International Journal of Adolescent Medicine and Health最新文献

{"title":"Association between omega-3 fatty acid intake and ADHD symptoms among early adolescents aged 10-12 years: a cross-sectional study in Palestine.","authors":"Safaa Muhanna, Hala Jaradat, Nadeen Toukhli, Omar H Almahmoud","doi":"10.1515/ijamh-2025-0149","DOIUrl":"10.1515/ijamh-2025-0149","url":null,"abstract":"<p><strong>Objectives: </strong>Deficits in omega-3 fatty acids, particularly eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), have been implicated in attention-deficit/hyperactivity disorder (ADHD). These fatty acids are essential for neurodevelopment and cognitive functioning during childhood and early adolescence. The purpose of this study was to examine the association between ADHD symptoms and dietary omega-3 intake among Palestinian early adolescents aged 10-12 years, with particular attention to socioeconomic determinants.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 211 participants (38 with ADHD, 173 without ADHD). Parents completed a culturally adapted Food Frequency Questionnaire (FFQ) to estimate intake of omega-3-rich foods (e.g., fish, nuts, seeds). ADHD symptoms were assessed by subtype, and socioeconomic factors were recorded. Group differences were tested, and logistic regression evaluated associations between omega-3 intake and ADHD symptoms.</p><p><strong>Results: </strong>Children with ADHD reported significantly lower omega-3 intake (mean=0.60 ± 0.68) than their peers without ADHD (mean=0.89 ± 0.72; p<0.001). The hyperactive/impulsive subtype had the lowest intake (mean=0.42 ± 0.62). Logistic regression indicated that each unit increase in omega-3 intake was associated with a 45 % reduction in hyperactive/impulsive symptoms (OR=0.55, p=0.03). Adolescents' age, gender, parental education, parental employment, and family income were significantly associated with children's omega-3 intake (p<0.05).</p><p><strong>Conclusions: </strong>Lower dietary omega-3 intake is associated with more severe ADHD symptoms, particularly in the hyperactive/impulsive subtype. Socioeconomic disparities further exacerbate nutritional deficiencies, with potential consequences for neurodevelopment and behavioral health. Public health interventions-such as school-based nutrition programs, caregiver education, and subsidies for omega-3-rich foods-may support mental health and cognitive development among children and early adolescents in resource-limited and conflict-affected settings.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":"325-333"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145354632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The psychosocial web of oral health: exploring the links between sense of coherence, dental anxiety and quality of life in adolescents.","authors":"Sweta Singh, Bhavna Dave, Pratik Kariya","doi":"10.1515/ijamh-2025-0127","DOIUrl":"10.1515/ijamh-2025-0127","url":null,"abstract":"<p><p>The dynamic interplay between oral health-related quality of life (OHRQoL), sense of coherence (SOC), and dental anxiety has garnered increasing attention in recent years, highlighting the need for a comprehensive understanding of their interconnections. This review synthesizes current evidence from interdisciplinary research to explore how these constructs interact and influence one another. OHRQoL reflects the functional, psychological, and social impact of oral health, while SOC represents an individual's capacity to perceive life as comprehensible, manageable, and meaningful. Dental anxiety, a prevalent barrier to oral healthcare, can significantly impair OHRQoL and is influenced by both subjective health perceptions and coping mechanisms. The literature indicates that a strong SOC may mitigate dental anxiety and buffer the negative effects of poor oral health on quality of life. Conversely, heightened dental anxiety can lead to avoidance behaviors, exacerbating oral health problems and diminishing OHRQoL. This review underscores the importance of a biopsychosocial approach in dental care, advocating for integrative strategies that enhance SOC and reduce anxiety to improve overall oral health outcomes and patient well-being. Gaps in the literature and directions for future research are also discussed, with emphasis on longitudinal studies and intervention-based approaches.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":"73-80"},"PeriodicalIF":0.0,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145292150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interdisciplinary transition of care for congenital gastrointestinal malformations: analysis of a standardized program.","authors":"Rim Kiblawi, Lars Giese, Sabine Klamt, Mikal Obed, Andrea Markowski, Andrea Schneider, Jens Dingemann","doi":"10.1515/ijamh-2025-0113","DOIUrl":"10.1515/ijamh-2025-0113","url":null,"abstract":"<p><strong>Objectives: </strong>Adolescents with congenital gastrointestinal malformations, such as esophageal atresia, anorectal malformations, and Hirschsprung's disease, frequently face long-term physical and psychological sequelae. Despite increasing recognition of the need for structured transition of care (TOC) programs, standardization remains limited. The aim of this study was to evaluate the effectiveness of a structured interdisciplinary TOC program for adolescents with gastrointestinal malformations, focusing on patient well-being, gastrointestinal quality of life, transition competence, and satisfaction.