The moderation effect of mental health services use on the relationship between exposures to adverse childhood experiences and mental health outcomes among US adolescents

IF 6.8 3区医学 Q1 PEDIATRICS

Child and Adolescent Mental Health Pub Date : 2024-12-05 DOI:10.1111/camh.12745

Lyoung Hee Kim, Seung Joo Lee, So Young Ahn

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引用次数: 0

Abstract

Background

The prevailing exposure to Adverse Childhood Experiences (ACEs) among youth is associated with adolescents' mental health. However, few studies have examined whether receiving help from mental health services affects mental health outcomes among adolescents with ACEs. Therefore, this study examines the moderated effects of mental health services use on the relationship between exposures to ACEs and mental health outcomes among US adolescents.

Methods

The sample was restricted to adolescents aged 11–17 using data from the National Health Interview Survey (NHIS) from 2019, 2021, and 2022. Multivariate logistic regressions and descriptive analyses were performed to estimate the moderation effect of mental health services use.

Results

Using mental health services buffered the associations between ACEs and severe anxiety and depressive symptoms. Receiving counseling/therapy moderated the impact of ever living with an individual who had severe anxiety (Adjusted Odds Ratio, AOR: 0.58, p < .05) and depressive symptoms (AOR: 0.38, p < .01) among adolescents. Furthermore, counseling/therapy moderated the effect of ever living with an individual with a history of alcohol or drug abuse on severe depressive symptoms (AOR: 0.49, p < .05) and the effect of being a victim or witness of violence on severe anxiety symptoms (AOR: 0.45, p < .01). In addition, taking prescription medication moderated the effect of the experience of incarcerated family members on severe anxiety symptoms (AOR: 0.41, p < .05).

Conclusion

Our findings suggest that policy and practice need to encourage access to mental health care for vulnerable adolescents with ACEs to reduce the detrimental effect of their experiences on their mental health problems.

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在美国青少年中，心理健康服务的使用对不良童年经历暴露与心理健康结果之间关系的调节作用。

背景：青少年普遍接触不良童年经历（ace）与青少年心理健康有关。然而，很少有研究调查接受心理健康服务的帮助是否会影响ace青少年的心理健康结果。因此，本研究考察了心理健康服务的使用对美国青少年接触不良经历和心理健康结果之间关系的调节作用。方法：样本限于11-17岁的青少年，使用2019年、2021年和2022年全国健康访谈调查（NHIS）的数据。采用多变量logistic回归和描述性分析来估计心理健康服务使用的调节作用。结果：使用心理健康服务可以缓冲不良经历与严重焦虑和抑郁症状之间的关联。结论：我们的研究结果表明，政策和实践需要鼓励有严重焦虑的弱势青少年获得精神卫生保健，以减少他们的经历对他们心理健康问题的有害影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child and Adolescent Mental Health PEDIATRICS-PSYCHIATRY

CiteScore

8.30

自引率

3.30%

发文量

审稿时长

>12 weeks

期刊介绍： Child and Adolescent Mental Health (CAMH) publishes high quality, peer-reviewed child and adolescent mental health services research of relevance to academics, clinicians and commissioners internationally. The journal''s principal aim is to foster evidence-based clinical practice and clinically orientated research among clinicians and health services researchers working with children and adolescents, parents and their families in relation to or with a particular interest in mental health. CAMH publishes reviews, original articles, and pilot reports of innovative approaches, interventions, clinical methods and service developments. The journal has regular sections on Measurement Issues, Innovations in Practice, Global Child Mental Health and Humanities. All published papers should be of direct relevance to mental health practitioners and clearly draw out clinical implications for the field.