ArticleSocial psychiatry and psychiatric epidemiology2020
Patterns of exposure to adverse childhood experiences and their associations with mental health: a survey of 1346 university students in East Asia.
Article in Social psychiatry and psychiatric epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Associations of childhood adversity with emotional well-being and educational achievement: A review and meta-analysis.Journal of affective disorders · 2024Pooled it
- Understanding how adverse childhood experiences influence the development of postpartum post-traumatic stress disorder: a qualitative study in China.European journal of psychotraumatology · 2026Article
- Associations between adverse childhood experiences and progression to incident psychiatric disorders in older adults: A 22-year cohort study.Translational psychiatry · 2026Article
- Depression, anxiety, stress and adverse childhood experience among first-year university students.Journal of family medicine and primary care · 2026Article
- Divergent pathways to depression: a network analysis of adverse childhood experiences in migrant and non-migrant youth.Frontiers in psychiatry · 2026Article
- The burden of anxiety, depression, and substance use disorders attributable to childhood maltreatment among adolescents in Africa: insights from the global burden of disease study 2021.Annals of general psychiatry · 2025Article
- Associations between adverse childhood experiences and progression to incident psychiatric disorders in older adults: A 22-year cohort study.Research square · 2025Article
- Adverse Childhood Experience Chronicity and Timing: Impacts on Harsh and Nurturing Parenting in UK Black and Minority Ethnic Parents.Journal of child & adolescent trauma · 2025Article
- Longitudinal influences of adverse childhood experience patterns on mental health among older Chinese people.BMC geriatrics · 2025Article
- Exposure to Adverse Childhood Experiences and Mental Health Issues in a Young-Adult Sample of University Students in Bangladesh: A Cross-Sectional Study.Health science reports · 2025Article
- The relationship between childhood trauma and social anxiety in college students: the mediating role of evaluation fear.BMC psychiatry · 2025Article
- Associations Between Adverse Childhood Experiences and Prenatal Mental Health in the French EDEN Cohort: Cumulative, Person-Centered, and Dimensional Approaches.Depression and anxiety · 2025Article
- An Examination of Underlying Domains in Childhood Adversity: A Scoping Review of Studies Conducting Factor Analyses on Adverse Childhood Experiences.International journal of environmental research and public health · 2024Article
- Adverse Childhood Experience, Parental Bonding, and Fatherhood as Parenting Vulnerabilities to Social Anxiety Severity.European journal of investigation in health, psychology and education · 2024Article
- Article
- Prospective longitudinal associations between adverse childhood experiences and adult mental health outcomes: a protocol for a systematic review and meta-analysis.Systematic reviews · 2023Article
- [Reliability and validity of the Chinese version of adverse childhood experiences international questionnaire in parents of preschool children].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2023Article
- Sex Differences in Patterns of Childhood Traumatic Experiences in Chinese Rural-To-Urban Migrant Children.Children (Basel, Switzerland) · 2023Article
- Cognitive variations following exposure to childhood adversity: Evidence from a pre-registered, longitudinal study.EClinicalMedicine · 2023Article
- Patterns of Childhood Adversities and Their Associations With Adult Victimization Among Incarcerated Men and Women in Spanish Prisons.International journal of offender therapy and comparative criminology · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
introductionAdverse childhood experiences (ACEs) constitute a significant global mental health burden. Prior studies typically investigated the impact of ACEs on mental health using a cumulative risk approach; most ACEs studies were also conducted in Western settings. PURPOSE: This study aimed to examine ACEs using a pattern-based approach and assess their associations with mental health outcomes by early adulthood in East Asia.
methodsThe present study included measures of exposure to 13 categories of ACEs, depression, anxiety, maladjustment, and posttraumatic stress in a sample of 1346 university students from Hong Kong, China, Taiwan, and Japan.
resultsLatent class analysis indicated three distinct patterns of ACE exposure: Class 1: Low ACEs (76.0%); Class 2: Household Violence (20.6%); and Class 3: Household Dysfunction (3.4%). Those representing Class 3 had significantly more ACEs compared with those in Classes 1 or 2. Controlling for age and sex, those in Class 2 reported significantly higher depression and maladjustment symptoms compared with those in Class 1; both Classes 2 and 3 had significantly higher anxiety symptoms and odds for meeting diagnostic criteria for posttraumatic stress disorders compared with those in Class 1.
conclusionsStudy findings suggest that young adults' mental health, at least under certain contexts, is more closely linked with the nature and pattern of ACE co-occurrence, rather than the number of ACEs.
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Registered trials
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