Evidence map›Paper›PMID 41662063›Full record

ArticlePLOS mental health2025

Adverse childhood experiences, stress impact, and well-being in deaf and hard of hearing adolescents and adolescents with developmental language disorders in special secondary education.

L C Martijn, D Hermans, H E T Knoors, C T W M Vissers

Abstract read
In one paragraph

Article in PLOS mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

L C MartijnStichting VierTaal, VierTaal College Amsterdam, Amsterdam, Noord-Holland, the Netherlands.ORCID https://orcid.org/0009-0009-6333-5995
D HermansBehavioural Science Institute, Radboud University, Nijmegen, Gelderland, the Netherlands.
H E T KnoorsBehavioural Science Institute, Radboud University, Nijmegen, Gelderland, the Netherlands.ORCID https://orcid.org/0000-0002-1709-052X
C T W M VissersBehavioural Science Institute, Radboud University, Nijmegen, Gelderland, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Many deaf and hard of hearing (DHH) adolescents and adolescents with developmental language disorders (DLD) face communication problems (CP) that may increase their vulnerability to adverse childhood experiences (ACEs). ACEs have been shown to affect physical and mental health, and in particular, the accumulation of ACEs is associated with high stress levels, which can have detrimental effects on well-being. This study examined the prevalence of ACEs and their impact on stress and well-being in adolescents with CP (DHH, DLD) compared to a reference group.127 adolescents with CP (32 DHH adolescents and 95 adolescents with DLD) in special secondary education were compared to a reference group of 86 adolescents in mainstream secondary education. T-tests, chi-square tests, and proportion tests were used to compare all groups on ACEs, stress impact, and well-being. A mediation analysis tested the indirect effect of stress on the relationship between ACEs and well-being. Adolescents with CP reported significantly more (accumulations of) ACEs (p < .05, p.001), higher stress impact (p < .001), and lower well-being (p < .05) than the reference group. The origin of communication problems (DHH versus DLD) appeared to induce no differences between groups. Mediation analysis revealed that ACEs indirectly influenced adolescents' well-being through their effect on stress impact (p < .001). Adolescents with CP in special secondary education are highly vulnerable to encountering ACEs, which increases the risk of experiencing high stress levels that detract from their well-being. Therefore, structural screening of this group for stress impact and well-being should be mandatory.

Identifiers

PMID41662063
PMCPMC12798341

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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.