Child Abuse & Neglect最新文献

{"title":"The sexual abuse of adolescent boys in humanitarian emergencies: A qualitative study of how international humanitarian organisations are responding","authors":"Shane Harrison ,&nbsp;Richard Dean Chenhall ,&nbsp;Karen Block ,&nbsp;Sabina Faiz Rashid ,&nbsp;Cathy Vaughan","doi":"10.1016/j.chiabu.2025.107327","DOIUrl":"10.1016/j.chiabu.2025.107327","url":null,"abstract":"<div><h3>Background</h3><div>Over the last decade, public health research has increasingly shown that humanitarian emergencies can negatively impact the wellbeing of adolescents. However, recent studies have largely not addressed the differentiated impact on adolescent boys or how humanitarians are responding.</div></div><div><h3>Objective</h3><div>We sought to understand how humanitarian organisations respond to child sexual abuse against adolescent boys in humanitarian emergencies.</div></div><div><h3>Participants and setting</h3><div>Sixteen humanitarian staff based in Geneva, Switzerland, and 35 humanitarian staff and 52 child protection caseworkers from the Rohingya refugee crisis response in Cox's Bazar, Bangladesh.</div></div><div><h3>Methods</h3><div>We employed a critical ethnographic research design. Between September 2018 and October 2019, we conducted interviews with humanitarians in Geneva, as well as interviews, focus group discussions, and observation of the humanitarian response to the Rohingya refugee crisis in Bangladesh.</div></div><div><h3>Results</h3><div>Sexual abuse of adolescent boys is present in numerous humanitarian emergencies and boys appear to be at risk in certain contexts, including workplaces, streets, and shelters. Humanitarian actors are responding through individualised casework but referrals to services are often limited by the operating environment. The most promising approaches to support survivors are specifically accessible to adolescent boys and provided by services that boys trust. Of note, humanitarian responsibility for adolescent boy survivors appears to be a context-specific negotiation between humanitarian sectors and this may be causing difficulties in the delivery of effective interventions.</div></div><div><h3>Conclusion</h3><div>Humanitarian actors should employ a more systematic approach to supporting adolescent boys that experience child sexual abuse, as an important matter for adolescent rights and health equity.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"163 ","pages":"Article 107327"},"PeriodicalIF":3.4,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143471377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reprint: Sibling sexual abuse: A commentary based on seven studies, seven insights","authors":"Dafna Tener","doi":"10.1016/j.chiabu.2025.107323","DOIUrl":"10.1016/j.chiabu.2025.107323","url":null,"abstract":"<div><div>Sibling sexual abuse (SSA) is a complex and underexplored issue with profound impacts on individuals, families, and communities. Current research, although developing, is insufficient and fails to capture the many layers and core aspects of SSA. This commentary highlights insights from seven qualitative studies conducted by the author between 2013 and 2020, based on interviews and focus groups with siblings, parents, and professionals. The findings reveal the need for stronger research-practice relationships, an understanding of the subjective experiences of abuse from child and adult survivors' and parents' perspectives, and the critical role of disclosure. The complexity of implementing interventions and the significant impact on professionals' lives are also emphasized. Addressing SSA requires heightened attention, deeper understanding, and tailored policies. Professionals must navigate the blurred lines between normative and abusive behaviors and recognize the profound impact of this work. Prioritizing comprehensive, multi-layered research and practice is essential to improving the lives of those affected by SSA.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"162 ","pages":"Article 107323"},"PeriodicalIF":3.4,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reprint of Children Fleeing War-Exploring the Mental Health of Refugee Children Arriving in Israel after the Ukraine 2022 Conflict","authors":"Rony Kapel Lev-ari ,&nbsp;Roy Aloni ,&nbsp;Amichai Ben Ari","doi":"10.1016/j.chiabu.2025.107322","DOIUrl":"10.1016/j.chiabu.2025.107322","url":null,"abstract":"<div><h3>Background</h3><div>In February 2022, Ukraine suffered a devastating assault by Russia, leading to destruction, casualties, and mass displacement. Among those displaced were over 1.5 million children. Forced displacement exposes children to a heightened risk of mental health issues.