Adverse childhood experiences and mental health in young adults: a longitudinal survey.

Adverse childhood experiences and mental health in young adults: a longitudinal survey. Research Abstract Details 

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Adverse childhood experiences and mental health in young adults: a longitudinal survey. Abstract Text:

Elizabeth A Schilling,Robert H Aseltine,Susan Gore,Elizabeth A Schilling,Robert H Aseltine,Susan Gore,

BACKGROUND: Adverse childhood experiences (ACEs) have been consistently linked to psychiatric difficulties in children and adults. However, the long-term effects of ACEs on mental health during the early adult years have been understudied. In addition, many studies are methodologically limited by use of non-representative samples, and few studies have investigated gender and racial differences. The current study relates self-reported lifetime exposure to a range of ACEs in a community sample of high school seniors to three mental health outcomes-depressive symptoms, drug abuse, and antisocial behavior-two years later during the transition to adulthood. METHODS: The study has a two-wave, prospective design. A systematic probability sample of high school seniors (N = 1093) was taken from communities of diverse socioeconomic status. They were interviewed in person in 1998 and over the telephone two years later. Gender and racial differences in ACE prevalence were tested with chi-square tests. Each mental health outcome was regressed on one ACE, controlling for gender, race/ethnicity, and SES to obtain partially standardized regression coefficients. RESULTS: Most ACEs were strongly associated with all three outcomes. The cumulative effect of ACEs was significant and of similar magnitude for all three outcomes. Except for sex abuse/assault, significant gender differences in the effects of single ACEs on depression and drug use were not observed. However, boys who experienced ACEs were more likely to engage in antisocial behavior early in young adulthood than girls who experienced similar ACEs. Where racial/ethnic differences existed, the adverse mental health impact of ACEs on Whites was consistently greater than on Blacks and Hispanics. CONCLUSION: Our sample of young adults from urban, socio-economically disadvantaged communities reported high rates of adverse childhood experiences. The public health impact of childhood adversity is evident in the very strong association between childhood adversity and depressive symptoms, antisocial behavior, and drug use during the early transition to adulthood. These findings, coupled with evidence that the impact of major childhood adversities persists well into adulthood, indicate the critical need for prevention and intervention strategies targeting early adverse experiences and their mental health consequences.

Adverse childhood experiences and mental health in young adults: a longitudinal survey. Publishing Authors By Initials

EA Schilling,RH Aseltine,S Gore,EA Schilling,RH Aseltine,S Gore,

For similar criminology: crime: violence research abstracts see: criminology: crime: violence research

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Adverse childhood experiences and mental health in young adults: a longitudinal survey. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: BMC public health

VOLUME: 7

Page Numbers: 30

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ISSN: 1471-2458

DAY: 7

MONTH: 03

YEAR: 2007

Adverse childhood experiences and mental health in young adults: a longitudinal survey. Information

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LANGUAGE: eng

NlmUniqueID: 100968562

Adverse childhood experiences and mental health in young adults: a longitudinal survey. Keywords Mesh Terms:

KEYWORDS: Violence

MESH TERMS: statistics & numerical data

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Grant and Affiliation Information for Adverse childhood experiences and mental health in young adults: a longitudinal survey.

AFFILIATION: Institute for Public Health Research, University of Connecticut, East Hartford, Connecticut 06108, USA. eschilling@uchc.edu

Country: England

AGENCY: United States NIMH

GRANT: R01-MH55626

ACRONYM: MH

MEDLINETA: BMC Public Health

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