Association between adverse childhood experiences and sleep quality, emotional and behavioral problems and academic achievement of children and adolescents

Qu, Guangbo; Liu, Haixia; Han, Tiantian; Zhang, Huimei; Ma, Shaodi; Sun, Liang; Qin, Qirong; Chen, Ming-Chun; Zhou, Xiaoqin; Sun, Yehuan

doi:10.1007/s00787-023-02185-w

Cited by 14 publications

(6 citation statements)

References 69 publications

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“…According to the norm set by the Shanghai Mental Health Center of China [49], the total difficulties score was categorized as normal (0-13 points), borderline (14-16 points), and abnormal (17-40 points). The existing research shows that the Chinese version of the SDQ has been widely used among children and adolescents in China with good reliability and validity [50][51][52]. The Cronbach's alpha was 0.79 in this study.…”

Section: Measurement Of Ebpsmentioning

confidence: 60%

Effect of parenting style on the emotional and behavioral problems among Chinese adolescents: the mediating effect of resilience

Wang,

Huang,

et al. 2024

BMC Public Health

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Background Although previous studies have found that parenting style significantly predicts emotional and behavioral problems (EBPs) among Chinese adolescents, the mechanism between different parenting styles and EBPs requires in-depth investigation. In our study, we aimed to investigate the mediating effect of resilience, a positive psychological characteristic, between parenting style and EBPs among Chinese adolescents. Methods In this cross-sectional study, we used a multistage stratified cluster random sampling method to collect data in Shenyang, Liaoning Province from November to December 2019. Self-developed questionnaires were distributed to 1028 adolescents aged 10–18. Finally, the study consisted of 895 participants. The bootstrap method was used to investigate the role of resilience as a mediator in the relationship between different parenting styles and EBPs from a positive psychology perspective. Results The mean score of EBPs was 12.71 (SD = 5.77). After controlling for variables such as gender, age, left-behind children, family type and family income, resilience partially played a mediating role in the associations of paternal rejection (a × b = 0.051 BCa95%CI:0.023,0.080), maternal rejection (a × b = 0.055 BCa95%CI: 0.024, 0.086), paternal emotional warmth (a × b = -0.139 BCa95%CI: -0.182, -0.099) and maternal emotional warmth (a × b = -0.140 BCa95%CI: -0.182, -0.102), with EBPs. The effect sizes were11.28%, 11.51%, 40.76%, and 38.78%, respectively. Conclusions Resilience could partially mediate the relationship between parenting style and EBPs, highlighting that parents should adopt a positive parenting style and that resilience improvement could be effective in reducing EBPs among Chinese adolescents.

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Section: Measurement Of Ebpsmentioning

confidence: 60%

Effect of parenting style on the emotional and behavioral problems among Chinese adolescents: the mediating effect of resilience

Wang,

Huang,

et al. 2024

BMC Public Health

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“…Although we showed that adversity exposure during childhood affects the development of sleep and depressive symptoms across adolescence, it is likely that different types of ELA may have differential associations with sleep (e.g., Desch, Bakour, Mansuri, Tran, & Schwartz, 2023; Qu et al., 2023; Wang et al., 2016). For example, adolescents who experienced maltreatment, parental divorce, or who have family members who have mental health disorders, were incarcerated, or were victims of domestic violence were more likely to report poorer sleep quality than those who experienced financial hardships, with adolescents who reported experiencing emotional abuse having the highest risk of poor sleep quality (Qu et al., 2023). Additionally, exposure to interpersonal violence during childhood conferred higher risk for insomnia than experiencing accidents/injuries or witnessing adverse events, although almost all event types were significantly associated with insomnia symptoms (Wang et al., 2016).…”

Section: Discussionmentioning

confidence: 76%

Associations among early life adversity, sleep disturbances, and depressive symptoms in adolescent females and males: a longitudinal investigation