</div></div><div><h3>Objective</h3><div>This study investigated the prevalence of Post-traumatic stress disorder (PTSD) and other mental health issues among child refugees shortly after their displacement from Ukraine to Israel. It aimed to identify factors influencing PTSD development and explore their associations.</div></div><div><h3>Methods</h3><div>The study included 59 child refugees who had arrived in Israel after fleeing the war in Ukraine. Parents completed self-report questionnaires to assess their children's mental health.</div></div><div><h3>Results</h3><div>Only three children met the DSM diagnostic criteria for PTSD, with higher scores in the negative cognition and re-experiencing clusters. Over half of the children exhibited general mental health problems, with approximately 40 % showing internalizing problems, and 30 % showing externalizing problems. The study also found a significant comorbidity between PTSD symptoms and internalizing problems. Additionally, internalizing problems emerged as the sole significant predictor of PTSD levels when considering factors such as age, gender, economic status, parents' work status, internalizing problems, and externalizing problems.</div></div><div><h3>Conclusions</h3><div>Child refugees frequently experience psychological distress, even if they do not meet the formal diagnostic criteria for PTSD. They often exhibit other distress symptoms, primarily internalizing problems, which can be challenging to detect. A deeper understanding of the challenges faced by refugee children can inform the development of targeted assistance programs and the recruitment and training of personnel in host countries.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"162 ","pages":"Article 107322"},"PeriodicalIF":3.4,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Positive childhood experiences support emotional and behavioral health in middle childhood: Longitudinal mediation of adverse childhood experiences","authors":"Kanna N. Lewis,&nbsp;Lorraine M. McKelvey","doi":"10.1016/j.chiabu.2025.107320","DOIUrl":"10.1016/j.chiabu.2025.107320","url":null,"abstract":"<div><h3>Background</h3><div>Fostering positive childhood experiences (PCEs) is a key prevention strategy, however there is a scarcity of longitudinal studies that explore the role of PCEs with childhood outcomes.</div></div><div><h3>Objective</h3><div>This study examined the impact of middle childhood PCEs in the presence of earlier adverse childhood experiences (ACEs) on indices of behavioral and emotional development.</div></div><div><h3>Participants and setting</h3><div>1163 participants from the U.S. Early Head Start Research and Evaluation Project (EHSRE).</div></div><div><h3>Methods</h3><div>Ten PCEs indicators (PCE-G5) that align with the Health Outcomes from Positive Experiences (HOPE) framework were identified in the Grade 5 EHSRE data. The convergent validity of the PCE-G5 for internalizing, externalizing, and social problems was tested with hierarchical linear regressions, controlling for infant/toddler ACEs (ACE-IT). We also examined whether PCE-G5 mediated the association between ACE-IT and internalizing, externalizing, and social problems using path analyses.</div></div><div><h3>Results</h3><div>Children had 7.6 PCEs, on average. PCE-G5 scores were associated with fewer internalizing (β = −1.000, <em>p</em> &lt; 0.001), externalizing (β = −1.183, <em>p</em> &lt; 0.001), and social problems (β = −0.420, p &lt; 0.001). PCE-G5 partially mediated the effect of ACE-IT on internalizing, externalizing, and social problems (respective indirect effects β = 0.027; β = 0.028; β = 0.037; all <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Our study adds evidence of an inverse association between PCEs and middle childhood behavioral and emotional problems. The mediating impact of PCEs suggests that the exposure to early childhood ACEs may reduce the opportunities for involvement in PCEs, thereby increasing the risks for internalizing behavior, externalizing behavior, and social problems. Findings highlight the benefit of opportunities for PCEs for children who have been exposed to ACEs.