ArticleFrontiers in psychology2026
The relationship between adverse childhood experiences and depression and anxiety in adolescents: the chain mediating effect of perceived stress and self-hate.
Article in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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7 authors.
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Abstract
Objective: Adolescent emotional issues have gained increasing global attention. The connection between Adverse Childhood Experiences (ACEs) and emotional issues in adolescents is well-established. However, the specific psychological pathways that explain this link are not yet fully understood. Our study aims to clarify the link between ACEs and depressive/anxious symptoms in a large Chinese adolescent cohort. Methods: We conducted a cross-sectional analysis with 7,158 students from Shandong Province, China, using a stratified cluster sampling method. Participants completed a series of self-report scales: the Adverse Childhood Experiences Scale (ACE-R), the Perceived Stress Scale (PSS-10), the Self-hate Scale (SHS), and the Patient Health Questionnaire-4 (PHQ-4). To test our chain mediation hypothesis, we used correlation analyses and a bootstrap approach. Results: Female adolescents and those with poorer academic performance had higher scores on childhood adverse experiences, perceived stress, self-hate, and emotional symptoms ( Discussion: This study expands the research on the relationship between adverse childhood experiences and depressive and anxious emotions in adolescence, providing new insights for reducing the negative impacts of depressive and anxious emotions in adolescents and promoting their mental health.
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