Cumulative Exposure to Adverse Childhood Experience: Depressive Symptoms, Suicide Intensions and Suicide Plans among Senior High School Students in Nanchang City of China

Jia, Zhihui; Wen, Xiaotong; Chen, Feiyu; Zhu, Hui; Li, Can; Lin, Yixiang; Xie, Xiaoxu; Yuan, Zhigang

doi:10.3390/ijerph17134718

Cited by 15 publications

(12 citation statements)

References 56 publications

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“…This study that 51.5% of the respondents had at least one ACE, which was equal to that of MSM reported by Ding (51.4%) [30] and higher than that of the general population reported by Edwards (34.6%) [31], Lin (34.16%) [32] and Eleonora lob (24%) [33]. Among all types of ACEs, the reported rates of emotional neglect and emotional abuse among participants were higher, accounting for 22.6% and 22.3%, respectively.…”

Section: Discussioncontrasting

confidence: 40%

Adverse Childhood Experiences and Depressive Symptoms Among Female Sexual Minorities in China

Zhu

Ding²,

Li-yin

et al. 2021

Preprint

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Background: Despite the relationship between Adverse childhood experiences (ACEs) and depressive symptoms, which has been well conducted in general populations, little is known about homosexual and bisexual populations, especially female sexual minorities in China. This study aims to investigate the prevalence of ACEs and depressive symptoms and to analyze the relationship between them among female sexual minorities in China.Methods: The eligible participants were aged 16 years or older who report their sexual orientation as homosexual or bisexual. The data was collected through anonymous questionnaires under the help of Lespark in Bejing from July 18 to December 29, 2018. Univariate analysis and multiple linear regression analyses were performed to explore the relationship between ACEs and depressive symptoms among female sexual minorities. All statistical analyses were conducted by the software of SPSS 22.0.Results: Among 301 female sexual minorities,51.5% reported at least one ACE, in which emotional neglect (22.6%) and emotional abuse (22.3%) were common ACEs. 24.6% reported that they had suffered only one type of ACE, and 10% have suffered four or more ACEs. As for depressive symptoms of female sexual minorities, the detection rate was 56.1%. The multiple linear regression analyses showed that abuse (β=2.95, p＜0.05) and neglect (β=3.21,p＜0.05) were positively correlated with depressive symptoms and female sexual minorities with three (β=4.11, p＜0.05) or more (β=6.02, p＜0.001) ACEs suffered from more depressive symptoms than others. Conclusion: Both ACEs and depressive symptoms were at high prevalence among female sexual minorities in China. ACEs were associated with depressive symptoms, especially childhood abuse and neglect experiences that have a significant effect on female sexual minorities’ mental health.

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Section: Discussioncontrasting

confidence: 40%

Adverse Childhood Experiences and Depressive Symptoms Among Female Sexual Minorities in China

Zhu

Ding²,

Li-yin

et al. 2021

Preprint

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“…As discussed in the previous study (Butchart et al, 2006), there is a great deal of uncertainty around the estimates of the frequency and severity of ACEs worldwide due to inconsistencies in the measurement and definition of ACEs. In addition, it is worth noting that most previous studies assessed ACEs in the elder population (McLaughlin et al, 2010;Merrick et al, 2017), while few studies were conducted in young adults (Jia et al, 2020;Cheung et al, 2021). Much violence against children remains largely hidden and unreported because of fear and stigma and the societal acceptance of this type of violence (Pinheiro, 2006;Norman et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

“…For instance, ACEs were attributed to 30% cases of anxiety and 40% cases of depression in North America, and more than a quarter of cases of both conditions in Europe (Bellis et al, 2019). In China, adolescents with 3-5 ACEs are over 10 times likely to be depressed and more than 20 times to have suicidal attempts (Jia et al, 2020). Finally, the stress sensitization hypothesis indicated that ACEs hinder the development of brain areas in charge of stress regulations (McLaughlin et al, 2010) which could not only lead to mental health problems but also trigger subsequent new stressors that were not previously present (Aneshensel and Mitchell, 2014).…”

Section: Introductionmentioning

confidence: 99%

Childhood Experiences and Psychological Distress: Can Benevolent Childhood Experiences Counteract the Negative Effects of Adverse Childhood Experiences?

