Interactions between early-life adversity, pandemic stress, and social support on psychiatric disorders in a nationally representative sample of Canadian adults.
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| Title: | Interactions between early-life adversity, pandemic stress, and social support on psychiatric disorders in a nationally representative sample of Canadian adults. |
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| Authors: | Johnson, Dylan (AUTHOR), Colman, Ian (AUTHOR), Georgiades, Katholiki (AUTHOR), Wade, Mark (AUTHOR) |
| Source: | Social Psychiatry & Psychiatric Epidemiology. Dec2025, Vol. 60 Issue 12, p2809-2821. 13p. |
| Subjects: | Social support, Adverse childhood experiences, Canadians, Disease risk factors, Mental health, COVID-19, Mental illness, Psychological stress |
| Abstract: | Purpose: This study examined how pre-existing early-life adversity (ELA) and current social support interacted with COVID-specific pandemic stressors in relation to risk of psychiatric disorders in a nationally-representative sample of Canadian adults. Methods: Participants (n = 9,409) were from the Mental Health and Access to Care Survey, a cross-sectional survey of Canadian adults during later stages of the COVID pandemic (March to July 2022). Measures included pandemic stressors (Statistics Canada), ELA (Childhood Experiences of Violence Questionnaire), social support (Social Provisions Scale), and past 12-month psychiatric problems (WHO-CIDI). Statistical analyses included two-step logistic regression models adjusted for covariates and weighted for complex survey design. Results: Higher odds of psychiatric problems were predicted by ELA (aOR = 1.24 [1.15–1.35]-aOR = 1.53 [1.39–1.69] across psychiatric disorders) and pandemic stress (aOR = 1.18 [1.12–1.25]-aOR = 1.32 [1.26–1.39] across psychiatric disorders). Significant interactions between ELA and pandemic stress for depression (aOR = 0.96 [0.93–0.98]) suggested an attenuated effect of pandemic stress at higher levels of ELA. Social support was associated with reduced psychiatric problems (aOR = 0.88 [0.86–0.91]-aOR = 0.97 [0.94–0.99]), while pandemic stress was associated with increased psychiatric problems (aOR = 1.20 [1.15–1.26]-aOR = 1.33 [1.27–1.40]). An interaction between social support and pandemic stress for suicidality (aOR = 1.02 [1.01–1.03]) indicated that higher levels of social support were associated with increased odds of suicidality in the presence of pandemic stress, though the effect was small and of questionable clinical significance. Conclusion: ELA and pandemic stress increased psychiatric disorder likelihood, while social support was protective. However, interactions indicate nuanced relationships in mental health risk during the pandemic. [ABSTRACT FROM AUTHOR] |
| Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 189211263 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Interactions between early-life adversity, pandemic stress, and social support on psychiatric disorders in a nationally representative sample of Canadian adults. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Johnson%2C+Dylan%22">Johnson, Dylan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Colman%2C+Ian%22">Colman, Ian</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Georgiades%2C+Katholiki%22">Georgiades, Katholiki</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wade%2C+Mark%22">Wade, Mark</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Social+Psychiatry+%26+Psychiatric+Epidemiology%22">Social Psychiatry & Psychiatric Epidemiology</searchLink>. Dec2025, Vol. 60 Issue 12, p2809-2821. 13p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Adverse+childhood+experiences%22">Adverse childhood experiences</searchLink><br /><searchLink fieldCode="DE" term="%22Canadians%22">Canadians</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+risk+factors%22">Disease risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22COVID-19%22">COVID-19</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+illness%22">Mental illness</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+stress%22">Psychological stress</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Purpose: This study examined how pre-existing early-life adversity (ELA) and current social support interacted with COVID-specific pandemic stressors in relation to risk of psychiatric disorders in a nationally-representative sample of Canadian adults. Methods: Participants (n = 9,409) were from the Mental Health and Access to Care Survey, a cross-sectional survey of Canadian adults during later stages of the COVID pandemic (March to July 2022). Measures included pandemic stressors (Statistics Canada), ELA (Childhood Experiences of Violence Questionnaire), social support (Social Provisions Scale), and past 12-month psychiatric problems (WHO-CIDI). Statistical analyses included two-step logistic regression models adjusted for covariates and weighted for complex survey design. Results: Higher odds of psychiatric problems were predicted by ELA (aOR = 1.24 [1.15–1.35]-aOR = 1.53 [1.39–1.69] across psychiatric disorders) and pandemic stress (aOR = 1.18 [1.12–1.25]-aOR = 1.32 [1.26–1.39] across psychiatric disorders). Significant interactions between ELA and pandemic stress for depression (aOR = 0.96 [0.93–0.98]) suggested an attenuated effect of pandemic stress at higher levels of ELA. Social support was associated with reduced psychiatric problems (aOR = 0.88 [0.86–0.91]-aOR = 0.97 [0.94–0.99]), while pandemic stress was associated with increased psychiatric problems (aOR = 1.20 [1.15–1.26]-aOR = 1.33 [1.27–1.40]). An interaction between social support and pandemic stress for suicidality (aOR = 1.02 [1.01–1.03]) indicated that higher levels of social support were associated with increased odds of suicidality in the presence of pandemic stress, though the effect was small and of questionable clinical significance. Conclusion: ELA and pandemic stress increased psychiatric disorder likelihood, while social support was protective. However, interactions indicate nuanced relationships in mental health risk during the pandemic. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s00127-025-02911-6 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 13 StartPage: 2809 Subjects: – SubjectFull: Social support Type: general – SubjectFull: Adverse childhood experiences Type: general – SubjectFull: Canadians Type: general – SubjectFull: Disease risk factors Type: general – SubjectFull: Mental health Type: general – SubjectFull: COVID-19 Type: general – SubjectFull: Mental illness Type: general – SubjectFull: Psychological stress Type: general Titles: – TitleFull: Interactions between early-life adversity, pandemic stress, and social support on psychiatric disorders in a nationally representative sample of Canadian adults. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Johnson, Dylan – PersonEntity: Name: NameFull: Colman, Ian – PersonEntity: Name: NameFull: Georgiades, Katholiki – PersonEntity: Name: NameFull: Wade, Mark IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 12 Text: Dec2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 09337954 Numbering: – Type: volume Value: 60 – Type: issue Value: 12 Titles: – TitleFull: Social Psychiatry & Psychiatric Epidemiology Type: main |
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