ReviewChildren (Basel, Switzerland)2021
Adverse Childhood Experiences Are Associated with Reduced Psychological Resilience in Youth: A Systematic Review and Meta-Analysis.
Review in Children (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 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
37 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The impact of adverse childhood experiences on multimorbidity: a systematic review and meta-analysis.BMC medicine · 2024Pooled it
- Resilience after adversity: an umbrella review of adversity protective factors and resilience-promoting interventions.Frontiers in psychiatry · 2024Pooled it
- Progressive exercise training improves cardiovascular psychophysiological outcomes in young adult women with a history of adverse childhood experiences.Journal of applied physiology (Bethesda, Md. : 1985) · 2023Trial
- The relationship between adverse childhood experience, resilience, and psychosocial well-being among undergraduates in Osun State, Nigeria.BMC psychology · 2026Article
- Explaining Associations Between Adverse Childhood Experiences and Spiritual Well-Being Through Resilient Mindset, Depression, Anxiety, and Stress Among Turkish University Students.Brain and behavior · 2026Article
- Adverse and positive childhood experiences in relation to adolescent mental health: sequential indirect associations.Frontiers in psychology · 2026Article
- The longitudinal impact of adverse childhood experiences on college students' intrinsic motivation for physical exercise: the chain mediating effect of meaning in life and psychological resilience.Frontiers in psychology · 2026Article
- Latent class profiles of health-risk behaviors and the protective roles of psychological resilience and self-control in Chinese adolescents.Frontiers in public health · 2026Article
- Trauma symptoms and their correlates among Zimbabwean adolescents: Baseline results from a cluster randomized controlled trial.PLOS mental health · 2026Article
- Possible drivers of self-harm severity - relative contributions of post-traumatic stress and levels of personality functioning - results from the Extreme Challenges project.Frontiers in psychiatry · 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
- The relationship between adverse childhood experiences and resilience among college students in Saudi arabia: a cross-sectional study.Scientific reports · 2025Article
- Adverse Childhood Experiences, Psychological Distress, and Resilience in Health Professions Students.Academic medicine : journal of the Association of American Medical Colleges · 2025Article
- Longitudinal association between parent-child relationship and depression among Chinese adolescents: the role of psychological resilience and school climate.Child and adolescent psychiatry and mental health · 2025Article
- Adverse Experiences in Early Childhood and Emotional Behavioral Problems Among Chinese Preschoolers: Psychological Resilience and Problematic Media Use.Behavioral sciences (Basel, Switzerland) · 2025Article
- Household dysfunction and child outcomes in the Nordic countries: A bibliometric analysis.Scandinavian journal of public health · 2025Review
- Racial discrimination and adverse childhood experiences predicting depressive symptoms and developmental assets: Testing cultural socialization and preparation for bias as moderators among Black adolescents and caregivers.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2025Article
- Implementing a School-Wide Trauma-Informed Education Approach: An Evaluation of Student-Outcomes during the First Year of Implementation.Journal of child & adolescent trauma · 2025Article
- Does Early Life Adversity Limit Delivery of High-Quality Health Care Among Children?Child: care, health and development · 2025Article
- The moderating and mediating role of resilience in the relationship between adverse childhood experiences and depression, PTSD, and suicidality in Kenyan youth.Global mental health (Cambridge, England) · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundAdverse childhood experiences (ACEs) are presumed to influence internalizing and externalizing behaviors that can significantly debilitate long-term biopsychological development in individuals. Psychological resilience has been shown to effectively mediate the relationship between ACEs and negative health outcomes since individuals with low levels of resilience may have difficulty with bouncing back from toxic exposure to ACEs. Thus, the present systematic review and meta-analysis was aimed toward synthesizing current knowledge of the relationship between ACEs and psychological resilience in youths.
methodsA combination of key words relevant to the present study was searched on the PubMed, EMBASE, Scopus, Cochrane, and Google Scholar databases. The results were restricted to English publications and human studies, with subjects ranging between the age of 0 to 35 years. Effect-size measures inclusive of pooled correlation coefficients for correlation analyses and pooled odds ratios for regression analyses, respectively, were calculated using random-effect models to determine the relationship between ACEs and psychological resilience.
resultsThe searches identified 85 potentially relevant studies. Among them, 76 were excluded due to limited access, irrelevant data, and the fact that the variables of interest were not explicitly measured or disclosed, leaving a final total of nine studies considered valid for the meta-analysis. Findings from correlational meta-analysis (
conclusionOur results support a negative association between ACEs and psychological resilience and highlight the multiple dimensions that constitute resilience in an ACE-exposure context. These findings may be particularly useful to policy makers and healthcare institutions in terms of helping them devise effective medical interventions and community outreach programs intended to develop resilience in youths, thus reducing health-risk behaviors and negative health outcomes.
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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.