</p><p><strong>Methods: </strong>We conducted a prospective observational study including all patients aged ≥14 years with esophageal atresia, anorectal malformations, and/or Hirschsprung's disease who participated in a standardized TOC program at Hannover Medical School. The multidisciplinary team included pediatric and adult gastroenterologists, nutritionists, psychologists, and surgeons. Patient-reported outcomes were assessed at baseline and follow-up using validated instruments: WHO-5 (well-being), GIQLI (gastrointestinal quality of life), TCS (transition competence), and the ZAP questionnaire (satisfaction).</p><p><strong>Results: </strong>A total of 63 patients were included. Compared to healthy controls, patients scored significantly lower on the WHO-5 and GIQLI (p<0.0001), indicating reduced well-being and quality of life. TCS scores improved significantly from 27.35 to 31.80 (p=0.015) during the visits, reflecting increased transition competence. Satisfaction with the program was high across all ZAP domains, particularly in interaction (93.1 %) and organization (91.3 %).</p><p><strong>Conclusions: </strong>This study presents the first standardized transition of care program for patients with congenital gastrointestinal malformations in Germany. The program improved transition competence and was associated with high patient satisfaction. While emphasizing the value of structured, patient-centered transition care, larger studies are needed to validate these findings and support wider implementation.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":"289-297"},"PeriodicalIF":0.0,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145292194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of family function as a moderating variable on the association between adverse childhood experiences (ACEs) and behavioral problems in male adolescents aged 10-17 Years in Indonesia.","authors":"Heru Subekti, Siswanto Agus Wilopo","doi":"10.1515/ijamh-2024-0184","DOIUrl":"10.1515/ijamh-2024-0184","url":null,"abstract":"<p><strong>Objectives: </strong>Adverse childhood experiences (ACEs) are strongly linked to behavioral issues in adolescents, yet the protective role of family dynamics remains unclear. This study aims to examine the relationship betwen ACEs and adolescent behavioral problems while exploring the moderating role of family functioning.</p><p><strong>Methods: </strong>The case-control study analyzed secondary data from the Indonesia National Mental Health Survey (I-NAMHS) on 198 male adolescents (10-17 years). Conditional logistic regression and moderation analysis were used to assess the impact of ACEs on behavioral problems and the moderating role of family function.</p><p><strong>Results: </strong>Compared with adolescents with no ACE exposure, adolescents with 1-2 ACEs had a higher risk of behavioral problems (OR=5.96, 95 % CI [2.29, 15.15], p<0.001), increasing further with ≥3 ACEs (OR=8.65, 95 % CI [3.21, 23.3], p<0.001). Positive family function reduced these risks (adjusted OR=4.94 for 1-2 ACEs; OR=6.95 for ≥3 ACEs). Family communication had the strongest protective effect (OR=0.33-0.41, p<0.05), but mediation analysis showed family function was not a strong mediator (OR=2.73, p>0.05).</p><p><strong>Conclusions: </strong>Family function is a predictive factor in adolescent behavioral outcomes, serving as a protective buffer against the negative effects of ACEs. However, it does not fully mediate this relationship. Future research should explore additional mediators, such as peer support and coping strategies, to develop more targeted interventions.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":"299-306"},"PeriodicalIF":0.0,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145286224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pattern of smartphone use and its influence on psychosocial features among health professional course scholars: a cross-sectional study.","authors":"Kuldeep Deka, T N V Sai Lakshmi Pranathi, Megha M Nayak, Shyam Krishnan","doi":"10.1515/ijamh-2025-0105","DOIUrl":"10.1515/ijamh-2025-0105","url":null,"abstract":"<p><strong>Objectives: </strong>Patterns of smartphone use vary across ages; however, adolescents and young adults may be at particular risk, with more behavioral addictions and adverse health effects. This study explored the prevalence of smartphone addictions among health adolescent professional students and examined how problematic smartphone usage interferes with their level of physical activity as well as health-related quality of life.</p><p><strong>Methods: </strong>A cross-sectional Analytical study based on self-perceived outcome measures such as the smartphone addiction scale-short version, the 'International Physical Activity Questionnaire-short form', and 'Patient-Reported Outcomes Measurement Information System 29'-item profile was done with a sample of 400 participants.</p><p><strong>Results: </strong>A total of 400 individuals (125 Males & 275 females) with mean age being 20.8 + 2.06 years recruited for the study. Smartphone addiction was most prevalent in dentistry students (43 %), followed by medicine (32 %) and allied health science (30.5 %), with no statistically significant differences in the addiction rate among the three programs. Compared with smartphone-addicted individuals, nonaddicted individuals had marginally greater physical function (mean difference =0.670, p<0.001), and those addicted to smartphones had significantly higher. anxiety (mean difference = 2.776, p<0.001), depression (mean difference =2.264, p< 0.001), and fatigue (mean difference =2.264, p<0.001). Physical activity was found to have no statistically significant difference between addicted and non-addicted individuals and except for sleep disturbance, none of the domains of PROMISE-29 showed any statistically significant correlation with physical activity.