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Patterns of adverse childhood experiences and depressive symptoms: self-esteem as a mediating mechanism

PURPOSE: There is a growing interest in the co-occurring natures of adverse childhood experiences (ACEs) and unmeasured types of adversity. The current body of knowledge may also lack plausible mechanisms linking ACEs to mental health in young adulthood. This study aims to identify early adversity p...

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Autores principales: Kim, Youngmi, Lee, Haenim, Park, Aely
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8243305/
https://www.ncbi.nlm.nih.gov/pubmed/34191037
http://dx.doi.org/10.1007/s00127-021-02129-2
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author Kim, Youngmi
Lee, Haenim
Park, Aely
author_facet Kim, Youngmi
Lee, Haenim
Park, Aely
author_sort Kim, Youngmi
collection PubMed
description PURPOSE: There is a growing interest in the co-occurring natures of adverse childhood experiences (ACEs) and unmeasured types of adversity. The current body of knowledge may also lack plausible mechanisms linking ACEs to mental health in young adulthood. This study aims to identify early adversity patterns using expanded ACEs items and investigate the pathway of ACEs and self-esteem to depressive symptoms in young adulthood. METHODS: Data were obtained from the National Longitudinal Study of Adolescent and Adult Health, including a nationally representative sample in the U.S. (N = 10,702). We identified the ACEs patterns and estimated the direct and indirect associations between ACEs and depressive symptoms through self-esteem, using a latent class analysis with a distal outcome. RESULTS: This study identified four distinct groups of ACEs that include Child Maltreatment, Household Dysfunction, Violence, and Low Adversity. The Child Maltreatment class showed a significantly higher risk of depressive symptoms compared to other ACEs groups. Self-esteem mediated the negative association of child maltreatment with depressive symptoms. The Violence class presented a significantly higher risk of depressive symptoms than Low Adversity, but no mediation of self-esteem was found. CONCLUSION: The study highlights the profound consequence of child abuse/neglect and identifies self-esteem as a plausible mediating mechanism. Researchers and practitioners should increase collaboration efforts to prevent early adversity exposures and detrimental effects on mental health.
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spelling pubmed-82433052021-07-01 Patterns of adverse childhood experiences and depressive symptoms: self-esteem as a mediating mechanism Kim, Youngmi Lee, Haenim Park, Aely Soc Psychiatry Psychiatr Epidemiol Original Paper PURPOSE: There is a growing interest in the co-occurring natures of adverse childhood experiences (ACEs) and unmeasured types of adversity. The current body of knowledge may also lack plausible mechanisms linking ACEs to mental health in young adulthood. This study aims to identify early adversity patterns using expanded ACEs items and investigate the pathway of ACEs and self-esteem to depressive symptoms in young adulthood. METHODS: Data were obtained from the National Longitudinal Study of Adolescent and Adult Health, including a nationally representative sample in the U.S. (N = 10,702). We identified the ACEs patterns and estimated the direct and indirect associations between ACEs and depressive symptoms through self-esteem, using a latent class analysis with a distal outcome. RESULTS: This study identified four distinct groups of ACEs that include Child Maltreatment, Household Dysfunction, Violence, and Low Adversity. The Child Maltreatment class showed a significantly higher risk of depressive symptoms compared to other ACEs groups. Self-esteem mediated the negative association of child maltreatment with depressive symptoms. The Violence class presented a significantly higher risk of depressive symptoms than Low Adversity, but no mediation of self-esteem was found. CONCLUSION: The study highlights the profound consequence of child abuse/neglect and identifies self-esteem as a plausible mediating mechanism. Researchers and practitioners should increase collaboration efforts to prevent early adversity exposures and detrimental effects on mental health. Springer Berlin Heidelberg 2021-06-30 2022 /pmc/articles/PMC8243305/ /pubmed/34191037 http://dx.doi.org/10.1007/s00127-021-02129-2 Text en © Springer-Verlag GmbH Germany, part of Springer Nature 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Paper
Kim, Youngmi
Lee, Haenim
Park, Aely
Patterns of adverse childhood experiences and depressive symptoms: self-esteem as a mediating mechanism
title Patterns of adverse childhood experiences and depressive symptoms: self-esteem as a mediating mechanism
title_full Patterns of adverse childhood experiences and depressive symptoms: self-esteem as a mediating mechanism
title_fullStr Patterns of adverse childhood experiences and depressive symptoms: self-esteem as a mediating mechanism
title_full_unstemmed Patterns of adverse childhood experiences and depressive symptoms: self-esteem as a mediating mechanism
title_short Patterns of adverse childhood experiences and depressive symptoms: self-esteem as a mediating mechanism
title_sort patterns of adverse childhood experiences and depressive symptoms: self-esteem as a mediating mechanism
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8243305/
https://www.ncbi.nlm.nih.gov/pubmed/34191037
http://dx.doi.org/10.1007/s00127-021-02129-2
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