ArticleFrontiers in psychology2021
Cumulative Childhood Adversity and Its Associations With Mental Health in Childhood, Adolescence, and Adulthood in Rural China.
Article in Frontiers in psychology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed.
- Childhood mental health and major depression in later life: a survival analysis across 12 years.Aging & mental health · 2026Article
- Depressive symptoms of school-aged adolescents: cumulative effect of adverse events and mediation of social support.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2025Article
- Context-relevant risk and protective factors for children in rural communities: Long-term implications for adulthood educational and mental health outcomes.Journal of community psychology · 2023Article
- Childhood adversities and rate of adulthood all-cause hospitalization in the general population: A retrospective cohort study.PloS one · 2023Article
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Abstract
Capitalizing on a 15-year longitudinal dataset of 9-12 years old children in rural China, this study adopts a life course perspective and analyzes cumulative childhood adversity and its associations with mental health problems from childhood to adulthood. Four domains of childhood life are selected to construct cumulative childhood adversity: socioeconomic hardship, family disruption, physical issue, and academic setback. Overall, cumulative childhood adversity significantly associates with children's internalizing and externalizing problems as well as adults' depression and self-esteem. However, cumulative childhood adversity has no significant relationship with internalizing and externalizing problems in adolescence. Furthermore, different domains of childhood adversity matter differently for mental health problems in different life stages. Physical issue and academic setback have the strongest association with internalizing and externalizing problems in childhood, while only socioeconomic hardship has a significant relationship with depression and self-esteem in adulthood. The relationship between cumulative childhood adversity and adult mental health problems is fully mediated by educational attainment. Finally, there is no gender difference in either the occurrence of cumulative childhood adversity or the association between cumulative childhood adversity and mental health problems.
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