Child Abuse & Neglect最新文献

{"title":"Associations between adverse childhood experiences, resilience, and health and educational outcomes using data from the 2022 National Survey of Children's Health","authors":"Wynton M. Sims ,&nbsp;Nathan Tran ,&nbsp;John Neuhaus ,&nbsp;Matthew S. Pantell","doi":"10.1016/j.chiabu.2025.107477","DOIUrl":"10.1016/j.chiabu.2025.107477","url":null,"abstract":"<div><h3>Background</h3><div>Exposure to adverse childhood experiences (ACEs) is associated with poor childhood health. There is increasing interest in understanding the influence of positive childhood experiences (PCEs) because of their potential protective role against ACEs.</div></div><div><h3>Objective</h3><div>We sought to understand 1) whether PCEs are protective against developing learning disabilities and mental, emotional, developmental, and behavioral conditions (MEDBC); 2) whether this relationship varies by number of ACEs.</div></div><div><h3>Participants and setting</h3><div>We analyzed the 2022 National Survey of Children's Health (NSCH).</div></div><div><h3>Methods</h3><div>We constructed a variable for “high ACEs” (4+), and 6 PCEs were considered. Outcomes were MEDBC and learning disability. Logistic regression models were: 1) using high ACEs and each individual PCE as predictors; and 2) Model 1 + an interaction term for high ACEs x each PCE. Models were nationally weighted using survey-provided sampling weights and controlled for covariates with significance at <em>p</em> &lt; 0.05.</div></div><div><h3>Results</h3><div>The sample consisted of 53,133 children. In Model 1, each PCE except reading together (<em>p</em> = 0.795) and singing together (<em>p</em> = 0.551) was associated with a significantly lower odds of having MEDBC. Each PCE except reading together (<em>p</em> = 0.259), singing together (<em>p</em> = 0.583), and having meals together (<em>p</em> = 0.726) was associated with a significantly lower odds of having learning disabilities.</div></div><div><h3>Conclusions</h3><div>Regardless of number of ACEs, PCEs were associated with lower odds of having a MEDBC and a learning disability. As the enthusiasm for ACEs screening continues, clinicians should also consider PCE screening.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"165 ","pages":"Article 107477"},"PeriodicalIF":3.4,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Childhood maltreatment and suicide ideation in Chinese college students: The chain mediating role of self-compassion and depressive symptoms","authors":"Mingxiao Liu ,&nbsp;Xiaoqing Yu ,&nbsp;Aiyi Liu ,&nbsp;Xinchun Wu ,&nbsp;Wenzhou Lin","doi":"10.1016/j.chiabu.2025.107475","DOIUrl":"10.1016/j.chiabu.2025.107475","url":null,"abstract":"<div><h3>Background</h3><div>Suicide is a widespread public health issue and understanding the risk and protective factors associated with suicidal ideation is critical for developing effective prevention and intervention strategies.</div></div><div><h3>Objective</h3><div>Based on the interpersonal theory of suicide and attachment theory, the current study aimed to investigate the chain mediating role of self-compassion and depressive symptoms in the correlation between childhood maltreatment and suicidal ideation among Chinese college students.</div></div><div><h3>Methods</h3><div>This two-wave study included 1286 Chinese college students in Hebei and Hubei, China. Participants completed questionnaires for childhood maltreatment, self-compassion, depressive symptoms, suicidal ideation, and recent traumatic events.</div></div><div><h3>Results</h3><div>After controlling for sex, paternal and maternal educational levels, household monthly income, and recent traumatic events, only emotional neglect was found to be positively and directly associated with suicidal ideation. Moreover, positive self-compassion (PSC) significantly and positively mediated the relationship between emotional and physical neglect and suicidal ideation. In addition, the relationship between emotional abuse and suicidal ideation was positively and sequentially mediated by negative self-compassion (NSC) and depressive symptoms, whereas the association between emotional neglect and suicidal ideation was sequentially mediated by PSC and depressive symptoms.</div></div><div><h3>Conclusions</h3><div>These findings highlight the importance of promoting PSC to reduce the impact of neglect on suicidal ideation, and alleviating NSC to reduce the impact of emotional abuse on suicidal ideation.