The Role of Resilience as a Mediating Factor between Adverse Childhood Experience and Mental Health in Adolescents Receiving Child Welfare Services in Nova Scotia

IF 1.4 4区医学 Q2 SOCIAL WORK

Child and Adolescent Social Work Journal Pub Date : 2024-08-26 DOI:10.1007/s10560-024-00979-8

Mehrdad Shahidi, Michael Ungar, Miryam Wedyaswari, Mahnaz Shojaee

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Abstract

While the relationship between adverse childhood experiences (ACEs) and mental health problems (depression, suicidal thoughts, PTSD, and functional impairments) among youth is well studied, there is less known about the mediating role played by resilience for youth receiving child welfare services. This study explored the mediating effects of resilience in relationship to ACEs and mental health outcomes for youth receiving child welfare services. Participants and setting: The study included 251 participants (14–19 years of age, 58% female) receiving child welfare services from the government of Nova Scotia, Canada. A cross-sectional design was used with seven measures administered to youth through phone interviews. Risk exposure was measured using the ACEs scale while resilience was assessed with the CYRM-17. Mental health outcomes included depression symptoms (BDI-II), suicidal thoughts (SBQ-R), post traumatic stress reactions (PTSRS), and functional impairment (IATSS). Structure equation modelling (SEM) and general linear model (GLM) were used to analyze the data. Resilience directly affects mental health outcomes (β = − 0.409, p < .001) and indirectly mediates the effect of ACEs on outcomes (β = 0.236, P < .001). Resilience showed different patterns in terms of sex and education. The youth who identified themselves as non-binary and were not enrolled in an educational program had lower levels of resilience. Resilience decreases the risk of mental health problems among youth receiving child welfare services. The impact of resources to build relational, caregiver, and social-contextual resilience may be influenced by a youth’s sexual identity and engagement in education.

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复原力作为新斯科舍省接受儿童福利服务的青少年童年不利经历与心理健康之间的调解因素的作用

尽管对青少年的童年不良经历（ACEs）与心理健康问题（抑郁、自杀倾向、创伤后应激障碍和功能障碍）之间的关系已有深入研究，但对接受儿童福利服务的青少年的抗逆力所起的中介作用却知之甚少。本研究探讨了抗逆力对接受儿童福利服务的青少年的 ACE 和心理健康结果的中介作用。参与者和环境：研究包括 251 名接受加拿大新斯科舍省政府儿童福利服务的参与者（14-19 岁，58% 为女性）。研究采用横断面设计，通过电话访谈对青少年进行了七项测量。风险暴露采用 ACE 量表进行测量，复原力则采用 CYRM-17 进行评估。心理健康结果包括抑郁症状（BDI-II）、自杀想法（SBQ-R）、创伤后应激反应（PTSRS）和功能障碍（IATSS）。数据分析采用了结构方程模型（SEM）和一般线性模型（GLM）。复原力直接影响心理健康结果（β = - 0.409，P < .001），并间接介导 ACE 对结果的影响（β = 0.236，P < .001）。复原力在性别和教育程度方面表现出不同的模式。自认为非二元性且未参加教育计划的青少年的抗逆力水平较低。抗逆力会降低接受儿童福利服务的青少年出现心理健康问题的风险。建立关系、照顾者和社会环境复原力的资源的影响可能会受到青少年的性别认同和教育参与度的影响。

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来源期刊

Child and Adolescent Social Work Journal SOCIAL WORK-

CiteScore

3.90

自引率

0.00%

发文量

期刊介绍： The Child and Adolescent Social Work Journal (CASW) features original articles that focus on social work practice with children, adolescents, and their families. Topics include issues affecting a variety of specific populations in special settings. CASW welcomes a range of scholarly contributions focused on children and adolescents, including theoretical papers, narrative case studies, historical analyses, traditional reviews of the literature, descriptive studies, single-system research designs, correlational investigations, methodological works, pre-experimental, quasi-experimental and experimental evaluations, meta-analyses and systematic reviews. Manuscripts involving qualitative, quantitative, and mixed methods are welcome to be submitted, as are papers grounded in one or more theoretical orientations, or those that are not based on any formal theory. CASW values different disciplines and interdisciplinary work that informs social work practice and policy. Authors from public health, nursing, psychology, sociology, and other disciplines are encouraged to submit manuscripts. All manuscripts should include specific implications for social work policy and practice with children and adolescents. Appropriate fields of practice include interpersonal practice, small groups, families, organizations, communities, policy practice, nationally-oriented work, and international studies. Authors considering publication in CASW should review the following editorial: Schelbe, L., & Thyer, B. A. (2019). Child and Adolescent Social Work Journal Editorial Policy: Guidelines for Authors. Child and Adolescent Social Work Journal, 36, 75-80.