{"title":"青少年后期童年不良经历的影响:来自大学和社区样本的证据","authors":"Rana Almaradheef, Eman Alhalal","doi":"10.1002/nur.22368","DOIUrl":null,"url":null,"abstract":"Scant studies have investigated adverse childhood experience (ACE) outcomes and mastery during adolescence in different cultural contexts. This cross-sectional study examines the impact of ACEs on subjective well-being, health complaints, and healthcare utilization during late adolescence, including the mediating role of the sense of mastery in the Saudi context. Adolescents (<i>N</i> = 396) aged 17–21 years were recruited via convenience sampling from colleges and local communities from two regions in Saudi Arabia. Data were collected using a paper-pencil anonymous survey and analyzed using path analysis. Of the sample, 85.5% experienced at least one ACE. ACEs had a direct effect on subjective well-being (<i>p</i> = 0.034), health complaints (<i>p</i> < 0.001), healthcare utilization (<i>p</i> < 0.001), and sense of mastery (<i>p</i> < 0.001). Sense of mastery had an effect on subjective well-being (<i>p</i> < 0.001) and health complaints (<i>p</i> < 0.001), but not on healthcare utilization (<i>p</i> = 0.436). Sense of mastery partially mediated the relationship between ACEs and subjective well-being (<i>p</i> = 0.034) and health complaints (<i>p</i> < 0.001), but not healthcare utilization (<i>p</i> = 0.438). ACEs have detrimental effects on adolescent health. Attention should be paid to primary prevention and early detection to avoid further harm, and interventions that address the role of the sense of mastery should be developed for adolescents.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":null,"pages":null},"PeriodicalIF":2.1000,"publicationDate":"2024-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Outcomes of adverse childhood experience during late adolescence: Evidence from college and community samples\",\"authors\":\"Rana Almaradheef, Eman Alhalal\",\"doi\":\"10.1002/nur.22368\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Scant studies have investigated adverse childhood experience (ACE) outcomes and mastery during adolescence in different cultural contexts. This cross-sectional study examines the impact of ACEs on subjective well-being, health complaints, and healthcare utilization during late adolescence, including the mediating role of the sense of mastery in the Saudi context. Adolescents (<i>N</i> = 396) aged 17–21 years were recruited via convenience sampling from colleges and local communities from two regions in Saudi Arabia. Data were collected using a paper-pencil anonymous survey and analyzed using path analysis. Of the sample, 85.5% experienced at least one ACE. ACEs had a direct effect on subjective well-being (<i>p</i> = 0.034), health complaints (<i>p</i> < 0.001), healthcare utilization (<i>p</i> < 0.001), and sense of mastery (<i>p</i> < 0.001). Sense of mastery had an effect on subjective well-being (<i>p</i> < 0.001) and health complaints (<i>p</i> < 0.001), but not on healthcare utilization (<i>p</i> = 0.436). Sense of mastery partially mediated the relationship between ACEs and subjective well-being (<i>p</i> = 0.034) and health complaints (<i>p</i> < 0.001), but not healthcare utilization (<i>p</i> = 0.438). ACEs have detrimental effects on adolescent health. Attention should be paid to primary prevention and early detection to avoid further harm, and interventions that address the role of the sense of mastery should be developed for adolescents.\",\"PeriodicalId\":54492,\"journal\":{\"name\":\"Research in Nursing & Health\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2024-01-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Research in Nursing & Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/nur.22368\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Research in Nursing & Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/nur.22368","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
Outcomes of adverse childhood experience during late adolescence: Evidence from college and community samples
Scant studies have investigated adverse childhood experience (ACE) outcomes and mastery during adolescence in different cultural contexts. This cross-sectional study examines the impact of ACEs on subjective well-being, health complaints, and healthcare utilization during late adolescence, including the mediating role of the sense of mastery in the Saudi context. Adolescents (N = 396) aged 17–21 years were recruited via convenience sampling from colleges and local communities from two regions in Saudi Arabia. Data were collected using a paper-pencil anonymous survey and analyzed using path analysis. Of the sample, 85.5% experienced at least one ACE. ACEs had a direct effect on subjective well-being (p = 0.034), health complaints (p < 0.001), healthcare utilization (p < 0.001), and sense of mastery (p < 0.001). Sense of mastery had an effect on subjective well-being (p < 0.001) and health complaints (p < 0.001), but not on healthcare utilization (p = 0.436). Sense of mastery partially mediated the relationship between ACEs and subjective well-being (p = 0.034) and health complaints (p < 0.001), but not healthcare utilization (p = 0.438). ACEs have detrimental effects on adolescent health. Attention should be paid to primary prevention and early detection to avoid further harm, and interventions that address the role of the sense of mastery should be developed for adolescents.
期刊介绍:
Research in Nursing & Health ( RINAH ) is a peer-reviewed general research journal devoted to publication of a wide range of research that will inform the practice of nursing and other health disciplines. The editors invite reports of research describing problems and testing interventions related to health phenomena, health care and self-care, clinical organization and administration; and the testing of research findings in practice. Research protocols are considered if funded in a peer-reviewed process by an agency external to the authors’ home institution and if the work is in progress. Papers on research methods and techniques are appropriate if they go beyond what is already generally available in the literature and include description of successful use of the method. Theory papers are accepted if each proposition is supported by research evidence. Systematic reviews of the literature are reviewed if PRISMA guidelines are followed. Letters to the editor commenting on published articles are welcome.