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"165 ","pages":"Article 107475"},"PeriodicalIF":3.4,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143886770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are different types of childhood adversities correlated within and across time? A comparison of data on adversity co-occurrence from three longitudinal birth cohort studies.","authors":"Madison E Bigler, Isabel K Schuurmans, Yiwen Zhu, Nitasha Siddique, Nadia Hoffman, Nastassja Koen, Heather J Zar, Dan J Stein, Charlotte A M Cecil, Erin C Dunn","doi":"10.1016/j.chiabu.2025.107315","DOIUrl":"https://doi.org/10.1016/j.chiabu.2025.107315","url":null,"abstract":"<p><strong>Background: </strong>Existing research on adverse childhood experiences (ACEs) emphasizes that ACEs tend to co-occur, both at specific timepoints and across development. However, these conclusions are often drawn from cross-sectional data, retrospective reports, and high-risk samples. Patterns of ACE co-occurrence have yet to be investigated longitudinally using repeated, time-specific measures of ACE exposure.</p><p><strong>Objective: </strong>Assess patterns of ACE co-occurrence across development and compare findings from three longitudinal birth cohorts.</p><p><strong>Participants and setting: </strong>Data came from the Avon Longitudinal Study of Parents and Children (ALSPAC; U.K.), the Generation R Study (GenR; The Netherlands), and the Drakenstein Child Health Study (DCHS; South Africa).</p><p><strong>Method: </strong>ACEs were measured repeatedly from birth to age 10 using prospective caregiver reports. Cohort-level tetrachoric correlations were estimated to characterize associations within and between ACE types and by timepoints.</p><p><strong>Results: </strong>ACEs were only moderately correlated within and across time, with correlation estimates under r = 0.5 at most timepoints, even for the most prevalent exposures. In all cohorts, ACEs capturing direct victimization had the highest co-occurrence with each other. ACEs capturing household dysfunction tended to persist over time but were less likely to co-occur with other ACEs. ACEs were most prevalent in DCHS and had the highest co-occurrence in ALSPAC.</p><p><strong>Conclusions: </strong>Variation exists in patterns of ACE co-occurrence by ACE type, developmental timing, and sample. Given these results, researchers and clinicians should challenge the assumption that all ACEs consistently co-occur. Instead, ACE exposure when measured via parent or participant self report - may need to be assessed repeatedly across development to better understand patterns of ACE co-occurrence and inform targeted interventions.</p>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":" ","pages":"107315"},"PeriodicalIF":3.4,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving sport opportunities, participation, and experiences for children in out-of-home care: A mixed-methods study","authors":"Aaron Simpson ,&nbsp;Timothy Budden ,&nbsp;Claire Willis ,&nbsp;James Dimmock ,&nbsp;Ashleigh Lin ,&nbsp;Ashleigh L. Thornton ,&nbsp;Bonnie Furzer ,&nbsp;Ivan Jeftic ,&nbsp;Michael Rosenberg ,&nbsp;Ben Jackson","doi":"10.1016/j.chiabu.2025.107476","DOIUrl":"10.1016/j.chiabu.2025.107476","url":null,"abstract":"<div><h3>Background</h3><div>Participation in sport is associated with a range of physical, psychological, and social benefits. However, children in out-of-home care face complex barriers to sport participation, with lower participation rates than children in other household arrangements.</div></div><div><h3>Objective</h3><div>We aimed to establish carers' recommendations for improving children in care's participation and experiences in sport.</div></div><div><h3>Participants and setting</h3><div>Overall, 42 foster and kinship carers in Western Australia participated in the study. Data were collected via online surveys and interviews.</div></div><div><h3>Methods</h3><div>We conducted a sequential explanatory mixed-methods study, utilising both quantitative and qualitative methods.</div></div><div><h3>Results</h3><div>Analyses revealed three key recommendations—with accompanying implementation strategies—for policymakers, researchers, peak sporting bodies, and sporting organisations: (1) inclusive practices should be embedded in existing sport programs; (2) education for sport program providers should be developed; and (3) support for carers to facilitate sport participation for children in care should be provided.</div></div><div><h3>Conclusions</h3><div>This work provides guidance for increasing participation in sport for children in care, and maximising opportunities for physical, psychological, and social development.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"165 ","pages":"Article 107476"},"PeriodicalIF":3.4,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143886769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ophthalmic ultrasonography can identify retinal injury associated with abusive head trauma more quickly and accurately than other neuroimaging modalities","authors":"Becky J. Riggs ,&nbsp;Misun Hwang ,&nbsp;Joanna S. Cohen ,&nbsp;Katherine Barton ,&nbsp;Matthew A. Thimm ,&nbsp;Megan F. Hunt ,&nbsp;Carmelina Trimboli-Heidler ,&nbsp;Thomas J. Valvano ,&nbsp;Courtney L. Kraus ,&nbsp;Nathan P. Dean ,&nbsp;Aylin Tekes","doi":"10.1016/j.chiabu.2025.107474","DOIUrl":"10.1016/j.chiabu.2025.107474","url":null,"abstract":"<div><h3>Background and objectives</h3><div>We propose that ophthalmic ultrasonography (OUS) can identify retinal pathology faster and more accurately than head computed tomography (CT) or brain magnetic resonance imaging (MRI) when compared with dilated fundus exam.