ArticleChild abuse & neglect2023
Adverse childhood experiences and mental health among incarcerated women: Self-esteem as a mediating mechanism.
Article in Child abuse & neglect, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Examining use of telehealth in jails: linking women to community OUD services.BMC women's health · 2024Trial
- Article
- Violence Exposure, Mental Health, Cognitive Functioning, and Disabilities in Incarcerated Youth.Research square · 2026Article
- Facebook as a Strategy To Deliver a Peer Navigation Intervention for Recently Incarcerated Women with Opioid Use Disorder: A Mixed Methods Descriptive Profile.Community mental health journal · 2026Article
- Exploring the Relationship Between Adverse Childhood Experiences and Internalized Substance Use Stigma: A Mediation Analysis Among Incarcerated Women.Stigma and health · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundAdverse childhood experiences (ACEs) and mental health problems are interrelated. However, less is known about this relationship in incarcerated women and how self-esteem impacts this relationship.
objectiveTo investigate the relationship between ACEs and mental health problems (traumatic stress, depression, and anxiety) in incarcerated women with opioid use disorder (OUD) and, the possible role of self-esteem as a mediator of the relationship. PARTICIPANTS AND
settingIncarcerated women (N = 500) were randomly selected from eight Kentucky jails, screened for OUD, and interviewed by research staff.
methodsRegression analyses and mediation models were used to examine the relationship between ACEs, mental health, and self-esteem.
resultsACEs were positively correlated with present mental health problems (traumatic stress, r = 0.407, p < .001; depression, r = 0.177, p < .001; and anxiety, r = 0.213, p < .001) and negatively correlated with current self-esteem (r = -0.241, p < .001). Linear regression analyses established that ACEs and self-esteem were significantly related to all three mental health variables of interest. Additionally, self-esteem mediated the relationship between ACEs and mental health.
conclusionThis study shows that incarcerated women's experiences with ACEs are significantly related to poor mental health. Self-esteem plays a critical role in this relationship.
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