Adverse childhood experiences (ACE) and its association with mental health outcomes: Cross sectional study.

IF 2.5 4区医学 Q2 PSYCHIATRY International Journal of Social Psychiatry Pub Date : 2024-11-29 DOI:10.1177/00207640241300950

Aziza Alsawafi, Akbar Fotouhi, Samir AlAdawi, Sanjay Jaju, Mohammad Al Qadire, Zeinab Al Azri

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Abstract

Background: Adverse childhood experiences (ACE) are pivotal precursors to poor mental health outcomes. However, studies focusing on the Arab/Islamic population, including Oman, are scarce. This cross-sectional study investigated the association between ACE and mental health outcomes (e.g., depression, anxiety, suicidal ideation) among Omani adults.

Methods: A total sample of 1,648 adults were recruited from a university-affiliated hospital in Oman using convenient sampling technique. Adverse Childhood Experience International Questionnaire (ACE-IQ) was utilized to measure ACEs while CDC Health Appraisal Questionnaire (HAQ) was used to measure the mental health outcomes.

Results: The results show that 88% of participants suffered at least from one ACE in their childhood. The prevalence of mental health outcomes as follow: anxiety (10.32%), depression (6.10%), and suicidal ideation (4.61%). ACE level significantly correlated with depression (p < .001), anxiety (p < .001), and suicidal ideation (p = .001). Participants with four ACEs or more have higher odds ratio for depression (10.03), anxiety (3.44), and suicidal ideation (3.93). Demographic factors (except education level) showed significant associations with all mental health outcomes.

Conclusion: This study highlights a substantial association between ACE and mental health disorders among Omani adults, underscoring the need for targeted interventions to address ACE's enduring impact on adult mental health in Omani society.

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童年不良经历（ACE）及其与心理健康结局的关系：横断面研究

背景：不良童年经历（ACE）是不良心理健康结果的关键前兆。但是，以阿拉伯/伊斯兰人口（包括阿曼）为重点的研究很少。本横断面研究调查了ACE与阿曼成年人心理健康结果（如抑郁、焦虑、自杀意念）之间的关系。方法：采用方便抽样法，从阿曼某大学附属医院招募成人共1648人。采用不良童年经历国际问卷（ACE-IQ）测量不良童年经历，采用CDC健康评估问卷（HAQ）测量心理健康结局。结果：88%的参与者在童年至少经历过一次ACE。心理健康结果的患病率为：焦虑（10.32%）、抑郁（6.10%）和自杀意念（4.61%）。ACE水平与抑郁显著相关（p p p = .001）。4次及以上ace的参与者在抑郁（10.03）、焦虑（3.44）和自杀意念（3.93）方面的优势比更高。人口因素（教育水平除外）与所有心理健康结果均有显著关联。结论：本研究强调了ACE与阿曼成年人心理健康障碍之间的实质性联系，强调了有针对性的干预措施的必要性，以解决ACE对阿曼社会成人心理健康的持久影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Social Psychiatry PSYCHIATRY-

CiteScore

12.30

自引率

1.30%

发文量

120

期刊介绍： The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities. Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas. The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.