</div></div><div><h3>Methods</h3><div>Children &lt;4 years old admitted to the pediatric intensive care unit with suspected traumatic brain injury (TBI) confirmed by neuroimaging were enrolled in this multi-institution prospective observational cohort. All patients underwent bedside OUS exams and either a dilated fundus exam, an autopsy, or both. Head CT and brain MRI images were obtained per institutional TBI protocols.</div></div><div><h3>Results</h3><div>Fifty patients, 37 males and 13 females, with an average age of 4 months (IQ: 2–14) were enrolled. Thirty-eight head CTs and 39 brain MRIs were obtained. On dilated fundoscopy 24 enrollees had bilateral retinal hemorrhages, 2 had unilateral retinal hemorrhages, and 24 had no retinal pathology. OUSs were obtained within 3 h of hospital arrival (SD ± 2), head CTs within 3.2 (±4.2) hours, brain MRIs within 56 (±75) hours, and fundus exams within 65 (±56) hours. Compared to fundus exam, head CT had a sensitivity of 35 % (CI: 15–61) and specificity of 100 % (CI: 81–100) for identifying retinal pathology. T2 weighted MRI had a sensitivity of 44 % (CI: 22–69) and a specificity of 100 % (CI: 37–77). MRI susceptibility weighted imaging had a sensitivity of 62 % (CI: 36–84) and specificity of 85 %(CI: 61–96). OUS had a sensitivity of 96 % (CI: 80–99.8) and a specificity of 100 % (CI: 84–100).</div></div><div><h3>Conclusions</h3><div>OUS was more accurate than other neuroimaging modalities at detecting retinal pathology and can be obtained faster than dilated fundus exams.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"165 ","pages":"Article 107474"},"PeriodicalIF":3.4,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143885936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emotional maltreatment and adolescent friendship quality: Examining the divergent impacts of abuse and neglect on friendship development across gender","authors":"Zheng Zhou ,&nbsp;E. Scott Huebner ,&nbsp;Lili Tian","doi":"10.1016/j.chiabu.2025.107473","DOIUrl":"10.1016/j.chiabu.2025.107473","url":null,"abstract":"<div><h3>Background</h3><div>Emotional maltreatment (i.e., emotional abuse and neglect) has been identified as a risk factor for adolescent's friendship quality; however, it remains unclear whether emotional abuse and neglect differentially affect the development of friendship quality over time.</div></div><div><h3>Objective</h3><div>This longitudinal study examined the effects of emotional abuse and emotional neglect on the developmental trajectories of friendship quality (positive friendship quality and friend conflict) in Chinese early adolescents, and whether these effects differed between boys and girls.</div></div><div><h3>Participants and setting</h3><div>The sample included 4863 adolescents (55.6 % boys) with an average age of 10.44 (<em>SD</em> = 0.66) years from a large city in China.</div></div><div><h3>Methods</h3><div>Participants completed measures of emotional abuse, emotional neglect, and friendship quality at baseline, with friendship quality assessed at three six-month follow-ups. Latent growth curve modeling was applied to examine the longitudinal relations.</div></div><div><h3>Results</h3><div>(a) Both emotional abuse and emotional neglect were significantly associated with lower initial levels of positive friendship quality (<em>β</em> = −0.081/−0.452, <em>p</em>_s &lt; 0.001) and higher initial levels of friend conflict (<em>β</em> = 0.323/0.230, <em>p</em>_s &lt; 0.001); (b) emotional abuse predicted decreases in both positive friendship quality and friend conflict (<em>β</em> = −0.080/−0.164, <em>p</em>_s &lt; 0.05), especially for boys; (c) emotional neglect predicted increases in positive friendship quality (<em>β</em> = 0.205, <em>p</em> &lt; 0.001)</div></div><div><h3>Conclusions</h3><div>These results highlight the distinct impact of emotional abuse and emotional neglect on the development of friendship quality during early adolescence, suggesting that friendships may compensate for neglected adolescents' needs for intimate relationships.