 5(1), 11. https://doi.org/10.1186/1866-1955-5-11.

Schoon, I. y Melis, G. (2019). Intergenerational transmission of family adversity: Examining constellations of risk factors. PLoS ONE, 14(4). https://doi.org/10.1371/journal.pone.0214801

Senaratne, D. N. S., Thakkar, B., Smith, B. H., Hales, T. G., Marryat, L. y Colvin, L. A. (2024). The impact of adverse childhood experiences on multimorbidity: Q systematic review and meta-analysis. BMC Medicine, 22(1). https://doi.org/10.1186/s12916-024-03505-w

Shimako Brazee, S. (2021). Epigenetic implications of parental exposure to Adverse Childhood Experiences and offspring with Autism Spectrum Disorder [Tesis Docoral, The Chicago School of Professional Psychology], ProQuest.

Sirriyeh, R., Lawton, R., Gardner, P. y Armitage, G. (2012). Reviewing studies with diverse designs: The development and evaluation of a new tool. Journal of Evaluation in Clinical Practice, 18(4), 746–752. https://doi.org/10.1111/j.1365-2753.2011.01662.x

Stith, S. M., Liu, T., Davies, L. C., Boykin, E. L., Alder, M. C., Harris, J. M., Som, A., McPherson, M. y Dees, J. E. M. E. G. (2009). Risk factors in child maltreatment: A meta-analytic review of the literature. Aggression and Violent Behavior, 14(1), 13–29. https://doi.org/10.1016/j.avb.2006.03.006

Stoppelbein, L., Mcrae, E. y Smith, S. (2023). Adverse Child Experiences. En V. Preedy & V. Patel (Eds.), Handbook of Anger, Aggression, and Violence (pp. 1325–1348). Springer. https://doi.org/10.1007/978-3-031-31547-3_74

Takeda, T., Makinodan, M., Toritsuka, M. y Iwata, N. (2024). Impacts of adverse childhood experiences on individuals with autism spectrum disorder. Current Opinion in Neurobiology, 89. https://doi.org/10.1016/j.conb.2024.102932

Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., … Straus, S. E. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850

Varga, M. K., Moshammer, H. y Atanyazova, O. (2025). Childhood asthma and mould in homes-A meta-analysis. Wiener klinische Wochenschrift, 137, 79–88. https://doi.org/10.1007/s00508-024-02396-4

Yenkoyan, K., Mkhitaryan, M y Bjørklund, G. (2024). Environmental risk factors in autism spectrum disorder: A narrative review. Current Medicinal Chemistry, 31 (17), 2345-2360. https://doi.org/10.2174/0109298673252471231121045529

Yoon, S. H., Choi, J., Lee, W. J. y Do, J. T. (2020). Genetic and epigenetic etiology underlying autism spectrum disorder. Journal of Clinical Medicine, 9(4), 966. https://doi.org/10.3390/jcm9040966

Zhu, J., Exner-Cortens, D., Dobson, K., Wells, L., Noel, M. y Madigan, S. (2024). Adverse childhood experiences and intimate partner violence: A meta-analysis. Development and Psychopathology, 36(2), 929–943. https://doi.org/10.1017/S0954579423000196

Zhu, S., Shan, S., Liu, W., Li, S., Hou, L., Huang, X., Liu, Y., Yi, Q., Sun, W., Tang, K., Adeloye, D., Rudan, I. y Song, P. (2022). Adverse childhood experiences and risk of diabetes: A systematic review and meta-analysis. Journal of Global Health, 12. https://doi.org/10.7189/jogh.12.04082

SCImago Journal & Country Rank