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Patterns of exposure to adverse childhood experiences and their associations with mental health: a survey of 1346 university students in East Asia.

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Title: Patterns of exposure to adverse childhood experiences and their associations with mental health: a survey of 1346 university students in East Asia.
Authors: Ho, Grace W. K. (AUTHOR), Bressington, D. (AUTHOR), Karatzias, T. (AUTHOR), Chien, W. T. (AUTHOR), Inoue, S. (AUTHOR), Yang, P. J. (AUTHOR), Chan, A. C. Y. (AUTHOR), Hyland, P. (AUTHOR)
Source: Social Psychiatry & Psychiatric Epidemiology. Mar2020, Vol. 55 Issue 3, p339-349. 11p.
Subjects: Mental health surveys, Adverse childhood experiences, Adult child abuse victims, Association of ideas, Student health, Post-traumatic stress, College students
Geographic Terms: East Asia
Abstract: Introduction: Adverse childhood experiences (ACEs) constitute a significant global mental health burden. Prior studies typically investigated the impact of ACEs on mental health using a cumulative risk approach; most ACEs studies were also conducted in Western settings.Purpose: This study aimed to examine ACEs using a pattern-based approach and assess their associations with mental health outcomes by early adulthood in East Asia.Methods: The present study included measures of exposure to 13 categories of ACEs, depression, anxiety, maladjustment, and posttraumatic stress in a sample of 1346 university students from Hong Kong, China, Taiwan, and Japan.Results: Latent class analysis indicated three distinct patterns of ACE exposure: Class 1: Low ACEs (76.0%); Class 2: Household Violence (20.6%); and Class 3: Household Dysfunction (3.4%). Those representing Class 3 had significantly more ACEs compared with those in Classes 1 or 2. Controlling for age and sex, those in Class 2 reported significantly higher depression and maladjustment symptoms compared with those in Class 1; both Classes 2 and 3 had significantly higher anxiety symptoms and odds for meeting diagnostic criteria for posttraumatic stress disorders compared with those in Class 1.Conclusions: Study findings suggest that young adults' mental health, at least under certain contexts, is more closely linked with the nature and pattern of ACE co-occurrence, rather than the number of ACEs. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
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Abstract:<bold>Introduction: </bold>Adverse childhood experiences (ACEs) constitute a significant global mental health burden. Prior studies typically investigated the impact of ACEs on mental health using a cumulative risk approach; most ACEs studies were also conducted in Western settings.<bold>Purpose: </bold>This study aimed to examine ACEs using a pattern-based approach and assess their associations with mental health outcomes by early adulthood in East Asia.<bold>Methods: </bold>The present study included measures of exposure to 13 categories of ACEs, depression, anxiety, maladjustment, and posttraumatic stress in a sample of 1346 university students from Hong Kong, China, Taiwan, and Japan.<bold>Results: </bold>Latent class analysis indicated three distinct patterns of ACE exposure: Class 1: Low ACEs (76.0%); Class 2: Household Violence (20.6%); and Class 3: Household Dysfunction (3.4%). Those representing Class 3 had significantly more ACEs compared with those in Classes 1 or 2. Controlling for age and sex, those in Class 2 reported significantly higher depression and maladjustment symptoms compared with those in Class 1; both Classes 2 and 3 had significantly higher anxiety symptoms and odds for meeting diagnostic criteria for posttraumatic stress disorders compared with those in Class 1.<bold>Conclusions: </bold>Study findings suggest that young adults' mental health, at least under certain contexts, is more closely linked with the nature and pattern of ACE co-occurrence, rather than the number of ACEs. [ABSTRACT FROM AUTHOR]
ISSN:09337954
DOI:10.1007/s00127-019-01768-w