Jie Tang, Jingjing Wang, Yifei Pei, Shiferaw Blen Dereje, Qian Chen, Na Yan, Yunjiao Luo, Yuhao Wang, Wei Wang
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We adopted hierarchical multivariable regression to examine the influences of ACEs and BCEs on depression and suicidal ideation.</p><p><strong>Results: </strong>To explore the relationship between childhood experience and suicidal ideation and depression, LCA revealed three patterns of ACEs: (1) emotional abuse (10.57%); (2) high ACEs (0.55%); and (3) low ACEs classes (88.88%). Adolescents with emotional abuse (depression: OR = 3.82, 95%CI = 2.80-5.22, P < 0.001; suicidal ideation: OR = 5.766, 95%CI = 3.97-8.38, P < 0.001) and high ACEs class (suicidal ideation: OR = 5.93, 95%CI = 1.19-29.66, P < 0.05) had an increased risk of psychological distress (reference: low ACEs). LCA revealed four patterns of BCEs: (1) relationship support (14.54%); (2) low BCEs (4.85%); (3) high BCEs (55.34%); and (4) high quality of life classes (25.28%). Adolescents with a high quality of life (depression: OR = 0.09, 95%CI = 0.05-0.16, P < 0.001; suicidal ideation: OR = 0.22, 95%CI = 0.12-0.40, P < 0.001) and high BCEs (depression: OR = 0.05, 95%CI = 0.03-0.09, P < 0.001; suicidal ideation: OR = 0.15, 95%CI = 0.09-0.26, P < 0.001) protected the mental health of adolescents (reference: low BCEs).</p><p><strong>Conclusions: </strong>High ACEs and emotional abuse classes were significantly associated with poorer mental health symptoms, including suicidal ideation and depression. In contrast, high BCEs and high quality of life classes were associated with better mental health. These findings point out that it is more necessary to identify and support victims of ACEs, and it is urgent to increase BCEs in early childhood.</p>","PeriodicalId":11707,"journal":{"name":"Environmental Health and Preventive Medicine","volume":"28 ","pages":"17"},"PeriodicalIF":4.0000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9989774/pdf/","citationCount":"1","resultStr":"{\"title\":\"How adverse and benevolent childhood experiences influence depression and suicidal ideation in Chinese undergraduates: a latent class analysis.\",\"authors\":\"Jie Tang, Jingjing Wang, Yifei Pei, Shiferaw Blen Dereje, Qian Chen, Na Yan, Yunjiao Luo, Yuhao Wang, Wei Wang\",\"doi\":\"10.1265/ehpm.22-00242\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>There has been minimal research on the role of benevolent childhood experiences (BCEs) and how such events may offer protection from the insidious effects of adverse childhood experiences (ACEs) or later in life.</p><p><strong>Objectives: </strong>This research aims to learn how BCEs and ACEs interact to affect adolescents' psychological distress.</p><p><strong>Methods: </strong>Cross-sectional survey was conducted in three cities (Xuzhou, Nanjing, and Wuhan) in China from March 2021 to May 2021. Latent class analysis (LCA) was used to classify the patterns of ACEs and BCEs. We adopted hierarchical multivariable regression to examine the influences of ACEs and BCEs on depression and suicidal ideation.</p><p><strong>Results: </strong>To explore the relationship between childhood experience and suicidal ideation and depression, LCA revealed three patterns of ACEs: (1) emotional abuse (10.57%); (2) high ACEs (0.55%); and (3) low ACEs classes (88.88%). Adolescents with emotional abuse (depression: OR = 3.82, 95%CI = 2.80-5.22, P < 0.001; suicidal ideation: OR = 5.766, 95%CI = 3.97-8.38, P < 0.001) and high ACEs class (suicidal ideation: OR = 5.93, 95%CI = 1.19-29.66, P < 0.05) had an increased risk of psychological distress (reference: low ACEs). LCA revealed four patterns of BCEs: (1) relationship support (14.54%); (2) low BCEs (4.85%); (3) high BCEs (55.34%); and (4) high quality of life classes (25.28%). 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引用次数: 1