Uy,

Gotlib

2023

Child Psychology Psychiatry

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BackgroundExposure to adversity early in life (ELA) has been associated with elevated risk for depression during adolescence, particularly for females; the mechanisms underlying this association, however, are poorly understood. One potential mechanism linking ELA and sex differences in depressive symptoms is sleep disturbances, which increase during adolescence and are more common in females. Here, we examined whether sleep disturbances mediate the association between ELA and increases in depressive symptoms during adolescence and whether this mediation differs by sex.Methods224 (N = 132 females) youth were recruited at age 9–13 years and assessed every 2 years across three timepoints. At the first timepoint, we conducted extensive interviews about stressful events participants experienced; participants provided subjective severity ratings of events and we objectively scored the severity of each event. Self‐reported sleep disturbances and depressive symptoms were assessed at all timepoints. We conducted linear mixed models to estimate both initial levels and changes in sleep disturbances and depressive symptoms, and moderated mediation analyses to test whether initial levels and/or changes in sleep disturbances mediated the association of ELA (objective and subjective) with increases in depressive symptoms across adolescence and whether the mediations differed by sex.ResultsWhile higher initial levels and increases in sleep problems were uniquely associated with increases in depressive symptoms for males and females, they were related to ELA differently by sex. For females, greater ELA (both objectively and subjectively rated) was associated with higher initial levels of sleep problems, which in turn were associated with increases in depressive symptoms from early to late adolescence. In contrast, for males, ELA exposure was not associated with either initial levels of, or increases in, sleep problems.ConclusionsThese findings highlight the role of sleep disturbances during the transition to adolescence in mediating sex differences in the effects of ELA on depressive symptoms.

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“…In recent years, an increasing number of studies have discovered that sleep quality is closely associated to health. Sleep difficulties have been linked to inflammatory responses in the body, psychological issues, and even increased mortality in adults (25)(26)(27). As a result, excellent sleep habits, regular exercise, and quitting smoking and drinking can all help to improve physical health.…”

Section: Discussionmentioning

confidence: 99%

Health status of the population in Naqu, Tibet and its latent class analysis: a cross-sectional survey

Cui,

Nima,

Zhaxi

et al. 2023

Front. Public Health

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BackgroundThrough a survey and analysis of the population’s present state of health, it is possible to give data support for improving the health status of inhabitants in Naqu, Tibet. Additionally, it is possible to provide specific recommendations for the development of medical and healthcare facilities in Tibet.MethodsThe health scores of the participants were based on their responses to the four main sections of the questionnaire: dietary habits, living habits, health knowledge, and clinical disease history, and the variability of health status among groups with different characteristics was analyzed based on the scores. The four major sections were used to create classes of participants using latent class analysis (LCA). Using logistic regression, the factors influencing the classification of latent classes of health status were investigated.ResultsA total of 995 residents from 10 counties in Naqu were selected as the study subjects. And their demographic characteristics were described. The mean health score of residents after standardization was 81.59 ± 4.68. With the exception of gender, health scores differed between groups by age, education level, different occupations, marital status, and monthly income. The health status in Naqu, Tibet, was divided into two groups (entropy = 0.29, BLRT = 0.001, LMRT = 0.001) defined as the “good health group” and the “general health group.” A monthly income of more than ¥5000 adverse to good health in Naqu, Tibet.DiscussionSingle, well-educated young adults in Naqu, Tibet, have outstanding health. The vast majority of people in Tibet’s Naqu region were in good health. Furthermore, the population’s latent health status was divided into two classes, each with good dietary and living habits choices, low health knowledge, and a history of several clinical diseases. Univariate and multivariate logistic regression analysis showed that monthly income more than ¥5000 was an independent risk factor for poor health status.

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Association between adverse childhood experiences and sleep quality, emotional and behavioral problems and academic achievement of children and adolescents

Cited by 14 publications

References 69 publications

Effect of parenting style on the emotional and behavioral problems among Chinese adolescents: the mediating effect of resilience

Effect of parenting style on the emotional and behavioral problems among Chinese adolescents: the mediating effect of resilience

Associations among early life adversity, sleep disturbances, and depressive symptoms in adolescent females and males: a longitudinal investigation

Health status of the population in Naqu, Tibet and its latent class analysis: a cross-sectional survey

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