</p><p><strong>Conclusions: </strong>The findings highlight the need for recommendation for setting a time limit for the usage of smartphones for formal and informal academic activities, as well as policy measures to promote normal smartphone use.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":"38 2","pages":"121-129"},"PeriodicalIF":0.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and practice about non-prescription weight loss supplements utilization among university students.","authors":"Nouralhoda Ahmed Abdalfattah, Manal Mohamed Anwar, Alshimaa Mohsen Mohamed Lotfy","doi":"10.1515/ijamh-2025-0124","DOIUrl":"10.1515/ijamh-2025-0124","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate the prevalence, knowledge, and practices related to non-prescribed weight loss supplements among university students, and to identify reported side effects to support targeted health education.</p><p><strong>Methods: </strong>An analytical cross-sectional study was conducted among students at a public Egyptian university using a self-administered bilingual (English and Arabic) questionnaire. A total of 437 male and female undergraduates from all academic years were selected through multistage random sampling technique. Sample size was calculated via OpenEpi (v24.1), and data were analyzed using SPSS (v25).</p><p><strong>Results: </strong>The prevalence of weight loss supplement use among students was 12.6 %. Among users, 43.6 % self-prescribed these products, and 80 % were females. Social media and family recommendations were key influencing sources for nearly 60 % of users. Moreover, 40 % of users reported experiencing side effects. The mean knowledge score among all participants was 3.15 ± 0.89 out of 4.</p><p><strong>Conclusions: </strong>The findings indicate that 12.6 % of university students use weight loss supplements, and 43.6 % of them consume these products without medical consultation. The gap between knowledge and practice highlights the need for targeted awareness campaigns and stricter regulation.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":"151-158"},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145185886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between nutritional status and cognitive function scores of adolescent girls in underprivileged communities.","authors":"Musfira Musfira, Veni Hadju, Rahayu Indriasari, Indra Fajarwati Ibnu, Citrakesumasari Citrakesumasari, Abdul Razak Thaha, Leng Huat Foo","doi":"10.1515/ijamh-2025-0114","DOIUrl":"10.1515/ijamh-2025-0114","url":null,"abstract":"<p><strong>Objectives: </strong>Optimal cognitive development in early life is crucial for academic achievement and long-term quality of life. However, there is limited and inconsistent evidence regarding its association with nutritional status, especially among underprivileged school-aged children and adolescent girls. This study aimed to assess the association between nutritional status and cognitive function among adolescent girls aged 11 to 17 years.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 372 adolescent girls from two schools in Takalar District between July and November 2024. Data collection included questionnaires, 24-h dietary recall, anthropometric measurements, and cognitive function assessments using the Culture Fair Intelligence Test (CFIT). Multivariate regression analysis was used to identify independent predictors of cognitive function.</p><p><strong>Results: </strong>The mean age of participants was 14.0 ± 1.5 years. The prevalence of stunting, wasting, and chronic energy deficiency (CED) was 18.0 , 11.3, and 19.9 %, respectively. Girls with CED and stunting had significantly lower cognitive scores than their counterparts (CED: 74.3 ± 13.8 vs. 78.8 ± 13.8; p<0.05; Stunting: 73.3 ± 12.6 vs. 79.0 ± 13.9; p<0.01). Regular intake of iron-folic acid (IFA) supplements was associated with higher cognitive scores (80.2 ± 13.1 vs. 77.0 ± 14.1; p<0.05). Multivariate regression analysis showed that BMI-for-age z-score (β=3.419; p<0.01), IFA intake (β=4.054; p<0.05), and height-for-age z-score (β=0.652; p<0.01) were significant predictors of cognitive performance.</p><p><strong>Conclusions: </strong>Nutritional status was significantly associated with cognitive function among adolescent girls in underprivileged communities. Targeted nutrition interventions may be critical in supporting cognitive development in this vulnerable population.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":"307-314"},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145148693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and risk factors of anemia among adolescent females in Beni-Suef governorate, Upper Egypt.","authors":"Mamdouh Wahba, Gehad S Ahmed, Manal Mohamed Anwar, Tamer Mohamed Said Hifnawy, Doaa Mahmoud Khalil","doi":"10.1515/ijamh-2025-0042","DOIUrl":"10.1515/ijamh-2025-0042","url":null,"abstract":"<p><strong>Objectives: </strong>To estimate anemia prevalence and risk factors among adolescent females in Beni-Suef Governorate.</p><p><strong>Methods: </strong>A population-based cross-sectional mixed quantitative and qualitative survey was conducted among 1000 adolescent females in the seven Beni-Suef governorate, Upper Egypt districts from November 2023 to March 2024. A structured questionnaire including socio-demographic and menstrual history was used. Focus group discussions (FGD) were conducted to assess their awareness. Hemoglobin testing was performed on the participants, and the diseased ones were treated.