ArticleBMC psychology2025
The association between adverse childhood experiences and co-occurrence of health risk behaviors in adolescents: the chained mediating role of self-efficacy and self-control.
Article in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Oral Health-Related Quality of Life and Self-Reported Oral Health Status Are Associated with Change in Self-Reported Depression Status: A Cohort Study.Journal of clinical medicine · 2026Article
- Physical exercise and psychological resilience in the link between adverse childhood experiences and non-suicidal self-injury: chain mediation and network analysis in college students.Frontiers in psychiatry · 2026Article
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5 authors.
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Abstract
backgroundThe Co-occurrence of Health Risk Behaviors (ACEs) among adolescents has become a significant public health issue that urgently needs to be addressed. This study aims to investigate the prevalence of Co-occurrence of Health Risk Behaviors among adolescents and to explore the mediating role of self-efficacy (SE) and self-control (SC) in the relationship between adverse childhood experiences and Co-occurrence of Health Risk Behaviors (CHRBs).
methodsA total of 7901 adolescents in China were surveyed using the following instruments: the Adolescent Health Risk Behaviors Survey Questionnaire, the Patient Health Questionnaire-9 (PHQ-9), the Mobile Phone Addiction Index (MPAI), the Adverse Childhood Experiences Questionnaire (ACEQ), the General Self-Efficacy Scale (GSES), and the Self-Control Scale (SCS). Data were analyzed using SPSS 25.0 software.
results(1) Adverse childhood experiences significantly and positively predicted Co-occurrence of Health Risk Behaviors among adolescents (p < 0.05). (2) Adverse childhood experiences indirectly influenced Co-occurrence of Health Risk Behaviors through the partial mediating effects of self-efficacy and self-control (p < 0.05). (3) Adverse childhood experiences also indirectly influenced Co-occurrence of Health Risk Behaviors through the chained mediating effects of self-efficacy and self-control (p < 0.05).
conclusionsThis study further elucidates the relationship between adverse childhood experiences and Co-occurrence of Health Risk Behaviors among adolescents, as well as the chained mediating role of self-efficacy and self-control. These findings confirm the mechanism by which adverse childhood experiences influence Co-occurrence of Health Risk Behaviors. The results suggest that creating a favorable living environment for children and adolescents should become a societal consensus. Additionally, when intervening with adolescents who exhibit problematic behaviors, it is important to focus on enhancing their self-efficacy and self-control to mitigate the long-term impact of adverse childhood experiences.
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