Relationships among adverse childhood experience patterns, psychological resilience, self-esteem and depressive symptoms in Chinese adolescents: A serial multiple mediation model

Chen, Shanshan; He, Yang; Xie, Guo-Die; Chen, Li–Ru; Zhang, Tingting; Yuan, Meng-Yuan; Li, Yonghan; Chang, Jun-Jie; Su, Puyu

doi:10.1016/j.ypmed.2021.106902

Cited by 20 publications

(29 citation statements)

References 69 publications

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“…Findings from this study support existing research evidence concerning ACEs increasing the likelihood of depression [ 16 , 19 – 21 , 37 ]. Previous research exploring the mechanisms of ACEs have determined resilience [ 68 , 69 ], self-esteem [ 70 , 71 ], mindfulness [ 72 ], stress [ 69 , 73 , 74 ], inflammation [ 75 ], intimate partner violence [ 73 ], and physical activity [ 58 ] play significant roles in the relationship between ACEs and depression. Results of this study alongside previous findings could be useful in helping inform intervention designs to prevent depression among adults with high ACEs.…”

Section: Discussionmentioning

confidence: 99%

Physical activity mitigates the link between adverse childhood experiences and depression among U.S. adults

Royer

Wharton

2022

PLoS ONE

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Background Adverse Childhood Experiences (ACEs) include potentially traumatic exposures to neglect, abuse, and household problems involving substance abuse, mental illness, divorce, incarceration, and death. Past study findings suggest ACEs contribute to depression, while physical activity alleviates depression. Little is known about the link between ACEs and physical activity as it relates to depression among U.S. adults. This research had a primary objective of determining the role of physical activity within the link between ACEs and depression. The significance of this study involves examining physical activity as a form of behavioral medicine. Methods Data from the 2020 Behavioral Risk Factor Surveillance System were fit to Pearson chi-square and multivariable logistic regression models to examine the links between ACEs and depression, ACEs and physical activity, and physical activity and depression among U.S. adults ages 18-and-older (n = 117,204) from 21 states and the District of Columbia, while also determining whether physical activity attenuates the association between ACEs and depression. Results Findings from chi-square analyses indicated that ACEs are related to physical activity (χ2 = 19.4, df = 1; p<0.01) and depression (χ2 = 6,841.6, df = 1; p<0.0001). Regression findings suggest ACEs were linked to depression (AOR = 1.050; 95% CI = 1.049, 1.051). ACEs and physical activity (AOR = 0.994; 95% CI = 0.992, 0.995) and physical activity and depression (AOR = 0.927; 95% CI = 0.922, 0.932) were both inversely related. Physical activity mitigated the link between ACEs and depression (AOR = 0.995; 95% CI = 0.993, 0.996). Conclusions This research addressed a critical knowledge gap concerning how ACEs and physical activity contribute to depression outcomes among U.S. adults. Findings suggest physical activity mitigates the effect of ACEs on depression. Future studies should apply physical activity interventions to alleviate depression among U.S. adults with high ACEs.

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Section: Discussionmentioning

confidence: 99%

Physical activity mitigates the link between adverse childhood experiences and depression among U.S. adults

Royer

Wharton

2022

PLoS ONE

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“…Self-esteem associations were not observed as expected among school adolescents. Because self-esteem links to other mental health issues, especially depression [ 59 ], screening for bullying targets should be prioritized. The matters of victimization experience are essential and can be underdetected.…”

Section: Discussionmentioning

confidence: 99%

Bullying Victimization Moderates the Association between Social Skills and Self-Esteem among Adolescents: A Cross-Sectional Study in International Schools