摘要
背景:关于善意童年经历(bce)的作用以及这些事件如何提供保护，免受不良童年经历(ace)或以后生活的潜在影响的研究很少。目的:本研究旨在了解良好行为行为和不良行为对青少年心理困扰的影响。方法:于2021年3月至2021年5月在中国三个城市(徐州、南京和武汉)进行横断面调查。应用潜类分析(Latent class analysis, LCA)对ace和bce的模式进行分类。我们采用层次多变量回归研究ace和bce对抑郁和自杀意念的影响。结果:在探讨童年经历与自杀意念和抑郁的关系时，LCA发现了三种ace模式:(1)情绪虐待(10.57%);(2)高ace (0.55%);(3)低ace班级(88.88%)。情绪虐待青少年(抑郁症):OR = 3.82, 95%CI = 2.80-5.22, P < 0.001;自杀意念:OR = 5.766, 95%CI = 3.97 ~ 8.38, P < 0.001)和ace等级高(自杀意念:OR = 5.93, 95%CI = 1.19 ~ 29.66, P < 0.05)的患者发生心理困扰的风险增加(参考:低ace)。LCA揭示了四种行为模式:(1)关系支持(14.54%);(2) bce低(4.85%);(3) bce较高(55.34%);(4)生活质量高的班级占25.28%。青少年生活质量高(抑郁症:OR = 0.09, 95%CI = 0.05-0.16, P < 0.001;自杀意念:OR = 0.22, 95%CI = 0.12-0.40, P < 0.001)和高bce(抑郁症:OR = 0.05, 95%CI = 0.03-0.09, P < 0.001;自杀意念:OR = 0.15, 95%CI = 0.09-0.26, P < 0.001)保护青少年的心理健康(参考文献:低bce)。结论:高ace和情绪虐待等级与较差的心理健康症状显著相关，包括自杀意念和抑郁。相比之下，高bce和高生活质量课程与更好的心理健康有关。这些研究结果表明，识别和支持ace受害者更为必要，并且迫切需要在儿童早期增加bce。
How adverse and benevolent childhood experiences influence depression and suicidal ideation in Chinese undergraduates: a latent class analysis.
Background: There has been minimal research on the role of benevolent childhood experiences (BCEs) and how such events may offer protection from the insidious effects of adverse childhood experiences (ACEs) or later in life.
Objectives: This research aims to learn how BCEs and ACEs interact to affect adolescents' psychological distress.
Methods: Cross-sectional survey was conducted in three cities (Xuzhou, Nanjing, and Wuhan) in China from March 2021 to May 2021. Latent class analysis (LCA) was used to classify the patterns of ACEs and BCEs. We adopted hierarchical multivariable regression to examine the influences of ACEs and BCEs on depression and suicidal ideation.
Results: To explore the relationship between childhood experience and suicidal ideation and depression, LCA revealed three patterns of ACEs: (1) emotional abuse (10.57%); (2) high ACEs (0.55%); and (3) low ACEs classes (88.88%). Adolescents with emotional abuse (depression: OR = 3.82, 95%CI = 2.80-5.22, P < 0.001; suicidal ideation: OR = 5.766, 95%CI = 3.97-8.38, P < 0.001) and high ACEs class (suicidal ideation: OR = 5.93, 95%CI = 1.19-29.66, P < 0.05) had an increased risk of psychological distress (reference: low ACEs). LCA revealed four patterns of BCEs: (1) relationship support (14.54%); (2) low BCEs (4.85%); (3) high BCEs (55.34%); and (4) high quality of life classes (25.28%). Adolescents with a high quality of life (depression: OR = 0.09, 95%CI = 0.05-0.16, P < 0.001; suicidal ideation: OR = 0.22, 95%CI = 0.12-0.40, P < 0.001) and high BCEs (depression: OR = 0.05, 95%CI = 0.03-0.09, P < 0.001; suicidal ideation: OR = 0.15, 95%CI = 0.09-0.26, P < 0.001) protected the mental health of adolescents (reference: low BCEs).
Conclusions: High ACEs and emotional abuse classes were significantly associated with poorer mental health symptoms, including suicidal ideation and depression. In contrast, high BCEs and high quality of life classes were associated with better mental health. These findings point out that it is more necessary to identify and support victims of ACEs, and it is urgent to increase BCEs in early childhood.
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The official journal of the Japanese Society for Hygiene, Environmental Health and Preventive Medicine (EHPM) brings a comprehensive approach to prevention and environmental health related to medical, biological, molecular biological, genetic, physical, psychosocial, chemical, and other environmental factors.
Environmental Health and Preventive Medicine features definitive studies on human health sciences and provides comprehensive and unique information to a worldwide readership.
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