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"163 ","pages":"Article 107320"},"PeriodicalIF":3.4,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143464523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Adverse Childhood Experiences (ACEs) and its association with current mental wellbeing among young adults in Pakistan","authors":"Shafaq Mahmood,&nbsp;Zafar Fatmi","doi":"10.1016/j.chiabu.2025.107318","DOIUrl":"10.1016/j.chiabu.2025.107318","url":null,"abstract":"<div><h3>Background</h3><div>Adverse Childhood Experiences (ACEs) are significant stressors that can have lasting effects on an individual's health, especially on mental wellbeing. While ACEs affect up to 91 % of individuals in low- and middle-income countries (LMICs) such as Uganda and India, research in Pakistan remains sparse and underdeveloped, limiting cross-country comparisons.</div></div><div><h3>Objective</h3><div>To determine the prevalence of ACEs among young adults aged 18 to 25 in Pakistan and their impact on current mental wellbeing.</div></div><div><h3>Participants and setting</h3><div>Students aged 18–25 years enrolled in grade 13th–16th of selected public and private colleges of Rawalpindi, Pakistan.</div></div><div><h3>Methods</h3><div>Participants were recruited through convenience sampling. ACE exposure was assessed using a modified version of the ACE-International Questionnaire. Mental wellbeing was evaluated using the Short Warwick-Edinburgh Mental Wellbeing Scale. Descriptive statistics were used to characterize participants' socio-demographics including age, gender, type of institution (public vs. private), parents' marital status, parental education, monthly household income, and number of siblings. Multivariable logistic regression was conducted to determine association between ACEs and the mental wellbeing of the students.</div></div><div><h3>Results</h3><div>Among 454 participants (203 males, 251 females; mean age 22.1 ± 2.2 years), 98 % experienced at least one ACE during their lifetime, with 82.4 % experiencing three or more ACEs. The most common ACEs were witnessing community (88 %), peer (83 %), and household (73 %) violence. Emotional abuse (60 %) was more prevalent than physical (47 %) and sexual (37 %) abuse. Students experiencing 6 or more ACEs had 3.39 times higher odds of inadequate mental wellbeing compared to those with 0–2 ACEs (AOR = 3.39; CI 1.44–8.0; p &lt; 0.01).</div></div><div><h3>Conclusions</h3><div>The study reveals a concerning ACEs prevalence among Pakistani students, with higher ACE exposure correlating with poorer mental wellbeing. Addressing ACEs requires a broader public health approach, urging policy interventions to mitigate long-term health impacts.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"163 ","pages":"Article 107318"},"PeriodicalIF":3.4,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological resilience and childhood maltreatment: The role of self-efficacy, personality functioning and social support in young adult residential care leavers","authors":"Clara von Wendorff ,&nbsp;David Bürgin ,&nbsp;Maria Meier ,&nbsp;Cyril Boonmann ,&nbsp;Delfine d’Huart ,&nbsp;Stéphanie Habersaat ,&nbsp;Marc Schmid ,&nbsp;Jörg M. Fegert ,&nbsp;Vera Clemens","doi":"10.1016/j.chiabu.2025.107317","DOIUrl":"10.1016/j.chiabu.2025.107317","url":null,"abstract":"<div><h3>Background</h3><div>Although the psychopathological consequences of childhood maltreatment (CM) are widely acknowledged, less is known about the underlying pathways of resilience following CM. Recent work to harmonize operationalization and definition of resilience quantifies resilience as the residual variance in psychosocial functioning after accounting for adversity exposure.</div></div><div><h3>Objective</h3><div>This study investigates the association of self-efficacy, personality functioning, and social support with residual resilience after CM in young adults with previous youth residential care placements in Switzerland.</div></div><div><h3>Methods</h3><div>The psychological resilience of 189 young adults (<em>M</em> age = 26.18 years; <em>SD</em> = 3.01; 35 % women) was evaluated as the residual of the regression of childhood maltreatment on mental health problems. Multiple regression models were conducted to assess the association between residual resilience and self-efficacy, personality function, and social support. A multiple regression model with an individual composite score of self-efficacy and personality functioning was used to investigate the importance of individual and social factors in resilience.