Dou

Wongpakaran

et al. 2022

Children

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Background. Bullying is a major school problem. Victims of bullying often experience low self-esteem, whereas social skills are positively associated with the level of self-esteem. This research examined whether the victim’s condition impacted their social skills and self-esteem. Methods. International school students in Thailand aged 13 to 18 years old completed the Olweus bullying questionnaire, social capital questionnaire (SC), social skills questionnaire (SS), adolescent discrimination index (ADDI), and the Rosenberg self-esteem scale (RSES). Moderation analyses and visual presentations were carried out using IBM SPSS ver. 22 and PROCESS, ver. 4.0. Results. A total of 102 students participated (63% female). The mean age of the participants was 16.57 (SD = 1.42). The number of victims was 16 (15.7%), the mean (SD) for the SC, SS, ADDI, and RSES was 7.82 (2.37), 44.45 (9.40), 12.33 (9.82), and 27.85 (5.31), respectively. As predicted, those with high social skills reported greater self-esteem when they had never been bullied. The moderation effect was significant: B = 0.458, standard error = 0.203, 95% CI = −0.836 to −0.054. Additionally, the ADDI and SC were found to predict self-esteem. Conclusions. The significant moderation effect suggests the importance of identifying the victim’s condition when the association between social skills and self-esteem is not observed (as expected) among school adolescents. A longitudinal study to confirm the causal relationship should be encouraged. Further research on providing appropriate interventions along with social skill training for the victim group is warranted.

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“…Moreover, it has been reported that experiencing maltreatment in early life inversely affected the development of self-respect and dignity [ 24 ]. Recent longitudinal research in many nations, including the United States and China, have shown that the relationship between CM and depressive symptoms was mediated by self-esteem in adolescents [ 18 , 25 ]. However, a cross-sectional study in Japan did not find a significant mediating effect of self-esteem on the relationship between CM and depressive symptoms [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

“…One study reported that males generally exhibit a higher level of self-esteem than females [ 35 ], while externalizing disorders were observed more frequently in males and internalizing disorders in females [ 36 ]. However, relatively few studies investigated potential mediational pathways underlying observed sex differences in the association between CM and depressive symptoms [ 18 , 25 , 29 ]. Taken together, we hypothesized that there might be sex differences in the effects of CM on depressive symptoms through self-esteem and internalizing/externalizing problems.…”

Section: Introductionmentioning

confidence: 99%

Childhood maltreatment and subsequent depressive symptoms: a prospective study of the sequential mediating role of self-esteem and internalizing/externalizing problems

Lai

Guo

et al. 2023

BMC Psychiatry

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Background Depression among adolescents is a seriously disabling public health problem with an extremely high prevalence. Identifying risk factors of depression at an early stage is important to reduce the disease burden. Childhood maltreatment (CM) is one of the major risk factors for depression. The key mediating processes that how CM affects the development of depression, however, still need further clarification. The present study tested the mediating effect of self-esteem, internalizing problems, and externalizing problems between CM and depressive symptoms. Potential sex differences in the foregoing associations were also explored. Methods A three-wave longitudinal study was carried out among 1,957 middle and high school students from 69 classes in 10 public schools in the Guangdong province of China. Data collection started when students were in grades 7 and 10 (median age: 13.0, range: 11–18) between January and April 2019, and the students were followed up once a year thereafter. Self-reported CM, depressive symptoms, self-esteem, internalizing and externalizing problems, and other demographics were collected. The multiple serial mediation analysis was conducted. Results We found that CM was positively related to subsequent internalizing and externalizing problems, as well as depressive symptoms, while self-esteem was negatively related to depressive symptoms. Serial mediation analysis indicated that self-esteem (mediator 1) and internalizing problems (mediator 2) sequentially mediated the path from CM to depressive symptoms in the overall and male population. Moreover, with externalizing problems as mediator 2, self-esteem (mediator 1) acted as a partial mediator in the association between CM and depressive symptoms in males, whereas externalizing problems played a complete mediating role in females. Conclusion Findings revealed that self-esteem and internalizing problems sequentially mediated the influence of CM on depressive symptoms whereas externalizing problems played an independent mediating role. In addition, sex differences need to be taken into consideration when designing prevention and intervention strategies, given the different psychosocial processes between boys and girls.

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Relationships among adverse childhood experience patterns, psychological resilience, self-esteem and depressive symptoms in Chinese adolescents: A serial multiple mediation model

Cited by 20 publications

References 69 publications

Physical activity mitigates the link between adverse childhood experiences and depression among U.S. adults

Physical activity mitigates the link between adverse childhood experiences and depression among U.S. adults

Bullying Victimization Moderates the Association between Social Skills and Self-Esteem among Adolescents: A Cross-Sectional Study in International Schools

Childhood maltreatment and subsequent depressive symptoms: a prospective study of the sequential mediating role of self-esteem and internalizing/externalizing problems

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