et al. 2022

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BackgroundChildhood experiences can exert a huge impact on adult psychological conditions. Previous studies have confirmed the effects of adverse childhood experiences (ACEs) and benevolent childhood experiences (BCEs) on psychological distress (e.g., stress, depression, and suicidal ideation) separately, but few studies explored a combined effect of ACEs and BCEs on psychological distress. The aim of this study was to explore a combined effect of ACEs and BCEs on psychological distress among Chinese undergraduates.MethodsParticipants were undergraduates aged 17–24 years (N = 1,816) and completed a self-reported questionnaire. A series of regression analyses were conducted to examine the association between childhood experiences and psychological distress.ResultsA total of 65.7% of undergraduates had BCEs, 27.1% of undergraduates had ACEs, and 12.9% of undergraduates had ACEs and BCEs simultaneously. Logistic regression analysis indicated that undergraduates who experienced high ACEs were more likely to have a high risk of psychological distress [odds ratio (ORs) = 1.46, 1.84, and 3.15 for uncertainty stress, depressive symptoms, and suicidal ideation, respectively], while undergraduates who experienced High BCEs were less likely to have psychological distress (ORs = 0.33, 0.22, and 0.32 for uncertainty stress, depressive symptoms, and suicidal ideation, respectively) compared with Low-Both group. The combined effect of ACEs and BCEs (High-Both group) could also play as a protective factor in uncertainty stress (OR = 0.56) and depressive symptoms (OR = 0.47).ConclusionOur findings suggested that ACEs and BCEs could not only predict the psychological distress independently, but also BCEs could counteract the negative effect of ACEs in psychological problems. There is an even greater need to identify and support the victims of ACEs and to increase BCEs in early childhood.

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“…Moreover, it was proved that experiencing four or more ACEs is associated with smoking, drug abuse, early sexual initiation and having multiple sexual partners [15]. Furthermore, based on a research conducted by Zhihui Jia et al on a population of 884 senior high school students from Nanchang in China, it can be concluded that ACEs increase the probability of depressive symptoms, suicidal thoughts and suicidal plans [19].…”

Section: Discussionmentioning

confidence: 99%

Adverse Childhood Experiences as a significant predictor of worsened well-being among Polish medical and dental students

Drożak

Augustowska

Bryliński

et al. 2021

J Educ Health Sport

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Introduction and purpose. Adverse Childhood Experiences (ACEs) are a major public health problem. The aim of the study was to investigate the prevalence of Adverse Childhood Experiences among medical and dental students in Poland and to examine a relationship between ACEs and chosen factors associated with well-being of the students.Material and method. The research tool consisted of the Adverse Childhood Experiences standardized questionnaire and authors’ questions. 934 medical students and 228 dental students took part in the study (a total of 1162 participants). The respondents came from 18 Polish universities.Results. 57.40% of the students experienced at least 1 childhood adversity, 8.43% of them were affected by 4 or more ACEs. The most common adverse childhood experiences were: emotional neglect (23.06%), emotional abuse (22.98%) and mental illness or a suicide attempt in a household member (21.86%). On average, women experienced more childhood adversities than men. An overall graded relationship was found between ACEs and: frequent feelings of loneliness, low self-assessment of academic performance, problems with maintaining stable body weight, reaching for alcohol in order to de-stress and being non-religious.Conclusions. Adverse Childhood Experiences are common among Polish medical and dental students and are linked with multiple aspects of worsened well-being of the students. The study emphasizes a need to create strategies that aim to educate on Adverse Childhood Experiences in order to prevent them and help those who are affected by them.

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Cumulative Exposure to Adverse Childhood Experience: Depressive Symptoms, Suicide Intensions and Suicide Plans among Senior High School Students in Nanchang City of China

Cited by 15 publications

References 56 publications

Adverse Childhood Experiences and Depressive Symptoms Among Female Sexual Minorities in China

Adverse Childhood Experiences and Depressive Symptoms Among Female Sexual Minorities in China

Childhood Experiences and Psychological Distress: Can Benevolent Childhood Experiences Counteract the Negative Effects of Adverse Childhood Experiences?

Adverse Childhood Experiences as a significant predictor of worsened well-being among Polish medical and dental students

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