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"164 ","pages":"Article 107473"},"PeriodicalIF":3.4,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143879266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From foster care to incarceration: A prospective analysis of the National Youth in Transition Database","authors":"Colleen E. Janczewski ,&nbsp;Joshua P. Mersky ,&nbsp;Daniela Kaiser","doi":"10.1016/j.chiabu.2025.107469","DOIUrl":"10.1016/j.chiabu.2025.107469","url":null,"abstract":"<div><h3>Background</h3><div>Children in foster care often face significant adversity in adulthood, including a heightened risk of incarceration. Yet, it is uncertain whether adult incarceration rates differ between youth who age out of foster care, youth who are reunified with their families, and those adopted or placed with a legal guardian.</div></div><div><h3>Objective</h3><div>This prospective study investigates the prevalence of adult incarceration for youth in care at age 17 and examines whether the risk of incarceration varies by foster care exit type, both overall and among different racial/ethnic groups.</div></div><div><h3>Participants and settings</h3><div>The sample consists of 24,573 youth in foster care who participated in the National Youth in Transition Outcome Survey shortly after their 17th, 19th, and 21st birthdays.</div></div><div><h3>Methods</h3><div>The study utilizes prevalence reporting and logistic regression analyses. Regression models include interaction terms to assess whether race/ethnicity moderates the impact of foster care exit type on adult incarceration.</div></div><div><h3>Results</h3><div>Over 30 % of youth reported incarceration by age 17, and nearly 30 % experienced incarceration between 17 and 20. Compared to youth who aged out of care, youth who reunified had a higher risk of incarceration while youth who were adopted or placed in guardianship had a lower risk. Compared to White males, Black males faced a higher risk of incarceration, while Hispanic females were less likely than White females to be incarcerated. Primary race/ethnicity categories did not significantly moderate the effect of exit type.</div></div><div><h3>Conclusions</h3><div>Although considerable attention has been given to youth aging out of care, this study highlights the need for greater attention to the well-being of youth who reunify with their families.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"164 ","pages":"Article 107469"},"PeriodicalIF":3.4,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spillover of macro-level violence to parental physical abuse of children in low- and middle-income countries","authors":"Julie Ma ,&nbsp;Andrew Grogan-Kaylor ,&nbsp;Kaitlin P. Ward ,&nbsp;Elizabeth H. Boyle ,&nbsp;Olivia D. Chang ,&nbsp;Garrett T. Pace","doi":"10.1016/j.chiabu.2025.107468","DOIUrl":"10.1016/j.chiabu.2025.107468","url":null,"abstract":"<div><h3>Background</h3><div>Through violence socialization processes, exposure to higher rates of violence in the macro context may spill over to family violence, including caregivers' use of physical child abuse.</div></div><div><h3>Objective</h3><div>This study examined the associations of violence occurring in macro contexts with parental physical abuse, after accounting for norms justifying women's exposure to intimate partner violence (IPV) and parental physical punishment against children.</div></div><div><h3>Methods</h3><div>We used data from 435,131 households with a reference child aged 1 to 17 years across 43 countries from rounds 4 and 5 of the UNICEF Multiple Indicator Cluster Surveys. We employed multilevel logistic regression to estimate the extent to which country-level violence—measured by rates of terrorism and political conflict, homicide, and women's exposure to IPV—was associated with the use of severe and moderate physical abuse. The models controlled for norms justifying IPV and physical punishment, as well as socio-demographic factors.</div></div><div><h3>Results</h3><div>Results indicated that greater endorsement of IPV (<em>OR</em> = 1.024, <em>p</em> &lt; .001) and attitudes supporting the use of physical punishment with children (<em>OR</em> = 1.016, <em>p</em> &lt; .05) were both associated with higher odds of severe physical abuse after controlling for covariates. The association of terrorism and political violence with severe physical abuse was mediated by norms that legitimize IPV (indirect <em>b</em> = 0.027, <em>p</em> &lt; .01).</div></div><div><h3>Conclusion</h3><div>Interventions aimed at reducing abusive parenting practices in LMICs may benefit from efforts to reduce social norms that support IPV and physical punishment of children. These interventions should incorporate trauma-informed approaches that recognize the effects of macro-level violence.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"164 ","pages":"Article 107468"},"PeriodicalIF":3.4,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Links between image-based sexual abuse and mental health in childhood among young adult social media users","authors":"Kimberly J. Mitchell ,&nbsp;Deirdre Colburn ,&nbsp;David Finkelhor ,&nbsp;Ateret Gewirtz-Meydan ,&nbsp;Heather A. Turner ,&nbsp;Lisa M. Jones","doi":"10.1016/j.chiabu.2025.107471","DOIUrl":"10.1016/j.chiabu.2025.107471","url":null,"abstract":"<div><h3>Background</h3><div>Image-based sexual abuse (IBSA) involves harm inflicted upon children through the creation, distribution, and misuse of explicit images. IBSA includes scenarios where explicit images are produced, shared, and misused by both adults and other youth.