Filial piety as a beneficial factor for posttraumatic adjustment in the context of adverse childhood experiences among Taiwanese young adults

Introduction: Adverse childhood experiences (ACEs) increase posttraumatic stress symptoms (PTSS) after exposure to later trauma, but in Chinese society some cultural factors such as filial piety can be perceived as a protector buffering the negative results of ACEs on early adulthood adaptation. Method: This study used a longitudinal design to investigate whether dual filial piety—reciprocal filial piety (RFP: affection/gratitude) and authoritarian filial piety (AFP: role obligation/hierarchy)—are protective factors against PTSS and facilitate posttraumatic growth (PTG) following trauma among Taiwanese young adults. The final sample comprised 246 participants aged 18-25 years old who reported experiencing at least one type of trauma in their history of ACEs, RFP, AFP, PTSS, and PTG at Time 1. One (Time 2) and seven (Time 3) months later, 98 and 60 of the original respondents completed follow-up assessments. Results: Results showed that ACEs were significantly associated with higher PTSS, and both RFP and AFP significantly related to lower PTSS and higher PTG at Time 1 and Time 2. Furthermore, RFP mediated the relationship between ACEs and PTSS such that individuals with higher RFP reported lower PTSS across time. Discussion: These findings suggest that filial piety may serve as a protective factor against PTSS and facilitate PTG among traumatized Taiwanese individuals with a history of ACEs. The study implies that future research should explore the mechanisms underlying these relationships and consider how cultural factors may influence the role of filial piety in posttraumatic adjustment.