ArticleAcademic pediatrics2020
The Association of Adverse Childhood Experiences With Anxiety and Depression for Children and Youth, 8 to 17 Years of Age.
Article in Academic pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 111 papers, 3 of them syntheses that pooled it.
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Who cites it
111 citing papers in PubMed, 3 syntheses or guidelines pooled it, 202 citations in OpenAlex.
- Understanding adverse childhood experiences within the first decade of the ABCD study: A systematic review.Developmental cognitive neuroscience · 2026Pooled it
- Depression in youths with early life adversity: a systematic review and meta-analysis.Frontiers in psychiatry · 2024Pooled it
- Deconstructing pathways to resilience: A systematic review of associations between psychosocial mechanisms and transdiagnostic adult mental health outcomes in the context of adverse childhood experiences.Clinical psychology & psychotherapy · 2022Pooled it
- Longitudinal patterns of adversity from childhood to adolescence: Examining associations with mental health through emerging adulthood using a random-intercept latent transition analysis.Developmental psychology · 2024Trial
- Recreational screen use and internalizing problems from preadolescence to young adulthood in a longitudinal twin cohort with co-twin comparison.Nature human behaviour · 2026Article
- Individual and Interactive Effects of Adverse Childhood Experiences and Household Income on Adolescent Depression and Anxiety Symptoms.Research in nursing & health · 2026Article
- Early life experiences, the neural epigenome and affective disorder risk.Nature reviews. Neuroscience · 2026Review
- Identifiable regional and neural network abnormalities in early childhood anxiety.JCPP advances · 2026Article
- Associations Between Adverse Childhood Experiences and Disordered Eating in US Youth: The PLATE Study.JAACAP open · 2026Article
- Cumulative Adverse Childhood Experiences and Multiple Neurodevelopmental Disorders in Children and Adolescents: A Population-Based Study.Stress and health : journal of the International Society for the Investigation of Stress · 2026Article
- Adverse childhood experiences and adolescent mental health: trajectories of internalizing, externalizing and prosocial behaviour in a longitudinal cohort study.Epidemiology and psychiatric sciences · 2026Article
- Family and community positive childhood experiences and mental health from childhood to adolescence: Independent and cumulative associations.European child & adolescent psychiatry · 2026Article
- Heterogeneous Trajectories of Prosocial Behavior in Adolescents with Adverse Childhood Experiences: The Roles of Empathy and Social support.Journal of youth and adolescence · 2026Article
- Mental Health Outcomes of Foster and Adopted Individuals with Adverse Childhood Experiences: A Validation of Known Risks Using EHR Data.medRxiv : the preprint server for health sciences · 2026Article
- Adverse Childhood Experiences and Mental Health Among Adolescents, Young Adults, and Adults: Mediating Roles of Positive Childhood Experiences and Resilience.The Psychiatric quarterly · 2026Article
- Adolescents' Mental Health Concerns in Pre- and During COVID-19: Roles of Adverse Childhood Experiences and Emotional Resilience.Child psychiatry and human development · 2026Article
- Stratifying the risk of transition to adult-onset psychiatric disorders in adolescents with anxiety.medRxiv : the preprint server for health sciences · 2026Article
- Adverse childhood experiences are associated with disease and mental health outcomes in childhood-onset SLE.Lupus science & medicine · 2026Article
- Associations Between Adverse Childhood Experiences and Physical Activity, Recreational Screen Time, and Sleep Among U.S. Children.Behavioral sciences (Basel, Switzerland) · 2026Article
- The Impact of Childhood Household Violence on HIV-Related Outcomes in People With HIV in the United States: The Role of Psychological Distress and Social Stressors.Journal of acquired immune deficiency syndromes (1999) · 2026Article
51 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo determine the prevalence of anxiety and depression and examine their association with adverse childhood experiences (ACEs) among children and adolescents ages 8 to 17 years old.
methodsUsing data from the 2016-2017 National Survey of Children's Health, we conducted a cross-sectional study design with a total sample of 39,929. Our exposure and outcome variables included caregiver report of 9 ACE exposures and current anxiety or current depression. Survey sampling weights and SAS survey procedures were implemented to produce nationally representative results.
resultsOur study found that 9% of children had current anxiety while 4% had current depression. Multivariate analysis concluded that all ACE measures were associated with significantly higher odds of both anxiety and depression. Children exposed to 4 or more ACEs had higher odds of anxiety (adjusted odds ratio [aOR] = 1.7; 95% confidence interval [CI], 1.4-2.1) and depression (aOR = 2.2; 95% CI, 1.7-2.9) than children with exposure to fewer than four ACEs. Assessment of the outcomes of anxiety and depression separately showed differential impacts of ACE exposures as associations were stronger with depression for almost all ACE categories.
conclusionsOur study demonstrates a differential association between ACEs and anxiety and depression. This highlights the importance of assessing the impact of ACEs on internalizing behaviors separately. These findings are significant for pediatric providers as diagnosis and treatment for mental health disorders are vital components of pediatric care and further support the American Academy of Pediatrics' recommendation to screen for ACEs.
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