Resilience of Emerging Adults After Adverse Childhood Experiences: A Qualitative Systematic Review

Leung, Doris; Chan, Athena C. Y.; Ho, Grace W.K.

doi:10.1177/1524838020933865

Cited by 47 publications

(36 citation statements)

References 57 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Resilience is also culturally and contextually constructed (Ungar, 2004(Ungar, , 2008Ungar & Liebenberg, 2011). Indicators of resilience are influenced by cultural beliefs (e.g., Confucian beliefs on tolerance of adversity), familial structure (e.g., conforming to authority) and social norms (e.g., filial piety) (Leung et al, 2020). For example, Ho, Chan, Shevlin, et al (2019) found that the ability to endure and conform during hardships may be perceived as a culturally appropriate indicator of resilience among Chinese young adults, in contrast to the value placed on resisting convention among Western youth.…”

Section: Measuring Aces and Resilience In Chinese Culturementioning

confidence: 99%

Childhood adversity and mental health among Chinese young adults: The protective role of resilience

Wang

Chen

et al. 2021

Journal of Advanced Nursing

View full text Add to dashboard Cite

Aim:The aims of this study were to examine the prevalence of adverse childhood experiences (ACEs) among health science students in China; associations between the number of ACE exposures and severity of depressive and anxiety symptoms; and the extent to which resilience moderates the effect of ACEs on mental health outcomes.Design: This descriptive, cross-sectional study was conducted May-August 2020.Methods: Five hundred and sixty-six health science students (18-38 years) from China completed online surveys measuring ACEs using the Simplified Chinese version of the ACE-International Questionnaire, depressive and anxiety symptoms and resilience. Descriptive statistical analysis, ANOVA with Tukey HSD post hoc tests and multiple regression analysis were performed using SPSS 27.Results: 88.5% of participants reported at least one ACE; 42.6% reported four or more ACEs. Higher number of ACEs was associated with more symptoms of depression and anxiety. Four or more ACEs were associated with significantly worse mental health outcomes than those with no ACEs and those with one to three ACEs. Greater resilience significantly attenuated the effects of ACEs on mental health symptoms.Conclusions: ACEs are highly prevalent among Chinese health science students but their impact on mental health can be buffered by higher levels of resilience.Impact: Screening for ACEs and strength-based, trauma-informed interventions on fostering resilience is needed to promote mental health among Chinese young adults.

show abstract

Section: Measuring Aces and Resilience In Chinese Culturementioning

confidence: 99%

Childhood adversity and mental health among Chinese young adults: The protective role of resilience

Wang

Chen

et al. 2021

Journal of Advanced Nursing

View full text Add to dashboard Cite

show abstract

“…The path from childhood adversities to later health problems is not inevitable, and children can become resilient adults, for example through available social support as emerging adults [ 22 , 23 ]. For this reason, one helpful approach may be to use a paradigm with enhanced weight on resilience and ways of coping with an adverse experience.…”

Section: Introductionmentioning

confidence: 99%

Adverse childhood experiences and impact on quality of life in adulthood: development and validation of a short difficult childhood questionnaire in a large population-based health survey

2021

View full text Add to dashboard Cite

Purpose A short adverse childhood experiences (ACEs) measure is needed with non-intrusive items that include subjective evaluations of childhood. We validated a short Difficult Childhood Questionnaire (DCQ) that assesses ACEs using personal perceptions of events. Methods The study relied on 2019 data from a representative survey (N = 28,047) in Norway. We examined the DCQ’s factor structure, internal consistency, and discriminant validity in a multi-group confirmatory factor analysis. As a group variable, we used whether the respondent had the ACE of parental alcohol use disorder (adult children of alcoholics; ACOA). To assess the DCQ’s convergent validity, we used latent regression analysis with adulthood quality of life (QoL) as the outcome and mental distress and loneliness as potential mediators. Results The DCQ’s latent mean was 0.86 (95% CI 0.82–0.90, p < 0.001) higher in the ACOA versus the non-ACOA group. The effect size suggested a large magnitude of this difference. The DCQ score was negatively associated with QoL and positively associated with mental distress and loneliness. For the score’s QoL effect [− 0.84 (95% CI − 0.87 to − 0.80, p < 0.001)], − 0.80 was indirect, and − 0.04 was direct. Thus, most of the association of DCQ with QoL occurred via mediators. Conclusions The results confirmed the DCQ’s discriminant and convergent validity and highlight this tool as an empirically supported approach to assess ACEs. Because of its brevity and psychometric strengths, the DCQ is useful for research and likely suited to mental health treatment settings.

show abstract

“…Although research on resilience in the period of emerging adulthood has accelerated more recently, many questions remain (Leung, Chan, & Ho, 2020;O'Connor et al, 2016).…”

Section: Predictions From Parenting and Personality In Adolescencementioning

confidence: 99%

A Person-Centered Approach to Resilience and Vulnerability in Emerging Adulthood: Predictions From Parenting and Personality in Adolescence

Maat¹,

Lucassen²,

Shiner³

et al. 2022

Preprint

View full text Add to dashboard Cite

In this person-centered study, we identified different profiles of resilience and vulnerability in emerging adulthood in response to previously experienced stressful life events. Additionally, we examined whether mothers’ and fathers’ parenting and participants’ personality traits in adolescence predicted these profiles. Data from the Flemish Study on Parenting, Personality, and Development (N = 346 families) were used. At T1 (2004; Mage = 11 years), T2 (2007), and T3 (2009), mothers and fathers reported on their parenting and their child’s personality. At T4 (2018; Mage = 25 years), emerging adults retrospectively self-reported the occurrence and impact of 22 stressful life events and rated current behavior problems and subjective well-being. Latent profile analysis revealed three profiles: Competent (71%; low stress, low behavior problems, high subjective well-being), Vulnerable (21%; average stress, high behavior problems, low subjective well-being), and Resilient (9%; high stress, average behavior problems, average subjective well-being). Emerging adults in the Resilient profile had experienced higher levels of maternal positive parenting and were less emotionally stable and conscientious than those in the Competent profile. Furthermore, emerging adults in the Vulnerable profile were less emotionally stable than their peers in the Competent profile. These findings reveal new insights into the heterogeneous patterns of emerging adults’ adaptation following stressful life events.

show abstract

Resilience of Emerging Adults After Adverse Childhood Experiences: A Qualitative Systematic Review

Cited by 47 publications

References 57 publications

Childhood adversity and mental health among Chinese young adults: The protective role of resilience

Childhood adversity and mental health among Chinese young adults: The protective role of resilience

Adverse childhood experiences and impact on quality of life in adulthood: development and validation of a short difficult childhood questionnaire in a large population-based health survey

A Person-Centered Approach to Resilience and Vulnerability in Emerging Adulthood: Predictions From Parenting and Personality in Adolescence

Contact Info

Product

Resources

About