ArticleBMC public health2019
Association of Adverse Childhood Experience and Attention Deficit Hyperactivity Disorder with depressive symptoms among men who have sex with men in China: moderated mediation effect of resilience.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Machine learning-based predictive factor analysis of depression among Chinese adolescents.Frontiers in psychiatry · 2026Article
- Early life adversity and adult attention-deficit/hyperactivity disorder (ADHD): Pathways to persistence and adult susceptibility.Neuroscience and biobehavioral reviews · 2025Review
- The relationship between self-efficacy and prenatal depression in Chinese pregnant women: a parallel latent growth curve model.BMC psychiatry · 2025Article
- Adverse Childhood Experiences and Health Outcomes Among Sexual and Gender Minorities: A Systematic Review.Journal of child & adolescent trauma · 2024Article
- Psychosocial characteristics pattern correlated with suicidal ideation and non-suicidal self-injury among nurse staff: a latent profile analysis.BMC nursing · 2024Article
- Adverse childhood experiences and depressive symptoms among lesbian and bisexual women in China.BMC women's health · 2023Article
- How surface acting affects turnover intention among family doctors in rural China: the mediating role of emotional exhaustion and the moderating role of occupational commitment.Human resources for health · 2023Article
- Psychosocial characteristics pattern correlated with HIV-related risky sexual behavior among HIV-negative men who have sex with men: a latent profile analysis.Environmental health and preventive medicine · 2023Article
- Parental marital relationship satisfaction is associated with glycemic outcomes in children with type 1 diabetes.Journal of diabetes and metabolic disorders · 2022Article
- Chained multimediator model of sexual orientation disclosure, sexual minority stigma, sexual minority identity, social support, and resilience among ymsms.BMC public health · 2022Article
- Higher exposure to childhood adversity associates with lower adult flourishing.BMC public health · 2022Article
- Childhood Experiences and Psychological Distress: Can Benevolent Childhood Experiences Counteract the Negative Effects of Adverse Childhood Experiences?Frontiers in psychology · 2022Article
- Adverse Childhood Experiences Are Associated with Reduced Psychological Resilience in Youth: A Systematic Review and Meta-Analysis.Children (Basel, Switzerland) · 2021Review
- Psychosocial characteristics and HIV-related sexual behaviors among cisgender, transgender, and gender non-conforming MSM in China.BMC psychiatry · 2021Article
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8 authors.
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Abstract
backgroundAdverse childhood experience (ACE), attention deficit hyperactivity disorder (ADHD), and resilience can all contribute to depressive symptoms. However, little is known regarding the complex relationships between these factors and their joint effects on depressive symptoms. This study aimed to explore the underlying mechanism of ACE, ADHD, and resilience on depressive symptoms among men have sex with men (MSM) in China.
methodsA total of 714 MSM were recruited from gay/bisexual men-serving venues in Wuhan, Changsha, and Nanchang of China. The data was collected using computer-assisted self-interview. The mediated and moderated mediation models were employed to explore the underlying mechanisms between ACE, ADHD, resilience, and depressive symptoms.
resultsAmong 714 MSM, 51.4% reported at least one ACE and 13.0% reported three or more. ACE had a direct (β = 1.01, 95% CI: 0.45-1.57) effect on depressive symptoms. ADHD partially mediated the correlation between ACE and depressive symptoms (indirect effect: 0.55; 95% CI: 0.34-0.79). Additionally, the effect of ACE on depressive symptoms was moderated and buffered by resilience (β = -0.09, 95% CI: -0.15 - -0.03).
conclusionThe findings suggested that, programs and policies that promote resilience and address ADHD might protect Chinese MSM exposed to ACE from depressive symptoms.
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