</div></div><div><h3>Results</h3><div>The severity of CM was significantly associated with self-reported mental health problems, β = 0.37; <em>p</em> &lt; .001. Residual resilience was significantly associated with self-efficacy, β = 0.33; <em>p</em> &lt; .001, and impaired personality functioning (self-direction, β = −0.63, <em>p</em> &lt; .001, empathy, β = −0.39, <em>p</em> &lt; .001, intimacy, β = −0.37, <em>p</em> &lt; .001, identity, β = −0.51, <em>p</em> &lt; .001). However, it was not significantly associated with social support, β = 0.10; <em>p</em> = .14 in regression models testing individual predictors. In combined models, the individual composite score was more strongly associated with residual resilience than the social support.</div></div><div><h3>Conclusion</h3><div>Personality functioning and self-efficacy are crucial for psychological resilience following childhood maltreatment. They represent important targets for preventive interventions in youth residential care and therapy programs for those who experienced maltreatment in childhood.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"163 ","pages":"Article 107317"},"PeriodicalIF":3.4,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introduction to the Child Abuse & Neglect Special Issue: “Sibling sexual abuse: Broken from a (supposedly) unbreakable bond”","authors":"Anat Talmon ,&nbsp;Amitai Marmor ,&nbsp;Dafna Tener","doi":"10.1016/j.chiabu.2025.107321","DOIUrl":"10.1016/j.chiabu.2025.107321","url":null,"abstract":"","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"162 ","pages":"Article 107321"},"PeriodicalIF":3.4,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Meaning in life for migrant children in China: A latent profile analysis based on risks and resources","authors":"Min He ,&nbsp;Wen Guo ,&nbsp;Yajing Sun ,&nbsp;Jie Meng ,&nbsp;Haiqin Yu","doi":"10.1016/j.chiabu.2025.107310","DOIUrl":"10.1016/j.chiabu.2025.107310","url":null,"abstract":"<div><h3>Background</h3><div>Meaning in life (MIL) can help safeguard the mental health of migrant children. However, most current studies employ variable-centered methodologies and frequently overlook population heterogeneity; they also fail to address how the combination of different risks and resources influences MIL.</div></div><div><h3>Objective</h3><div>To explore the group heterogeneity of migrant children according to combinations of risks and resources and how the interaction of these factors affects their MIL.</div></div><div><h3>Participants and setting</h3><div>Participants included a sample of 567 children of migrants.</div></div><div><h3>Methods</h3><div>Participants completed questionnaires enquiring about risk factors (academic pressure, perceived discrimination, and parent-child alienation) and resource factors (parent-child communication, parent-child trust, perceived social support, and resilience). Latent profile analysis (LPA) was used to identify different groups according to the combinations of these risks and resources; we then identified the differences in MIL among these groups.</div></div><div><h3>Results</h3><div>Four groups were identified: low-resource group (26 %), high-risk/low-endogenous-resource group (8 %), balanced group (43 %), and low-risk/high-resource group (23 %). MIL was highest among the low-risk/high-resource group and lowest among the low-resource group. The high-risk/low-endogenous-resource and balanced groups were in the middle.</div></div><div><h3>Conclusions</h3><div>Risks and resources associated with migrant children are combined in different ways; LPA revealed clear categorization trends. There were significant differences in MIL among the four categories we identified. Attention should be paid to increasing resources for migrant children, as these may have a stronger impact on their MIL than risks.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"161 ","pages":"Article 107310"},"PeriodicalIF":3.4,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cytotoxic edema is associated with injury severity but not abusive mechanism in young children with traumatic brain injury","authors":"Lígia Batista ,&nbsp;Nicholas V. Stence ,&nbsp;David M. Mirsky ,&nbsp;Terri Lewis ,&nbsp;Sarah Graber ,&nbsp;Henok E. Ghebrechristos ,&nbsp;Gita Alaghband ,&nbsp;Amy K. Connery ,&nbsp;Brent R. O'Neill ,&nbsp;Daniel M. Lindberg","doi":"10.1016/j.chiabu.2025.107312","DOIUrl":"10.1016/j.chiabu.2025.107312","url":null,"abstract":"<div><h3>Background</h3><div>Cytotoxic Edema (CE) is a form of brain parenchymal injury hypothesized to be associated with abusive mechanism and poor outcome for young children with traumatic brain injury. CE is reliably identified by magnetic resonance imaging but not by computed tomography.