</div></div><div><h3>Objective</h3><div>To examine the impact of IBSA, independent of child sexual abuse and adversity, on drug overdoses, suicide attempts and self-injuries before the age of 18 with a focus on sexual and gender minority youth.</div></div><div><h3>Participants and setting</h3><div>Young adult social media users, aged 18 to 28 (<em>n</em> = 2630) from across the United States.</div></div><div><h3>Methods</h3><div>Participants were recruited through social media and completed an online survey. Data is cross-sectional - asking young adults to reflect back on experiences prior to age 18. Data was collected between February 27, 2024 and April 1, 2024.</div></div><div><h3>Results</h3><div>IBSA was associated with elevated odds of mental health impact, independent of in-person sexual abuse and adversity. Gender minority participants were more likely than cisgender participants to report IBSA; sexual minority youth more likely than those identifying exclusively as heterosexual to report IBSA. Gender minority youth with IBSA had increased odds of drug overdoses (aOR 3.0, <em>p</em> = .053) and suicide attempts (aOR 3.1, <em>p</em> &lt; .001), controlling for other factors. Among sexual minority youth, IBSA was associated with increased odds of drug overdoses (aOR 3.9, <em>p</em> = .002), suicide attempts (aOR 2.4, <em>p</em> &lt; .001) and non-suicidal self-injury (aOR 2.9, <em>p</em> = .001).</div></div><div><h3>Conclusions</h3><div>Youth serving professionals should be aware that IBSA is associated with increased public health problems. Vulnerability to IBSA should be included among the concerns that clinicians and educators screen for, particularly among vulnerable populations.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"164 ","pages":"Article 107471"},"PeriodicalIF":3.4,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adverse childhood experiences, positive childhood experiences, suicidal thoughts or behaviors and psychological distress among Kenyan youth-an exploratory analysis of the 2019 Kenya Violence Against Children and Youth Survey (VACS)","authors":"Colvette Brown ,&nbsp;Ezeigwe Ogochukwu ,&nbsp;Stanley Nkemjika ,&nbsp;Caroline Kambona ,&nbsp;Laura Chiang ,&nbsp;Francis B. Annor","doi":"10.1016/j.chiabu.2025.107470","DOIUrl":"10.1016/j.chiabu.2025.107470","url":null,"abstract":"<div><h3>Background</h3><div>Early childhood experiences, whether positive or adverse, significantly impact health across the lifespan. Children and youth in low-resource settings face unique challenges that increase their vulnerability to poor mental health.</div></div><div><h3>Objective</h3><div>To examine the relationship between adverse childhood experiences (ACEs) and suicidal thoughts or behaviors as well as psychological distress, and to explore the moderating role of parent-related positive childhood experiences (PPCEs) on this association.</div></div><div><h3>Participant and setting</h3><div>We used data from the 2019 Kenya Violence Against Children and Youth Survey.</div></div><div><h3>Methods</h3><div>Analyses were restricted to youth ages 18–24. ACEs were dichotomized (into those who have experienced at least one ACEs and those who have not), and logistic regression was used to examine the relationship between ACEs, PPCEs, and suicidal thoughts or behaviors and psychological distress stratified by sex.</div></div><div><h3>Results</h3><div>Significantly more males (75.8 %) than females (57.6 %) experienced at least 1 ACE in their lifetime (<em>p</em> = 0.0003). PPCEs are common; however, significantly more males (59.9 %) than females (41.2 %) had a strong father-child relationship (<em>p</em> = 0.0003). ACEs were positively associated with suicidal thoughts or behaviors and psychological distress, with notable sex-specific differences in the associations. Conversely, PPCEs were negatively associated with those outcomes, but there were also sex-specific differences in the associations. No significant interaction effect was observed between ACEs, PPCEs, and the mental health outcomes.</div></div><div><h3>Conclusion</h3><div>Suicidal thoughts or behaviors and psychological distress are pervasive problems that are common among youth in Kenya, and the associations with ACEs vary by sex. A multilevel approach and evidenced-based intervention strategies that consider the context of sociocultural norms are crucial to prevention and response efforts.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"164 ","pages":"Article 107470"},"PeriodicalIF":3.4,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}