ArticleChild abuse & neglect2020
The Interaction of Adverse Childhood Experiences and Resiliency on the Outcome of Depression Among Children and Youth, 8-17 year olds.
Article in Child abuse & neglect, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 73 citations in OpenAlex.
- The Impact of Positive Childhood Experiences: A Systematic Review Focused on Children and Adolescents.Trauma, violence & abuse · 2026Pooled it
- Psychological resilience and mood disorders: a systematic review and meta-analysis.Trends in psychiatry and psychotherapy · 2024Pooled it
- The association between elder abuse and childhood adversity: A study of older adults in Malaysia.PloS one · 2021Trial
- Adolescent mental health in Hong Kong: a longitudinal analysis of positive self-evaluation, contextual influences and adverse experiences (2009-2014).Child and adolescent mental health · 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
- Maternal childhood adversity as an upstream vulnerability for prenatal alcohol use and maternal mental health.Alcohol, clinical & experimental research · 2026Article
- Breaking the Cycle: Investigating Family Resilience as a Pathway to Better Adolescent Mental, Emotional, Developmental, and Behavioral Health Outcomes.Journal of child & adolescent trauma · 2026Article
- Positive childhood experiences and insufficient sleep among children and adolescents in the United States: A nationally representative study.Sleep health · 2026Article
- Adverse and positive childhood experiences in relation to adolescent mental health: sequential indirect associations.Frontiers in psychology · 2026Article
- The Effect of Childhood Trauma on the Alleviation of Transdiagnostic Depressive Symptoms and the Mediating Role of Resilience in Outpatient Adolescents.Journal of child & adolescent trauma · 2025Article
- Adverse Childhood Events, Resilience, and Psychopathology.Medicina (Kaunas, Lithuania) · 2025Article
- Associations of adverse childhood experiences and depressive symptoms among children and adolescents: the mediating effect of resilience and sleep quality.Scientific reports · 2025Article
- Measuring adverse and protective experiences in early childhood: development and initial validation of the child and family experiences survey (CAFES).BMC public health · 2025Article
- Adverse Childhood Experiences, Traumatic Brain Injuries, and Modifying Effects of Parental Aggravation and Bullying-Victimization Among Children and Adolescents.Journal of child & adolescent trauma · 2025Article
- Intergenerational transmission of adverse and positive childhood experiences and associations with child well-being.Child abuse & neglect · 2024Article
- Child and Adolescent Health in the United States: The Role of Adverse and Positive Childhood Experiences.Journal of child & adolescent trauma · 2024Article
- The importance of childhood social capitals in the future well-being of children.Frontiers in psychology · 2024Article
- Specific domains of positive childhood experiences (PCEs) associated with improved adult health: A nationally representative study.SSM - population health · 2023Article
- Strong Father-Child Relationships and Other Positive Childhood Experiences, Adverse Childhood Experiences, and Sexual Risk Factors for HIV among Young Adults Aged 19-24 Years, Namibia, 2019: A Cross-Sectional Study.International journal of environmental research and public health · 2023Article
- Positive Childhood Experiences and Chronic Pain Among Children and Adolescents in the United States.The journal of pain · 2023Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
backgroundAdverse childhood experiences (ACEs) are common among children. Little is known on how resilience factors and positive childhood experiences (PCEs) may moderate the relationship between ACEs and childhood depression.
objectiveOur study fills this gap by providing recent, nationally representative estimates of ACE and PCE exposure for ages 8-17 and examines the associations between ACE exposure and PCEs on the outcome of depression. PARTICIPANTS AND
settingData were drawn from the nationally representative 2016-2017 National Survey of Children's Health (NSCH) and included a total sample of 40,302 children and adolescents.
methodsChi square analysis and multivariate logistic regressions were performed to assess associations of depression with 9 ACE and 6 PCE exposures. Additive and multiplicative interactions were examined between ACE exposure and PCEs (resiliency measures) on depression. Survey sampling weights and SAS survey procedures were used.
resultsOur study found that 4% of children had current depression and those with an ACE count greater than four had increased odds (aOR: 2.29; CI: 1.74-3.02). Multivariate regressions demonstrated associations between depression and low resiliency as well as significant interactions between ACE exposure and three PCEs. Children who were exposed to greater than four ACEs and did not exhibit resilience had 8.75 higher odds of depression (CI: 5.23-14.65) compared to those with less than four ACEs and some resilience.
conclusionsThese findings illustrate the need for the promotion of PCEs and the building of resiliency for combatting depression and reducing the impact of trauma in children and adolescents.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.