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Childhood adversity and mental health among Chinese young adults: The protective role of resilience.
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- Author(s): Yu, Zhiyuan; Wang, Lin; Chen, Wenyi; Perrin, Nancy; Gross, Deborah
- Source:
Journal of Advanced Nursing (John Wiley & Sons, Inc.); Dec2021, Vol. 77 Issue 12, p4793-4804, 12p- Subject Terms:
MENTAL illness risk factors; MENTAL depression risk factors; ADVERSE childhood experiences; STATISTICS; CULTURE; STATE-Trait Anxiety Inventory; ANALYSIS of variance; STATISTICAL reliability; RESEARCH evaluation; RESEARCH methodology; CROSS-sectional method; MULTIPLE regression analysis; MOBILE apps; MEDICAL screening; SEVERITY of illness index; SURVEYS; UNDERGRADUATES; SEX distribution; PSYCHOLOGICAL tests; QUESTIONNAIRES; DESCRIPTIVE statistics; DISEASE prevalence; RESEARCH funding; SCALE analysis (Psychology); ANXIETY; DATA analysis; STATISTICAL sampling; STATISTICAL correlation; DATA analysis software; PSYCHOLOGICAL resilience; ADULTS - Source:
- Additional Information
- Subject Terms:
- Abstract: 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. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of Advanced Nursing (John Wiley & Sons, Inc.) is the property of John Wiley & Sons, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. 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.)
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