Citation

Sharkey CM, Espeleta HC, Bakula DM, Roberts CM, Ruppe NM, Marissa Baudino BS, Clawson AH, Chaney JM, Mullins LL. Child. Health Care 2020; 49(1): 40-54.

Copyright

(Copyright © 2020, Informa - Taylor and Francis Group)

DOI

10.1080/02739615.2018.1553677

PMID

unavailable

Abstract

OBJECTIVE: To examine the prevalence of adverse childhood experiences (ACEs) and their relationship with psychological distress among adolescents/young adults (AYAs) with and without pediatric chronic medical conditions (CMC).

METHODS: A matched sample of AYAs with and without a CMC (n = 484, Mage = 19.48, 77.7% female) completed online measures of demographics, ACEs, and anxious/depressive symptoms.

RESULTS: AYAs with a CMC were more likely to have experienced an ACE (p < 0.001). Both CMC status and ACEs related to increased distress (ps < 0.001). Moderation showed that ACEs had a stronger effect on depressive symptoms for those without a CMC (p < 0.001).

CONCLUSIONS: AYAs with a CMC and/or ACEs have increased risk for distress. Trauma-informed health care and assessment of childhood adversity may be important for early detection and intervention. © 2018, © 2018 Taylor & Francis.

Language: en

Keywords

adult; human; domestic violence; sexual abuse; female; male; alcoholism; depression; prevalence; college student; suicide attempt; risk factor; substance abuse; major clinical study; mental disease; early diagnosis; anxiety disorder; chronic disease; Caucasian; case control study; health care system; physical abuse; Center for Epidemiological Studies Depression Scale; Article; young adult; emotional abuse; childhood adversity; mental disease assessment; emotional neglect; Self-rating Anxiety Scale; adverse childhood experiences short form; heavy drinker