학술논문
Adverse childhood experiences: Non-medical trauma in the context of pediatric chronic illness.
Document Type
Article
Author
Source
Subject
*ANXIETY diagnosis
*CHRONIC diseases & psychology
*DIAGNOSIS of mental depression
*MENTAL depression risk factors
*PSYCHOLOGICAL stress
*ANXIETY
*PEDIATRICS
*RISK assessment
*DISEASE prevalence
*EARLY medical intervention
*EARLY diagnosis
*ADVERSE childhood experiences
*ADULTS
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Language
ISSN
0273-9615
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. [ABSTRACT FROM AUTHOR]