Observational studyBMC public health2025
Exposure frequencies of single adverse childhood experiences and their association with psychological distress: evidence from a cohort study among emerging Swiss adults.
Observational study in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05122988 (Facing Adverse Childhood Experiences Using New Technologies), which is not on this map. Cited by 2 papers.
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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.
Facing Adverse Childhood Experiences Using New Technologies
Who cites it
2 citing papers in PubMed.
- Emotion regulation and social information processing as targets of a guided selective prevention app for emerging adults with a history of adverse childhood experiences: A randomised controlled trial.Internet interventions · 2026Article
- Perseverative thinking, threat interpretation bias, and emotional reactivity as mediators between adverse childhood experience domains and psychopathology: A longitudinal mediation study in a cohort of Swiss emerging adults.International journal of clinical and health psychology : IJCHPArticle
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Authors and funding
5 authors.
Funding
Abstract
backgroundAdverse childhood experiences (ACE) are significant transdiagnostic risk factors for impaired psychosocial functioning throughout life. Most research on ACE has relied on composite scores, limiting conclusions about specific adverse experiences. The aim of the present study was to describe in detail the exposure frequencies of a wide range of single adverse experiences (SACEs) and investigate their association with psychological distress among emerging adults at the individual and the population levels.
methodsA total of 2528 emerging Swiss adults aged 18 to 22 years from a random population sample participated in the first wave of a cohort study. ACE measures included 39 specific experiences covering neglect (emotional, physical), abuse (emotional, physical, sexual), witnessing violence, peer maltreatment and parental psychopathology. ANOVA models estimated bivariate associations between SACE exposure frequencies and psychological distress.
resultsThe most frequently reported child maltreatment subtypes were emotional neglect and abuse (38.4% resp. 30.8%). Regarding SACEs, more than 75% reported “witnessing the parents arguing fiercely” and verbal maltreatment by peers. SACEs were strongly associated with psychological distress in emerging adulthood, though the strength varied by type and frequency of exposure. Physical and sexual abuse experiences were strongly associated with psychological distress even when experienced only rarely. In contrast, SACEs in the domains of emotional abuse, emotional neglect and verbal abuse by peers correlated with psychological distress primarily at higher exposure frequencies. At the population level, frequently occurring SACEs, such as verbal abuse by family, explained the largest proportion of variance in psychological distress.
conclusionsThe impact of adverse childhood experiences on psychological distress among emerging adults depends on the type of SACE and their exposure frequency. These findings highlight the importance of analyzing single adversities and their frequencies alongside dimensional and pattern-based approaches in ACE research.
trial registrationNCT05122988; November 17, 2021.
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