Patterns of adverse childhood experiences and depressive symptom trajectories in young adults: A longitudinal study of college students in China
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AbstractBackground: Adverse childhood experiences (ACEs) tend to cluster together in daily life, and most studies focus on the level of depression at certain points, but the dynamic process of depression is often neglected. Thus, research is urgently needed to explore the relationship between ACEs pattern and trajectory of depressive symptom levels at multiple time points in order to provides early targeted interventions to those who are most at risk. Objective: We aimed to explore patterns of ACEs, including types and timing, associated with depression trajectories in college students. Methods: A school-based health survey was used to collect data as part of a longitudinal study in two medical college in Anhui province, China. Questionnaires were issued to 3,662 participants aged 17–22 and recorded details of ACEs (types and timing) and depression. Latent class analysis (LCA) was used to identify “patterns” of ACEs type and timing. Depressive symptom trajectories employed latent class growth analysis (LCGA). Multiple logistic regressions were employed to evaluate the relationships between ACEs patterns and depressive symptom trajectories. Results: We identified five ACEs patterns: “High neglect/emotional abuse/community violence,” “High neglect/emotional abuse,” “High neglect/family dysfunction,” “High neglect,” “Low ACEs.” We traced three depression trajectories: “High depressive symptom” “Moderate depressive symptom,” “Low depressive symptom.” “High neglect/emotional abuse/community violence,” “High neglect/emotional abuse” and “High neglect/family dysfunction” demonstrated a high risk for “High depressive symptom” and “Moderate depressive symptom.” “High neglect” showed a high risk for “Moderate depressive symptom” but not for “High depressive symptom” (P < 0.05). Conclusions: The findings address the need for a comprehensive consideration of exposure to childhood adversity associated with the risk of depression in young adults through identifying more problematic ACEs patterns amongst exposed children.
CitationLi S., Wang R., Thomas E., Jiang Z., Jin Z., Li R., Qian Y., Song X., Sun Y., Zhang S., Chen R. and Wan Y. (2022) Patterns of adverse childhood experiences and depressive symptom trajectories in young adults: A longitudinal study of college students in China. Frontiers in Psychiatry 13:918092. doi: 10.3389/fpsyt.2022.918092
JournalFrontiers in Psychiatry
PubMed ID35958653 (pubmed)
Description© 2022 The Authors. Published by Frontiers Media. This is an open access article available under a Creative Commons licence. The published version can be accessed at the following link on the publisher’s website: https://doi.org/10.3389/fpsyt.2022.918092
SponsorsFunding for the project was provided by National Natural Science Foundation of China (82073576) and the Natural Science Research of Universities in Anhui Province (KJ2020ZD70).
Except where otherwise noted, this item's license is described as Licence for published version: Creative Commons Attribution 4.0 International