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Patterns of adverse childhood experiences and depressive symptom trajectories in young adults: A longitudinal study of college students in China
Li, Shuqin Wang, Rui Thomas, Erica Jiang, Zhicheng Jin, Zhengge Li, Ruoyu Qian, Yan Song, Xianbing Sun, Ying Zhang, Shichen
Li, Shuqin
Wang, Rui
Thomas, Erica
Jiang, Zhicheng
Jin, Zhengge
Li, Ruoyu
Qian, Yan
Song, Xianbing
Sun, Ying
Zhang, Shichen
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Epub Date
Issue Date
2022-07-25
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Abstract
Background: 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.
Citation
Li 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
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PubMed ID
35958653 (pubmed)
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Journal article
Language
en
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
Series/Report no.
ISSN
1664-0640
EISSN
1664-0640
ISBN
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Sponsors
Funding for the project was provided by National Natural Science Foundation of China (82073576) and the Natural Science Research of Universities in Anhui Province (KJ2020ZD70).
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Licence for published version: Creative Commons Attribution 4.0 International