</p><p><strong>Results: </strong>Anemia is highly prevalent among adolescent females in the Beni-Suef governorate (35.8 %). Residence (Adjusted OR=0.652, 95 % CI:0.439-0.970), and daily number of pads (Adjusted OR=1.208, 95 % CI:1.006-1.451) were found to be statistically significant risk factors for anemia in adolescent females.</p><p><strong>Conclusions: </strong>Anemia is highly prevalent among adolescent females. Early assessment and management of anemia is highly recommended. Nutritional interventions such as food fortification, supplementation, and nutrition education should be provided. Micronutrient supplementation programs should be implemented in all basic schools, and extensive nutrition awareness initiatives should be implemented for adolescent females and caregivers.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":"7-16"},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145174677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of nutrition in maintaining health and physical activity among adolescents assigned to special medical groups.","authors":"Gulnur Doszhanova, Aigul Abduldayeva, Saule Iskakova, Danara Ibrayeva, Gaukhar Kuanyshbayeva","doi":"10.1515/ijamh-2025-0118","DOIUrl":"10.1515/ijamh-2025-0118","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to assess the dietary patterns of adolescents to develop targeted medical and organizational interventions for optimizing nutrition and physical activity.</p><p><strong>Methods: </strong>Research was conducted in Astana in the fall of 2024 and involved 162 adolescents aged 15-19 years (mean age: 17.8 ± 0.41 years) who were classified into special medical groups based on preventive health examinations. Dietary data were collected using the World Health Organization-recommended 24-h recall method, and nutrient intake was assessed against national dietary recommendations and Food and Agriculture Organization/World Health Organization standards.</p><p><strong>Results: </strong>The analysis demonstrated that adolescents in special medical groups had significantly reduced daily caloric intake (p<0.001) and an imbalanced macronutrient profile, characterized by excessive consumption of animal fats and simple carbohydrates alongside insufficient intake of polysaccharides and dietary fiber. Widespread deficiencies in essential micronutrients were observed, particularly in vitamins A, D, B1, B6, B9, C, and E, as well as calcium, iodine, phosphorus, magnesium, and iron. These nutritional inadequacies were closely associated with reduced physical endurance, increased fatigue, and lower academic and physical performance, underscoring the urgent need for targeted nutritional interventions.</p><p><strong>Conclusions: </strong>These findings emphasize the necessity of dietary interventions and tailored physical activity programs to enhance the overall health and functional capacity of adolescents requiring specialized medical supervision.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":"345-358"},"PeriodicalIF":0.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Tracing the impact of childhood adversity on social anxiety in late adolescence: the moderating role of social support and coping strategies\".","authors":"Gayatri Kumar, Ekta Bhambri Marwaha","doi":"10.1515/ijamh-2025-0040","DOIUrl":"10.1515/ijamh-2025-0040","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the prevalence of ACEs, social anxiety (SIA), and perceived social support (PSS) among Indian students, and to investigate the relationship between ACEs, SIA, PSS, and three types of coping strategies, i.e., (PF, AF, EF). This study also aims to examine the mediating role of perceived social support (PSS) in the ACEs-SIA relationship and identify the three types of coping strategies used by students with ACEs and social anxiety.</p><p><strong>Methods: </strong>The present study is exploratory and uses a correlational design. The sample comprised 210 students aged 17-21. The participants were administered the following instruments: the Adverse Childhood Experiences (ACE) Test, Social Interaction Anxiety Scale (SIAS), Multidimensional Perceived Social Support (MSPSS), and the Brief COPE Inventory.</p><p><strong>Results: </strong>The present study's findings indicate a significant positive correlation between Adverse Childhood Experiences (ACEs) and social anxiety levels among Indian college students. Higher ACE scores were associated with increased social anxiety. Perceived social support showed a significant negative correlation with social anxiety, suggesting that greater social support is linked to lower anxiety levels. Among coping strategies, emotion-focused coping was the most commonly used, followed by problem-focused coping and avoidant-coping. Emotion-focused coping showed a positive correlation with social anxiety.</p><p><strong>Conclusions: </strong>These findings underscore the long-term psychological impact of childhood adversity and highlight the protective role of social support in buffering social anxiety symptoms in late-adolescent and young-adult college students. The reliance on emotion-focused coping strategies, although providing immediate relief, does not address the underlying issues, emphasizing the need for culturally sensitive interventions promoting problem-focused coping. The study also underscores the critical role of perceived social support in mitigating the adverse effects of ACEs, indicating a need to enhance social support networks to foster resilience among Indian college students.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":"279-287"},"PeriodicalIF":0.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}