</div></div><div><h3>Objective</h3><div>We sought to test the association of CE with injury severity, mechanism (abusive or non-abusive) and functional outcome in a large cohort of young children who all had magnetic resonance imaging.</div></div><div><h3>Participants and setting</h3><div>Retrospective cohort study of children &lt;6 years old admitted for traumatic brain injury between January 2011 – June 2020 and who had MR.</div></div><div><h3>Methods</h3><div>Two pediatric neuroradiologists determined CE presence; mechanism of injury was determined by reviewing child protection team notes. Injury severity was measured using the injury severity score (ISS); functional outcome at hospital discharge and 6–12 months later was measured using the functional status score (FSS).</div></div><div><h3>Results</h3><div>We identified 431 eligible children with traumatic brain injury. CE was associated with injury severity (Median [IQR] ISS for those with CE was 18 [17–26] vs. 17 [11–18] for those with no CE) and functional status at discharge (Median [IQR] FSS 9 [7–11] vs 6 [6–8] without CE) and 6–12 months from injury (Median [IQR] FSS 8 [6–10] vs 6 [6–8] without CE). CE was not associated with injury mechanism (OR 0.78; 95%CI 0.52–1.17).</div></div><div><h3>Conclusion</h3><div>While CE was associated with injury severity and outcome, it was not associated with injury mechanism. Prior associations may reflect increased injury severity for abused children.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"161 ","pages":"Article 107312"},"PeriodicalIF":3.4,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Childhood echoes: How benevolent and adverse childhood experiences shape adult mental well-being","authors":"Kamrun Nahar,&nbsp;Sabrina Mousum,&nbsp;Marium Salwa,&nbsp;Khandakar Fatema,&nbsp;Taslima Chowdhury,&nbsp;Anika Tasnim,&nbsp;Md Maruf Haque Khan,&nbsp;M Atiqul Haque","doi":"10.1016/j.chiabu.2025.107308","DOIUrl":"10.1016/j.chiabu.2025.107308","url":null,"abstract":"<div><h3>Background</h3><div>Childhood adverse and favorable experiences before the age of 18 have enduring effects on an adult's mental health.</div></div><div><h3>Objective</h3><div>We investigate the moderating effect of benevolent childhood experiences (BCEs) on the link between adverse childhood experiences (ACEs) and poor mental health outcomes (depression, anxiety, stress) in an adult's later life.</div></div><div><h3>Participants and setting</h3><div>This cross-sectional study was conducted among 384 adults aged ≥40 years from September 2021 to March 2022 at Dhangara Union of Raiganj Upazila, Bangladesh.</div></div><div><h3>Methods</h3><div>Face-to-face interviews were conducted in randomly selected households using a semi-structured questionnaire. Analysis and plots were generated using SPSS and R software.</div></div><div><h3>Results</h3><div>Most of the respondents (95·6 %) experienced different types of ACEs, 20·5 % reporting &gt;4 ACEs, and 31·7 % reporting all ten BCEs. Significant associations were found between ACEs and depression (b = 0.761, <em>p</em> = 0·001), anxiety (b = 0.740, <em>p</em> = 0·0003), stress (b = 0.812, <em>p</em> = 0·0003). The interactions showed that BCEs have moderating effect on the relationship between ACEs and depression (b = −0·35, <em>p</em> = 0·009), anxiety (b = −0·27, <em>p</em> = 0·009), and stress (b = −0·30, <em>p</em> = 0·018) symptoms. The Johnson-Neyman region of significance evidenced that the moderating effect of BCEs was significant up to a certain threshold (depression = 8·91, <em>p</em> = 0·05; anxiety = 9·04, <em>p</em> = 0·05; stress = 8·97, <em>p</em> = 0·05). Beyond this threshold, no significant change was observed, suggesting a limit to the buffering effect of BCEs.</div></div><div><h3>Conclusions</h3><div>Our findings suggest that beyond a certain threshold, the effects of ACEs become resistant to further mitigation by BCEs, resulting in poor mental health outcomes. So, it is essential to promote healthier childhood experiences by developing targeted interventions and policies.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"163 ","pages":"Article 107308"},"PeriodicalIF":3.4,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143422369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}